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Attitudes towards protecting Emergency Medical Services (EMS) staff from violence and aggression: a survey of adults in Wales

Nigel Rees Orcid Logo, Daniel Tod, Francesca Fiorentino Orcid Logo, Peter O’Meara Orcid Logo, Lauren Williams, Julia Williams Orcid Logo, Claire Hawkes Orcid Logo

BMJ Open, Volume: 15, Issue: 4, Start page: e092949

Swansea University Author: Daniel Tod

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Abstract

Objective: To explore the Welsh public’s views of violence and aggression (V&A) directed at EMS (emergency medical services) staff, awareness of policy changes and the reach of media campaigns. Design/setting/participants: Survey involving non-probabilistic purposive sampling of 1010 Wales adult...

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Published in: BMJ Open
ISSN: 2044-6055 2044-6055
Published: BMJ Publishing Group 2025
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa69365
Abstract: Objective: To explore the Welsh public’s views of violence and aggression (V&A) directed at EMS (emergency medical services) staff, awareness of policy changes and the reach of media campaigns. Design/setting/participants: Survey involving non-probabilistic purposive sampling of 1010 Wales adults (aged 18+) from a matched panel, representative of the population, derived from a UK YouGov panel of >360 000 adults registered. Results: Most (62.5%) participants had heard of V&A directed towards EMS staff; 81.1% had heard about it through the media. 21.0% of participants had witnessed V&A towards EMS staff; younger participants were more likely to have witnessed an incident 18.7% via a social setting and 81.1% through the media. 90.4% disagreed with the statement that V&A towards EMS staff can be acceptable in some cases, and 53.3% were not aware of related media campaigns. Participants thought intoxication with alcohol (92.4%), drugs (90.5%) and altered mental status following illness and/or injury (84.3%) would likely contribute to V&A towards EMS staff. 22.0% of participants were aware of the Assaults on Emergency Workers Act. Although I thought the act was unlikely to deter perpetrators who were intoxicated with drugs (75.2%), alcohol (75.2%), with altered mental status following illness and/or injury (75.6%) or other member of the public (42.4%). Younger participants were more likely to think the act would deter those intoxicated with drugs, alcohol, with altered mental status following illness and/or injury and other members of the public. Those with social grades of C2/D/E thought the act was likely to deter those intoxicated with drugs. Conclusion: There is good public awareness of V&A directed towards EMS staff in Wales who find it unacceptable. Our survey found limited awareness and perceived effectiveness of related legislation and media campaigns in the last 2 years. Participants thought legislation would not deter those intoxicated with drugs, alcohol or altered mental status. Therefore, we recommend further research to understand and develop evidence-based interventions for these groups of people. We also recommend amplifying messages targeted towards young people and through social settings where V&A may be encountered.
College: Faculty of Medicine, Health and Life Sciences
Funders: The study was funded by Wesh Ambulance Services pathway to portfolio funding.
Issue: 4
Start Page: e092949