STATEMENT for the Global HealthCare

Pridané dňa: 02.12.2017


Of the Slovak Chamber of Nurses and Midwives to the questions of the Global HealthCare Insights reporter Stefanie N. Rubin.

Bratislava 2. 12. 2017

What are some examples of violences--verbal and nonverbal--against nurses in Slovak republic hospitals?
The Slovak Chamber of Nurses and Midwives has long pointed out to state officials that attacks on nurses and midwives from aggressive patients and their family members are increasing in Slovak health facilities. The situation has become so badly in recent years that aggressive attacks have involved not only medical staff on emergency, intensive care units or psychiatry, but every hospital or outpatient facilities.
The Slovak Chamber of Nurses and Midwives on the basis of a survey as well as the own experience of its members since 2003 has registered a gradual increase in physical and verbal attacks in healthcare facilities. Nurses encounter threats to the various items available to patients, kicks, shakes, or even verbal threats to their physical destruction and their family members. Aggressive patients, often under the influence of alcohol and narcotics, often damage hospital room facilities, smashing doors, windows, or hospital furniture.
Most often, healthcare professionals with aggressive patients face emergency or intensive care units. The Chamber from its members has information that in the year 2015 only 375 physical and verbal attacks on patients from the patients were done only in the department of traumatology and the intensive care unit at Poprad Hospital. The Chamber from its members has information about 108 aggressive attacks on nurses in 2015 and 40 aggressive attacks for the first two quarters in 2016 at the Faculty Hospital in Trnava. At the Faculty Hospital of Nitra at the cardiology clinic they recorded at least 7 physical and verbal attacks over the last three years, on average, three aggressive attacks per year on emergency. With the aggressive attacks of the patients met also member of the Presidium and a member of the Council of the Slovak Chamber of Nurses and Midwives Mgr. Zuzana Haladová, dipl. n., who works in the department of vascular surgery. She had personal experience with a patient who bothered a glass bottle not only with her and other healthcare workers but also with other patients until he had been affiliated with a private security worker. In this case, the patient was fixed not only for his own safety but also for the safety of other patients and healthcare staff on a bed.

Why do you think this type of violence is occurring?
Nurses and midwives among the reasons for patient aggression most often cited long patient waiting for doctor absence, hospitalization refusal, postponement of health performance, or patient discontent with the level of healthcare provided. Often, however, we encounter patient attacks on emergency and outpatient facilities. Emergency a replacements to the absence of "trappings" from the past, where were placed patients under the influence of narcotics and were aggressive. In these facilities, they had the experience of coalescing aggressive patients. Another group is aggressive patients in outpatient facilities. The lack of healthcare staff, physicians and nurses in the system has reached a stage where outpatient facilities are attending more patients than are real possibilities of quality treatment and provision of health and nursing care. The waiting rooms are overcrowded, and if the patient needs to be examined professionally and give him the healthcare he is entitled to, it takes some time. However, the time spent waiting and the illness itself causes aggressiveness in some patients, and those attacking not only verbally but also physically.
In addition, increased legislation on the protection of healthcare professionals in the exercise of the profession from 1 January 2017 was to contribute overall to the reduction of physical and verbal attacks.

Mgr. Iveta Lazorová, dipl. p. a.
President of the Slovak Chamber of Nurses and Midwive