Base de dados : MEDLINE
Pesquisa : M01.526.373 [Categoria DeCS]
Referências encontradas : 431 [refinar]
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[PMID]:29447192
[Au] Autor:Abbasi A; Sadeghi-Niaraki A; Jalili M; Choi SM
[Ad] Endereço:School of Engineering and IT, University of New South Wales (UNSW), Canberra, ACT, Australia.
[Ti] Título:Enhancing response coordination through the assessment of response network structural dynamics.
[So] Source:PLoS One;13(2):e0191130, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Preparing for intensifying threats of emergencies in unexpected, dangerous, and serious natural or man-made events, and consequent management of the situation, is highly demanding in terms of coordinating the personnel and resources to support human lives and the environment. This necessitates prompt action to manage the uncertainties and risks imposed by such extreme events, which requires collaborative operation among different stakeholders (i.e., the personnel from both the state and local communities). This research aims to find a way to enhance the coordination of multi-organizational response operations. To do so, this manuscript investigates the role of participants in the formed coordination response network and also the emergence and temporal dynamics of the network. By analyzing an inter-personal response coordination operation to an extreme bushfire event, the networks' and participants' structural change is evaluated during the evolution of the operation network over four time durations. The results reveal that the coordination response network becomes more decentralized over time due to the high volume of communication required to exchange information. New emerging communication structures often do not fit the developed plans, which stress the need for coordination by feedback in addition to by plan. In addition, we find that the participant's brokering role in the response operation network identifies a formal and informal coordination role. This is useful for comparison of network structures to examine whether what really happens during response operations complies with the initial policy.
[Mh] Termos MeSH primário: Administração de Recursos Humanos/métodos
Alocação de Recursos/métodos
[Mh] Termos MeSH secundário: Austrália
Comunicação
Socorristas
Bombeiros
Seres Humanos
Organizações/organização & administração
Incêndios Florestais
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180216
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191130


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[PMID]:29259005
[Au] Autor:Chen N; Zhang C; Hu S
[Ad] Endereço:Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai,200233, China.
[Ti] Título:Strengthening trauma care in China.
[So] Source:BMJ;359:j5545, 2017 12 19.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Acidentes de Trânsito/mortalidade
Assistência à Saúde/normas
Centros de Traumatologia/estatística & dados numéricos
Ferimentos e Lesões/mortalidade
[Mh] Termos MeSH secundário: Acidentes de Trânsito/prevenção & controle
China/epidemiologia
Assistência à Saúde/organização & administração
Socorristas/educação
Custos de Cuidados de Saúde/estatística & dados numéricos
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Incidência
Centros de Traumatologia/organização & administração
Centros de Traumatologia/normas
Triagem/normas
Ferimentos e Lesões/economia
Ferimentos e Lesões/epidemiologia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5545


  3 / 431 MEDLINE  
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[PMID]:28749810
[Au] Autor:Waterman G; Kase K; Orion I; Broisman A; Milstein O
[Ad] Endereço:*Department of Research & Development, StemRad, Ltd., 6 Raoul Wallenberg St. 1st Floor Tel Aviv 6971905, Israel; †Department of Nuclear Engineering, Ben-Gurion University of the Negev. P.O.B. 653, Beer-Sheva 84105, Israel.
[Ti] Título:Selective Shielding of Bone Marrow: An Approach to Protecting Humans from External Gamma Radiation.
[So] Source:Health Phys;113(3):195-208, 2017 09.
[Is] ISSN:1538-5159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The current feasibility of protecting emergency responders through bone marrow selective shielding is highlighted in the recent OECD/NEA report on severe accident management. Until recently, there was no effective personal protection from externally penetrating gamma radiation. In Chernobyl, first-responders wore makeshift lead sheeting, whereas in Fukushima protective equipment from gamma radiation was not available. Older protective solutions that use thin layers of shielding over large body surfaces are ineffective for energetic gamma radiation. Acute exposures may result in Acute Radiation Syndrome where the survival-limiting factor up to 10 Gy uniform, homogeneous exposure is irreversible bone marrow damage. Protracted, lower exposures may result in malignancies of which bone marrow is especially susceptible, being compounded by leukemia's short latency time. This highlights the importance of shielding bone marrow for preventing both deterministic and stochastic effects. Due to the extraordinary regenerative potential of hematopoietic stem cells, to effectively prevent the deterministic effects of bone marrow exposure, it is sufficient to protect only a small fraction of this tissue. This biological principle allows for a new class of equipment providing unprecedented attenuation of radiation to select marrow-rich regions, deferring the hematopoietic sub-syndrome of Acute Radiation Syndrome to much higher doses. As approximately half of the body's active bone marrow resides within the pelvis region, shielding this area holds great promise for preventing the deterministic effects of bone marrow exposure and concomitantly reducing stochastic effects. The efficacy of a device that selectively shields this region and other radiosensitive organs in the abdominal area is shown here.
[Mh] Termos MeSH primário: Medula Óssea/efeitos da radiação
Raios gama/efeitos adversos
Proteção Radiológica/instrumentação
[Mh] Termos MeSH secundário: Síndrome Aguda da Radiação/prevenção & controle
Socorristas
Engenharia
Seres Humanos
Método de Monte Carlo
Imagens de Fantasmas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170728
[St] Status:MEDLINE
[do] DOI:10.1097/HP.0000000000000688


