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This paper aims to illustrate the complexity of understanding and managing violent behaviour in health care. The authors will show how different perceptions of the reasons for violent behaviour, and linkages between violent behaviour and illness have contributed to the creation of a wicked problem and added significant complexity to the management of violence towards staff within health-care settings. This paper will conclude with a call for strong multi-disciplinary action to address this ongoing issue.

A narrative review was undertaken to explore the ways that violence has been perceived in health care and the ways in which the concept of violence has moved from being seen as a criminal issue to being within the realms of disease. This paper will show the importance of understanding who is perpetrating violence in health care, why and in what settings. It will expound on the idea that considering violence as a consequence of disease necessarily adds a layer of complexity to both individual and organisational responses to violence towards health-care staff.

Understanding the complexity in preventing and managing violence against health-care staff can assist policymakers and managers to develop multi-faceted approaches to violence prevention, including better recognition and understanding of perpetrators of violence.

This paper provides a unique perspective on thinking about violence in health care and the implications of its complexity.

This study aims to investigate whether emergency health-care workers distinguish between different categories of perpetrators of violence and how they respond to different types of perpetrator profiles.

Five focus groups with emergency health-care workers were held in Canada. The participants were asked whether they identified different groups of perpetrators of violence and how that impacted their approach. The focus group responses were transcribed verbatim and analysed thematically using a phenomenological approach.

Participants consistently identified five groups of perpetrators and tailored their approach on their assessment of the type of perpetrator involved. The five categories are: violence or aggressive behaviour from family members or bystander and violence related to; underlying mental health/illness issues; underlying physical health issues; addiction and substance use; and repeat visitors/offenders. Violence with an underlying (mental) health cause was handled professionally and compassionately by the health-care workers, while less patience and understanding was afforded in those instances where violence was associated with (recreational) alcohol or illicit substance use.

Emergency health-care workers can consistently distinguish between types of perpetrators of violence and aggression, which they then use as one factor in the clinical and situational assessments that inform their overall approach to the management incidents. This conclusion supports the need to move the focus away from the worker to the perpetrator and to an organisational rather than individual approach to help minimise violence against emergency health-care workers.

The impact of climate change on Australian freshwater ecosystems has been clearly acknowledged, yet little is known about how climate change affects Australian freshwater tourism. This rapid review of the literature aimed to explore this pressing issue using lenses of environmental, social and economic justice.

A systematic search of electronic databases and available grey literature was completed in February 2023. Database searching identified 417 records. After removal of 36 duplicates, 381 records were screened, with 336 articles excluded. Another four publications were identified through hand-searching and a final review of 20 publications was completed in May 2023.

Very few publications examined climate change impacts on Australian freshwater tourism, and there was a paucity of Indigenous-led research despite increased recognition of Indigenous water rights. Publications observing freshwater tourism’s vulner ability to climate change, particularly in the Murray Darling Basin, emphasised inaction and communities’ unpreparedness despite long-term acknowledgment of this issue.

This is the first review of literature that addresses climate change and Australian freshwater tourism. Research that centres Indigenous cultural knowledge of Country and is codesigned with rural communities is required to understand and respond to the urgency of climate change impacts on freshwater ecosystems and communities.