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Original paper

AGGRESSION AND VIOLENCE TOWARDS MEDICAL SPECIALISTS IN THE CENTER FOR EMERGENCY MEDICAL CARE IN THE REPUBLIC OF BULGARIA

Deyana Todorova
1
,
Albena Andonova
1

  1. Department Health Care, Faculty of Medicine, Trakia University, Stara Zagora, Bulgaria
Health Prob Civil
Online publish date: 2025/05/05
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1. Georgieva E. [Prevention of occupational stress. Communication portals]. [Dissertation]. Sofia: Medical University of Sofia; 2017. p. 213 (Bulgarian).
2. Georgieva Z. [Status and strategic guidelines for the prevention of occupational stress among hospital nurses]. [Dissertation]. Varna: Medical University of Varna; 2018. p. 164 (Bulgarian).
3. Allen J, Anderson CA. Aggression and violence: definitions and distinctions. In: Sturmey P, editor. The Wiley handbook of violence and aggression. Hoboken, NJ: John Wiley & Sons; 2017. p. 1-14. https://doi.org/10.1002/9781119057574.whbva001
4. Bushman BJ, & Huesmann LR. Aggression. In Fiske ST, Gilbert DT, Lindzey G, editors. Handbook of social psychology. 5th ed., vol. 2. Hoboken, NJ: John Wiley & Sons; 2010. p. 833-863. https://doi.org/10.1002/9780470561119.socpsy002023
5. Hernandez-Meier J, Xu Z, Kohlbeck SA, Levas M, Shepherd J, Hargarten S. Linking emergency care and police department data to strengthen timely information on violence-related paediatric injuries. Emergency Medicine Journal. 2023; 40: 653-659. https://doi.org/10.1136/emermed-2023-213370
6. medicalnews.bg. [Dr. Boyko Penkov: It is inhumane to attack someone who has come to save you, help you, and ease your suffering] [Internet]. Medical News [access 2025 Jan 17]. Available from: https://medicalnews.bg/2019/02/19/д-р-бойко-пенков-нечовешко-е-да-посегне/ (in Bulgarian).
7. Ministry of Health. [Concept for development of the system for emergency medical care in the Republic of Bulgaria 2014-2020] [Internet] Sofia: Ministry of Health [access 2025 Jan 17]. Available from: https://old.mh.government.bg/media/filer_public/2022/08/10/14rh789-pril.pdf (in Bulgarian).
8. Turgut K, Yavuz E, Yıldız MK, Poyraz MK. Violence toward emergency physicians: a prospective-descriptive study. World J Emerg Med. 2021; 12(2): 111-116. https://doi.org/10.5847/wjem.j.1920-8642.2021.02.005
9. American College of Emergency Physicians. Violence in the emergency department [Internet]. Irving, TX: American College of Emergency Physicians [access 2025 Jan 17]. Available from: https://www.acep.org/administration/violence-in-the-emergency-department-resources-for-a-safer-workplace
10. Association of American Medical Colleges. Rising violence in the emergency department [Internet]. Washington, D.C.: AAMC; 2020 Feb 24 [access 2025 Jan 17]. Available from: https://www.aamc.org/news/rising-violence-emergency-department
11. Zerhouni O, Bègue L, Brousse G, Carpentier F, Dematteis M, Pennel L, et al. Alcohol and violence in the emergency room: a review and perspectives from psychological and social sciences. Int. J. Environ. Res. Public Health. 2013; 10: 4584-4606. https://doi.org/10.3390/ijerph10104584
12. Czyzewski L, Rybak, K. Assessment of the exposure of nurses from emergency departments to aggressive behavior of patients. Disaster and Emergency Medicine Journal. 2018; 3(4): 111-118. https://doi.org/10.5603/DEMJ.2018.0025
13. Gillespie L, Gates M, Miller M, Howard K. Violence against healthcare workers in a pediatric emergency department. Advanced Emergency Nursing Journal. 2010; 32(1): 68-82. https://doi.org/10.1097/TME.0b013e3181c8b0b4
14. Yıldız İ, Yıldız T. Pediatric emergency nurses’ workplace violence experiences: a qualitative study. International emergency nursing. 2022; 62: 101160. https://doi.org/10.1016/j.ienj.2022.101160
15. Hislop E. Melby V. The lived experience of violence in accident and emergency. Accid. Emerg. Nurs. 2003; 11(1): 5-11. https://doi.org/10.1016/S0965-2302(02)00124-8
