Occupational Violence in Paramedicine: Risks, Impacts, and Mitigation Strategies

A/Prof. Shohreh Majd1, Mrs. Mojca Bizjak-Mikic1, Mr. David Waters1, Mr. Joshua McNally1

1Council Of Ambulance Authorities, Adelaide, Australia

Biography:

A/Professor Shohreh Majd is a neuroscientist, university lecturer, and research/policy manager with expertise in workplace stress and trauma. With over 15 years in academia and policy, she focuses on workforce well-being in ambulance services, addressing critical issues like occupational violence in paramedicine through neuroscience and evidence-based strategies.

Abstract:

Background

Occupational violence in paramedicine poses a significant threat, ranging from verbal abuse in emergency call centers to physical assaults on frontline paramedics. This issue affects not only the safety and well-being of paramedics but also impacts workforce retention, patient care, and the overall efficiency of emergency medical services. Understanding the scope, causes, and consequences of such violence is crucial for developing effective intervention strategies.

Methods

A comprehensive review of recent research, policy frameworks, and incident reports was conducted to identify key risk factors contributing to occupational violence in paramedicine. The analysis included factors such as high-stress environments, substance-affected patients, and gaps in legal and institutional protections. Additionally, evidence-based strategies for prevention, de-escalation, and resilience-building were evaluated, incorporating insights from neuroscience, psychology, and occupational health.

Results

Findings indicate a strong correlation between occupational violence and increased stress, burnout, and psychological trauma among paramedics. Studies highlight deficiencies in workplace policies, inadequate training in conflict de-escalation, and insufficient legal protections. However, research supports the effectiveness of targeted interventions, including enhanced staff training, improved workplace design, and policy reforms, in reducing the frequency and severity of violent incidents.

Conclusion

Addressing occupational violence in paramedicine requires a multifaceted approach involving policy changes, comprehensive training, and support systems for paramedics. Implementing evidence-based strategies can create safer working conditions, improve staff well-being, and enhance the sustainability of emergency medical services. This session provides critical insights for paramedics, healthcare administrators, policymakers, and researchers working to mitigate occupational violence in pre-hospital care.

 

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