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Violence against nurses in emergency departments. An explorative analysis of stress, coping strategies and personality Objectives: The aim of this work is to determine the prevalence and type of violence, feelings of stress, stress symptomatology, coping strategies and personality traits and to examine correlations between these variables. Methods: The nationwide survey targeted nurses in accordance with the German Nursing Professions Act who worked in the emergency department. Hospitals with emergency departments were contacted via an electronic cover letter (N = 1479). The online questionnaire included items on the prevalence of verbal, physical and sexual violence, reporting behaviour, perception of stress, stress symptomatology, coping strategies, personality traits and socio-demographic information. Hypotheses were tested with regression analyses. In addition, guided expert interviews were conducted (mixed methods).  Results: 250 nurses participated in the survey. Violence against nurses in the emergency department workplace is common, places great stress on most victims and correlates significantly with stress. The central coping strategies of positive thinking, active stress management and social support are above average, but have no influence on the stress symptoms, because affected persons do not talk about experienced violence due to fear, shame and feelings of guilt. Risk factors for experiencing violence are little work experience, victim behaviour and female gender. No correlation was found between personality and experienced violence. Conclusion: Organisations and managers should take more responsibility for this issue, comply with regulations of the Occupational Safety and Health Act and introduce measures for prevention and aftercare in a targeted manner based on a risk assessment involving employees. Patient assaults should be reported to the employers' liability insurance association as an occupational accident. Even if there are no injuries, patient assaults should always be documented confidentially within the company. Employees should be made more aware that violence is not part of their job, reject the role of victim, not be afraid to report assaults and seek help.  Keywords: workplace violence – emergency department – coping strategies – personality – health consequences

Gewalt gegen Pflegende in Notaufnahmen. Eine explorative Analyse zu Stressbelastung, Coping und Persönlichkeit