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Volume 2021, Issue 3
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Aggression and violence against paramedics by patients or their relatives are frequent events. Therefore, the aim of this study is to estimate the prevalence of aggression / violence against paramedics in Germany and the impact on their mental health. To perform this study, a nationwide survey method was followed where items of the Perceptions of Prevalence of Aggression Scale (POPAS) and the short version of the Depression-Anxiety-Stress-Scale (DASS-21) were used. The results obtained from the feedback of 786 participants (52.42% female) showed that verbal aggression was experienced by 96.44%, provocative aggressive behavior by 79.62% and threatening verbal aggression by 75.16% of the participants; respectively. Mild and severe physical violence were experienced by 59.75% and 16.82% of all participants; respectively. Moreover, the results indicated a significantly higher risk of experiencing humiliating aggressive behavior (OR: 1.38 [95% CI: 1.00; 1.90]; p = 0.049) of female participants. Correlations between DASS-21 subscale for depression and anxiety were seen for frequency of experiencing different kind of aggressive / violent behaviors. Nevertheless, based on values ranging from 0.14 to 0.27 DASS-21 stress subscale indicated the largest correlations with investigated kinds of aggression / violence.

To this end, this work indicated a high prevalence of aggression and violence against German paramedics and the implementation of an aggression / violence monitoring system might help to improve their situation.

© 2021 Olschowka, Möckel, licensee HBKU Press.
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2021-10-02
2024-04-19
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References

