Abstract
This study sought to determine the frequency and types of violence that occurred during the previous year against health care workers in emergency departments in Denizli, Turkey, and to discern the views of workers on the prevention of such aggressive behavior. This study was conducted from March 1 to April 15, 2003, and included a group of 79 health care workers from the emergency departments of 3 hospitals in Denizli, namely, the Hospital of Pamukkale University Medical Faculty, the City Hospital of Denizli, and the Hospital of the Social Insurance Foundation. Data were collected from a self-administered questionnaire. In all, 88.6% of participants had been subjected to or had witnessed verbal violence, and 49.4% of them had been subjected to or had witnessed physical violence during the previous year. The most frequent reason (31.4%) for violence was abuse of alcohol and drugs by perpetrators. The second most frequent reason (24.7%) was the long waiting times typical of emergency departments. The most common type of violence was loud shouting; swearing, threatening, and hitting were the next most frequent violent behaviors. In all, 36.1 % of subjects who had experienced violence reported that they developed psychological problems after the incident. Most participants commented on the insufficiency of currently available security systems within emergency departments and on the need for further training about violence. All health care personnel within emergency departments should be aware of the risk of violence and should be prepared for unpredictable conditions and events; in addition, security systems should be updated so that violence within emergency departments can be prevented.
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References
Pane GA, Winiarski AM, Salness KA. Aggression directed toward emergency department staff at a university teaching hospital.Ann Emerg Med. 1991; 20: 283–286.
Hewitt JB, Levin PF. Violence in the workplace.Annu Rev Nurs Res. 1997; 15: 81–99.
Boz B, Hanci H, Demirkan O, et al. Medical personal subjected to the violence in an emergency department.Turk J Forensic Sci. 2003; 2: 59–63.
Ayranci U, Yenilmez C, Günay Y, Kaptanoglu C. Frequency of the violence in different health centers and different health professions.J Anatolian Psychiatry. 2002; 3: 147–154.
Levin PF, Hewitt JB, Misner ST. Insights of nurses about assault in hospital-based emergency departments.Image J Nurs Sch. 1998; 30: 249–254.
Fernandes CM, Bouthillette F, Raboud JM, et al. Violence in the emergency department: a survey of health care workers.CMAJ. 1999; 161: 1245–1248.
Whittington R, Shuttleworth S, Hill L. Violence to staff in a general hospital setting.J Adv Nurs. 1996; 24: 326–333.
Allison EJ Jr. Violence in America: a shameful epidemic.ACEP News. 1992:4–5.
Aktuglu K, Hanci H. The violence threat in the emergency departments.Bull Emerg Med. 2000; 5: 24–28.
Foust D, Rhee KJ. The incidence of battery in an urban emergency department.Ann Emerg Med. 1993; 22: 583–585.
Lavoie FW, Carter GL, Danzl DF, et al. Emergency department violence in United States teaching hospitals.Ann Emerg Med. 1988; 17: 1227–1233.
Anderson AA, Ghali AY, Bansil RK. Weapon carrying among patients in a psychiatric emergency room.Hosp Community Psychiatry. 1989; 40: 845–847.
Young GP. The agitated patient in the emergency department.Emerg Med Clin North Am. 1987; 5: 765–781.
Zahid MA, al-Sahlawi KS, Shahid AA, al-Ajmi MT, Awadh JA. Violence towards doctors: prevalence and effects.Hosp Med. 1999; 60: 414–418.
Atawneh FA, Zahid MA, Al-Sahlawi KS, Shahid AA, Al-Farrah MH. Violence against nurses in hospitals: prevalence and effects.Br J Nurs. 2003; 12: 102–107.
Zahid MA, Al-Sahlawi KS, Shahid AA, Awadh JA, Abu-Shammah H. Violence against doctors: 2. Effects of violence on doctors working in accident and emergency departments.Eur J Emerg Med. 1999; 6: 305–309.
Coker F, Kazanci F, Kazanci M.The Laws of Turkey Republic. Istanbul: Law Publications of Kazanci; 1998.
Gözübüyük AP.Explanation of Turkish Penal Code. 4th ed. Istanbul: Law Publications of Kazanci; 1989.
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Boz, B., Acar, K., Dr. Ergin, A. et al. Violence toward health care workers in emergency departments in Denizli, Turkey. Adv Therapy 23, 364–369 (2006). https://doi.org/10.1007/BF02850142
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DOI: https://doi.org/10.1007/BF02850142