IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i9p4945-d796796.html
   My bibliography  Save this article

Risk of Burnout among Emergency Department Staff as a Result of Violence and Aggression from Patients and Their Relatives

Author

Listed:
  • Anja Schablon

    (Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Jan Felix Kersten

    (Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Albert Nienhaus

    (Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany
    Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services, 22089 Hamburg, Germany)

  • Hans Werner Kottkamp

    (Protestant Hospital of the Bethel Foundation, 33617 Bielefeld, Germany)

  • Wilfried Schnieder

    (Klinikum Herford, Emergency Department, Medizin Campus OWL of the Ruhr University Bochum, 32049 Herford, Germany)

  • Greta Ullrich

    (Zentrale Notaufnahme, Paracelsus-Klinik Henstedt-Ulzburg, 24558 Henstedt-Ulzburg, Germany)

  • Karin Schäfer

    (Prevention Service, Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services, Helmholtzstrasse 2, 80636 Munich, Germany)

  • Lisa Ritzenhöfer

    (Prevention Department, Accident Insurance Institution Hessen, Leonardo-da-Vinci-Allee 20, 60486 Frankfurt am Main, Germany)

  • Claudia Peters

    (Institute for Health Services Research in Dermatology and Nursing, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany)

  • Tanja Wirth

    (Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), 20459 Hamburg, Germany)

Abstract

Emergency department staff are often affected by incidents of violence. The aim of the study was to generate data on the frequency of violence by patients and accompanying relatives and the correlation between experienced aggression, a possible risk of burnout and a high sense of stress. Additionally, the buffering effect of good preventive preparation of care staff by the facility on aggressive visitors and patients was examined. In this cross-sectional study, members of the German Society for Interdisciplinary Emergency and Acute Medicine were surveyed. The investigation of risk factors, particularly experiences of verbal and physical violence, as well as exhaustion and stress, was carried out using ordinal regression models. A total of 349 staff from German emergency departments took part in the survey, 87% of whom had experienced physical violence by patients and 64% by relatives. 97% had been confronted with verbal violence by patients and 94% by relatives. Violence by relatives had a negative effect on perceived stress. High resilience or effective preparation of employees for potential attacks was shown to have a protective effect with regard to the burnout risk and perceived stress. Therefore, management staff play a major role in preventing violence and its impact on employees.

