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Updated: Aug 8, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
[Violence on health care workers]
M Cannavò1, N Fusaro2, F Colaiuda2
1Dottorato di Ricerca in Neuroscienze Clinico-sperimentali e Psichiatria, Dipartimento di Neurologia e Psichiatria, Università di Roma Sapienza, ASL RM 2.
Healthcare workers in the Emergency Department (ED) frequently experience workplace violence from patients and visitors. This violence leads to underreporting and significant physical and emotional harm, necessitating targeted support and training.
Area of Science:
- Emergency Medicine
- Occupational Health
- Criminology
Background:
- Emergency Departments (EDs) are high-stress environments.
- Workplace violence in healthcare settings is a growing concern.
- Limited data exists on the prevalence and impact of violence in EDs.
Purpose of the Study:
- To determine the presence and characteristics of workplace violence in an ED.
- To assess the effects of patient and visitor violence on healthcare workers.
- To understand the reporting patterns and staff perceptions of violence.
Main Methods:
- A study was conducted in the Accident and Emergency Department of S. Pertini Hospital, Rome.
- Data collected from November 2014 to January 2015.
- Utilized ad hoc questionnaires (QVS and QES) to assess violence frequency, type, and staff stress levels over five years.
Main Results:
- 51 out of 58 healthcare workers participated.
- Regular exposure to violence was reported, with significant underreporting to authorities.
- A belief that violence is normalized was prevalent; aggressors were typically patients or relatives.
- Healthcare workers experienced physical and emotional harm.
Conclusions:
- ED healthcare workers face significant risks from workplace violence.
- There is a need for specific training in managing violent situations.
- Interventions should focus on early identification, communication, and de-escalation techniques.
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