Rischi di front line nelle professioni della salute. Un’analisi ragionata

Journal title SALUTE E SOCIETÀ
Author/s Carmelo Guarino
Publishing Year 2015 Issue 2016/1 Language Italian
Pages 17 P. 191-207 File size 504 KB
DOI 10.3280/SES2016-001015
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Over the last decade the discipline of health risk has conquered wide important scientific and decisional domains in our country’s healthcare organizations. Nevertheless much remains to be done, not only on the safety of clinical care processes, but especially in terms of safety of health professionals. In the specific instanca, the reference is to the large panorama of the risks from occupational exposure faced by doctors, nurses and all health workers in the performance of their profession. In the context of these risks, a special type of event is taking a huge dimension: violence and aggression by patients or family members. The work, by means of a narrative review of the main scientific evidence, discusses the risk of violence and aggression to which are daily exposed health professionals in their work in hospitals and in particular in emergency areas that represent the most sensitive areas and that not always receive the necessary attention from the top management, determining the risk of organizational weakness extremely dangerous for the strength of the system, the motivation of professionals and the quality of clinical care processes.

Keywords: Risk; safety; violence and aggression; health workers; health system; patient.

  1. Antonucci M.C. (2012), Rappresentanza degli interessi oggi. Il lobbying nelle istituzioni politiche europee e italiane. Roma: Carocci
  2. Angland S., Dowling M., Casey D. (2014). Nurse’s perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study. Int Emerg Nurs, july; 22(3): 134-9. DOI: 10.1016/jienj.2013.09.005
  3. Bailey K.D. (1982). Methods of social research. New York: The Free Press (trad. it.: Metodi della ricerca sociale. Bologna: Il Mulino, 2006)
  4. Bernaldo-De-Quirós M., Piccini A. T., Gómez M. M., Cerdeira J. C. (2015). Psychological consequences of aggression in pre-hospital emergency care: Cross sectional survey. Int J Nurs Stud. January; 52 (1): 260-70. DOI: 10.1016/j.ijnurstu.2014.05.01
  5. Bonanni M. (a cura di) (1998), L’ordine inutile? Gli ordini professionali in Italia. Milano: FrancoAngeli
  6. Brancaccio L., Martone V. (2012). I politici rionali. Ceto politico locale e forme di aggregazione del consenso a Napoli. In: La Spina A., Riolo C., a cura di, Il Mezzogiorno nel sistema politico italiano. Classi dirigenti, criminalità organizzata, politiche pubbliche. Milano: FrancoAngeli
  7. Brunetti L., Bambi S. (2013). Aggressions towards nurses in emergency departments: an international literature review. Prof Inferm, april-june; 66 (2): 109-16. DOI: 10.7429/pi.2013.66210
  8. Brusco A. (2010). Calano gli infortuni nei servizi ospedalieri. DatiInail, maggio, n. 5.
  9. Capozzi E., Griffo M. (2010), Cercare la democrazia. Un itinerario tra politica e storia. Napoli: Alfredo Guida Editore
  10. Catlette M. (2005). A descriptive study of the perceptions of workplace violence and safety strategies of nurses working in level I trauma centers. J Emerg Nurs, december; 31(6): 519-25. DOI: 10.1016/j.jen.2005.07.00
  11. Corbetta P. (1999). Metodologie e tecniche della ricerca sociale. Bologna: Il Mulino
  12. Daft R. (2004). Organization theory and design. Cincinnati, Ohio: South Western College Publishing (trad. it.: Organizzazione aziendale. Milano: Apogeo, 2004)
  13. De Matteis A. (2011) Infortuni sul lavoro e malattie professionali. Milano: Giuffrè Editore Donati S. (2014). La scelta del luogo di cura tra autodeterminazione del paziente ed esigenze di equilibrio finanziario del comparto sanitario regionale, In: Sesta M., a cura di, L’erogazione della prestazione medica tra diritto alla salute, principio di autodeterminazione e gestione ottimale delle risorse sanitarie. Santarcangelo di Romagna: Maggioli Editore
