2.50
Hdl Handle:
http://hdl.handle.net/10755/344171
Category:
Abstract
Type:
Poster
Title:
Decreasing employee injuries related to violence in the emergency department
Author(s):
Akif, Joseph
Lead Author STTI Affiliation:
Non-member
Author Details:
Joseph Akif, MBA, BSN, RN, joseph.akif@viachristi.org
Abstract:
Evidence-based Practice Abstract Purpose: The emergency department by its very nature is a place of high stress and volatility for the patients that present for care and the staff caring for the patients. Patients are often brought to the emergency department intoxicated, in drug withdrawal, and with psychiatric problems that make them prone to violence. At times an inability to meet patient/family expectations also contributes to potential violent situations. When there is workplace violence present, it significantly decreases employee morale and may lead to poor patient care and employee turnover. The goal of this work is to define a safe environment and identify strategies and interventions to reduce the number of employee injuries related to violence in the emergency department. Design: This project is a staff and patient safety activity to recognize and improve safety in an emergency department affected by violence. Setting: 496 bed urban hospital with 29 emergency treatment rooms with annual visits of 65,436 and 600 behavioral visits a month. Participants/Subjects: The focus group was an inter professional approach of twelve participants to include senior leadership, security and bedside clinical staff. Participants selected were involved in a violent event in the emergency department during the previous twelve-month period. Methods: Comprehensive literature search was completed to review violence leading to injuries of emergency department caregivers. The review encompassed strategies related to preparation of caregivers to identify, de-escalate and prevent violent actions against healthcare providers. The findings of the search were utilized to conduct a focus group involving emergency department caregivers, security personnel and senior leaders of the organization. The goal of the focus group was to define a safe environment from the caregiver perspective and measure variables related to the impact of training, availability of safe facilities and protocols to prepare staff for violent interactions. Results/Outcomes: The research and focus group resulted in the development of a twenty-four point action plan stressing a three pronged approach to responding to violent situations in the emergency department. The need for facility modifications was identified and completed with the conversion of eight treatment rooms to psych safe standards. A training program for de-escalation was selected and 328 employees were trained; and protocol development for team response to violent events was completed and implemented. Six month review of preliminary findings has demonstrated a 200% decrease in staff injuries as related to violent events in the emergency department. This also has correlated into a decrease of 350 lost worked hours. Implications: The focus of current research in the emergency department has been on the phenomenon of workplace violence and defining it. The use of multiple strategies to address violence and staff injuries in the emergency should encompass facility physical capabilities, de-escalation training and multidisciplinary protocols a s a coordinated approach to violent situations. The strategy of a multi pronged approach will allow for the design a violence bundle to decrease injuries as a result of violent attacks on emergency department caregivers. In isolation, each strategy appears to leave opportunity for injury, together that opportunity diminishes.
Keywords:
Violence in ED; Employee Injuries Related to Violence
Repository Posting Date:
4-Feb-2015
Date of Publication:
4-Feb-2015
Conference Date:
2014
Conference Name:
2014 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Indianapolis, Indiana, U.S.A.
Description:
2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleDecreasing employee injuries related to violence in the emergency departmenten_GB
dc.contributor.authorAkif, Josephen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJoseph Akif, MBA, BSN, RN, joseph.akif@viachristi.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/344171-
dc.description.abstractEvidence-based Practice Abstract Purpose: The emergency department by its very nature is a place of high stress and volatility for the patients that present for care and the staff caring for the patients. Patients are often brought to the emergency department intoxicated, in drug withdrawal, and with psychiatric problems that make them prone to violence. At times an inability to meet patient/family expectations also contributes to potential violent situations. When there is workplace violence present, it significantly decreases employee morale and may lead to poor patient care and employee turnover. The goal of this work is to define a safe environment and identify strategies and interventions to reduce the number of employee injuries related to violence in the emergency department. Design: This project is a staff and patient safety activity to recognize and improve safety in an emergency department affected by violence. Setting: 496 bed urban hospital with 29 emergency treatment rooms with annual visits of 65,436 and 600 behavioral visits a month. Participants/Subjects: The focus group was an inter professional approach of twelve participants to include senior leadership, security and bedside clinical staff. Participants selected were involved in a violent event in the emergency department during the previous twelve-month period. Methods: Comprehensive literature search was completed to review violence leading to injuries of emergency department caregivers. The review encompassed strategies related to preparation of caregivers to identify, de-escalate and prevent violent actions against healthcare providers. The findings of the search were utilized to conduct a focus group involving emergency department caregivers, security personnel and senior leaders of the organization. The goal of the focus group was to define a safe environment from the caregiver perspective and measure variables related to the impact of training, availability of safe facilities and protocols to prepare staff for violent interactions. Results/Outcomes: The research and focus group resulted in the development of a twenty-four point action plan stressing a three pronged approach to responding to violent situations in the emergency department. The need for facility modifications was identified and completed with the conversion of eight treatment rooms to psych safe standards. A training program for de-escalation was selected and 328 employees were trained; and protocol development for team response to violent events was completed and implemented. Six month review of preliminary findings has demonstrated a 200% decrease in staff injuries as related to violent events in the emergency department. This also has correlated into a decrease of 350 lost worked hours. Implications: The focus of current research in the emergency department has been on the phenomenon of workplace violence and defining it. The use of multiple strategies to address violence and staff injuries in the emergency should encompass facility physical capabilities, de-escalation training and multidisciplinary protocols a s a coordinated approach to violent situations. The strategy of a multi pronged approach will allow for the design a violence bundle to decrease injuries as a result of violent attacks on emergency department caregivers. In isolation, each strategy appears to leave opportunity for injury, together that opportunity diminishes.en_GB
dc.subjectViolence in EDen_GB
dc.subjectEmployee Injuries Related to Violenceen_GB
dc.date.available2015-02-04T11:27:45Z-
dc.date.issued2015-02-04-
dc.date.accessioned2015-02-04T11:27:45Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationIndianapolis, Indiana, U.S.A.en_GB
dc.description2014 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at the Indiana Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_GB
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