title: [Training to management of violence in hospital setting].
abstract: OBJECTIVE
  Evaluate the typology of violence in hospital setting, study the psychophysiological state of care givers dealing with the aggression and provide appropriate training.
  
  
  METHODS
  Single centre, observational.
  
  
  METHODS
  A first anonymous questionnaire was given to a sample of emergency and intensive care providers in Narbonne Hospital. The parameters studied included: demographics data, the Trait Anxiety Inventory test, the typology of aggressions, and the psycho-physiological state of subjects dealing with the aggression. Robert Paturel, an instructor of French Special Forces (Recherche-Assistance-Intervention-Dissuasion [RAID]), has provided training for the management of violence. A second questionnaire assessed satisfaction for proposed formation.
  
  
  RESULTS
  Forty-one questionnaires were returned. The rates of verbal and physical violence touching care givers were respectively 97 % and 41 % (median of 7years [1-36] experience on the job). Eighty-five percent of care givers wanted training in psychology of conflict and 93 % wanted a formation with a self-defense aspect. The first reason of violence was drugs and alcohol abuse. The "tunnel effect" during stress was identified in 34 % of care givers, and 20 % were unaware of its nature. Twenty-one percent of care givers spontaneously adopting a safe distance of more than 1m during a conflict had been physically assaulted versus 63 % for those staying less than 1m (P=0.03). The proposed formation, including psychology of conflict and self-defense, was satisfactory to all care givers who participated (median score 9/10 [7-10]).
  
  
  CONCLUSIONS
  The verbal and physical violence affecting emergency departments is a common phenomenon warranting appropriate training. The proposed formation included the comprehension of the conflict causality, self-defense and self-control.
authors.affiliation: Pôle urgence-réanimation-Smur, centre hospitalier de Narbonne, boulevard Dr-Lacroix, 11100 Narbonne, France. b_bataille@yahoo.fr
authors.forename: B
authors.initials: B
authors.lastname: Bataille
authors.forename: M
authors.initials: M
authors.lastname: Mora
authors.forename: S
authors.initials: S
authors.lastname: Blasquez
authors.forename: P-E
authors.initials: PE
authors.lastname: Moussot
authors.forename: S
authors.initials: S
authors.lastname: Silva
authors.forename: P
authors.initials: P
authors.lastname: Cocquet
mesh_terms: D000328:Adult; D000374:Aggression; D001007:Anxiety / Q000209:etiology / Q000503:physiopathology; D003220:Conflict, Psychological; D003258:Consumer Behavior; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D016139:Martial Arts / Q000193:education*; D008875:Middle Aged; D017008:Negotiating / Q000379:methods / Q000523:psychology; D010555:Personality Inventory; D010564:Personnel, Hospital / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D012149:Restraint, Physical; D017751:Safety Management; D012637:Security Measures; D013315:Stress, Psychological / Q000209:etiology / Q000503:physiopathology; D011795:Surveys and Questionnaires; D014754:Violence / Q000706:statistics & numerical data; D054041:Weapons