  14. Embriaco N., Hraiech S., Azoulay E., Baumstarck-Barrau K., Forel J. M., Kentish-Barnes N., Pochard F., Loundou A., Roch A., Papazian L. (2012). Symptoms of depression in ICU physicians. Ann Intensive Care, july, 27; 2 (1): 34. DOI: 10.1186/2110-5820-2-34
  15. Gacki-Smith J., Juarez A. M., Boyett L., Homeyer C., Robinson L., MacLean S. L. (2009). Violence against nurses working in US emergency departments. J Nurse Adm, july-august; 39 (7-8): 340-9. DOI: 10.1097/NNA.0b013e3181ae97d
  16. Gélinas C., Fillion L., Robitaille M. A., Truchon M. (2012). Stressors experienced by nurses providing end-of-life palliative care in the intensive care unit. Can J Nurs Res, march, 44 (1): 18-39
  17. Goffman E. (1963). Stigma: notes on the management of a spoiled identity. New York: Simon & Schuster (trad. it.: Stigma. L’identità negata, Verona: Ombre Corte, 2012)
  18. Goldthorpe J. H. (2000). On sociology. Numbers, narratives, and the integration of research and theory, Oxford: Oxford University Press (trad. it.: Sulla sociologia. Bologna: Il Mulino, 2006)
  19. Guarino C. (2013). Nuovi rischi. Dalla società del rischio all’errore in sanità, Roma: Aracne Halpern P., Goldberg S.A., Keng J.G., Koenig K.L. (2012). Principles of Emergency Department facility design for optimal management of mass-casualty incidents. Prehosp Disaster Med, april; 27 (2): 204-12. DOI: 10.1017/S1049023X1200062
  20. Hodge A. N. e Marshall A. P. (2007). Violence and aggression in the emergency department: a critical care perspective, Aust Crit Care, may, 20 (2): 61-7. DOI: 10.1016/j.aucc.2007.03.00
  21. Hyman S. A., Michaels D. R., Berry J. M., Schildcrout J. S., Mercaldo N. D., Weinger M. B. (2011). Risk of burnout in perioperative clinicians: a survey study and literature review.
  22. Anesthesiology, january, 114 (1): 194-204. DOI: 10.1097/ALN.0b013e318201ce9a
  23. Inail (2014), Infortuni e malattie professionali. Metodologia 2.0. Testo disponibile al sito www.inail.it. Data di consultazione: 30 settembre 2014
  24. Jackson D., Wilkes L., Waine M., Luck L. (2014). Determining the frequency, kinds and cues of violence displayed by patients in an acute older person ward environment: findings from an observational study. Int J Older People Nurs, may 24. DOI: 10.1111/opn.1205
  25. James A., Madeley R. e Dove A. (2006). Violence and aggression in the emergency department. Emerg Med J, Jun, 23(6): 431-4. DOI: 10.1136/emj.2005.02862
  26. Jenkins M. G., Rocke L. G., McNicholl B. P., Hughes D. M. (1998), Violence and verbal abuse against staff in accident and emergency departments: a survey of consultants in the UK and the Republic of Ireland. J Accid Emerg Med, july, 15 (4): 262-5
  27. Jenkins R. e Elliott P. (2004). Stressors, burnout and social support: nurses in acute mental health settings. J Adv Nurs, december, 48 (6): 622-31. DOI: 10.1111/j.1365-2648.2004.03240.
  28. Kilgore R. V. e Langford R. W. (2009). Reducing the failure risk of interdisciplinary healthcare teams. Crit Care Nurs Q, april-june, 32 (2): 81-8. DOI: 10.1097/CNQ.0b013e3181a27af
  29. Lazzarini G. (1993). Sociologia e ordine sociale. Milano: FrancoAngeli
  30. Levin P. F., Hewitt J. B., Misner S. T.(1998), Insights of nurses about assault in hospitalbased emergency departments, in Image J Nurs Sch, 30 (3): 249-54
  31. Levinson W., Kao A., Kuby A., Thisted R.A. (2005). Not all patients want to participate in decision making. A national study of public preferences. J Gen Intern Med, june, 20 (6): 531-35. DOI: 10.1111/j.1525-1497.2005.04101.
  32. Lipscomb J.A., El Ghaziri M. (2013), Workplace violence prevention: improving front-line health-care worker and patient safety, in New Solut, january 1; 23 (2): 297-313. DOI: 10.2190/NS.23.2.
  33. Macaluso M. (2011), Clientelismo e metodo mafioso: network criminali e pubblica amministrazione in Sicilia. In: Dino A., a cura di, Criminal network. Politica, amministrazione, ambiente e mercato nelle trame della mafia. Milano: FrancoAngeli
  34. Matza D. (2010), Becoming deviant. New Brunswich, NJ: Transaction Publishers May D. D. e Grubbs L. M. (2002). The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center, J Emerg Nurs, February; 28 (1): 11-7. DOI: 10.1067/men.2002.12183
