scholarly journals Physical Violence Among Elderly: Analysis of Admissions to an Emergency Department

Author(s):  
Yasemin Kilic Ozturk
2018 ◽  
Vol 26 ◽  
pp. e26877
Author(s):  
Ana Paula Da Fonseca da Costa Fernandes ◽  
Joanir Pereira Passos

Objetivo: caracterizar, na visão do profissional de enfermagem, a violência sofrida a partir da sua relação com o usuário ou acompanhante/visita do sistema público de saúde em um serviço de emergência hospitalar. Método: trata-se de recorte de estudo qualitativo, descritivo, utilizando a técnica de análise de conteúdo, por meio de entrevista com 24 profissionais de enfermagem que trabalhavam na emergência de um hospital público de grande porte no Rio de Janeiro, em 2012. Projeto aprovado por Comitê de Ética em Pesquisa. Resultados: emergiram quatro categorias, nas quais foram identificadas violência verbal e física, verificando também seu caráter multifatorial. Conclusão: foram encontrados problemas relacionados à gestão hospitalar como fator desencadeador da violência, tendo o manejo do profissional de enfermagem para esta situação o seu principal atenuante/agravante. Devido à subnotificação, estudos na área auxiliam a tomada de medidas de promoção e proteção da saúde do profissional de enfermagem.ABSTRACTObjective: from the nursing team’s viewpoint, to characterize the violence suffered in their relationship with users or companions/visitors in a hospital emergency department of the public health system. Method: this is a portion of a qualitative, descriptive study using content analysis technique, by interview of 24 nursing professionals working in the emergency department of a public hospital in Rio de Janeiro in 2012. The study was approved by the research ethics committee. Results: verbal and physical violence were identified in the four categories that emerged, which were also found to be multifactorial. Conclusion: problems were found relating to hospital management as a factor in triggering violence, the main mitigating/aggravating factor being management of the nursing team for this situation. Because of underreporting, studies in this area are helpful when taking measures to promote and protect nurses’ health.RESUMENObjetivo: caracterizar, desde el punto de vista del profesional de enfermería, la violencia sufrida desde su relación con el usuario o acompañante/visitante del sistema público de salud en un servicio de urgencias hospitalarias. Método: se trata de recorte de un estudio cualitativo, descriptivo, utilizando la técnica de análisis de contenido, a través de entrevistas con 24 profesionales de enfermería que trabajan en el servicio de urgencias de un hospital público en Rio de Janeiro, en 2012. Proyecto aprobado por el Comité de Ética en Investigación. Resultados: emergieron cuatro categorías, donde fueron identificados violencia verbal y física, verificando su carácter multifactorial. Conclusión: se han encontrado problemas relacionados con la gestión hospitalaria como factor desencadenante de violencia, el manejo del profesional de enfermería para esta situación siendo su principal atenuante/agravante. Debido a la subnotificación, estudios en el área ayudan a tomar medidas de promoción y protección de la salud de los profesionales de enfermería.


Author(s):  
Elizabeth Wortley ◽  
Ann Hagell

There have been rising concerns in the UK about the levels of serious violence between young people, especially serious physical violence and knife crime. Interactions with young people in the emergency department (ED) at the time of injury provide an opportunity for screening and intervention in order to reduce the risk of repeat attendances. However, paediatricians and other healthcare workers can feel unsure about the best way to intervene. Embedding youth workers in EDs has started in some UK hospitals, making use of a potential ‘teachable moment’ in the immediate aftermath of an event to help change behaviour. Based on a rapid review of the literature, we summarise the evidence for these types of interventions and present two practice examples. Finally, we discuss how EDs could approach the embedding of youth workers within their department and considerations required for this.


2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Aristomenis K. Exadaktylos ◽  
Adrian Businger ◽  
Gina Aeschbacher ◽  
Luca Martinolli ◽  
Heinz Zimmermann

Background. Police and law enforcement officers may face physical violence and multiple occupational hazards in the line of duty. There is no nationwide statistical reporting of police officers’ injuries in Switzerland. The aim of this study was to describe the epidemiological features of emergency room admissions of on-duty police officers. Methods. The retrospective analysis was based on the prospective database of the Emergency Department of Bern University Hospital. Fifty-seven (57) police officers presenting to our department were included and analysed. Results. Minor blunt trauma (32/57) associated with extremity trauma was the leading cause of admission to our emergency department. 16 body fluid born exposures with a possible risk of viral transmission were reported, with 12/16 cases during summer; serological testing for HBV, HCV, and HIV was negative in all cases. No police death was reported. Conclusions. Police officers are exposed to occupational hazards. In comparison to other countries the number of severely injured or killed officers is very low. In the light of the daily reports in the lay media about assaulted police officers, it may be assumed that the majority of injured police officers were treated by general practitioners outside the hospital or treated by themselves. An adequate injury prevention strategy is desirable, combined with more meticulous nationwide reporting of police officers’ injuries.


