Emergency department violence involving patients who use unregulated substances: A systemic perspective
Bibliographic record
Abstract
This paper examines emergency department staff perspectives of patient violence in the context of care provision for people who use unregulated substances. Study findings demonstrate that disconnects between what patients need and what staff can offer create conditions that contribute to staff-patient conflict and violence - disconnects situated within constrains produced by system structures. In navigating the potential for conflict, care choices of staff are shaped by factors including fear and hypervigilance, expectations of teamwork and autonomous practice, and a lack of violence prevention training. This is in contrast to the existing research concerning emergency care for people who use unregulated substances, which tends to portray substance use as a predisposing factor to patient violence, failing to acknowledge organizational structures and variations in staff practices as contributing to violence. Findings from this study have profound implications for current and future efforts of addressing patient violence in the emergency department, with the end goal of improving patient care for people who use unregulated substances.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.009 |
| Scholarly communication | 0.006 | 0.003 |
| Open science | 0.000 | 0.005 |
| Research integrity | 0.001 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".