8th June 2018, Volume 131 Number 1476

Sandra K Richardson, Paula C Grainger, Michael W Ardagh, Russell Morrison

Incidents of violent and aggressive behaviour are well recognised in healthcare, with the emergency department (ED) setting acknowledged as an area of particular risk.1–3,16 Despite this, such incidents continue to…

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Summary

Staff working in emergency departments are exposed to a constant level of violence and aggression. This includes verbal threats and harassment that have become seen as a normal part of the work environment, and in many cases there is a failure to report the full extent of aggression that occurs. When reporting is not provided, there is the potential for management and DHBs to misinterpret the level of violence in the workplace, and be unaware of the need to respond appropriately.

Abstract

Aim

To examine levels of reporting of violence and aggression within a tertiary level emergency department in New Zealand, and to explore staff attitudes to violence and reporting.

Method

A one-month intensive, prospective audit of the emergency department’s violence and aggression reporting was undertaken and compared with previously reported data.

Results

There was a significant mismatch between the number of events identified during the campaign month and previously reported instances of violence and aggression. The findings identified that failure to report acts of violence was common.

Conclusion

Reports of violence and aggression in the emergency department underestimate the true incidence. Failure to report has potential impacts on organisational recognition of risk and the ability to develop appropriate policy responses.

Author Information

Sandra K Richardson, Nurse Researcher, Emergency Department, Christchurch Hospital, Canterbury District Health Board, Christchurch; Senior Lecturer, Centre for Postgraduate Nursing Studies, University of Otago; Paula C Grainger, Nurse Coordinator Clinical Projects, Emergency Department, Christchurch Hospital, Canterbury District Health Board, Christchurch;
Michael W Ardagh, Professor of Emergency Medicine, University of Otago, Christchurch; Emergency Medicine Physician, Emergency Department, Christchurch Hospital, Canterbury District Health Board, Christchurch; Russell Morrison, Injury Management Co-ordinator, Canterbury District Health Board, Christchurch.

Correspondence

Dr Sandra Richardson, Emergency Department, Christchurch Hospital, Canterbury District Health Board, Riccarton Ave, Christchurch 8022.

Correspondence Email

sandra.richardson@cdhb.health.nz

Competing Interests

Nil.

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