Evidence map›Paper›PMID 31931790›Full record

ArticleBMC health services research2020

Characteristics of aggressive incidents in emergency primary health care described by the Staff Observation Aggression Scale - Revised Emergency (SOAS-RE).

Grethe E Johnsen, Tone Morken, Valborg Baste, Knut Rypdal, Tom Palmstierna, Ingrid Hjulstad Johansen

Abstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Interventions for Workplace Violence Prevention in Emergency Departments: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
  3. Violence and abuse towards general practice staff by patients and the public: a scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  4. The Staff Observation Aggression Scale - Revised for Ambulance Services (SOAS-RA).Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Multisite study of Aggressive Behavior Risk Assessment Tool in emergency departments.Journal of the American College of Emergency Physicians open · 2022
    Article
  14. Dilemmas and Repercussions of Workplace Violence against Emergency Nurses: A Qualitative Study.International journal of environmental research and public health · 2022
    Article
  15. Article
  16. Review
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  18. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Grethe E JohnsenNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Kalfarveien 31, 5018, Bergen, Norway. grethe.johnsen@norceresearch.no.
Tone MorkenNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Kalfarveien 31, 5018, Bergen, Norway.
Valborg BasteNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Kalfarveien 31, 5018, Bergen, Norway.
Knut RypdalCentre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Bergen, Norway.
Tom PalmstiernaCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Ingrid Hjulstad JohansenNational Centre for Emergency Primary Health Care, NORCE Norwegian Research Centre, Kalfarveien 31, 5018, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace violence in emergency primary health care is prevalent, but longitudinal studies using validated assessment scales to describe the characteristics of workplace violence in these settings are lacking. The aim of the present study was to determine the characteristics of aggressive incidents in emergency primary health care clinics in Norway.

methodsIncidents of workplace violence were reported with the Staff Observation Aggression Scale - Revised Emergency (SOAS-RE). The study was conducted in ten emergency primary health care clinics over a period of one year.

resultsA total of 320 aggressive incidents were registered. The mean overall SOAS-RE score for reported aggressive incidents was 9.7 on a scale from 0 to 22, and 60% of the incidents were considered severe. Incidents of verbal aggression accounted for 31.6% of all reported incidents, threats accounted for 24.7%, and physical aggression accounted for 43.7%. Verbal aggression was most often provoked by long waiting time. Physical aggression was most often provoked when the patient had to go through an involuntary assessment of health condition. Almost one third of the aggressors were females, and nurses were the most frequent targets of all aggression types. No differences in psychological stress were found between types of aggression.

conclusionsThis study shows that workplace violence in emergency primary health care clinics is a severe problem. Patterns in provocation and consequences of aggressive incidents can be used to improve our understanding of and prevention and follow-up procedures of such incidents.

Indexed as

AggressionEmergency Service, HospitalPrimary Health CareAdultFemaleHumansLongitudinal StudiesMaleNorwayObservationPrevalenceRisk ManagementSurveys and QuestionnairesWorkplace ViolenceAggressionEmergency primary health careWorkplace violence

Identifiers

PMID31931790
PMCPMC6956482

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.