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Frequency, Characteristics and Risk Factors of Aggressive Incidents in a Paediatric Rehabilitation Setting: A

S B B Meier1, Y Uenver1, A Stooss1

  • 1Rehabilitation centre Affoltern am Albis, University Children's Hospital Zurich, Switzerland.

Developmental Neurorehabilitation
|May 7, 2019
PubMed

Insights

Aggressive incidents (AI) in pediatric rehabilitation are frequent, with physical aggression common. Previous aggressive behavior and specific functional scores in the Functional Independence Measure for Children (WeeFIM) are key risk factors.

Area of Science:

  • Healthcare Management
  • Pediatric Rehabilitation
  • Workplace Safety

Background:

  • Aggressive incidents (AI) pose significant risks to healthcare staff well-being.
  • Understanding the frequency, characteristics, and risk factors of AI is crucial for prevention.

Purpose of the Study:

  • To determine the frequency and characteristics of aggressive incidents in a pediatric rehabilitation setting.
  • To identify significant risk factors associated with aggressive behavior in patients.

Main Methods:

  • Data on AI were collected over six months using the Evaluation Form for AI (EVA).
  • Patients were categorized into a study group (involved in AI) and a control group.
  • Functional status was assessed using the Functional Independence Measure for Children (WeeFIM).

Main Results:

  • 13% of patients were involved in 79 AI over the study period, averaging 0.44 AI per day.
  • Physical aggression was predominant (98%), often targeting nurses (43%) and therapists (31.6%).
  • Significant risk factors included prior aggressive behavior and specific WeeFIM scores (lower cognitive, higher mobility).

Conclusions:

  • Aggressive incidents are a considerable issue in pediatric rehabilitation.
  • Preventive strategies are essential to mitigate the impact of AI on healthcare professionals.

Keywords:
Aggressive incidentchilddisabilityrehabiliationworkplace violence

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