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Violence in the Health Sector Dr Mr. Nico Oud Mr. Kingma Mireille Dr. McKenna Kevin Mr. Ian Needham Dr. Linking local initiatives Third International Conference on with global learning Violence in the Work-related aggression and violence within the health and social services sector are major problems which diminish the quality of learning with global initiatives local Linking Sector Health the in Violence working life for staff, compromise organizational effectiveness, threaten workers’ health and ultimately impact negatively on the Health Sector provision and quality of care. These problems pervade both service settings and occupational groups. Linking local initiatives with global learning The specific aims of the conference are to: • Sensitize stakeholders to the issue of violence in the health care sector, • Understand the manifestations and the human, professional and economic implications of violence in the health care sector, • Promote effective sustainable initiatives and strategies to create safe environments for workers and clients in the health care sector, and • Present initiatives which respond to the problem, and have transferable learning for efforts in broader service and geographical contexts. The key theme of the Conference on this occasion is focused on initiatives which inform responses to the complex problems of aggression and violence within the health sector. Dr. Ian Needham Mr. Kevin McKenna Dr. Mireille Kingma Mr. Nico Oud Dr. Ian Needham Mr. Kevin McKenna Dr. Mireille Kingma Mr. Nico Oud Violence in the Health Sector Design and production: DM Creatieve Communicatie, www.dmhaarlem.nl Dr. Ian Needham Mr. Kevin McKenna Dr. Mireille Kingma Mr. Nico Oud Editors Violence in the Health Sector Proceedings of the Third International Conference on Violence in the Health Sector Linking local initiatives with global learning 24 – 26 October 2012 Sheraton Vancouver Airport Hotel Vancouver Canada 4 © 2012 Kavanah, Dwingeloo & Oud Consultancy, Amsterdam Publisher KAVANAH The Netherlands Oud Consultancy & Conference Management Hakfort 621 1102 LA Amsterdam The Netherlands Telephone: +31 20 409 0368 Telefax: +31 20 409 0550 [email protected] www.oudconsultancy.nl ISBN 978-90-5740-100-8 All Rights Reserved. No part of this publication may be produced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, without the permission in writing of the copyright owner (Oud Consultancy) and the concerned author. 5 Preface Following two successful conferences in Amsterdam entitled “Together, creating a safe work environment” (2008) and “From awareness to sustainable action” (2010) this present conference takes us 7696 kilometres in a south-westerly direction to the Canadian City of Vancouver in British Columbia. The theme of the present conference is “Linking local initiatives with global learning” which represents the wish to bring persons from the four corners of the globe together to present and share their work. Canada’s third largest city is nestled in the rain forest of the Pacific Northwest, between the Coastal Mountain range and the Salish Sea. One of the world’s most beautiful and liveable cities, it played host to the 1986 World Exposition and the 2010 Winter Olympics. Vancouver is known for its relaxed social attitudes, and its willingness to put new ideas into practice, such as the founding of the first North American “safe injection” site, and the deinstitutionalization of mental health care. Intolerance of violence in the workplace was enshrined in the legislation of British Columbia in 1993. Since then, there have been many collaborative initiatives on preventing violence in health care, with employers, professional associations, unions, clinicians, safety specialists, government and regulators collectively working together to solve problems. That spirit of collaboration was embedded in the notion of the conference, a term itself derived from the Latin word “conferre” - the terms “ferre” (to carry, to bear, to bring, to tell) and “con” (together). meaning to bring together, carry, convey, discuss, debate, confer. Dictionary definitions of conference include: the act of conferring in a formal meeting for consultation, a meeting for consultation or discussion, an exchange of views, or a formal meeting of people with a shared interest, typically one that takes place over several days. Even in (some) non-European languages the concept of the term conference seems very similar. In the Chinese language for example the term for conference會議 (huìyì) comprises the two characters會 (gathering or coming together, meeting) and 議 (debating, discussing, criticizing, judging) and the Korean word for conference 회의 (ho-i u-i) – which was imported directly from the Japanese or Chinese