چکیده (انگلیسی):

Background:Incidents of aggression and violence from patients and visitors occur in emergency primary care.
Most previous studies have focused on risk factors such as characteristics of patient, health personnel or situation.
This study aimed to explore professional-patient interaction in aggressive situations.
Methods:A focus group study with eight focus groups was performed, including a total of 37 nurses and
physicians aged 25–69 years. The participants were invited to talk about their experiences of violence in emergency
primary care. Analysis was conducted by systematic text condensation. Results were then illuminated by Honneth’s
theory The Struggle for Recognition.
Results:We identified three main themes regarding the interaction between health personnel and patients or
visitors in aggressive situations: (1) unmet needs, (2) involuntary assessment, and (3) unsolicited touch. In all
interactions the aggressive behaviour could be understood as a struggle for recognition.
Conclusions:Aggression is more likely to arise in situations where the patients’ needs or personal borders are
invalidated. The struggle for personal recognition during the interaction between patient and health professionals
should be addressed in health professionals’ education. This knowledge might increase their awareness and help
them to react in a more expedient manner.