16. Bilgin A, Kovanci S, Öcalan S. „Working in the emergency department is not a job; it's like a war” A narrative inquiry and interpretive phenomenology of the violence experienced by emergency nurses in Turkey. International Journal of Nursing Practice. 2023; 30(4): e13225. https://doi.org/10.1111/ijn.13225
17. Al-Qadi M. Nurses’ perspectives of violence in emergency departments: a metasynthesis. International Emergency Nursing. 2020; 52: 100905. https://doi.org/10.1016/j.ienj.2020.100905
18. Ashton A, Morris L, Smith I. A qualitative meta-synthesis of emergency department staff experiences of violence and aggression. International Emergency Nursing. 2018; 39: 13-19. https://doi.org/10.1016/j.ienj.2017.12.004
19. Hsu MC, Chou MH, OuyanWCg. Dilemmas and repercussions of workplace violence against emergency nurses: a qualitative study. International Journal of Environmental Research and Public Health. 2022; 19(5): 2661. https://doi.org/10.3390/ijerph19052661
20. Benning L, Teepe W, Kleinekort J, Thoma J, Röttger C, Prunotto A, et al. Workplace violence against healthcare workers in the emergency department — a 10-year retrospective single-center cohort study. Scand J Trauma Resusc Emerg Med. 2024; 32(1): 88. https://doi.org/10.1186/s13049-024-01250-w
21. Hou Y, Corbally M, Timmins F. Violence against nurses by patients and visitors in the emergency department: a concept analysis. J. Nurs. Manag. 2022; 30(6): 1688-1699. https://doi.org/10.1111/jonm.13721
22. Yusoff H, Hanis A, Halim I, Naiemy R, David C, Faridah K, et al. Contemporary evidence of workplace violence against the primary healthcare workforce worldwide: a systematic review. Hum Resour Health. 2023; 21(1): 82. https://doi.org/10.1186/s12960-023-00868-8
23. U.S. Bureau of Labor Statistics. Workplace violence in healthcare [Internet]. Washington, D.C.: U.S. Bureau of Labor Statistics; 2020 Apr 8 [access 2025 Jan 17]. Available from: https://www.bls.gov/iif/factsheets/workplace-violence-healthcare-2018-chart2-data.htm
24. Aljohani B, Burkholder J, Tran K, Chen C, Beisenova K, Pourmand A. Workplace violence in the emergency department: a systematic review and meta-analysis. Public Health. 2021; 196: 186-197. https://doi.org/10.1016/j.puhe.2021.02.009
25. Grinberg K, Revach C, Lipsman G. Violence in hospitals and burnout among nursing staff. Int Emerg Nurs. 2022; 65: 101230. https://doi.org/10.1016/j.ienj.2022.101230
26. Kim S, Lynn R, Baernholdt M, Kitzmiller R, Jones B. How does workplace violence –reporting culture affect workplace violence nurse burnout, and patient safety?. J Nurs Care Qual. 2023; 38(1): 11. https://doi.org/10.1097/NCQ.0000000000000641
27. Quinn M, Koopman M. Violence risk assessment in the emergency department. J Emerg Nurs. 2023; 49(3): 352-359. https://doi.org/10.1016/j.jen.2023.02.006
28. García-Pérez D, Rivera-Sequeiros A, Sánchez-Elías M, Lima-Serrano M. Workplace violence on healthcare professionals and underreporting: characterization and knowledge gaps for prevention. Enferm. Clínica (Engl. Ed.). 2021; 31(6): 390-395. https://doi.org/10.1016/j.enfcle.2021.05.001
29. Gupta I, Shaker E, Che H, Regina K, Catherine W, Amteshwar S, et al. Prevalence of workplace violence and effects of de-escalation training among hospitalists: a pilot study. J Community Hosp Intern Med Perspect. 2023; 13(3): 1-5. https://doi.org/10.55729/2000-9666.1189
30. Dana I, Alice B, Josh J, Jim D, Jill G, Kathleen C, et al. Code de-escalation: decreasing restraint use during agitation management in a community hospital emergency department. Am J Emerg Med. 2024; 76: 193-198. https://doi.org/10.1016/j.ajem.2023.11.057
31. Wirth T, Peters C, Nienhaus A, Schablon A. Interventions for workplace violence prevention in emergency departments: a systematic review. Int J Environ Res Public Health. 2021; 18(16): 8459. https://doi.org/10.3390/ijerph18168459
32. Reißmann S, Tanja W, Vanessa B, David G, Albert N, Volker H, et al. “I think we still do too little”: measures to prevent violence and aggression in German emergency departments – a qualitative study. BMC Health Serv Res. 2023; 23(1): 97. https://doi.org/10.1186/s12913-023-09044-z
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