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Scandinavian journal of trauma, resuscitation and emergency medicine · 2025

The Staff Observation Aggression Scale - Revised for Ambulance Services (SOAS-RA).

СтатьяНазвание и аннотация: Перевод в очереди
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Haug May Elin Juliusdatter, Haug Elisabeth, Almvik Roger, Palmstierna Tom, Skundberg-Kletthagen Hege

Аннотация

INTRODUCTION: Ambulance personnel frequently encounter aggression in dynamic and unpredictable environments. Despite growing awareness of workplace violence in healthcare, few validated tools exist for systematic documentation in ambulance services.

OBJECTIVE: This study aimed to adapt and validate the Staff Observation Aggression Scale - Revised (SOAS-R) for use in ambulance services (SOAS-RA), and to examine the relationship between SOAS-RA severity scores and staff's subjective perceptions of incident severity using a Visual Analogue Scale (VAS).

METHODS: Using a modified Delphi method, a panel of ambulance professionals adapted the SOAS-R to the ambulance service context. Data were collected from 34 ambulance stations across Norway using paper-based SOAS-RA forms. A total of 402 reports were submitted, with 302 including valid VAS scores. Descriptive and inferential statistical analyses examined associations between objective severity scores (SOAS-RA) and subjective ratings (VAS).

RESULTS: SOAS-RA total scores showed a small to moderate correlation with VAS ratings (r = 0.350, p < 0.001). The strongest predictor of perceived severity was "consequences for the victim" (β = 0.274, p < 0.001), followed by "means used by the aggressor" (β = 0.180, p < 0.001). Female staff rated incidents as more severe than male staff (p = 0.030), despite similar SOAS-RA scores.

CONCLUSIONS: The SOAS-RA, combined with VAS, may serve as a valid, context-sensitive tool for documenting aggression in ambulance services. Future research should explore broader implementation and digital integration to enhance usability, data quality, and support organizational learning.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты