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Medical and sanitary staff reaction on physical attack in a health-care institution
KÁCHA, Vojtěch
This bachelor thesis deals with the matter of physical attack on medical personnel in health-care institution, especially on the emergency unit. Medical staff can get into confrontation with pacient, who can be influenced by drugs, alcohol, serious mental illness, or by difficult life situation, which evoke conflict behavior. This confrontation then can be dangerous for safety of health workers, but also their patients. Theoretical part will be based on characteristics of violence, agression and theoretical methodology during encounter with agressive pacient. Study define violence and it´s categories. It also shows resolving methods already escalated confrontation. In practical part study searches and compares aggression resolution between two regional and two district hospitals. It mainly identifies, which techniques health-care institution workers use in order to prevent physical attack from patient, then how health-care workers react to it and also how often do they encounter verbal and physical aggression during their shift. For this research the qualitative technique, along side with inquiring method and in-depth conversation will be used, whereas the research sample is going to be medical staff on the emergency department i.e. nurses and paramedics. Result of the study shows, that health-care workers are in contact with verbal aggression almost every workshift, with physical then only occasionally, eventhough the number of cases have grown. Result of thesis tells, that there is bigger number of cases in district hospitals, than,logically, in regional hospitals, especially because of higher number of patients in district hospitals. But in percentage sign it could be told, that the number is same, no matter the location. The more the health-care personnel are in contact with aggressive behavior, the more they had to adapt to it. And so if they notice, that the situation cannot be deescalated, they will rather call for security service of the hospital, or for the police, so they would not have to risk their own, or the patients' health. But primarily they are trying to handle the situation with principles of correct communication. Unsettling discovery is, that patients' conflict behavior is for hospital personnel on daily basis and it is no longer suprising for them. Prevalence It seems, that for society agrressive behavior became standart way of how to achieve it's goals. There should be enough attention for society to realise, that aggressive Aggression prevalence in hospital instituon points to more komplex society problem, where aggressive behavior is more and more seen as legitimate way, of achieving goals. Study is warning before aggressive prevalence in healt-care institutions. Solution of this problem stands on cooperation of several pillars. Hospital headquarters should provide enough safety for their workers and patients from aggressors and also organise educational programs about correct approach towards aggressive people a eventually elementary courses of self-defence, if needed. These results should also alarm media companies, which should aim for primary prevention a should actively draw attention and convey people about that there is no place for aggression in health-care instition without legitimate reason, because resolution of conflicts is exactly what holds off personnel from providing quality and effective health-care.
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