  4 / 431 MEDLINE  
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[PMID]:28934182
[Au] Autor:CDC 2017 Hurricane Incident Management System Team
[Ti] Título:Hurricane Season Public Health Preparedness, Response, and Recovery Guidance for Health Care Providers, Response and Recovery Workers, and Affected Communities - CDC, 2017.
[So] Source:MMWR Morb Mortal Wkly Rep;66(37):995-998, 2017 Sep 22.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CDC and the Agency for Toxic Substances and Disease Registry (ATSDR) have guidance and technical materials available in both English and Spanish to help communities prepare for hurricanes and floods (Table 1). To help protect the health and safety of the public, responders, and clean-up workers during response and recovery operations from hurricanes and floods, CDC and ATSDR have developed public health guidance and other resources; many are available in both English and Spanish (Table 2).
[Mh] Termos MeSH primário: Tempestades Ciclônicas
Planejamento em Desastres/organização & administração
Inundações
Guias como Assunto
[Mh] Termos MeSH secundário: Centers for Disease Control and Prevention (U.S.)
Socorristas
Pessoal de Saúde
Seres Humanos
Saúde Pública
Trabalho de Resgate
Estações do Ano
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170922
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6637e1


  5 / 431 MEDLINE  
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[PMID]:28868596
[Au] Autor:Reid MP; Fock A; Doolette DJ
[Ad] Endereço:Submarine Underwater Medicine Unit, Royal Australian Navy, Sydney, Australia.
[Ti] Título:Decompressing rescue personnel during Australian submarine rescue operations.
[So] Source:Diving Hyperb Med;47(3):159-167, 2017 Sep.
[Is] ISSN:1833-3516
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Personnel rescuing survivors from a pressurized, distressed Royal Australian Navy (RAN) submarine may themselves accumulate a decompression obligation, which may exceed the bottom time limits of the Defense and Civil Institute of Environmental Medicine (DCIEM) Air and In-Water Oxygen Decompression tables (DCIEM Table 1 and 2) presently used by the RAN. This study compared DCIEM Table 2 with alternative decompression tables with longer bottom times: United States Navy XVALSS_DISSUB 7, VVAL-18M and Royal Navy 14 Modified tables. METHODS: Estimated probability of decompression sickness (P ), the units pulmonary oxygen toxicity dose (UPTD), the volume of oxygen required and the total decompression time were calculated for hypothetical single and repetitive exposures to 253 kPa air pressure for various bottom times and prescribed decompression schedules. RESULTS: Compared to DCIEM Table 2, XVALSS_DISSUB 7 single and repetitive schedules had lower estimated P , which came at the cost of longer oxygen decompressions. For single exposures, DCIEM schedules had P estimates ranging from 1.8% to 6.4% with 0 to 101 UPTD and XVALSS_DISSUB 7 schedules had P of less than 3.1%, with 36 to 350 UPTD. CONCLUSIONS: The XVALSS_DISSUB 7 table was specifically designed for submarine rescue and, unlike DCIEM Table 2, has schedules for the estimated maximum required bottom times at 253 kPa. Adopting these tables may negate the requirement for saturation decompression of rescue personnel exceeding DCIEM limits.
[Mh] Termos MeSH primário: Doença da Descompressão/terapia
Descompressão/normas
Socorristas
Doenças Profissionais/terapia
Trabalho de Resgate/métodos
Navios
Medicina Submarina/métodos
[Mh] Termos MeSH secundário: Austrália
Descompressão/métodos
Descompressão/estatística & dados numéricos
Mergulho/fisiologia
Mergulho/estatística & dados numéricos
Seres Humanos
Oxigenoterapia
Valores de Referência
Medicina Submarina/normas
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170905
[St] Status:MEDLINE


