Impacts of users' antisocial behaviors in an ophthalmologic emergency department : a qualitative study
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- d'Aubarede Constance
- UMR T 9405 (Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail. Environnement: UMRESTTE), Université Claude Bernard Lyon 1 Hospices Civils de Lyon, Service de Médecine et Santé au Travail, Groupement Hospitalier Est
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- Sarnin Philippe
- GREPS - EA 4163 (Groupe de Recherche en Psychologie Sociale); Université Lyon 2 - Institut de Psychologie
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- Cornut Pierre-Loïc
- Service d'Ophtalmologie, Hôpital Edouard Herriot, Hospices Civils de Lyon
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- Touzet Sandrine
- Pôle Information Médicale Evaluation et Recherche, Hospices Civils de Lyon
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- Duclos Antoine
- Pôle Information Médicale Evaluation et Recherche, Hospices Civils de Lyon
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- Burillon Carole
- Service d'Ophtalmologie, Hôpital Edouard Herriot, Hospices Civils de Lyon
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- Fassier Jean-Baptiste
- UMR T 9405 (Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail. Environnement: UMRESTTE), Université Claude Bernard Lyon 1 Hospices Civils de Lyon, Service de Médecine et Santé au Travail, Groupement Hospitalier Est
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- タイトル別名
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- Impacts of users' antisocial behaviors in an ophthalmologic emergency department—a qualitative study
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Background: Health-care workers in emergency departments are frequently exposed to risk of antisocial behavior and violence (ABV) by users. Underreporting of ABV by health-care professionals has been identified. In order to understand this phenomenon, we explored the experience of ABV in 30 health workers in an ophthalmology emergency department in the Rhône-Alpes administrative region of France. Methods: A grounded theory qualitative approach was followed. Data were collected from field observations, 30 semistructured individual interviews, violence report forms, and 364 patient satisfaction questionnaires. Qualitative thematic content analysis of the interviews was performed with qualitative data analysis software. Results: Third-party antisocial behaviors and violence were an everyday occurrence, with varying levels of seriousness: impoliteness, vulgarity, nonrecognition, insults, verbal threats, and aggressive gestures. Health-care workers adopted various strategies to adapt to such violence: proactive and reactive attitudes and avoidance. Several organizational factors concerning the political and economic context, hospital work organization, and health workers' behavior were identified as potentially contributing to ABV. Excessive waiting times, lack of user information, and understaffing emerged as factors contributing to users' ABV. Conclusions: Antisocial behaviors by hospital users are underreported by professionals and under-recognized. They appear to be like continuous occupational exposure leading to delayed adverse consequences either on workers' health or motivation. However, violence in hospitals is not the result of only the action of users, and it may be related to work organization and workers' own behaviors. Only a grounded analysis of the causes of violence in the local work context can uncover relevant solutions.(J Occup Health 2016; 58: 96–106)
収録刊行物
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- journal of Occupational Health
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journal of Occupational Health 58 (1), 96-106, 2016
公益社団法人 日本産業衛生学会
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詳細情報 詳細情報について
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- CRID
- 1390282679430933632
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- NII論文ID
- 130005127679
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- NII書誌ID
- AA11090645
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- ISSN
- 13489585
- 13419145
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- NDL書誌ID
- 027089934
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- PubMed
- 26549837
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 使用不可