Violence against ambulance personnel is currently a major problem. The vast majority of ambulance personnel report that they have experienced threats of violence, which affects the well-being of workers, who already perform important, stressful and challenging jobs. Until 2020, incidents involving the use of violence were increasing annually, resulting in additional costs for the ambulance service.

The NHS England (the UK’s national health service), the ambulance service and trade unions agreed on the need for action and implemented various initiatives to reduce the number of employees who experience violence as part of the job. These initiatives included the introduction of body-worn cameras.
One of the problems was that although cameras had been gradually introduced around the world to reduce violence – including in police services or public transport – and there was evidence of their effectiveness, there was limited evidence on how best to make them work in ambulances. Therefore, it was decided to conduct a research study in parallel to the introduction of the cameras to assess their impact.
RAND Europe was in charge of this evaluation. Over a three-year period, 2021 to 2024, data were collected and analysed in close collaboration with ambulance workers and managers. On the basis of all this information, a full report was written.
To determine whether body-worn cameras reduce violence against staff, we examine the broader conditions under which they are most likely to be successful and provide recommendations for improving these conditions. Most of all, because body-worn cameras are only a small part of a larger system of policies and practices aimed at reducing violence and aggression.
The application of body-worn cameras in the ambulance sector was transferred to ambulance trusts on the basis that local trusts were best placed to identify local barriers and opportunities and communicate effectively with local staff.
In the research, they concluded that ambulance personnel have mixed opinions about body-worn cameras, basically because they alone are not a panacea for reducing stress in risky situations, but with more positive than negative opinions. Respondents to the study highlighted the need for broader strategies, such as effective communication.
The role of institutional support emerged as a crucial factor in determining the impact of the cameras on staff well-being and their perception of safety. This aligns with the existing literature, which highlights that supportive environments can enhance the benefits of body-worn cameras. In addition, a strong positive correlation was found between a favourable work culture and positive views of body-worn cameras, suggesting that organisational climate plays an important role in shaping perceptions.
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