University of Worcester Worcester Research and Publications
 
  USER PANEL:
  ABOUT THE COLLECTION:
  CONTACT DETAILS:

Violence and Aggression in the Intensive Care Unit: What is the Impact of Australian National Emergency Access Target?

Pol, A., Carter, Melody and Bouchoucha, S. (2018) Violence and Aggression in the Intensive Care Unit: What is the Impact of Australian National Emergency Access Target? Australian Critical Care. ISSN Online: 1036-7314 (In Press)

[img] Text
POL_CARTER_BOUCHOUCHA_AUCC.pdf - Published Version
Restricted to Repository staff only

Download (285kB) | Request a copy
[img]
Preview
Text
Pol et al 2018 final submission_1.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (430kB) | Preview

Abstract

Introduction Violence in healthcare settings is a concern for healthcare professionals and patients. Media reports, and debate within the healthcare profession, and the academic literature infer that workplaces such as intensive care units are becoming exposed to increasing violence. Increases in the incidence of violent behaviour are sometimes attributed to the increased pressure on emergency departments to accelerate the throughput of patients to meet targets. To ensure the wellbeing of patients and staff, there is a need to evaluate the impact of such targets. The aim in this study was to evaluate the incidence and to describe the context in which patients' aggressive and violent behaviours occurred since the introduction of the National Emergency Access Target in a local tertiary Australian intensive care unit. Methods A retrospective examination of events triggering violence-related emergency codes from 12 months before the introduction of the National Emergency Access Target up until 12 months after its implementation (2011–2013). Results A small increase in the number of Code Grey/Code Black activation was identified after the introduction of the target (before = 18, after = 29). Admissions following drug overdoses, isolated head trauma, and cardiac arrest were the presentations most likely to have been associated with a violence-related emergency call. Female registered nurses, male critical care registered nurses, and clinical nurse specialists were the most at risk of occupational violence. Male nursing staff members were found to be more likely to be involved in incidences of verbal violence (p < 0.003). Conclusion Although there was a minimal increase in the overall number of emergencies triggered by violent behaviour, valuable information on the type of occupational violence occurring towards healthcare professionals and patients in this setting was found. We suggest that these findings add further important detail to the existing understanding of the problem of occupational violence. These detailed insights can further inform policy development, professional education, and practice.

Item Type: Article
Additional Information:

Staff and students at the University of Worcester can access the full-text via the UW online library search. External users should check availability with their local library or Interlibrary Requests Service.

Uncontrolled Keywords: agressive behaviour, violent behaviour, Code Grey/Code Black, Emergency Department, National Emergency Access Target, (NEAT), Intensive care unit, occupational violence, nursing
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Divisions (2019 onwards) > College of Health, Life and Environmental Sciences > School of Nursing and Midwifery
Related URLs:
Depositing User: Melody Carter
Date Deposited: 10 Dec 2018 10:29
Last Modified: 05 Dec 2019 11:01
URI: https://eprints.worc.ac.uk/id/eprint/7373

Actions (login required)

View Item View Item
 
     
Worcester Research and Publications is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.