Evidence map›Paper›PMID 40280617›Full record

ArticleBMJ open2025

Attitudes towards protecting Emergency Medical Services (EMS) staff from violence and aggression: a survey of adults in Wales.

Nigel Rees, Daniel Tod, Francesca Fiorentino, Peter O'Meara, Lauren Williams, Julia Williams, Claire Hawkes

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

7 authors.

Nigel ReesPre Hospital Emergency Research Unit, Welsh Ambulance Service University NHS Trust, Swansea, UK nigel.rees5@wales.nhs.uk.ORCID http://orcid.org/0000-0001-8799-5335
Daniel TodFaculty of Medicine, Health and Life Science, Swansea University, Swansea, UK.
Francesca FiorentinoClinical Trials, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0001-9817-6634
Peter O'MearaMedicine, Nursing and Health Sciences, Monash University, Frankston, Victoria, Australia.ORCID http://orcid.org/0000-0001-8657-5646
Lauren WilliamsPre Hospital Emergency Research Unit, Welsh Ambulance Service University NHS Trust, Swansea, UK, Swansea, UK.
Julia WilliamsUniversity of Hertfordshire, Hertfordshire, UK.ORCID http://orcid.org/0000-0003-0796-5465
Claire HawkesFaculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.ORCID http://orcid.org/0000-0001-8236-3558

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the Welsh public's views of violence and aggression (V&A) directed at EMS (emergency medical services) staff, awareness of policy changes and the reach of media campaigns. DESIGN/SETTING/

participantsSurvey involving non-probabilistic purposive sampling of 1010 Wales adults (aged 18+) from a matched panel, representative of the population, derived from a UK YouGov panel of >360 000 adults registered.

resultsMost (62.5%) participants had heard of V&A directed towards EMS staff; 81.1% had heard about it through the media. 21.0% of participants had witnessed V&A towards EMS staff; younger participants were more likely to have witnessed an incident 18.7% via a social setting and 81.1% through the media. 90.4% disagreed with the statement that V&A towards EMS staff can be acceptable in some cases, and 53.3% were not aware of related media campaigns. Participants thought intoxication with alcohol (92.4%), drugs (90.5%) and altered mental status following illness and/or injury (84.3%) would likely contribute to V&A towards EMS staff. 22.0% of participants were aware of the Assaults on Emergency Workers Act. Although I thought the act was unlikely to deter perpetrators who were intoxicated with drugs (75.2%), alcohol (75.2%), with altered mental status following illness and/or injury (75.6%) or other member of the public (42.4%). Younger participants were more likely to think the act would deter those intoxicated with drugs, alcohol, with altered mental status following illness and/or injury and other members of the public. Those with social grades of C2/D/E thought the act was likely to deter those intoxicated with drugs.

conclusionThere is good public awareness of V&A directed towards EMS staff in Wales who find it unacceptable. Our survey found limited awareness and perceived effectiveness of related legislation and media campaigns in the last 2 years. Participants thought legislation would not deter those intoxicated with drugs, alcohol or altered mental status. Therefore, we recommend further research to understand and develop evidence-based interventions for these groups of people. We also recommend amplifying messages targeted towards young people and through social settings where V&A may be encountered.

Indexed as

AggressionEmergency Medical ServicesHealth Knowledge, Attitudes, PracticePublic OpinionViolenceAdolescentAdultAgedFemaleHumansMaleMiddle AgedSurveys and QuestionnairesWalesYoung AdultACCIDENT & EMERGENCY MEDICINEBehaviorHealth policyHealth & safetyHealth Services

Identifiers

PMID40280617
PMCPMC12035453

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.