Evidence map›Paper›PMID 40361001›Full record

ArticleBMC emergency medicine2025

Workplace violence in the ambulance service from the offender's perspective: a qualitative study using trial transcripts.

Magnus Viking, Karin Hugelius, Erik Höglund, Lisa Kurland

Abstract read
In one paragraph

Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Workplace violence from the ambulance personnel's perspective, a qualitative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. 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

4 authors.

Magnus VikingDepartment of Ambulance Care, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. magnus.viking@oru.se.
Karin HugeliusFaculty of Medicine and Health, Örebro University, Örebro, Sweden.
Erik HöglundDepartment of Ambulance Care, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Lisa KurlandFaculty of Medicine and Health, Örebro University, Örebro, Sweden.

Funding

Allmänna Läkarfonden Grant Numbers: OLL-986630, OLL-1004286
6 · The paper itself

Abstract

backgroundWorkplace violence is a widely recognised problem within the ambulance service context. The causes of workplace violence have often been attributed to patient- or situation-related risk factors. However, there is a lack of research on workplace violence from the offender's perspective.

aimTo explore workplace violence directed toward ambulance services from the offender's perspective.

methodsAn explorative qualitative study was conducted using inductive thematic analysis of trial transcripts from cases tried in court between 2013 and 2023. Plaintiffs in these cases were ambulance personnel or the ambulance service itself. Offenders were those convicted of committing or attempting any of the following acts: threats, theft, assault, molestation or murder.

resultsTwenty-three trial transcripts were analysed, and four themes were found: (I) the offender was misunderstood, which included communication problems and other misunderstandings; (II) the offender was disrespected, which described perceived unprofessional behaviour and unpleasant or painful treatment by ambulance personnel; (III) the offender was vulnerable, which described the state of the offender (i.e., being under the influence of alcohol or drugs); and (IV) the offender had unmet expectations, which included perceived unreasonable waiting time and conflicting expectations of ambulance care.

conclusionThe analysis of trial transcripts revealed four themes from the offender perspective: feelings of being misunderstood, disrespected, vulnerable, and having unmet expectations. It is important to view these results critically, as they are based on trial transcripts in which the offender was found guilty of a crime and may have been attempting to defend his or her actions during the trial. Despite this caveat, healthcare professionals need also to recognise that their behaviour may influence the risk of workplace violence. This knowledge can be harnessed to develop training programs for ambulance personnel.

Indexed as

AmbulancesCriminalsWorkplace ViolenceAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchAggressionAmbulanceAmbulance nurseAmbulance serviceOffenderQualitativeTrial transcriptsWorkplace violence.

Identifiers

PMID40361001
PMCPMC12076866

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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.