language – means to gather in order to exchange opinions or to discuss. The ultimate aim of any conference is to provide a more solid knowledge base in order to make informed strategic decisions and initiate or reinforce programs addressing identified challenges to people and/or systems. These dictionary definitions sit comfortably with the objectives of this year’s program for the Violence in the Health Sector conferences in which we offer participants the opportunity to gather, to consult, to discuss, to critique, and to evaluate. This process of critical appraisal is necessary given the theme of the present conference “Linking local initiatives with global learning”. Some initiatives may work well within a local context, but may need adaptation for implementation 6 in settings where other legal, cultural, or economic conditions prevail. Therefore, participants are invited to debate critically the global applicability of initiatives. But above all we hope that the conference participants will be inspired by the presentations and will return home with a wealth of ideas to respond more effectively to their local challenges. Since the conferences in 2008 and 2010, the catalogue of sub-themes has been revised in order to incorporate as many patterns of aggression/violence in healthcare as possible. Subsequently, this conference incorporates all manifestations of aggression and/or violence, irrespective of who is perpetrator or victim (staff, service user, co-worker, others) including: • Verbal aggression/violence • Physical aggression/violence • Sexual intimidation/harassment • Psychological aggression/violence • Horizontal/lateral aggression/violence, such as bullying, mobbing and intimidation • Financial abuse • Organizational/hierarchical aggression/violence. The conference also explores the many impacts of aggression and/or violence within healthcare including: • Physical/Injury impacts of aggression/violence • Emotional/Psychological impacts of aggression/violence • Financial impacts of aggression/violence • Service-related impacts of aggression/violence • Professional, legal and ethical impacts of aggression/violence. The conference devotes special attention to informed initiatives and solutions to aggression and/or violence within healthcare including: • Creating cultures that minimize aggression and violence • The minimization/reduction of seclusion, restraint and coercive measures • Engaging with service users in seeking solutions • Education and training • Quality safety and risk reduction initiatives • Policy/guidance on good practice initiatives. Another advancement to the present conference is the integration of special workshops by invited experts in their field: • Prof. Dr. Christopher D. Webster & Dr. Hy Bloom (Canada): “Who says you can’t assess who is at risk to commit workplace violence? The ERA-20” • Prof. Dr. Christopher D. Webster & Dr. Hy Bloom (Canada): “Who says you can’t immunize the workplace against outbreaks of violence? The WRA-20” • Dr. Lynn van Male (USA) & Mr. Kevin McKenna (IRL): “Transatlantic Collaboration in Evaluating the Science and Effectiveness of Training” 7 • Dr. Kelly Watt, Dr. Stephen Hart, and Mr. Richard Hart (Canada): “Strategies for Preventing, Screening, Assessing, and Managing Violence Risk in the Health Sector” • Dr. Brodie Paterson (UK) & Mr. Kevin McKenna (IRL): “Seeking Consensus of Best Practice in Training Provision - a Pan-European Effort” • Dr. Werner Tschan (Switzerland): “Sexual violence in healthcare: Intervention and prevention” Occasionally the conference organization receives queries – especially from academic institutions – regarding the procedure for the selection of abstracts to be presented at the conference. Each abstract is submitted for peer review to members of the International Scientific Committee. Each abstract is anonymously adjudicated by at least three members of the committee. Abstracts are evaluated according to the following criteria: • relevance to the conference theme, • interest to an international audience, • scientific and/or professional merit, • contribution to knowledge, practice, and policies, and • clarity of the abstract Following the evaluation of each submission, the Organization Committee assesses the merit of each individual abstract and deliberates on the acceptance, the rejection or - occasionally - on provisional acceptance pending amelioration of the abstract. On applying this procedure, the Organization Committee endeavours to do justice to all submitters and to the Conference participants, who are entitled to receive state of the art knowledge at the Conference. In total we did receive 271 abstracts, of which 31 (12%) were rejected, 40 were withdrawn due to financial reasons
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