title: Violence against emergency department employees and the attitude of employees towards violence.
abstract: BACKGROUND
  This study was conducted to evaluate the occurrence of violent incidents in the workplace among the various professional groups working in the emergency department. We characterised the types of violence encountered by different occupation groups and the attitude of individuals working in different capacities.
  
  
  METHODS
  This cross-sectional study included 323 people representing various professional groups working in two distinct emergency departments in Turkey. The participants were asked to complete questionnaires prepared in advance by the researchers. The data were analysed using the Statistical Package for the Social Sciences (Windows version 15.0).
  
  
  RESULTS
  A total of 323 subjects including 189 (58.5%) men and 134 (41.5%) women participated in the study. Their mean (± standard deviation) age was 31.5 ± 6.5 years and 32.0 ± 6.9 years, respectively. In all, 74.0% of participants had been subjected to verbal or physical violence at any point since starting employment in a medical profession. Moreover, 50.2% of participants stated that they had been subjected to violence for more than 5 times. Among those who reported being subjected to violence, 42.7% had formally reported the incident(s). Besides, 74.3% of participants did not enjoy their profession, did not want to work in the emergency department, or would prefer employment in a non-health care field after being subjected to violence. According to the study participants, the most common cause of violence was the attitude of patients or their family members (28.7%). In addition, 79.6% (n=257) of participants stated that they did not have adequate safety protection in their working area. According to the study participants, there is a need for legal regulations to effectively deter violence and increased safety measures designed to reduce the incidence of violence in the emergency department.
  
  
  CONCLUSIONS
  Violence against employees in the emergency department is a widespread problem. This situation has a strong negative effect on employee satisfaction and work performance. In order to reduce the incidence of violence in the emergency department, both patients and their families should be better informed so they have realistic expectations as an emergency patient, deterrent legal regulations should be put in place, and increased efforts should be made to provide enhanced security for emergency department personnel. These measures will reduce workplace violence and the stress experienced by emergency workers. We expect this to have a positive impact on emergency health care service delivery.
authors: Department of Emergency Medicine, Sakarya University, Medical Faculty, Sakarya, Turkey.
authors: H Í
authors: HÍ
authors: Çıkrıklar
authors: Department of Emergency Medicine, Sakarya University, Medical Faculty, Sakarya, Turkey.
authors: Y
authors: Y
authors: Yürümez
authors: Psychiatry Clinic, Ministry of Health, Şevket Yilmaz Training and Research Hospital, Bursa, Turkey.
authors: B
authors: B
authors: Güngör
authors: Psychiatry Clinic, Ministry of Health, Şevket Yilmaz Training and Research Hospital, Bursa, Turkey.
authors: R
authors: R
authors: Aşkın
authors: Department of Emergency Medicine, Sakarya University, Medical Faculty, Sakarya, Turkey.
authors: M
authors: M
authors: Yücel
authors: Department of Biostatistics, Eskişehir Osmangazi University, Medical Faculty, Eskişehir, Turkey.
authors: C
authors: C
authors: Baydemir
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D064450:Workplace Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Emergency service, hospital; Violence; Workplace