General practitioners’ assessment of risk of violence in their practice: results from a qualitative study

Magin, Parker; Adams, Jon; Joy, Elyssa; Ireland, Malcolm; Heaney, Susan; Darab, Sandy

doi:10.1111/j.1365-2753.2007.00874.x

Cited by 17 publications

(13 citation statements)

References 18 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The concern regarding personal safety has previously been reported in qualitative studies on GPs' experiences of violence in UK and Australia [30,31]. One of these studies was conducted 20 years ago [30], indicating that personal safety is no new worry for GPs.…”

Section: Discussionmentioning

confidence: 98%

“…Reported prevalence of experienced violence among GPs ranges from 21% to 83% depending on methodology and geographical area studied [34-41]. The apprehension about work-related violence has been found to be particularly high in out-of-hours services [31,42-44]. As most papers on work-related violence in general practice have pointed out, this might have serious consequences for a viable after-hours primary healthcare service.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics

Johansen

Carlsen

Hunskaar

2011

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundFor Norwegian general practitioners (GPs), acute treatment of mental illness and substance abuse are among the most commonly experienced emergency situations in out-of-hours primary healthcare. The largest share of acute referrals to emergency psychiatric wards occurs out-of-hours, and out-of-hours services are responsible for a disproportionately high share of compulsory referrals. Concerns exist regarding the quality of mental healthcare provided in the out-of-hours setting. The aim of this study was to explore which challenges GPs experience when providing emergency care out-of-hours to patients presenting problems related to mental illness or substance abuse.MethodsWe conducted a qualitative study based on two individual interviews and six focus groups with purposively sampled GPs (totally 45 participants). The interviews were analysed successively in an editing style, using a thematic approach based on methodological descriptions by Charmaz and Malterud.ResultsSafety and uncertainty were the dominating themes in the discussions. The threat to personal safety due to unpredictable patient behaviour was a central concern, and present security precautions in the out-of-hours services were questioned. The GPs expressed high levels of uncertainty in their work with patients presenting problems related to mental illness or substance abuse. The complexity of the problems presented, shortage of time, limited access to reliable information and limited range of interventions available during out-of-hours contributed to this uncertainty. Perceived access to second opinion seemed to have a major impact on subjectively experienced work stress.ConclusionsThe GPs experienced out-of-hours psychiatry as a field with high levels of uncertainty and limited support to help them meet the experienced challenges. This might influence the quality of care provided. If the current organisation of emergency mental healthcare is to be kept, we need to provide GPs with a better support framework out-of-hours.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics

Johansen

Carlsen

Hunskaar

2011

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…10 Moreover, discrimination between subtle stimuli and integrative processing are central to clinical skills such as ultrasonography 11 and are highly valued [12][13][14] by the patient-centered clinical method, which uses patient experience to help guide clinical interactions and shared decision making. Nevertheless, physicians-unlike nurses 15 -have frequently been reluctant to publicly acknowledge using their own intuition in clinical decision-making; 16 and they have been even quieter in acknowledging their need to take account of patient intuition in decision-making.…”

mentioning

confidence: 99%

When Should Patient Intuition be Taken Seriously?

Buetow

Mintoft

2010

J GEN INTERN MED

View full text Add to dashboard Cite

As a style of information processing, intuition involves implicit perceptual and cognitive processes that can be quickly and automatically executed without conscious mental will, such that people know more than they can describe. Patient intuition can influence patient and clinician decision-making and behavior. However, physicians may not always see patient intuition as credible or important, and its management in the clinical setting is poorly understood. This paper takes a step toward suggesting conditions under which patient intuition should be taken seriously. These conditions relate to the credibility or accuracy of the intuitive beliefs held by the patient, and their significance to the patient. Credibility may be increased when the intuitions of patients (1) reflect their individualized knowledge, (2) can complement the common absence of scientific evidence in managing health problems, and (3) can quickly and effectively process key information in complex cognitive tasks. Even intuitions that lack credibility can be subjectively rational and meaningful to patients, and help to shape the decisions they and clinicians make.

show abstract

“…Although data from the 2007 National Physicians' Survey (NPS) indicates that most family physicians are satisfied with their clinical practices, studies in several countries have reported that violence in family practice towards physicians is a serious problem [1–11]. In New Zealand, it was reported that on an annual basis, 15% of general practioners were verbally abused, 4% were assaulted, and 2% were stalked [8].…”

Section: Introductionmentioning

confidence: 99%

“…Researchers in Australia and the UK have recently examined violence against physicians however few have examined the issue in Canada [1, 17]. Canadian studies that have been undertaken are at least a decade old and are limited in scope.…”

Section: Introductionmentioning

confidence: 99%

Monthly Incidence Rates of Abusive Encounters for Canadian Family Physicians by Patients and Their Families

Miedema

Hamilton

Tatemichi

et al. 2010

International Journal of Family Medicine

View full text Add to dashboard Cite

Objective. The goal of this study was to examine the monthly incidence rates of abusive encounters for family physicians in Canada. Methods. A 7-page cross-sectional survey. Results. Of the entire study sample (N = 720), 29% of the physicians reported having experienced an abusive event in the last month by a patient or patient family member. Abusive incidents were classified as minor, major, or severe. Of the physician participants who reported having been abused, all reported having experienced a minor event, 26% a major, and 8% a severe event. Of the physicians who experienced an abusive event, 55% were not aware of any policies to protect them, 76% did not seek help, and 64% did not report the abusive event. Conclusion. Family physicians are subjected to significant amounts of abuse in their day-to-day practices. Few physicians are aware of workplace policies that could protect them, and fewer report abusive encounters. Physicians would benefit from increased awareness of institutional policies that can protect them against abusive patients and their families and from the development of a national policy.

show abstract

General practitioners’ assessment of risk of violence in their practice: results from a qualitative study

Abstract: A schema of factors involved in GPs' assessment of risk of violence is presented. An appreciation of these will be of clinical and policy importance.

Cited by 17 publications

References 18 publications

Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics

Psychiatry out-of-hours: a focus group study of GPs' experiences in Norwegian casualty clinics

When Should Patient Intuition be Taken Seriously?

Monthly Incidence Rates of Abusive Encounters for Canadian Family Physicians by Patients and Their Families

Contact Info

Product

Resources

About