open access

Vol 3, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-12-31
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Assessment of the exposure of nurses from Emergency Departments to aggressive behavior of patients

Lukasz Czyzewski, Katarzyna Rybak
DOI: 10.5603/DEMJ.2018.0025
·
Disaster Emerg Med J 2018;3(4):111-118.

open access

Vol 3, No 4 (2018)
ORIGINAL ARTICLES
Published online: 2018-12-31

Abstract

INTRODUCTION: A large number of patients and their families waiting for help in ED, deteriorating health, high levels of stress and a recent sudden event, such as an accident, assault, life or health threaten the patient’s anxiety, fear or fright that may result in irrational or violent behavior. These behaviors may be a threat to both the patient and the environment. This work aims to determine the exposure of nursing staff employed in ED for aggression on the part of patients. 

METHODS: The research was carried out in the Masovian Province, in the Prague Hospital in Warsaw, in the Brodnowski Mazowieckie Hospital in Warsaw and in the Independent Public Health Care Team in Minsk Mazowiecki, from January to March 2018. The study was attended by 50 nurses working in ED. 

RESULTS: According to the surveys carried out, nursing Staff in ED meets with the aggression of patients very often, ie at least once every few days — this is confirmed by as many as 60% of the respondents. For frequent contact with aggressive patients (ie on average once a week) indicates 28% of respondents, and the remaining 12% contact aggressive patients on average once a month. The most frequent type of aggres- sion manifested by ED patients is verbal aggression — 68% of respondents contact it. 22% indicate physical aggression directed to nursing staff, and 10% for physical aggression but directed to objects. 

CONCLUSIONS: In conclusion, our data indicate that: (1) Aggression of patients in ED is a very frequent phenomenon, and the level of high personnel exposure — aggression is recorded at least once every few days. There is no clear relationship between the increase in the number of aggressive patients on certain days of the week or the time of day, although there is a tendency to note such cases on weekends and at night; (2) The most common type of aggression undertaken by ED patients is verbal aggression manifested in insults, insults, shouting, threats and intimidation; 

Abstract

INTRODUCTION: A large number of patients and their families waiting for help in ED, deteriorating health, high levels of stress and a recent sudden event, such as an accident, assault, life or health threaten the patient’s anxiety, fear or fright that may result in irrational or violent behavior. These behaviors may be a threat to both the patient and the environment. This work aims to determine the exposure of nursing staff employed in ED for aggression on the part of patients. 

METHODS: The research was carried out in the Masovian Province, in the Prague Hospital in Warsaw, in the Brodnowski Mazowieckie Hospital in Warsaw and in the Independent Public Health Care Team in Minsk Mazowiecki, from January to March 2018. The study was attended by 50 nurses working in ED. 

RESULTS: According to the surveys carried out, nursing Staff in ED meets with the aggression of patients very often, ie at least once every few days — this is confirmed by as many as 60% of the respondents. For frequent contact with aggressive patients (ie on average once a week) indicates 28% of respondents, and the remaining 12% contact aggressive patients on average once a month. The most frequent type of aggres- sion manifested by ED patients is verbal aggression — 68% of respondents contact it. 22% indicate physical aggression directed to nursing staff, and 10% for physical aggression but directed to objects. 

CONCLUSIONS: In conclusion, our data indicate that: (1) Aggression of patients in ED is a very frequent phenomenon, and the level of high personnel exposure — aggression is recorded at least once every few days. There is no clear relationship between the increase in the number of aggressive patients on certain days of the week or the time of day, although there is a tendency to note such cases on weekends and at night; (2) The most common type of aggression undertaken by ED patients is verbal aggression manifested in insults, insults, shouting, threats and intimidation; 

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Keywords

Emergency Department; nurse; aggression; burnout; violence

About this article
Title

Assessment of the exposure of nurses from Emergency Departments to aggressive behavior of patients

Journal

Disaster and Emergency Medicine Journal

Issue

Vol 3, No 4 (2018)

Pages

111-118

Published online

2018-12-31

DOI

10.5603/DEMJ.2018.0025

Bibliographic record

Disaster Emerg Med J 2018;3(4):111-118.

Keywords

Emergency Department
nurse
aggression
burnout
violence

Authors

Lukasz Czyzewski
Katarzyna Rybak

References (17)
  1. Mosiołek A, Koweszko T, Gierus J. Aggression in psychiatric institutions — an attempt to define the problem. Psychiatry. 2014; 11: 88–91.
  2. Frydrysiak K, Grześkowiak M, Podlewski R. Patient aggression as a threat to the work of emergency teams. Anaesthesiology & Rescue Medicine. 2014; 8: 381–391.
  3. Sariusz-Skąpska M. Forms of patients’ violent behaviour vs. occupational burnout in the staff of psychiatric services. Advances in Psychiatry and Neurology. 2005; 14: 87–91.
  4. Markiewicz R. Aggressive behavior of patients towards nursing staff employed in psychiatric wards. Current Problems of Psychiatry. 2012; 13: 93–97.
  5. Rzewuska M. Pharmacological treatment for aggressive patients with psychiatrie disorders. Pharmacotherapy in Psychiatry and Neurology. 2004; 3: 293–323.
  6. Rymaszewska J. The treatment of an aggressive and agitated patient. Psychiatry in Clinical Practice. 2008; 1: 74–78.
  7. Furgał M, Heitzman J. Sudden states in psychiatry [w:] J. Heitzman (red.) Psychiatry. Manual for medical studies, PZWL. 2007: 246–247.
  8. Wnukowski K, Kopański Z, Brukwicka I, et al. The dangers of medical rescue work – selected issues. Journal of Clinical Healthcare. 2015; 3: 10–16.
  9. Rudnicka-Drożak E, Misztal-Okońska P, Młynarska M. Opinions of the hospital emergency department workers on the subject of providing medical assistance to patients with alcohol poisoning – a preliminary report. Problems of Hygiene and Epidemiology. 2013; 94: 577–582.
  10. Kosińska-Dec K, Jelonkiewicz I. Alcohol drinking and jnterpersonal aggression among young adults. Alcoholism and Drug Addiction. 2000; 13: 223–233.
  11. Vetulani J. Neurochemistry of impulsiveness and aggression. Psychiatr Pol. 2013; 47(1): 103–115.
  12. Kliś A. Prophylaxis of patients’ aggression and violence in dialysis centres. Forum Nefrologiczne. 2011; 4: 177–182.
  13. Bieda M. Behavior towards people with mental illness and mental disorder manifested in the practice of medical rescuer. Krakow Academy Andrzej Frycz Modrzewski, Krakow 2015.
  14. Dz.U.2018.0.123 Act of July 15, 2011 on nurse and midwife professions.
  15. Augustynowicz A, Czerw A, Wrześniewska-Wal I, et al. Legal protection of the nurse / midwife in case of aggressive behavior of patients in therapeutic entities. Journal of Education, Health and Sport. 2015; 5: 259–268.
  16. Anczewska M. Stress and burnout in psychiatric health care workers. Institute of Psychiatry and Neurology, Warszawa 2006.
  17. Lickiewicz J, Piątek J. Nurses experiencing aggression at workplace. Art of Treatment. 2014; 3-4: 11–22.

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