scholarly journals Evaluation of Violence and its Management Experienced by Emergency Medical Service Workers in Lithuania’s Biggest Cities

2020 ◽  
Vol 1 (15) ◽  
Author(s):  
Renata Neniškytė ◽  
Viktorija Grigaliūnienė

The purpose was to investigate violence experienced in work environment by emergency medical service workers of Lithuania’s biggest cities and methods of violence management.Methods – Questionnaire survey.Relevance of the research.  Violence and aggression in the workplace affect many fields and workers of different levels. However, healthcare sector has the highest risk of experiencing violence. In recent years, it was found that healthcare specialists were under substantial risk of experiencing violence from patients or their companions and it raises concern about the medical personnel. Although workers may experience violence and aggression in every healthcare field, it is more likely for the specialists providing emergency medical aid. Therefore, it is of great importance to put efforts into protecting emergency care providers and patients from incidents of aggression or violence in order to deliver quality care for the patients. The objective of this study was to explore violence in the workplace experienced by Lithuania’s biggest cities emergency medical service workers and ways it can be managed.Research results and conclusions. After the analysis of the survey results it was found that emergency medical service workers of Lithuania’s biggest cities most frequently experience violence in form of verbal aggression (on average 57 times a year), provocative aggressive behaviours (22 times a year) and threats (20 times a year). The rarest form of violence experienced was sexual harassment.After analysing the responses, it was noted that emergency medical service providers of Lithuania’s biggest cities experienced violence from patients in more than half of all cases and in about one third of cases of violence it was received from relatives. It should also be noted that a small part (one-tenth of all cases) of violence was received from colleagues at work.In situations of violence, emergency medical service workers try to hide their fear and do not retreat, they remain close to the exit door and try to reduce excessive triggers and noises that could escalate frustration.Keywords: violence, ambulance, aggression. 

1997 ◽  
Vol 12 (2) ◽  
pp. 74-77 ◽  
Author(s):  
Elisabeth F. Mock ◽  
Keith D. Wrenn ◽  
Seth W. Wright ◽  
T. Chadwick Eustis ◽  
Corey M. Slovis

AbstractHypothesis:To determine the type and frequency of immediate unsolicited feedback received by emergency medical service (EMS) providers from patients or their family members and emergency department (ED) personnel.Methods:Prospective, observational study of 69 emergency medical services providers in an urban emergency medical service system and 12 metropolitan emergency departments. Feedback was rated by two medical student observers using a prospectively devised original scale.Results:In 295 encounters with patients or family, feedback was rated as follows: 1) none in 224 (76%); 2) positive in 51 (17%); 3) negative in 19 (6%); and 4) mixed in one (<1%). Feedback from 254 encounters with emergency department personnel was rated as: 1) none in 185 (73%); 2) positive in 46 (18%); 3) negative in 21 (8%); and 4) mixed in 2 (1%). Patients who had consumed alcohol were more likely to give negative feedback than were patients who had not consumed alcohol. Feedback from emergency department personnel occurred more often when the emergency medical service provider considered the patient to be critically ill.Conclusion:The two groups provided feedback to emergency medical service providers in approximately one quarter of the calls. When feedback was provided, it was positive more than twice as often as it was negative. Emergency physicians should give regular and constructive feedback to emergency medical services providers more often than currently is the case.


2009 ◽  
Vol 48 (174) ◽  
pp. 139-43 ◽  
Author(s):  
Rajesh Gongal ◽  
B Dhungana ◽  
S Regmi ◽  
M Nakarmi ◽  
B Yadav

Introduction: An effective Emergency Medical Service system does not exist in Nepal. For an effective EMS system to be developed the scale of the problem and the existing facilities need to be studied. Methods: Prospective observational study was carried out on 1964 patients attending Emergency Department at Patan Hospital during one month period of September 2006. The patients were specifically enquired on mode of transport used, place of origin and whether they called for an ambulance or not. Patients triage category at the time of triaging was also noted. Information on ambulance service were collected by direct interview with the service providers and the total number of patients attending Emergency Departments daily were collected from the major hospitals of the urban Lalitpur and Kathmandu. MS Excel and SPSS software were used for data entry, editing and analysis.Results: Total 9.9% patients arrived in ambulance whereas 53.6% came in a Taxi, 11.4% came in private vehicle, 13.5 % came by bus, 5.4% came by bike and the rest 6.2% came by other modes of transportation. Only 13.5% of triage category I patients took the ambulance. There were 31 service providers with 49 ambulances and 720 patients per day attend Emergency Departments in the surveyed area. Conclusions: Very less number of patients use the ambulance service for emergency services. The available ambulances are not properly equipped and do not have trained staff and as such are only a means of transportation to the hospitals of urban Lalitpur and Kathmandu.Key Words: ambulance, emergency medical service, para-medics, triage Need of Improvement in Emergency Medical Service in Urban Cities Gongal R,1Dhungana B,1Regmi S,1Nakarmi M,2Yadav B11Patan Hospital, Lalitpur, Nepal, 2Health Care Foundation, Kathmandu, NepalCorrespondence:Dr. Rajesh GongalDepartment of SurgeryPatan Hospital, Patan, Nepal.Email: [email protected] ARTICLE J Nepal Med Assoc 2009;48(174):139-43INTRODUCTIONThe sophisticated Emergency Medical Service (EMS) is limited to developed country only. Many developing countries are now slowly developing such system although most services are localized to the urban areas.1-5 Although inadquate ambulance services are available in the capital city of Nepa


2020 ◽  
Vol 36 (8) ◽  
pp. e451-e455
Author(s):  
Paul A. Khalil ◽  
Jennifer Berkovich ◽  
Vincenzo Maniaci ◽  
Juan Manuel Lozano ◽  
David A. Lowe

2018 ◽  
Vol 46 (1) ◽  
pp. 131-146 ◽  
Author(s):  
Eveline A. J. van Rein ◽  
Said Sadiqi ◽  
Koen W. W. Lansink ◽  
Rob A. Lichtveld ◽  
Risco van Vliet ◽  
...  

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