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[Violence in the emergency department]
H Derazon1, S Nissimian, C Yosefy
1Dept. of Emergency Medicine, Barzilai Medical Center, Ashkelon.
Harefuah
|August 26, 2000
Summary
Violence against healthcare workers is a serious issue in Israeli emergency departments (EDs). A survey revealed 74% of staff experienced violence, primarily due to long waits, with nurses most affected.
Area of Science:
- Medical Sociology
- Public Health
- Occupational Safety
Context:
- Emergency departments (EDs) face a global rise in workplace violence.
- Violence against medical staff is underestimated in Israel, lacking specific regulations.
- A 1997 retrospective survey assessed violence in an Israeli ED.
Purpose:
- To estimate the extent of violence in the ED.
- To identify the causes of workplace violence.
- To explore management options for ED violence.
Summary:
- 74% of ED staff surveyed reported experiencing violence, with 90% of nurses affected.
- Prolonged waiting times were the primary cause, followed by treatment dissatisfaction.
- Victims often feared retaliation, leading to underreporting and low conviction rates.
Impact:
- Highlights the urgent need for policies and security measures in Israeli EDs.
- Informs the development of violence management training for healthcare staff.
- Underscores the psychological impact on healthcare professionals and patient care.