Workplace violence: A survey of Emergency Physicians in the state of Michigan
Workplace violence: A survey of Emergency Physicians in the state of Michigan
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DOI：
10.1016/j.annemergmed.2004.10.010
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发表时间：
2005-08-01
影响因子：
6.2
通讯作者：
Compton, S
中科院分区：
文献类型：
--
作者：
Kowalenko, T;Walters, BL;Compton, S
研究目的：我们试图确定密歇根州的急诊医生经历的与工作有关的暴力的数量和类型：在过去的12个月内自我报告的工作相关的暴力暴露的邮件调查被发送到随机选择的急诊医师成员密歇根大学的急诊医师。与工作有关的暴力被定义为口头，身体，对抗以外的急诊科（艾德），或stalking.Results：250调查发送，177（70.8%）被退回。6个为空白（3个来自退休急诊医生），留下171个（68.4%）进行分析：口头威胁是最常见的工作相关暴力形式，74.9%（95%置信区间[CI] 68.4%至81.4%）的急诊医生表示在过去12个月内至少有1次口头威胁。在回应的急诊医生中，28.1%（95%CI 21.3%至34.8%）表示他们是身体攻击的受害者，11.7%（95%CI 6：9%至16.5%）表示他们在医院外遇到。艾德和3.5%（95% CI 0.8%至6.3%）的患者发生跟踪事件。受到口头威胁的急诊医生往往经验较少（11.1比15.1年的实践经验;平均差异-4.0年[95% CI -6.4至-1.6年]），受到身体攻击的急诊医生也是如此（9：5比13.1年;平均差异-3.6年[95% CI -5.9至-1.3年]）。城市医院地点、急诊医学委员会认证或现场急诊医学住院医师计划与任何类型的工作相关暴力均无显着相关。女性急诊医生更有可能经历过身体暴力（95% CI 1.4至5.8），而不是其他类型的暴力。大多数（81：9%; 95%CI 76.1%至87.6%）的急诊医生偶尔害怕工作场所暴力，而9.4%（95%CI 5.0%至13.7%）的急诊医生经常害怕。42%的急诊医生因直接或感知的暴力行为而需要各种形式的保护，包括获得枪支（18%）、刀具（20%）、隐藏武器许可证（13%）、狼牙棒（7%）、棍棒（4%）或保安护送（31%）。许多急诊医生对暴力感到关切，并正在采取措施，包括个人保护，以应对恐惧。
Study objective: We seek to determine the amount and type of work-related violence experienced by Michigan attending emergency physicians.Methods: A mail survey of self-reported work-related violence exposure during the preceding 12 months was sent to randomly selected emergency physician members of the Michigan College of Emergency Physicians. Work-related violence was defined as verbal, physical, confrontation outside of the emergency department (ED), or stalking.Results: Of 250 surveys sent, 177 (70.8%) were returned. Six were blank (3 were from retired emergency physicians), leaving 171 (68.4%) for analysis: Verbal threats were the most common form of work-related violence, with 74.9% (95% confidence interval [CI] 68.4% to 81.4%) of emergency physicians indicating at least 1 verbal threat in the previous 12 months. Of the emergency physicians responding, 28.1% (95% CI 21.3% to 34.8%) indicated that they were victims of a physical assault, 11.7% (95% CI 6:9% to 16.5%) indicated that they were confronted outside of the. ED, and 3.5% (95% CI 0.8% to 6.3%) experienced a stalking event. Emergency physicians who were verbally threatened tended to be less experienced (11.1 versus 15.1 years in practice; mean difference -4.0 years [95% CI -6.4 to -1.6 years]), as were those who were physically assaulted (9:5 versus 13.1 years; mean difference -3.6 years [95% CI -5.9 to -1.3 years]). Urban hospital location, emergency medicine board certification, or on-site emergency medicine residency program were not significantly associated with any type of work-related violence. Female emergency physicians were more likely to have experienced physical violence (95% CI 1.4 to 5.8) but not other types of violence. Most (81:9%; 95% CI 76.1% to 87.6%) emergency physicians were occasionally fearful of workplace violence, whereas 9.4% (95% CI 5.0% to 13.7%) were frequently fearful. Forty-two percent of emergency physicians ought various forms of protection as a result of the direct or perceived violence, including obtaining a gun (18%), knife (20%), concealed weapon license (13%); mace (7%), club (4%), or a security escort (31%).Conclusion: Work-related violence exposure is not uncommon in EDs. Many emergency physicians are concerned about the violence and are taking measures, including personal protection, in response to the fear.