Antisocial Behavior on Healthcare Professionals in an Emergency Unit.

Completed

• Conditions: Rudeness/Incivility, Aggression or Violence Against Healthcare Workers in an Ophthalmic Emergencies Unit.

• Registration Number: NCT02015884
• Lead Sponsor: Hospices Civils de Lyon

Brief Summary

At the hospital, the attacks against health professionals are becoming commonplace, making working conditions difficult. The ophthalmological emergencies are a perfect testing ground to evaluate the effectiveness of a series of original actions to prevent the occurrence of violence against healthcare workers. The main objective is to measure the impact of an integrated prevention of the occurrence of antisocial behavior or attacks against the healthcare workers.

The prevention program combines five interventions (steps): 1) a computer sorting algorithm and specific screens for calling patients in waiting rooms, 2) a clear signage to direct patients between waiting rooms, treatment rooms and administrative et medical offices, 3) Posts information on the activity of emergency services displayed on screens, in the waiting rooms, 4) a mediator/go-between/conciliator, 5) and a dummy surveillance camera.

This is an interrupted time series study. All patients admitted to the ophthalmological emergency unit of a university hospital located in Lyon, France, are included in the study, from June 2013 to Sept 2015

Detailed Description

Not available

Study Timeline

• Study Start: 2013-05
• Study First Submitted: 2013-12-10
• Study First Submitted QC: 2013-12-13
• Study First Posted: 2013-12-19
• Primary Completion: 2015-09
• Study Completion: 2015-09
• Status Verified: 2015-10
• Last Update Submitted: 2015-10-22
• Last Update Posted: 2015-10-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 58465

Inclusion Criteria

• Patient admitted to the ophthalmologic emergency unit

No Exclusion Criteria

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Proportion of patients (or their attendants) who committed a rudeness/incivility or aggression or violence against healthcare workers.	Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.	When seeking to characterize the violent behavior, three levels of increasing aggressiveness are typically distinguished: a) incivility i.e. the lack of respect for others characterized by relatively mild acts, b) physical or verbal aggression (insults, threats, assault), and c) the violent act.

Secondary Outcome Measures

Name	Time	Method
Occurrence of antisocial behavior or assaults against other patients or carers attending the ophthalmological emergencies.	Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.	Proportion of incivility or assaults against other patients or attendant present (number of incivility or assaults on the number of patients admitted to the emergency)
Stress of healthcare personnel	30 minutes	Stress at work of health personnel engaged in an ophthalmic emergency unit measured by the Karasek questionnaire. 30 mn are necessary to complete the questionnaire.
Waiting times for patients	Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.	Average waiting times for patients with ophthalmic emergencies before they were taken care of by a doctor.
Satisfaction of patients	Patients will be followed for the duration of the ophthalmic emergency unit stay, an expected average of 2 hours.

Trial Locations

Locations (1)

Hospices Civils de Lyon - Hôpital Edouard Herriot; 🇫🇷 Lyon, France