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Patient aggression towards health care professionals

100%

Mroczek B., Mormul J., Kotwas A., Szkup M., Kurpas D.

Progress in Health Sciences

2014

vol. 4

issue 2

67-74

Purpose: To estimate the frequency of aggressive behaviors in health care institutions, and determine their influence on emotional reactions of medical workers. Materials and methods: The study involved 201 health care professionals from the regions of Lower Silesia and Opole in Poland. The authors employed the exposure to patient aggression inventory, based on the questionnaires of Merecz and Nowicka & Kolasa; this inventory divides patient aggression towards medical workers into seven different forms. Results: In over 90% of cases, health care professionals fell victim to patient aggression in a workplace. It mostly took forms of verbal aggression, a raised voice and shouting. A physical attack was reported by 45.6% of the surveyed; it resulted in physical injuries in 27.9% of psychiatric hospital workers and 24.7% of general hospital workers. As a reaction to patients’ verbal aggression, medical workers usually calmly explained that such behavior was improper. Violence and aggressive behaviors of patients evoked workers’ anger, fear, a feeling of resignation and the loss of their sense of safety. In most case's victims of patient aggression either coped with the problem themselves or asked their co-workers and superiors for help. Conclusions: Aggressive behaviors of patients arouse in medical staff, mostly anger. Medical workers usually cope with patient aggression themselves; nurses more often than other health care professionals ask their superiors and co-workers for help. It is necessary to conduct further research into the problem of patient aggression towards medical staff so that actions ensuring safety for workers can be taken.

The impact of selected demographic variables and disease on the causes and circumstances of femoral neck fracture

72%

Chorążyczewska – Dziubich, J, Karakiewicz A., Bażydło M., Szkup M., Jurczak A., Grochans E., Kołban M., Karakiewicz M.

Progress in Health Sciences

2014

vol. 4

issue 2

45-51

Introduction: Proximal femoral fractures are the major cause of hospitalization due to an injury among advanced age patients. Purpose: To analyse causes of femoral neck fractures. Materials and methods: The research material included medical documentation of 203 patients with femoral neck fractures. A research method employed in this study was an analysis of the documentation. A statistical analysis was performed using the chi-square test for independence. Results: The majority of women and men sustained an injury at home or on the way (62.5% and 46.2% respectively). Patients who had an injury at work were largely men. Most injuries were related to a disease. It has been observed that women considerably more often than men mentioned slipping as the cause of an injury (21.3% and 6.9% respectively). Men, on the other hand, more often than women incurred injuries as a result of falls (19.4% and 9. 5% respectively). The structure of an injury was similar irrespective of whether patients were diagnosed as having such diseases as diabetes, cataract and osteoporosis or not. Conclusions: There is a relationship between gender and the circumstances of an injury. Women more often sustain an injury at home, and men – at work. The circumstances and causes of injuries are not significantly related to diseases such as diabetes, cataract and osteoporosis.

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2 Progress in Health Sciences

2 2014

2 Szkup M.

1 Bażydło M.

1 Chorążyczewska – Dziubich, J

1 Grochans E.

1 Jurczak A.

1 Karakiewicz A.

1 Karakiewicz M.

1 Kotwas A.

1 Kołban M.

1 Kurpas D.

1 Mormul J.

1 Mroczek B.

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Patient aggression towards health care professionals

The impact of selected demographic variables and disease on the causes and circumstances of femoral neck fracture