ArticleBMJ open2021
Strategies used by emergency care professionals to handle interpersonal difficulties with patients: a qualitative study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03139110 (Welcoming Patients in Emergency Departments), which is not on this map. Cited by 4 papers.
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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.
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.
Welcoming Patients in Emergency Departments: Impact of the Mediator
Who cites it
4 citing papers in PubMed.
- Patient Transfer Process From Pre-Hospital to the Hospital Emergency Department: A Grounded Theory Study.Nursing open · 2025Article
- Toxic Leadership in Emergency Nurses: Assessing Abusive Supervision and Its Team-Level Impacts on Conflict Management and Organizational Commitment.Journal of nursing management · 2024Article
- "I think we still do too little": measures to prevent violence and aggression in German emergency departments - a qualitative study.BMC health services research · 2023Article
- Effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses: a randomized controlled trial.BMC nursing · 2022Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIdentify the strategies implemented by emergency care professionals when facing tension and interpersonal violence from patients and their friends and family.
designDescriptive qualitative study based on 38 semidirective interviews.
participantsDoctors, nurses, nursing assistants and administrative staff.
settingFour emergency departments (EDs) from three French university hospitals.
resultsAccording to the medical professionals interviewed, the difficulties that they encounter with patients or their accompanying family members can be explained by a lack of understanding of the functioning of EDs, by a general increase in individualistic behaviours leading to a lack of civility or by deviant behaviours (related to toxic substance abuse or mental illness). While managing deviant behaviours may sometimes require a collective intervention, ED staff also implement what are essentially individual communication strategies (with the use of rational explanation, seduction and empathy), confrontation or flight to deal with interpersonal difficulties.
conclusionsStrategies used by staff members tend to be individualised for the most part, and some, such as confrontational or escape strategies, may not be adapted to all situations. In the face of difficulties between staff and patients, mediators, specialised in resolving conflict, could entrust some cases to professionals. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT03139110).
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