Violence against emergency healthcare workers: different perpetrators, different approaches

IF 0.7 Q4 CRIMINOLOGY & PENOLOGY
E. Spelten, Julia van Vuuren, P. O'Meara, Brodie Thomas, Mathieu Grenier, Richard Ferron, J. Helmer, G. Agarwal
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引用次数: 2

Abstract

Purpose This study aims to investigate whether emergency health-care workers distinguish between different categories of perpetrators of violence and how they respond to different types of perpetrator profiles. Design/methodology/approach Five focus groups with emergency health-care workers were held in Canada. The participants were asked whether they identified different groups of perpetrators of violence and how that impacted their approach. The focus group responses were transcribed verbatim and analysed thematically using a phenomenological approach. Findings Participants consistently identified five groups of perpetrators and tailored their approach on their assessment of the type of perpetrator involved. The five categories are: violence or aggressive behaviour from family members or bystander and violence related to; underlying mental health/illness issues; underlying physical health issues; addiction and substance use; and repeat visitors/offenders. Violence with an underlying (mental) health cause was handled professionally and compassionately by the health-care workers, while less patience and understanding was afforded in those instances where violence was associated with (recreational) alcohol or illicit substance use. Originality/value Emergency health-care workers can consistently distinguish between types of perpetrators of violence and aggression, which they then use as one factor in the clinical and situational assessments that inform their overall approach to the management incidents. This conclusion supports the need to move the focus away from the worker to the perpetrator and to an organisational rather than individual approach to help minimise violence against emergency health-care workers.
针对急救医护人员的暴力:不同的施暴者,不同的做法
目的本研究旨在调查急救医护人员是否区分不同类别的暴力施暴者,以及他们如何应对不同类型的施暴者。设计/方法/方法在加拿大举办了五个由急救医护人员组成的重点小组。参与者被问及是否确定了不同的暴力肇事者群体,以及这对他们的做法产生了怎样的影响。焦点小组的回答被逐字转录,并使用现象学方法进行主题分析。调查结果参与者一致确定了五组犯罪者,并根据他们对所涉犯罪者类型的评估调整了他们的方法。这五类是:家庭成员或旁观者的暴力或攻击行为以及与之有关的暴力;潜在的心理健康/疾病问题;潜在的身体健康问题;成瘾和药物使用;以及惯犯。医护人员以专业和同情的态度处理了与潜在(心理)健康原因有关的暴力行为,而在与(娱乐)酒精或非法药物使用有关的暴力事件中,则缺乏耐心和理解。独创性/价值急救医护人员可以始终如一地区分暴力和侵犯行为人的类型,然后将其作为临床和情境评估的一个因素,为他们处理事件的整体方法提供信息。这一结论支持有必要将重点从工作人员转移到施暴者身上,并转向组织而非个人的方法,以帮助最大限度地减少针对急救医护人员的暴力行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
32
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