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Facing Violence at work

April 2006

Training to help healthcare staff deal with violence at work is making a difference - but only where it has a solid grounding in day-to-day situations, researchers have found. Practical training being given to nurses, doctors and other health professionals is generally yielding 'positive, but limited, short-term benefits' in dealing with the rising tide of aggression and violence they face in the workplace.

The UK University of Nottingham researchers conclude that to achieve this, training has to mesh with the over-arching systems and procedures in place in an organisation.

But they also found that poorly thought-out training being offered in some organisations is actually having the opposite effect, leaving staff feeling more anxious and less capable of coping with the verbal and physical abuse aimed at them.

In these organisations, a worrying gulf has grown up between the training theory and the reality of the situations actually faced by healthcare staff, the study revealed.

The Nottingham research, funded by the UK Health and Safety Executive (HSE), is the first national evaluation of violence management training of its kind. The academics hope it will help to inform future policy in the field of workplace violence and encourage good training practice nationwide.

Work-related violence remains one of the most serious occupational hazards facing staff working in the healthcare sector. Only police and security staff experience more violence at work than nurses and other health professionals, according to recent British Crime Surveys.

National Audit Office figures for 2001-2 revealed there were 95,501 reported incidents of violence committed by members of the public against healthcare staff at work. Tens of thousands more incidents are thought to go unreported.

'Violence management training' offered to staff - for example de-escalation, breakaway moves, control and restraint, or some combination thereof - has often been a key element of strategies to prevent or manage the problem. The Nottingham project was designed to both gather evidence about such training but also to inform and support those who manage, deliver and attend such courses.

Antonio Zarola, of The University of Nottingham's Institute of Work, Health and Organisations (IWHO), carried out the research with Dr Phil Leather, Associate Director of the Institute.

Mr Zarola said: "With the huge investment accorded to training in this area within the healthcare sector the question is no longer 'should we train?' but 'is training worthwhile and effective?'

"Until now, the simple answer to this question was, by and large, 'we don't know'! Research commissioned and published today by the HSE is an important milestone towards answering such an important question.

"On the basis of the substantial data gathered during the project, the healthcare sector is now in much stronger position to assess the impact of violence management training. In addition, important lessons have been learned and can now be disseminated about how to evaluate violence management training in any sector.

"Furthermore, and arguably for the first time, hard evidence has been gathered to inform the broad contours of what makes for an effective curriculum."

Recommendations made by the researchers include:

  • A national approach to the evaluation of violence management training
  • More effective communication of research findings between healthcare organisations
  • A more informed and sophisticated understanding of what works and what doesn't work in managing and preventing workplace violence.

Two complementary reports have been published. Part 1, the Research Report, details the key research findings in answer to two fundamental questions: what impact does violence management training have? And what is the broad content and curriculum of the most effective violence management training?

Part 2 is the companion Practitioner Report. This report specifically addresses the issues of how to evaluate training and in doing so offers a series of tools to support and guide those with a responsibility or interest in designing, delivering or managing violence management training.

The report can be accessed at: www.hse.gov.uk/research/rrhtm/rr440.htm

The University of Nottingham undertakes world-changing research and provides teaching of the highest quality. Ranked in the THES World Top 100 Universities, its academics have won two Nobel Prizes since 2003. An international institution, the University has campuses in the United Kingdom, Malaysia and China.

More information is available from:

  • Antonio Zarola, Institute of Work, Health and Organisations, University of Nottingham | +44 (0)115 846 7523 | mobile 07801 282196, lixaz2@nottingham.ac.uk
  • Dr Phil Leather, Institute of Work, Health and Organisations, University of Nottingham | +44 (0)115 846 6638 | phil.leather@nottingham.ac.uk
  • Media Relations Manager Tim Utton in the University's Public Affairs Office | +44 (0)115 846 8092 | tim.utton@nottingham.ac.uk

10 years on - The European Agency for Safety and Health at Work

Creating a safer and healthier working environment lies beyond the resources and expertise of a single Member State or institution. That's why the European Council set up in 1996 a European Agency for Safety and Health at Work: to bring together and share the region's vast reservoir of knowledge and information on occupational safety and health-related issues and prevention measures.

In the intervening 10 years, the Agency through its wide range of campaigning and information activities and with the active support of its many partners at both the European and national level has established itself as an important tripartite organisation in Europe's collective endeavour to establish a prevention culture in the workplace.

A number of initiatives are taking place to mark the Agency's 10th anniversary. A commemorative logo will brand all Agency publications, including an anniversary brochure, during the year. Key partners and stakeholders took part in a European forum on the eve of the annual meeting of the Governing Board on 20th March 2006.

10 years... 1 goal... 4 key steps:

  • Building the links
    Europe's occupational safety and health (OSH) challenges are too complex and closely interwoven to be addressed by a single organisation or even a single country. That's why the Agency was established - to bring together the best information, insights and thinking in this field from around Europe and other parts of the world.
  • Virtually connected
    As long ago as 1997, when we created our first website, the Agency recognised the value of the Internet for sharing, disseminating and cross-fertilising information and ideas. It is now a central plank of our strategy, supported by an award-winning website that provides an unusually rich source of OSH information in up to 20 languages.
  • Campaigns that reach out to Europe's workplaces
    Through initiatives such as our annual European Week for Safety and Health at Work or the Healthy Workplace Initiative we directly communicate preventive information and advice to millions of employers and employees across Europe.
  • Anticipating change
    Demographic changes as well as changes in work organisation, work process and production methods lead to new types of risks and demand new solutions. To help face this challenge, in 2005 the Agency set up a Risk Observatory. The observatory is expected to stimulate debate between the OSH community and policy makers, thus helping to shape future prevention measures.

European Agency for Safety and Health at Work, Gran Via 33, E-48009 Bilbao - Spain | Tel: + 34 94 479 4360 | Fax: + 34 94 479 4383 | Email: information@osha.eu.int | http://osha.europa.eu

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