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Background <p>Staff in emergency departments are confronted with incidents of violence by patients and relatives. The current state of research demonstrates that there are deficits with regard to the implementation of measures to prevent violence and awareness of the problem. This study therefore investigated how employees and managers in the emergency department perceive the role of hospital management and their own roles in violence prevention.</p> Materials and methods <p>A&#xa0;qualitative study design was selected for the study, and <i>N</i> = 27 semi-structured telephone interviews were conducted. The group studied consisted of medical and nursing staff from emergency departments in Germany. The interview guide encompassed a&#xa0;range of topics, including the roles of employees, managers and hospital management in the prevention of violence. Thematic analysis was conducted using a&#xa0;qualitative content analysis approach as outlined by Mayring.</p> Results <p>As part of the study, the participants’ experiences with regard to support from hospital management in the prevention of violence were presented. Emergency department managers then discussed their responsibilities in this area. The discussion highlighted the pivotal role of individual employee characteristics, namely their competencies, self-efficacy, and accumulated experience, in the endeavor to curtail violence. It is noteworthy that both managers and employees underscore the existence of ample opportunities for action, albeit frequently constrained by limitations in resources.</p> Conclusion <p>This study concludes that violence prevention plays a&#xa0;central role in emergency departments. It emphasizes the necessity for a&#xa0;proactive culture of violence prevention that addresses the challenges faced by staff and develops specific programs for verbal and physical aggression. The findings further underscore the pivotal role of managers in implementing prevention strategies, emphasizing their active engagement and heightened awareness of psychological implications as pivotal factors. Enhancement of these competencies can be facilitated through targeted training programs. Finally, the study emphasizes the importance of enhancing the availability of resources and engaging staff in violence prevention measures as pivotal factors in achieving sustainable improvements in emergency departments.</p>

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Gewaltprävention in Notaufnahmen – eine qualitative Studie aus Deutschland zur Rolle von Klinikleitung, Führungskräften und Beschäftigten

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月16日

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  • Sonja Reißmann,
  • Tanja Wirth,
  • Vanessa Beringer,
  • Volker Harth,
  • Stefanie Mache

摘要

Background

Staff in emergency departments are confronted with incidents of violence by patients and relatives. The current state of research demonstrates that there are deficits with regard to the implementation of measures to prevent violence and awareness of the problem. This study therefore investigated how employees and managers in the emergency department perceive the role of hospital management and their own roles in violence prevention.

Materials and methods

A qualitative study design was selected for the study, and N = 27 semi-structured telephone interviews were conducted. The group studied consisted of medical and nursing staff from emergency departments in Germany. The interview guide encompassed a range of topics, including the roles of employees, managers and hospital management in the prevention of violence. Thematic analysis was conducted using a qualitative content analysis approach as outlined by Mayring.

Results

As part of the study, the participants’ experiences with regard to support from hospital management in the prevention of violence were presented. Emergency department managers then discussed their responsibilities in this area. The discussion highlighted the pivotal role of individual employee characteristics, namely their competencies, self-efficacy, and accumulated experience, in the endeavor to curtail violence. It is noteworthy that both managers and employees underscore the existence of ample opportunities for action, albeit frequently constrained by limitations in resources.

Conclusion

This study concludes that violence prevention plays a central role in emergency departments. It emphasizes the necessity for a proactive culture of violence prevention that addresses the challenges faced by staff and develops specific programs for verbal and physical aggression. The findings further underscore the pivotal role of managers in implementing prevention strategies, emphasizing their active engagement and heightened awareness of psychological implications as pivotal factors. Enhancement of these competencies can be facilitated through targeted training programs. Finally, the study emphasizes the importance of enhancing the availability of resources and engaging staff in violence prevention measures as pivotal factors in achieving sustainable improvements in emergency departments.