Citation

Cabilan CJ, Johnston AN. Emerg. Med. Australas. 2019; ePub(ePub): ePub.

Affiliation

School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, Queensland, Australia.

Copyright

(Copyright © 2019, Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine, Publisher John Wiley and Sons)

DOI

10.1111/1742-6723.13362

PMID

31368230

Abstract

Occupational violence (OV) is a daily risk for ED staff. It contributes to staff stress, sick leave, turn-over and burn-out, and limits the capacity of staff to provide unimpeded quality care to patients and their families. Many factors contribute to incidents of OV; however, early detection of such risk factors could pre-empt incidences of OV during ED episodes of care. A five-stage methodological framework for scoping reviews was used to identify, summarise and synthesise OV risk factors from five key databases. A validated tool was used to appraise the quality of included studies. Independent evaluation by the reviewers was used throughout. Patient factors were extracted and described from 24 methodologically and geographically diverse papers.

METHODological quality for these studies varied from moderate to high. A total of 34 OV risk factors were identified. Although there was variation in, and differences between, staff-perceived and objective (documented) OV risk factors, patient risk factors can be categorised into three main groups: clinical presentation, behaviours and past history. Five existing ED OV risk assessment tools were identified, with limited supporting evidence for each. The results support the development of a reliable and validated OV risk assessment tool to be initiated at triage.

© 2019 Australasian College for Emergency Medicine.

Language: en

Keywords

emergency service; nurse; risk assessment; scoping review; workplace violence