  35. Merton R. K. (1957). Some preliminaries to a sociology of medical education. In Merton R.
  36. K., Reader M. D. e Kendall P. L., The student-physician. Introductory studies in sociology of medical education. Massachussetts: Harvard University Press (trad. it.: Cersosimo G., a cura di, Sociologia e medicina. Roma: Armando Editore, 2006)
  37. Merton R. K., Rosenblatt A. e Thomas F. G. (1982). Social research and the practicing professions. Cambridge: Abt Books
  38. Ministero della Salute (2013). Protocollo di monitoraggio degli eventi sentinella. 4° Rapporto (settembre 2005-dicembre 2011). Testo disponibile al sito www.salute.gov. Data di consultazione: 31 maggio 2014
  39. Mintzberg H. (1983). Structure in fives. Designing effective organizations, Englewood Cliffs, NJ: Prentice Hall (trad. it.: La progettazione dell’organizzazione aziendale. Bologna: Il Mulino, 2005)
  40. Morphet J., Griffiths D., Plummer V., Innes K., Fairhall R., Beattie J. (2014). At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses. Aust Health Rev, may; 38 (2): 194-201. DOI: 10.1071/AH1318
  41. Nelson R. (2014). Tackling violence against health-care workers. Lancet, april 19; 383 (9926): 1373-4
  42. Powley D. (2013). Reducing violence and aggression in the emergency department. Emerg Nurse, july; 21 (4): 26-9
  43. Ramacciati N., Ceccagnoli A., Addey B., Giusti G.D. (2014). Comment on: “Nurse’s perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study”. Int Emerg Nurs, october 22 (4): 232-3. DOI: 10.1016/j.ienj.2014.04.00
  44. Ramacciati N., Ceccagnoli A. (2011). Violenza e aggressioni in Pronto Soccorso: revisione della letteratura. L’infermiere, n. 5, anno LV.
  45. Ray M. M. (2007). The Dark Side of the Job: Violence in the Emergency Department. J Emerg Nurs, june, 33 (3): 257-61. DOI: 10.1016/j.ien.2007.01.01
  46. Rintoul Y., Wynaden D. e McGowan S. (2009). Managing aggression in the emergency department: promoting an interdisciplinary approach. Int Emerg Nurs, april, 17(2): 122-7. DOI: 10.1016/j.ienj.2008.11.00
  47. Romualdi G. (2014). Gli infortunati della sanità. DatiInail, aprile, n. 4. Testo disponibile al sito www.inail.it. Data di consultazione: 28 agosto 2014
  48. Rothberg M.B., Class J., Bishop T.F., Friderici J., Kleppel R., Lindenauer P.K. (2014). The cost of defensive medicine on 3 hospital medicine services. JAMA Intern Med, november, 1; 174 (11): 1867-8. DOI: 10.1001/jamainternmed.2014.464
  49. Sala V., Moja L., Moschetti I., Bidoli S., Pistotti V., Liberati A. (2006). Revisioni sistematiche. Centro Cochrane Italiano.
  50. Studdert D. M., Mello M. M., Sage W. M., DesRoches C. M., Peugh J., Zapert K. Brennan T. A. (2005). Defensive medicine among high-risk specialist phisicians in a volatile malpractice environment. JAMA, june, 293 (21): 2609-17. DOI: 10.1001/jama.293.21.260
  51. Unger F. (2012). Health is wealth: considerations to european healthcare. Prilozi, july; 33 (1): 9-14
  52. US Congress, Office of Technology Assessment (1994). Defensive medicine and medical malpractice. Washington, DC: U.S. Government Printing Office Wintermark M., Poletti P.A., Becker C.D., Schnyder P. (2002). Traumatic injuries: organization and ergonomics of imaging in the emergency environment. Eur Radiol, may; 12 (5): 959-68
  53. Wolf L. A., Delao A. M., Perhats C. (2014). Nothing changes, nobody cares: understanding the experience of emergency nurses physically or verbally assaulted while providing care. J Emerg Nurs, july; 40 (4): 305-10. DOI: 10.1016/j.jen.2013.11.00
  54. World Health Organization (2002). New research shows workplace violence threatens health services. May, 10.
  55. World Health Organization (2014). World health Statistics 2014. Yedidia M.J., Gillespie C.C., Kachur E., Schwartz M.D., Ockene J., Chepaitis A.E., Snyder
  56. C.W., Lazare A., Lipkin M. Jr. (2003), Effect of communications training on medical student performance. JAMA, september, 290 (9): 1157-1165. DOI: 10.1001/jama.290.9.115
  57. Zampieron A., Galeazzo M., Turra S., Buja A. (2010). Perceived aggression towards nurses: study in two Italian health institutions. J Clin Nurs, august; 19 (15-16): 2329-41. DOI: 10.1111/j.1365-2702.2009.03118.

Carmelo Guarino, Rischi di front line nelle professioni della salute. Un’analisi ragionata in "SALUTE E SOCIETÀ" 1/2016, pp 191-207, DOI: 10.3280/SES2016-001015