Suggested Citation

  • Anja Schablon & Jan Felix Kersten & Albert Nienhaus & Hans Werner Kottkamp & Wilfried Schnieder & Greta Ullrich & Karin Schäfer & Lisa Ritzenhöfer & Claudia Peters & Tanja Wirth, 2022. "Risk of Burnout among Emergency Department Staff as a Result of Violence and Aggression from Patients and Their Relatives," IJERPH, MDPI, vol. 19(9), pages 1-15, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:4945-:d:796796
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/9/4945/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/9/4945/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yi-Lu Li & Rui-Qi Li & Dan Qiu & Shui-Yuan Xiao, 2020. "Prevalence of Workplace Physical Violence against Health Care Professionals by Patients and Visitors: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(1), pages 1-19, January.
    2. Anja Schablon & Dana Wendeler & Agnessa Kozak & Albert Nienhaus & Susanne Steinke, 2018. "Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany—A Survey," IJERPH, MDPI, vol. 15(6), pages 1-18, June.
    3. Sylvie Vincent-Höper & Maie Stein & Albert Nienhaus & Anja Schablon, 2020. "Workplace Aggression and Burnout in Nursing—The Moderating Role of Follow-Up Counseling," IJERPH, MDPI, vol. 17(9), pages 1-12, May.
    4. Yu‐fang Guo & Yuan‐hui Luo & Louisa Lam & Wendy Cross & Virginia Plummer & Jing‐ping Zhang, 2018. "Burnout and its association with resilience in nurses: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 441-449, January.
    5. Samma Faiz Rasool & Mansi Wang & Yanping Zhang & Madeeha Samma, 2020. "Sustainable Work Performance: The Roles of Workplace Violence and Occupational Stress," IJERPH, MDPI, vol. 17(3), pages 1-12, February.
    6. Birgit Heckemann & Sandra Siegrist‐Dreier & Friederike J.S. Thilo & Sabine Hahn, 2020. "Team efficacy and leadership in managing aggressive situations in the general hospital setting: A qualitative descriptive analysis of focus groups with ward managers," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(5-6), pages 974-986, March.
    7. Dominic Kaeser & Rebekka Guerra & Osnat Keidar & Urs Lanz & Michael Moses & Christian Kobel & Aristomenis K. Exadaktylos & Meret E. Ricklin, 2018. "Verbal and Non-Verbal Aggression in a Swiss University Emergency Room: A Descriptive Study," IJERPH, MDPI, vol. 15(7), pages 1-7, July.
    8. Tanja Wirth & Claudia Peters & Albert Nienhaus & Anja Schablon, 2021. "Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nicola Magnavita & Igor Meraglia & Giacomo Viti & Martina Gasbarri, 2024. "Tracking Workplace Violence over 20 Years," IJERPH, MDPI, vol. 21(11), pages 1-21, October.
    2. Nicola Magnavita & Igor Meraglia, 2024. "Poor Work Ability Is Associated with Workplace Violence in Nurses: A Two-Wave Panel Data Analysis," IJERPH, MDPI, vol. 21(9), pages 1-13, August.
    3. Artem Kashtanov & Ekaterina Molotok & Andrey Yavorovskiy & Alexander Boyarkov & Yuriy Vasil’ev & Ali Alsaegh & Sergey Dydykin & Olesya Kytko & Renata Meylanova & Yulianna Enina & Vasiliy Troitskiy & M, 2022. "A Comparative Cross-Sectional Study Assessing the Psycho-Emotional State of Intensive Care Units’ Physicians and Nurses of COVID-19 Hospitals of a Russian Metropolis," IJERPH, MDPI, vol. 19(3), pages 1-22, February.
    4. María Joao Vidal-Alves & David Pina & Esteban Puente-López & Aurelio Luna-Maldonado & Aurelio Luna Ruiz-Cabello & Teresa Magalhães & Yolanda Pina-López & José Antonio Ruiz-Hernández & Begoña Martínez , 2021. "Tough Love Lessons: Lateral Violence among Hospital Nurses," IJERPH, MDPI, vol. 18(17), pages 1-17, August.
    5. Shuai Han & Hong Chen & Ruyin Long, 2020. "Who Reports Low Interactive Psychology Status? An Investigation Based on Chinese Coal Miners," IJERPH, MDPI, vol. 17(10), pages 1-20, May.
    6. Reparata Rosa Di Prinzio & Giorgia Bondanini & Federica De Falco & Maria Rosaria Vinci & Vincenzo Camisa & Annapaola Santoro & Marcello De Santis & Massimiliano Raponi & Guendalina Dalmasso & Salvator, 2022. "The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker Health ® Approach in a Hospital," IJERPH, MDPI, vol. 20(1), pages 1-10, December.
