Frontline staff at Redland Hospital are leading efforts to prevent occupational violence in the Emergency Department by focussing on early intervention, practical training, and a stronger reporting culture.

Clinical Nurse Consultant Ashleigh Davis said the work was being driven by staff who understood the challenges of working in the busy ED.

“Violence should never be accepted as part of our work,” Ashleigh said. “In my experience in the nursing profession, there’s historically been a tendency to under-report incidents and accept occupational violence as part of the job.”

Already, nearly 200 staff have completed additional Safety Essentials in the Emergency Department (SEED) training, helping teams recognise and respond to potentially aggressive behaviour before situations escalate.

“We are driving a cultural shift, and this is already reflected in increased reporting of occupational violence and earlier recognition of behaviours that could escalate,” she said.

The staff-led approach focuses on recognising early warning signs, improving communication and de-escalation skills, and ensuring staff know when to call for additional support.

Ashleigh said understanding why a patient was becoming distressed or agitated was an important part of preventing violence.

“Some patients may be experiencing pain, fear, confusion or delirium, while others may be affected by drugs or alcohol,” she said. “A quick response from senior staff and security is essential.

“Our staff know this environment better than anyone, so it’s important we listen to their experiences and ideas about what will make a difference.”