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[PMID]:28822212
[Au] Autor:Silvestri S; Field A; Mangalat N; Weatherford T; Hunter C; McGowan Z; Stamile Z; Mattox T; Barfield T; Afshari A; Ralls G; Papa L
[Ad] Endereço:Program Director, Orlando Health Emergency Medicine Residency, Orlando Regional Medical Center, Orlando, Florida; Associate EMS Medical Director, Orange County EMS System, Orlando, Florida.
[Ti] Título:Comparison of START and SALT triage methodologies to reference standard definitions and to a field mass casualty simulation.
[So] Source:Am J Disaster Med;12(1):27-33, 2017.
[Is] ISSN:1932-149X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We compared Sort, Assess, Lifesaving Intervention, Treatment/Transport (SALT) and Simple Triage and Rapid Treatment (START) triage methodologies to a published reference standard, and evaluated the accuracy of the START method applied by emergency medical services (EMS) personnel in a field simulation. DESIGN: Simulated mass casualty incident (MCI). Paramedics trained in START triage assigned each victim to green (minimal), yellow (delayed), red (immediate), or black (dead) categories. These victim classifications were recorded by investigators and compared to reference standard definitions of each triage category. The victim scenarios were also compared to the a priori classifications as developed by the investigators. SETTING: MCI field simulation. MAIN OUTCOME MEASURE: Comparison of the correlation of START and SALT triage methodologies to reference standard definitions. Another outcome measure was the accuracy of the application of START triage by EMS personnel in the field exercise. RESULTS: The strongest correlation to the reference standard was SALT with an r = 0.860 (p < 0.001) and κ = 0.632 (p < 0.001). START and SALT triage systems agreed 100 percent on both black and green classifications. There were significant correlations between the field triage and both START and SALT methods (p < 0.001, respectfully). SALT had a significantly lower undertriage rate (9 percent [95%CI 2-15]) than both START (20 percent [95%CI 11-28]) and field triage (37 percent [95%CI 24-52]). There were no significant differences in overtriage rates. CONCLUSIONS: In our study, the SALT triage system was overall more accurate triage method than START at classi-fying patients, specifically in the delayed and immediate categories. In our field exercise, paramedic use of the START methodology yielded a higher rate of undertriage compared to the SALT classification.
[Mh] Termos MeSH primário: Pessoal Técnico de Saúde/educação
Planejamento em Desastres/métodos
Socorristas/educação
Incidentes com Feridos em Massa
[Mh] Termos MeSH secundário: Competência Clínica/estatística & dados numéricos
Serviços Médicos de Emergência/métodos
Auxiliares de Emergência
Seres Humanos
Análise e Desempenho de Tarefas
Triagem/métodos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171103
[Lr] Data última revisão:
171103
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170820
[St] Status:MEDLINE


