Aulss 4 Veneto Orientale Emergency Department Portogruaro, CAP 30026, Portogruaro, Venetia, Italy.
Pronto Soccorso Azienda Ospedaliera Di Padova, Via Giustiniani 2, 35122, Padua, Italy.
Intern Emerg Med. 2020 Sep;15(6):1067-1074. doi: 10.1007/s11739-020-02290-7. Epub 2020 Feb 18.
Emergency departments (EDs) are high-risk places for Workplace Violence (WPV). In Italy, this phenomenon is scarcely investigated. The aim of this study is to evaluate the incidence, experiencing and perception of WPV in the general ED (GED), paediatric ED (PED) and obstetric-gynaecological ED (OGED) of the teaching hospital Azienda Ospedaliera in Padua (AOP). We led a cross-sectional study among the GED, OGED and PED staffs, submitting an anonymous questionnaire, regarding personal information, verbal and physical aggression experiences, risk factors and proposals for corrective actions. Our sample consists of 73 people from GED, 45 from OGED and 53 from PED. Aggressions are common. Verbal aggressions are almost never recorded, even in the case of physical aggressions, 41% did not signal the event. Both in GED and in OGED, most of the staff (68.9% and 75.0%, respectively) underwent aggression by neither psychiatric nor substance abuser patients (PSAPs). Physical aggressions are more common in GED than in OGED and in PED; most of professionals were assaulted by PSAPs. In all EDs, verbal or physical assault has been lived through by anger, resignation or fear, rarely by indifference. Professionals think there are structural characteristics and risk factors that could be corrected. They do not know how to manage assaults and would deem it useful training meetings with experts. Our results regarding how staff perceive and experience violence in the ED concern a local situation, that nevertheless reflect current evidence about the topic of WPV which plagues EDs across the globe.
急诊科（ED）是工作场所暴力（WPV）的高风险场所。在意大利，这种现象很少被调查。本研究的目的是评估教学医院帕多瓦 Azienda Ospedaliera（AOP）普通急诊科（GED）、儿科急诊科（PED）和妇产科急诊科（OGED）中 WPV 的发生率、经历和感知。我们在 GED、OGED 和 PED 工作人员中进行了一项横断面研究，提交了一份匿名问卷，内容涉及个人信息、言语和身体攻击经历、危险因素和纠正措施建议。我们的样本由 73 名来自 GED、45 名来自 OGED 和 53 名来自 PED 的人员组成。攻击很常见。言语攻击几乎从未被记录下来，即使是身体攻击，也有 41%的事件没有发出信号。在 GED 和 OGED 中，大多数工作人员（分别为 68.9%和 75.0%）都没有受到精神或药物滥用患者（PSAP）的攻击。与 OGED 和 PED 相比，GED 中更常见身体攻击；大多数专业人员受到 PSAP 的攻击。在所有 ED，言语或身体攻击都伴随着愤怒、辞职或恐惧，很少是漠不关心。专业人员认为存在可以纠正的结构特征和危险因素。他们不知道如何处理攻击，认为与专家举行培训会议会很有用。我们关于工作人员如何在急诊科感知和经历暴力的结果涉及当地情况，但反映了全球 ED 普遍存在的 WPV 问题的当前证据。