    7. Osnat Bashkin & Nadav Davidovitch & Noam Asna & Doron Schwartz & Keren Dopelt, 2021. "The Organizational Atmosphere in Israeli Hospital during COVID-19: Concerns, Perceptions, and Burnout," IJERPH, MDPI, vol. 18(11), pages 1-9, May.
    8. Alessio Conti & Alessandro Scacchi & Marco Clari & Marco Scattaglia & Valerio Dimonte & Maria Michela Gianino, 2022. "Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(4), pages 1-21, February.
    9. Mareike Adler & Sylvie Vincent-Höper & Claudia Vaupel & Sabine Gregersen & Anja Schablon & Albert Nienhaus, 2021. "Sexual Harassment by Patients, Clients, and Residents: Investigating Its Prevalence, Frequency and Associations with Impaired Well-Being among Social and Healthcare Workers in Germany," IJERPH, MDPI, vol. 18(10), pages 1-18, May.
    10. Noel Rivas & María López & María-José Castro & Sofía Luis-Vian & Mercedes Fernández-Castro & María-José Cao & Sara García & Veronica Velasco-Gonzalez & José-María Jiménez, 2021. "Analysis of Burnout Syndrome and Resilience in Nurses throughout the COVID-19 Pandemic: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(19), pages 1-8, October.
    11. Osnat Keidar & David S. Srivastava & Emmanouil Pikoulis & Aristomenis K. Exadaktylos, 2019. "Health of Refugees and Migrants—Where Do We Stand and What Directions Should We Take?," IJERPH, MDPI, vol. 16(8), pages 1-8, April.
    12. Xiang Zhou & Samma Faiz Rasool & Jing Yang & Muhammad Zaheer Asghar, 2021. "Exploring the Relationship between Despotic Leadership and Job Satisfaction: The Role of Self Efficacy and Leader–Member Exchange," IJERPH, MDPI, vol. 18(10), pages 1-20, May.
    13. Samma Faiz Rasool & Mansi Wang & Minze Tang & Amir Saeed & Javed Iqbal, 2021. "How Toxic Workplace Environment Effects the Employee Engagement: The Mediating Role of Organizational Support and Employee Wellbeing," IJERPH, MDPI, vol. 18(5), pages 1-17, February.
    14. Norhasni Zainal Abiddin, 2023. "Harmonizing Workplace Wellness: Exploring the Integration of Spirituality and Restoration in the Malaysian Public Sector – A Comprehensive Literature Review ," GATR Journals jmmr323, Global Academy of Training and Research (GATR) Enterprise.
    15. Fatme El Zahraa M. Rahal & Panteha Farmanesh, 2022. "Does Servant Leadership Stimulate Work Engagement in the Workplace? The Mediating Role of Trust in Leader," Sustainability, MDPI, vol. 14(24), pages 1-14, December.
    16. Mohan Khanal & Sudip Raj Khadka & Harendra Subedi & Indra Prasad Chaulagain & Lok Nath Regmi & Mohan Bhandari, 2023. "Explaining the Factors Affecting Customer Satisfaction at the Fintech Firm F1 Soft by Using PCA and XAI," FinTech, MDPI, vol. 2(1), pages 1-15, January.
    17. Muhammad Zaheer Asghar & Seema Arif & Elena Barbera & Pirita Seitamaa-Hakkarainen & Ercan Kocayoruk, 2021. "Support through Social Media and Online Class Participation to Enhance Psychological Resilience," IJERPH, MDPI, vol. 18(22), pages 1-19, November.
    18. Sylvie Vincent-Höper & Julia C. Lengen & Maren Kersten & Sabine Gregersen, 2020. "Analysis of Job-Related Demands and Resources in Ambulatory Youth Welfare Services: A Qualitative and Quantitative Approach," IJERPH, MDPI, vol. 17(8), pages 1-16, April.
    19. Daniela Acquadro Maran & Davide Minniti & Michele Presutti & Marta Alesina & Adelina Brizio & Paola Gatti, 2023. "Workplace Bullying among Healthcare Professionals: A Quanti-Qualitative Survey in a Sample of Women Working in an Italian Healthcare Setting," IJERPH, MDPI, vol. 20(10), pages 1-13, May.
    20. Natascha Mojtahedzadeh & Tanja Wirth & Albert Nienhaus & Volker Harth & Stefanie Mache, 2021. "Job Demands, Resources and Strains of Outpatient Caregivers during the COVID-19 Pandemic in Germany: A Qualitative Study," IJERPH, MDPI, vol. 18(7), pages 1-26, April.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:4945-:d:796796. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.