Violence in health and social care sectors

 Violence in the society

 Violence at the working places
 What factors play a role?
 Health and social sectors – identified as quite risk fields
 Why?
 Recommendations in prevention of agresivity and violence in the society
 Recommendations in prevention of agresivity and violence in the health and social
care sectors

 Physical violence
 Verbal charge, attack
 Bullying/Nobbing
 Sexual annoyance
 Racial humiliation

Causes, sources, conditions of increasing agresivity at the society level

 Social insecurity; increase of unequity and powerty
 Legislation
 Changing of value systems
 Influence of mass media
 Disruption of the social coherence of society
 Moral failure
 Materialism
 High tolerance of the society to the acts of violence, to agresivity
 Organised crime
 Various types of dependencies
 Free time
 Preferation of purely economical interests
 Competition, power, individualism
 Dissintegration of family
 Isolation, seclusion
 Frustration, stress
 Unemployment

Factors that conduce to the higher occurence of violence in health and social care institutions
 Direct contact
 Risk groups
 Communication, behavior of staff
 Longterm frustration, loss of selfcontrol of patients
 Stress situations for patients
 Time pressure for staff
 Violent society
 Economical press of the staff
 Work at night, alone with a patients

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  Availability of drugs or money in hospitals
 Hospitalization of violent, agressive people
 Lack of information of staff about risk factorsconcerning violence
 Absence of monitoring and security equipment
 Tendency to „burke, smother“ the incidents
 Absence (or deficient) of the systems of reporting, investigation, register
 Increase of bureaucracy and administration

Recommendations to solve the problem in the society

 Research
 Legislation
 Increase of informations
 Finance and staff sources for prevention
 Social prevention
 Primary prevention – in families, schools, communities
 Cooperation of institutions
 Support projects – oriented to prevention
 Consulting
 Upbringing

Recommendations to solve the problem in the health and social sectors

 Remove or decrease risks
 Technical security
 Administrative arrangements
 Information and knowledge of the staff
 Behavior, communication
 Knowledge what to do in case of meeting an agressive patient; if meet with any form
of violence