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[PMID]:28820229
[Au] Autor:McCanlies EC; Gu JK; Andrew ME; Burchfiel CM; Violanti JM
[Ad] Endereço:Epidemiologist, Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia.
[Ti] Título:Resilience mediates the relationship between social support and post-traumatic stress symptoms in police officers.
[So] Source:J Emerg Manag;15(2):107-116, 2017 Mar/Apr.
[Is] ISSN:1543-5865
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Police officers in the New Orleans geographic area faced a number of challenges following Hurricane Katrina in 2005. DESIGN: This cross-sectional study examined gratitude, resilience, and satisfaction with life as mediators in the association between social support and post-traumatic stress disorder (PTSD) symptoms in 82 male and 31 female police officers. The Gratitude Questionnaire, Connor-Davidson Resilience Scale, Satisfaction with Life Scale, and the Interpersonal Support Evaluation List were used to measure gratitude, resilience, satisfaction with life, and social support, respectively. PTSD symptoms were measured using the PTSD Checklist-Civilian (PCL-C). Ordinary least square regression mediation analysis was used to estimate direct and indirect effects among gratitude, resilience, satisfaction with life, social support, and PTSD symptoms. All models were adjusted for age, alcohol, race, and previous military experience. RESULTS: Mean PCL-C symptoms were 29.1 (standard deviation [SD] = 14.4) for females and 27.9 (SD = 12.1) for males. There was no direct relationship between social support and PTSD symptoms (c9 = -0.041; 95% confidence interval [CI] = -0.199, 0.117) independent of the indirect effect through resilience (effect = -0.038; 95%CI = -0.099, -0.002). Neither gratitude (effect = -0.066; 95% CI = -0.203, 0.090) nor satisfaction with life (effect = -0.036, 95% CI = -0.131, 0.046) contribute to the indirect effect. CONCLUSIONS: These results indicate that resilience mediates the relationship between social support and symp-toms of PTSD. Targeting social support and resilience in officers may facilitate reduction of PTSD symptoms.
[Mh] Termos MeSH primário: Satisfação Pessoal
Polícia/psicologia
Resiliência Psicológica
Apoio Social
Transtornos de Estresse Pós-Traumáticos/psicologia
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Tempestades Ciclônicas
Socorristas/psicologia
Feminino
Seres Humanos
Masculino
Meia-Idade
Nova Orleans
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE


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[PMID]:28629382
[Au] Autor:Phung VH; Trueman I; Togher F; Orner R; Siriwardena AN
[Ad] Endereço:Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Brayford Campus, Lincoln, LN6 7TS, UK.
[Ti] Título:Community first responders and responder schemes in the United Kingdom: systematic scoping review.
[So] Source:Scand J Trauma Resusc Emerg Med;25(1):58, 2017 Jun 19.
[Is] ISSN:1757-7241
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Community First Responder (CFR) schemes support lay people to respond to medical emergencies, working closely with ambulance services. They operate widely in the UK. There has been no previous review of UK literature on these schemes. This is the first systematic scoping review of UK literature on CFR schemes, which identifies the reasons for becoming a CFR, requirements for training and feedback and confusion between the CFR role and that of ambulance service staff. This study also reveals gaps in the evidence base for CFR schemes. METHODS: We conducted a systematic scoping review of the published literature, in the English language from 2000 onwards using specific search terms in six databases. Narrative synthesis was used to analyse article content. RESULTS: Nine articles remained from the initial search of 15,969 articles after removing duplicates, title and abstract and then full text review. People were motivated to become CFRs through an altruistic desire to help others. They generally felt rewarded by their work but recognised that the help they provided was limited by their training compared with ambulance staff. There were concerns about the possible emotional impact on CFRs responding to incidents. CFRs felt that better feedback would enhance their learning. Ongoing training and support were viewed as essential to enable CFRs to progress. They perceived that public recognition of the CFR role was low, patients sometimes confusing them with ambulance staff. Relationships with the ambulance service were sometimes ambivalent due to confusion over roles. There was support for local autonomy of CFR schemes but with greater sharing of best practice. DISCUSSION: Most studies dated from 2005 and were descriptive rather than analytical. In the UK and Australia CFRs are usually lay volunteers equipped with basic skills for responding to medical emergencies, whereas in the US they include other emergency staff as well as lay people. CONCLUSION: Opportunities for future research include exploring experiences and perceptions of patients who have been treated by CFRs and other stakeholders, while also evaluating the effectiveness and costs of CFR schemes.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Agentes Comunitários de Saúde/organização & administração
Socorristas
[Mh] Termos MeSH secundário: Ambulâncias/organização & administração
Austrália
Agentes Comunitários de Saúde/educação
Agentes Comunitários de Saúde/psicologia
Socorristas/educação
Socorristas/psicologia
Emoções
Seres Humanos
Motivação
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170921
[Lr] Data última revisão:
170921
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.1186/s13049-017-0403-z


