Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations

Objectives: To survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. Design, setting and participants: A mixed methods online survey of ED clinicians in Australia and New Zealand, conducted from 30 May to 7 July 2014. Main outcome measures: The fre...

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Main Authors: Egerton-Warburton, Diana, Gosbell, A., Wadsworth, A., Moore, K., Richardson, D., Fatovich, D.
Format: Journal Article
Published: Australasian Medical Publishing 2016
Online Access:http://hdl.handle.net/20.500.11937/30416
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author Egerton-Warburton, Diana
Gosbell, A.
Wadsworth, A.
Moore, K.
Richardson, D.
Fatovich, D.
author_facet Egerton-Warburton, Diana
Gosbell, A.
Wadsworth, A.
Moore, K.
Richardson, D.
Fatovich, D.
author_sort Egerton-Warburton, Diana
building Curtin Institutional Repository
collection Online Access
description Objectives: To survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. Design, setting and participants: A mixed methods online survey of ED clinicians in Australia and New Zealand, conducted from 30 May to 7 July 2014. Main outcome measures: The frequency of aggression from alcoholaffected patients or their carers experienced by ED staff; the perceived impact of alcohol-related presentations on ED function, waiting times, other patients and staff. Results: In total, 2002 ED clinical staff completed the survey, including 904 ED nurses (45.2%) and 1016 ED doctors (50.7%). Alcohol-related verbal aggression from patients had been experienced in the past 12 months by 97.9% of respondents, and physical aggression by 92.2%. ED nurses were the group most likely to have felt unsafe because of the behaviour of these patients (92% reported such feelings). Alcohol-related presentations were perceived to negatively or very negatively affect waiting times (noted by 85.5% of respondents), other patients in the waiting room (94.4%), and the care of other patients (88.3%). Alcohol-affected patients were perceived to have a negative or very negative impact on staff workload (94.2%), wellbeing (74.1%) and job satisfaction (80.9%). Conclusions: Verbal and physical aggression by alcohol-affected patients is commonly experienced by ED clinical staff. This has a negative impact on the care of other patients, as well as on staff wellbeing. Managers of health services must ensure a safe environment for staff and patients. More importantly, a comprehensive public health approach to changing the prevailing culture that tolerates alcohol-induced unacceptable behaviour is required.
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spelling curtin-20.500.11937-304162018-06-12T00:31:30Z Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations Egerton-Warburton, Diana Gosbell, A. Wadsworth, A. Moore, K. Richardson, D. Fatovich, D. Objectives: To survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. Design, setting and participants: A mixed methods online survey of ED clinicians in Australia and New Zealand, conducted from 30 May to 7 July 2014. Main outcome measures: The frequency of aggression from alcoholaffected patients or their carers experienced by ED staff; the perceived impact of alcohol-related presentations on ED function, waiting times, other patients and staff. Results: In total, 2002 ED clinical staff completed the survey, including 904 ED nurses (45.2%) and 1016 ED doctors (50.7%). Alcohol-related verbal aggression from patients had been experienced in the past 12 months by 97.9% of respondents, and physical aggression by 92.2%. ED nurses were the group most likely to have felt unsafe because of the behaviour of these patients (92% reported such feelings). Alcohol-related presentations were perceived to negatively or very negatively affect waiting times (noted by 85.5% of respondents), other patients in the waiting room (94.4%), and the care of other patients (88.3%). Alcohol-affected patients were perceived to have a negative or very negative impact on staff workload (94.2%), wellbeing (74.1%) and job satisfaction (80.9%). Conclusions: Verbal and physical aggression by alcohol-affected patients is commonly experienced by ED clinical staff. This has a negative impact on the care of other patients, as well as on staff wellbeing. Managers of health services must ensure a safe environment for staff and patients. More importantly, a comprehensive public health approach to changing the prevailing culture that tolerates alcohol-induced unacceptable behaviour is required. 2016 Journal Article http://hdl.handle.net/20.500.11937/30416 10.5694/mja15.00858 Australasian Medical Publishing fulltext
spellingShingle Egerton-Warburton, Diana
Gosbell, A.
Wadsworth, A.
Moore, K.
Richardson, D.
Fatovich, D.
Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title_full Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title_fullStr Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title_full_unstemmed Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title_short Perceptions of Australasian emergency department staff of the impact of alcohol-related presentations
title_sort perceptions of australasian emergency department staff of the impact of alcohol-related presentations
url http://hdl.handle.net/20.500.11937/30416