  1. Kowalenko T, Gates D, Gillespie GL, Succop P, Mentzel TK. Prospective study of violence against ED workers. Am J Emerg Med. 2013; 31:(1):197–205. doi:10.1016/j.ajem.2012.07.010 .
     [Google Scholar]
  2. Kobayashi Y. Oe M, Ishida T, Matsuoka M, Chiba H, Uchimura N, Workplace Violence and Its Effects on Burnout and Secondary Traumatic Stress among Mental Healthcare Nurses in Japan. Int J Environ Res Public Health. 2020; 17:(8):2747.doi:10.3390/ijerph17082747 .
     [Google Scholar]
  3. Khan MN, Haq ZU, Khan M. et al. Prevalence and determinants of violence against health care in the metropolitan city of Peshawar: a cross sectional study. BMC Public Health. 2021; 21:(1):330. doi:10.1186/s12889-021-10243-8 .
     [Google Scholar]
  4. Sefrin P, Händlmeyer A, Stadler T, Kast W. Erfahrungen zur Gewalt gegen Rettungskräfte – aus der Sicht des DRK. Der Notarzt. 2021;37(S 01):S1–S19. doi:10.1055/a-1310-6763 .
     [Google Scholar]
  5. Gabrovec B. The prevalence of violence directed at paramedic services personnel. Obz Zdr nege. 2015; 49:(4):284–294. doi:10.14528/snr.2015.49.4.60 .
    [Google Scholar]
  6. Sun P, Zhang X, Sun Y, et al.. Workplace Violence against Health Care Workers in North Chinese Hospitals: A Cross-Sectional Survey. Int J Environ Res Public Health. 2017; 14:(1):96. doi:10.3390/ijerph14010096 .
    [Google Scholar]
  7. Di Martino V. Relationship between Work Stress and Worklace Violence in the Health Sector. 2003.
    [Google Scholar]
  8. Xie X-M, Zhao Y-J, An F-R, et al.. Workplace violence and its association with quality of life among mental health professionals in China during the COVID-19 pandemic. J Psychiatr Res. 2021; 135:(September 2020):289–293. doi:10.1016/j.jpsychires.2021.01.023 .
    [Google Scholar]
  9. Braun D, Reifferscheid F, Kerner T, et al.. Association between the experience of violence and burnout among paramedics. Int Arch Occup Environ Health. Published online April 22, 2021. doi:10.1007/s00420-021-01693-z .
    [Google Scholar]
  10. The Information System of the Federal Health Monitoring. Health care personnel in 1,000. Classification: years, Germany, sex, facility, profession. Published 2021. https://www.gbe-bund.de/gbe/pkg_isgbe5.prc_menu_olap?p_uid = gast&p_aid = 87428067&p_sprache = E&p_help = 2&p_indnr = 89&p_version = 7&p_ansnr = 14786206 .
  11. Naklicka P, Möckel L, Hofmann T. Vein cannulation success rates by German paramedics: a single-centre study. Int Paramed Pract. 2021; 11:(2):35–39. doi:10.12968/ippr.2021.11.2.35 .
    [Google Scholar]
  12. Ilper H, Kratz W, Byhahn C, et al.. Ausbildung und Erfahrung in praktischen Fertigkeiten deutscher Rettungsassistenten. Notfall + Rettungsmedizin. 2014. 17:;(7):601–606. doi:10.1007/s10049-014-1910-3 .
    [Google Scholar]
  13. Eysenbach G. Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES). J Med Internet Res. 2004; 6:(3):e34. doi:10.2196/jmir.6.3.e34 .
    [Google Scholar]
  14. Oud N. The Perception of Prevalence of Aggression Scale (POPAS) questionnaire. Published 2001. https://www.researchgate.net/profile/Nico-Oud/publication/270159849_The_Perception_of_Prevalence_of_Aggression_Scale_POPAS_Questionnaire/links/54a177900cf256bf8baf71c1/The-Perception-of-Prevalence-of-Aggression-Scale-POPAS-Questionnaire.pdf .
  15. Nijman H, Bowers L, Oud N, Jansen G. Psychiatric nurses’ experiences with inpatient aggression. Aggress Behav. 2005; 31:(3):217–227. doi:10.1002/ab.20038 .
    [Google Scholar]
  16. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33:(3):335–343. doi:10.1016/0005-7967(94)00075-U .
    [Google Scholar]
  17. Lovibond S, Lovibond P. Manual for the Depression Anxiety & Stress Scales. (2nd Ed.). Sydney Psychol Found. Published online 1995.
    [Google Scholar]
  18. Nilges P, Essau C. Die Depressions-Angst-Stress-Skalen. Der Schmerz. 2015; 29:(6):649–657. doi:10.1007/s00482-015-0019-z .
    [Google Scholar]
  19. Henry JD, Crawford JR. The short-form version of the Depression anxiety stress scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005; 44:. (2):227–239. doi:10.1348/014466505X29657 .
    [Google Scholar]
  20. SoSci Survey. Published 2021. https://www.soscisurvey.de/de/index .
  21. Cohen J. A Power Primer. Psychol Bull. 1992; 112::155–159.
    [Google Scholar]
  22. JASP Team. JASP (Version 0.14.1). Published online 2020:[Computer software].
  23. Naujoks F, Schweigkofler U, Lenz W, et al. Veränderungen der rettungsdienstlichen Einsatzzahlen in einer Metropolregion während der ersten COVID-19-Pandemie-bedingten Kontaktbeschränkungsphase. Notfall + Rettungsmedizin. Published online April 23, 2021. doi:10.1007/s10049-021-00875-z .
    [Google Scholar]
  24. Cannavò M, La Torre F, Sestili C, La Torre G, Fioravanti M, Work related violence as a predictor of stress and correlated disorders in emergency department healthcare professionals. Clin Ter. 2019; 170:(2):E110–E123. doi:10.7417/CT.2019.2120 .
    [Google Scholar]
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Aggression and violence against paramedics and the impact on mental health: A survey study
Journal of Emergency Medicine, Trauma and Acute Care 2021, 15 (2021); https://doi.org/10.5339/jemtac.2021.15
/content/journals/10.5339/jemtac.2021.15
/content/journals/10.5339/jemtac.2021.15
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  • Article Type: Research Article
Keyword(s): distress, emergency medical service, Germany, occupational health and work-related threat

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