Investigating the Attitude and Self-Confidence Level of Emergency Doctors and Nurses in the Field of Violence Management in the Emergency Department of Urmia University of Medical Sciences
Keywords:violence, emergency, doctor, nurse, hospital
Introduction: Although the emergency department is known as a potential center of violence and the main reason for the prevalence of violence in these departments is unknown. Due to the lack of registration and reporting systems for these cases, the history of research in this case is limited and there are problems in this field. And this study was conducted with the aim of investigating the attitude and self-confidence level of emergency doctors and nurses in the field of violence management in the emergency department of Urmia University of Medical Sciences.
Materials and methods: This descriptive-analytical study was conducted on 187 personnel working in medical education centers of Urmia by census method. The data was collected using the demographic information checklist and Dimond et al.'s questionnaire. After collecting the data, it was entered into SPSS 18 and analyzed with the help of descriptive and analytical statistics.
Findings: In this study, the results showed that out of 187 personnel participating in the study, most of the participating personnel were nurses 134(%71.6), age group 138(%73.8) 26 to 35 years old and gender 97(%51.9) were male. And there was a significant relationship between the gender of the emergency department staff and a work experience in the emergency department with all three areas of understanding of violence, self-confidence in managing aggressive behavior and attitude towards safety and responsiveness and security in the workplace in the face of aggression. The age group of the emergency department staff had a significant difference only in the individual's perception of violence, in such a way that younger age groups had lower scores in the perception of violence section.
Discussion and conclusion: The issue of violence is a serious issue in the emergency departments of teaching hospitals in Urmia and serious attention should be paid to this point by the relevant authorities. And considering the lower levels of self-confidence of people in the face of aggression among people who have not completed training courses on violence management, the necessity of wider implementation of these courses among the employees of the emergency department in the investigated centers is mandatory.
Christensen M, Metcalfe LL, O'Reilly R, editors. Emergency department nurses experiences of female domestic violence presentations: A review of the qualitative literature. Nursing forum; 2021: Wiley Online Library.
Spangaro J, Vajda J, Klineberg E, Lin S, Griffiths C, Saberi E, et al. Intimate partner violence screening and response in New South Wales emergency departments: A multi‐site feasibility study. Emergency Medicine Australasia. 2020;32(4):548-55.
Price O, Baker J, Bee P, Lovell K. Learning and performance outcomes of mental health staff training in de-escalation techniques for the management of violence and aggression. The British Journal of Psychiatry. 2015;206(6):447-55.
Eker HH, Özder A, Tokaç M, Topçu I, Tabu A. Aggression and violence towards health care providers, and effects thereof. Archives of psychiatry and psychotherapy. 2012;4:19-29.
Taher HS, Hayat AS, Hussain MY, Ghayath TA, Kamel MI, El-Shazly MK. Attitude of primary health care nurses in Kuwait towards domestic violence against women. Alexandria Journal of Medicine. 2010;46(4):365-70.
Talas MS, Kocaöz S, Akgüç S. A survey of violence against staff working in the emergency department in Ankara, Turkey. Asian nursing research. 2011;5(4):197-203.
Arimatsu M, Wada K, Yoshikawa T, Oda S, Taniguchi H, Aizawa Y, et al. An epidemiological study of work‐related violence experienced by physicians who graduated from a medical school in Japan. Journal of occupational health. 2008;50(4):357-61.
Hodge AN, Marshall AP. Violence and aggression in the emergency department: a critical care perspective. Australian Critical Care. 2007;20(2):61-7.
Şenuzun Ergün F, Karadakovan A. Violence towards nursing staff in emergency departments in one Turkish city. International nursing review. 2005;52(2):154-60.
Wei C-Y, Chiou S-T, Chien L-Y, Huang N. Workplace violence against nurses–prevalence and association with hospital organizational characteristics and health-promotion efforts: cross-sectional study. International journal of nursing studies. 2016;56:63-70.
Knowles E, Mason SM, Moriarty F. ‘I'm going to learn how to run quick’: exploring violence directed towards staff in the Emergency Department. Emergency Medicine Journal. 2013;30(11):926-31.
Abdellah RF, Salama KM. Prevalence and risk factors of workplace violence against health care workers in emergency department in Ismailia, Egypt. Pan African medical journal. 2017;26(1):1-8.
Presley D, Robinson G. Violence in the emergency department: nurses contend with prevention in the health care arena. Nursing Clinics. 2002;37(1):161-9.
Dimond B. Violence in the accident and emergency department. Accident and emergency nursing. 1994;2(3):172-6.
Saif AA. Methods of educational measurement and evaluation. Tehran: Doran Publisher; 2009: 87-
Book in Persian
Behnam M, Tillotson RD, Davis SM, Hobbs GR. Violence in the emergency department: a national survey of emergency medicine residents and attending physicians. The Journal of emergency medicine. 2011;40(5).565-79
Hooshyari-khah H, Bodaq M, Taheri N, Hayati F, Cheraghian B, Talebi A. The Effect of Preplanned Training Courses on the Nurses. Clin Car J. 2014; 2(3): 53-60
Cahill D. The effect of ACT-SMART on nurses' perceived level of confidence toward managing the aggressive and violent patient. Advanced Emergency Nursing Journal. 2008;30(3):252-68.
Eshgh Z M, Zh Abed S, H Alavi M, Z Najafi A. Violence toward nurses at emergency rooms [ERs] of hospitals of Medical Universities in Tehran. 2012.
Chen W-C, Sun Y-H, Lan T-H, Chiu H-J. Incidence and risk factors of workplace violence on nursing staffs caring for chronic psychiatric patients in Taiwan. International journal of environmental research and public health. 2009;6(11):2812-21.
Hamdan M, Hamra A. Workplace violence towards workers in the emergency departments of Palestinian hospitals: a cross-sectional study. Human resources for health. 2015;13(1):1-9.
Zhang L, Wang A, Xie X, Zhou Y, Li J, Yang L, et al. Workplace violence against nurses: A cross-sectional study. International journal of nursing studies. 2017;72:8-14.
Gacki-Smith J, Juarez AM, Boyett L, Homeyer C, Robinson L, MacLean SL. Violence against nurses working in US emergency departments. Journal of healthcare protection management: publication of the International Association for Hospital Security. 2010;26(1):81-99
How to Cite
The Copyright Form should be downloaded and signed by corresponding author in the fourth step "upload supplementary files" during submission process.
After acceptance, copyright form should be downloaded and signed by all authors one by one ( "summery --> supp. file" part and click on "add a supplementary file" link).