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

Author(s)
Egerton-Warburton, D.; Gosbell, A.; Wadsworth, A.; Moore, K.; Richardson, D.B.; Fatovich, D.M.
Year

Objective of this study was to survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. The study consisted of a mixed methods online survey of ED clinicians in Australia and New Zealand, conducted from 30 May to 7 July 2014.
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%).
The study concludes that 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.

Pages
155.e1-155.e6
Published in
Medical Journal of Australia
204 (4)
Library number
20220196 ST [electronic version only]

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