  9 / 431 MEDLINE  
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[PMID]:28587226
[Au] Autor:Hao J; Ren J; Wu Q; Hao Y; Sun H; Ning N; Ding D
[Ad] Endereço:Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin 150000, China. haojiejing@126.com.
[Ti] Título:Identifying Factors Associated with Risk Assessment Competencies of Public Health Emergency Responders.
[So] Source:Int J Environ Res Public Health;14(6), 2017 Jun 04.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:This study aimed to better understand the current situation of risk assessment and identify the factors associated with competence of emergency responders in public health risk assessment. The participants were selected by a multi-stage, stratified cluster sampling method in Heilongjiang Centers for Disease Control and Prevention (CDC). The questionnaires that measured their perceptions on risk assessment competences were administered through the face-to-face survey. A final sample of 1889 staff was obtained. Of this sample, 78.6% of respondents rated their own risk assessment competences as "relatively low", contrasting with 21.4% rated as "relatively high". Most of the respondents (62.7%) did not participate in any risk assessment work. Only 13.7% and 42.7% of respondents reported participating in risk assessment training and were familiar with risk assessment tools. There existed statistical significance between risk assessment-related characteristics of respondents and their self-rated competences scores. Financial support from the government and administrative attention were regarded as the important factors contributing to risk assessment competences of CDC responders. Higher attention should be given to risk assessment training and enhancing the availability of surveillance data. Continuous efforts should be made to remove the financial and technical obstacles to improve the competences of risk assessment for public health emergency responders.
[Mh] Termos MeSH primário: Socorristas
Saúde Pública
Medição de Risco
[Mh] Termos MeSH secundário: Adulto
Centers for Disease Control and Prevention (U.S.)
Feminino
Seres Humanos
Masculino
Percepção
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE


  10 / 431 MEDLINE  
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[PMID]:28378968
[Au] Autor:Kowalczuk K; Krajewska-Kulak E
[Ad] Endereço:Department of Integrated Medical Care, Medical University of Bialystok, Poland.
[Ti] Título:Patient aggression towards different professional groups of healthcare workers.
[So] Source:Ann Agric Environ Med;24(1):113-116, 2017 Mar 31.
[Is] ISSN:1898-2263
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Patient aggression affects healthcare quality and, in extreme situations, may even lead to medical malpractice. Little is known, however, about the specific distribution of health care professionals' exposure to patient aggression in various countries. OBJECTIVE: The aim of this study was to assess the exposure of various professional groups of healthcare personnel to patient aggression, and to identify potential determinants (medical profession, age, gender, professional experience and employment at outpatient/inpatient healthcare units) of this exposure. METHODS: The study was performed between January 2008 - December 2009 in northeastern Poland, and included 1,624 healthcare workers (493 nurses, 504 midwives, 501 physicians and 126 medical rescue workers). Exposure to eight forms of patient aggression was assessed using the MDM Mobbing Questionnaire. RESULTS: Using a raised voice was the most frequently observed form of aggression in all groups, whereas the least frequent form of aggression encountered was the use of direct physical violence. In inpatient healthcare units, the intensity of patient aggression was encountered most by nurses and medical rescue workers, followed by physicians and midwives. In outpatient healthcare units, medical rescue workers experienced significantly higher levels of aggression when compared to other professional groups. Significant differences in mean aggression intensity experienced in inpatient and outpatient healthcare units were observed only in nurses and physicians. Furthermore, no significant effects of gender were observed on the intensity of patient aggression. CONCLUSION: Nurses are most exposed to different forms of patient aggression, with verbal attacks being most prevalent. Nurses employed at inpatient healthcare units experienced aggression more frequently than those working in outpatient healthcare units.
[Mh] Termos MeSH primário: Agressão
Pessoal de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Socorristas/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Meia-Idade
Tocologia/estatística & dados numéricos
Enfermeiras e Enfermeiros/estatística & dados numéricos
Médicos/estatística & dados numéricos
Polônia
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.5604/12321966.1228395



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