Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services, 22089 Hamburg, Germany.
Int J Environ Res Public Health. 2022 Apr 19;19(9):4945. doi: 10.3390/ijerph19094945.
Emergency department staff are often affected by incidents of violence. The aim of the study was to generate data on the frequency of violence by patients and accompanying relatives and the correlation between experienced aggression, a possible risk of burnout and a high sense of stress. Additionally, the buffering effect of good preventive preparation of care staff by the facility on aggressive visitors and patients was examined. In this cross-sectional study, members of the German Society for Interdisciplinary Emergency and Acute Medicine were surveyed. The investigation of risk factors, particularly experiences of verbal and physical violence, as well as exhaustion and stress, was carried out using ordinal regression models. A total of 349 staff from German emergency departments took part in the survey, 87% of whom had experienced physical violence by patients and 64% by relatives. 97% had been confronted with verbal violence by patients and 94% by relatives. Violence by relatives had a negative effect on perceived stress. High resilience or effective preparation of employees for potential attacks was shown to have a protective effect with regard to the burnout risk and perceived stress. Therefore, management staff play a major role in preventing violence and its impact on employees.
急诊科工作人员经常受到暴力事件的影响。本研究旨在生成有关患者和陪同家属暴力行为频率的数据，并研究所经历的攻击行为、倦怠风险和高度压力之间的相关性。此外，还研究了医疗机构对攻击性访客和患者进行良好预防准备对工作人员的缓冲作用。在这项横断面研究中，对德国跨学科急诊和急症医学学会的成员进行了调查。使用有序回归模型调查了风险因素，特别是言语和身体暴力的经历以及疲惫和压力。共有 349 名德国急诊科工作人员参与了调查，其中 87%的人曾遭受过患者的身体暴力，64%的人曾遭受过家属的身体暴力。97%的人曾遭受过患者的言语暴力，94%的人曾遭受过家属的言语暴力。家属的暴力行为对感知压力有负面影响。高适应力或对潜在攻击的员工有效准备显示出对倦怠风险和感知压力的保护作用。因此，管理人员在预防暴力及其对员工的影响方面发挥着重要作用。
