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Violence in the workplace is becoming a serious phenomenon in the contemporary world of work. Hospital staff, like any employee working in contact with the public, is particularly exposed to this violence. In emergency departments, the number of patients treated and their heterogeneity, the problems of communicating with healthcare professionals, and waiting times, favor conflict situations. In the already tense context of the emergencies, the incivilities or violent acts have an impact on the well-being of professionals. In order to prevent these situations of violence, a solution could be to integrate a professional with specific skills into the teams to perform mediation functions between caregivers and patients.
The aim of the study is to evaluate the impact of the presence of a mediator in emergency services on personal (verbal or physical) attacks on professionals (caregivers, doctors, administrative staff).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Patients treated in emergency departments without the presence of a mediator. | ||
| Mediation | Patients treated in emergency departments with the presence of a mediator. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Presence of a mediator in the emergency departments | Behavioral | The mediator tasks are :
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of violence or aggression by patients directed towards emergency staff | The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity. | During the patient stay in the emergency department, an average of 3 hours, up to 8 hours. |
| Incidence of violence or aggression by patients's accompanying persons directed towards emergency staff | The violence or aggression will be collected by professionals of the emergency department. They will be classified in 4 levels of gravity. | During the patient stay in the emergency department, an average of 3 hours, up to 8 hours. |
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Inclusion Criteria:
Exclusion Criteria:
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The population participating in the study is composed of:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pôle Information Médicale, Evaluation, Recherche - Hospices Civils de Lyon | Lyon | 69003 | France | |||
| Service d'urgences médicales et chirurgicales - Hôpital Edouard Herriot - HCL |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38329117 | Derived | Touzet S, Buchet-Poyau K, Denis A, Occelli P, Jacquin L, Potinet V, Sigal A, Delaroche-Gaudin M, Fayard-Gonon F, Tazarourte K, Douplat M. Impact of the presence of a mediator on patient violent or uncivil behaviours in emergency departments: a cluster randomised crossover trial. Eur J Emerg Med. 2024 Jun 1;31(3):201-207. doi: 10.1097/MEJ.0000000000001121. Epub 2024 Feb 7. | |
| 33558353 |
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| ID | Term |
|---|---|
| D000374 | Aggression |
| D017008 | Negotiating |
| ID | Term |
|---|---|
| D000096762 | Aberrant Motor Behavior in Dementia |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D012919 | Social Behavior |
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|
| Lyon |
| 69003 |
| France |
| Service médical d'accueil des urgences - Hôpital de la Croix Rousse - HCL | Lyon | 69004 | France |
| Service d'accueil des urgences - Centre hospitalier Lyon Sud - HCL | Pierre-Bénite | France |
| Derived |
| Charrier P, Occelli P, Buchet-Poyau K, Douplat M, Delaroche-Gaudin M, Fayard-Gonon F, Jacquin L, Potinet V, Sigal A, Tazarourte K, Touzet S. Strategies used by emergency care professionals to handle interpersonal difficulties with patients: a qualitative study. BMJ Open. 2021 Feb 8;11(2):e042362. doi: 10.1136/bmjopen-2020-042362. |
| D003142 |
| Communication |