International journal of emergency mental health
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Int J Emerg Ment Health · Jan 2014
ReviewWorkplace violence in emergency department and its effects on emergency staff.
Workplace violence (WPV) is a growing problem for healthcare providers, particularly for those in the Emergency department (ED), with its increasing frequency and severity. Characteristics of WPV are similar in different parts of the World with different sociocultural and economic status. As this problem remains unsolved, its unwanted effects on mental and physical health of staff become more problematic. ⋯ When the reasons of WPV are investigated; lack of preventive policies, educational inadequacy, unwillingness to report assaults as a result of a consideration of violence as a routine by the staff and unmet expectations of patients and their family may be listed. In the short-term, increasing the number of security personnel, flagging the names of the patients with a potential of aggression in the computer system and reducing length of stay in the ED are measures to implement immediately. In the long-term, governments must focus on this subject and develop necessary policies including educational programmes in order to reduce WP, before it is too late for another ED worker.
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Int J Emerg Ment Health · Jan 2005
ReviewEmergency response service personnel and the critical incident stress debriefing debate.
Previous research has demonstrated the potential for work-related stress associated with employment in the emergency service field. However, little research has considered effective interventions that may be used to mediate the effects of this work-related stress. ⋯ However, the efficacy of this intervention is currently the source of much debate. The present discussion reviews the available literature regarding the effectiveness of CISD for use with emergency service workers and concludes that at this time, for this population, the call for the removal of current programs using CISD is unwarranted.
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Int J Emerg Ment Health · Jan 2004
ReviewTheories of human violence: implications for health care safety.
Violence is a complex, multifactorial entity with no single source of explanation. Although much research is underway into the nature and causes of violence, much of this research is done in isolation and published in highly specialized journals. ⋯ The review includes risk management strategies for, and the role of, health care facilities as societal institutions to curb violence. Many of the risk management strategies noted for health care settings may also be fielded in schools, courts, businesses, and other settings in which emergency services personnel are asked to respond.
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Int J Emerg Ment Health · Jan 2004
ReviewCharacteristics of successful early intervention programs.
A plethora of terms and titles are currently used to describe early intervention programs. The terms "Critical Incident Stress Management Team," "Rapid Response Team," "Community Crisis Response Program," "Critical Incident Stress Team," "Staff Support Team," "Critical Incident Support Team," "Critical Incident Support Services," and "Assaulted Staff Action Program" are among many titles utilized to name a variety of crisis response programs. Additionally, crisis intervention services use different tactics to aim at a wide range of populations from primary victims to community groups, military service personnel, and emergency services responders. ⋯ Furthermore, no title, no matter how creative or descriptive it is, can indicate if the team or program has a greater or lesser potential to be of assistance by providing the right services during a crisis. This article focuses on the key characteristics of well-organized crisis intervention or, more precisely, "critical incident stress management" program. It also offers guidelines for identifying early intervention programs that have the best potential to provide efficient and effective early intervention services to those who request assistance.