TY - JOUR PY - 2016// TI - Expecting the unexpected: a mixed methods study of violence to EMS responders in an urban fire department JO - American journal of industrial medicine A1 - Taylor, Jennifer A. A1 - Barnes, Brittany A1 - Davis, Andrea L. A1 - Wright, Jasmine A1 - Widman, Shannon A1 - LeVasseur, Michael SP - 150 EP - 163 VL - 59 IS - 2 N2 - BACKGROUND: Struck by injuries experienced by females were observed to be higher compared to males in an urban fire department. The disparity was investigated while gaining a grounded understanding of EMS responder experiences from patient-initiated violence.

METHODS: A convergent parallel mixed methods design was employed. Using a linked injury dataset, patient-initiated violence estimates were calculated comparing genders. Semi-structured interviews and a focus group were conducted with injured EMS responders.

RESULTS: Paramedics had significantly higher odds for patient-initiated violence injuries than firefighters (OR 14.4, 95%CI: 9.2-22.2, P < 0.001). Females reported increased odds of patient-initiated violence injuries compared to males (OR = 6.25, 95%CI 3.8-10.2), but this relationship was entirely mediated through occupation (AOR = 1.64, 95%CI 0.94-2.85). Qualitative data illuminated the impact of patient-initiated violence and highlighted important organizational opportunities for intervention.

CONCLUSIONS: Mixed methods greatly enhanced the assessment of EMS responder patient-initiated violence prevention. Am. J. Ind. Med. © 2015 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

Language: en

LA - en SN - 0271-3586 UR - http://dx.doi.org/10.1002/ajim.22550 ID - ref1 ER -