Introduction: Domestic violence is the most common form of violence against women that has negative effects on the health of the mother, children, family, and society. This study aimed to evaluate the trauma caused by physical violence in women referred to the Emergency Department of Imam Khomeini Hospital, Urmia, Iran. Method: This descriptive cross-sectional study was performed on women referred to the Emergency Department of Imam Khomeini Hospital, Urmia, Iran, with trauma in the First quarter of 2016. The patient files were used to collect the required data. Subsequently, the obtained data were analyzed in SPSS software (version 18) through the chi-square test (P<0.001) Results: In total, 1746 women with trauma were referred to the Emergency Department in the First quarter of 2016, 38 of whom reported physical domestic violence. The mean age of the women was 37.57±5.54 years; moreover, 16 (42.1%) cases had elementary education, and 20 (52.6%) women were urban dwellers. Regarding the marital status, 33(86.8%)women were married. Considering the relationship between trauma severity and demographic characteristics, only education level showed a correlation with trauma severity. In total 14 (36.8%) and 11 (29%) cases had mild and severe traumas, respectively. Furthermore, the most injured parts were the limbs (n=16; 42.1%). Conclusion: The results showed a significant increase in the severity of trauma in women with lower education levels. Accordingly, improvements in the level of education may decrease the prevalence and severity of physical domestic violence, which requires appropriate planning to increase women's education level.


Author(s):  
Aslı Şener ◽  
pınar hanife kara ◽  
erden erol ünlüer

Introduction : The issue of Do Not Attempt Resuscitation (DNAR), which is still being debated all over the world, is extremely complex and has not yet been discussed extensively in our country. Our aim in this study; to determine the place of DNAR in emergency services and the applicability of DNAR concept. Materials and Methods: This study was designed as a cross-sectional survey in Turkey. The questions were designed to examine physicians’ approaches to the concept of DNAR, whether they apply this concept and why. Results: A total of 246 physicians were reached. Sixty-nine physicians (30%) stated that they used DNAR in practice and metastatic terminal stage malignancy patients were found to be the most accepted DNAR group. There was a statistically significant difference between physicians’ anxiety about physical violence. Discussion: In order to increase the quality of CPR, patients should be well analyzed. The applicability of the concept of DNAR in our country is not legally possible. However, this situation does not prevent the emergence of patients who will not benefit from treatment in the clinic. Conclusion: It is best to establish a committee on DNAR and redefine the legal rules within certain norms.


2018 ◽  
Author(s):  
Alicia Blythe

Workplace violence has been a trending topic of discussion across the country and is a concern for employees nationwide. The Emergency Department has been consistently documented as one area where workplace violence is most prevalent and presents a greater risk for occupational hazard. The escalating acts of violence toward emergency department nurses across the country have drastically increased and nurses have become targets of verbal and emotional abuse, subjected to threatening behavior, and have become victims of physical assaults. The purpose of this project was to identify the effects of workplace violence on nurses working in the Emergency Department. A quantitative descriptive study using modified Emergency Nurses Association (ENA) Workplace Violence staff assessment survey was used to identify emergency department nurses’ experiences with workplace violence. The mixed method design included a descriptive survey as well as series of open-ended questions to elicit personal accounts of violence in the workplace. A total of 36 nurses in the Emergency Department at Newport Hospital, a 129 bed community hospital in Newport, RI were surveyed. The results of the survey identified 95.45% (n=21) of nurses have experience some form of workplace violence. Physical violence such as being hit, punched, slapped, kicked, pinched, pushed, shoved, and scratched was experienced by at least half of nurses. Additionally, documented effects of workplace violence on staff members included burnout, low department morale, physical and emotional distress, and contributed to overall job dissatisfaction. The study identified workplace violence as an issue and recognizes the effects of violence on staff members is of significant concern that should be addressed with leadership support to recognize and decrease workplace violence in the ED.


2020 ◽  
pp. bmjsrh-2020-200761
Author(s):  
Vithya Murugan ◽  
Katherine J Holzer ◽  
Mirvat Termos ◽  
Michael Vaughn

ObjectiveIntimate partner violence (IPV) describes physical violence, sexual violence, stalking, or psychological harm by a current or former partner or spouse. During pregnancy, IPV has substantial negative implications for maternal and child health. The aim of the present study was to better understand the prevalence and sociodemographic and psychiatric correlates of IPV among pregnant females in the emergency department (ED).MethodsUsing the 2016 Nationwide Emergency Department Sample (NEDS), logistic regression was employed to examine the relationship between IPV during pregnancy, sociodemographic factors, substance abuse and mental health disorders.ResultsBivariate analyses indicated that approximately 0.06% of pregnant women who visited EDs in 2016 were coded as experiencing abuse by a spouse or partner. Pregnant women abused by a spouse or partner were more likely to have a diagnosis of each of the disorders coded as complicating pregnancy, childbirth and the puerperium examined in this study, including alcohol use (0.77%, aOR 8.38, 95% CI 2.80 to 29.50), drug use (2.26%, aOR 3.49, 95% CI 1.60 to 6.15), tobacco use (11.05%, aOR 1.90, 95% CI 1.34 to 2.54) and general mental disorders (4.13%, aOR 2.64, 95% CI 1.60 to 4.79).ConclusionScreening for IPV in EDs, especially among at-risk women identified in this study, may lead to referrals and coordination of care that could reduce the violence and improve maternal and child health outcomes.


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