Addressing Workplace Violence and Aggression in Health Care Settings:

Quigley, Elizabeth; Schwoebel, Ann; Ruggiero, Joanne; Inacker, Patty; McEvoy, Theresa; Hollister, Stephanie

doi:10.1016/j.mnl.2020.05.007

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…Among them were safety huddles, risk assessment and stratification, and robust reporting processes. [17][18][19][20][21][22] Some programs integrated technology through wearable alarms, panic buttons, and flagging systems. 17,[20][21][22][23] Policies addressing WPV were included in almost half of the studies.…”

Section: Methodsmentioning

confidence: 99%

“…17,[20][21][22][23] Policies addressing WPV were included in almost half of the studies. [17][18][19][20][21][22] Clear expectations for safe work environments and reporting requirements were often included. [17][18][19][20][21][22] Similar to education and training programs, few statistically significant outcomes were seen with multimodal approaches.…”

Section: Methodsmentioning

confidence: 99%

“…[17][18][19][20][21][22] Clear expectations for safe work environments and reporting requirements were often included. [17][18][19][20][21][22] Similar to education and training programs, few statistically significant outcomes were seen with multimodal approaches. However, only 1 multimodal study indicated a reduced occurrence of WPV.…”

Section: Methodsmentioning

confidence: 99%

“…Of the remaining studies appraised, in addition to education and training, other interventions were added to WPV programs. Among them were safety huddles, risk assessment and stratification, and robust reporting processes 17-22 . Some programs integrated technology through wearable alarms, panic buttons, and flagging systems 17,20-23 .…”

Section: Methodsmentioning

confidence: 99%

“…Some programs integrated technology through wearable alarms, panic buttons, and flagging systems 17,20-23 . Policies addressing WPV were included in almost half of the studies 17-22 . Clear expectations for safe work environments and reporting requirements were often included 17-22 .…”

Section: Methodsmentioning

confidence: 99%

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Addressing Workplace Violence With Evidence

Bauersfeld,

Majers

2023

JONA: The Journal of Nursing Administration

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AIM The purpose of this article is to describe how regional community assessment survey data specific to healthcare workers' (HCWs') attitudes and actions related to workplace violence (WPV) from 1 participating urban tertiary hospital was compared with current evidence to identify evidence-based interventions to promote a safer work environment. The regional survey assessed real-time data regarding the state of WPV and its impact on HCWs, and to drive proposed interventions to prevent and reduce WPV in the healthcare community. BACKGROUND Incidents of WPV in healthcare continue to increase, resulting in calls for action from staff, leadership, and regulatory organizations. METHODS Data were collected from the HCWs who completed the survey. Experiences with WPV were analyzed. Qualitative data were evaluated for themes. A review of external evidence was conducted to identify best practices in preparing proposed next steps for the organization. RESULTS Healthcare worker attitudes and practices related to WPV were described as unreported and not addressed. Violence was more readily perceived as a part of the job. External evidence indicated that education and training alone seemed to have minimal effect on preventing WPV. Evidence from best practices and staff feedback were recommended to be incorporated into plans for the organization.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Addressing Workplace Violence With Evidence

Bauersfeld,

Majers

2023

JONA: The Journal of Nursing Administration

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Risky Business. Interventions to Prevent Aggression Against Health Workers From Patients at Risk: An Integrative Review

McCamon,

Lowe,

George

et al. 2024

Journal of Clinical Nursing

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AimTo identify best practices to prevent violence against healthcare workers by patients at risk for aggression in the adult inpatient setting.DesignAn integrative review.MethodsConducted using the Johns Hopkins Evidence‐based Practice for Nurses and Healthcare Professionals Model. Title and abstract screening on 4186 articles resulted in 156 for full text review. Full text screening yielded 14 articles that met inclusion criteria.Data SourcesA search of the databases PubMed, CINAHL, Embase, and JBI from January 2019 to February 2023.ResultsThe review revealed behavioural intervention teams, environmental changes, and coordinated communication plans were the most used strategies, however none demonstrated significant decreases in violence.ConclusionsHealth systems can implement strategies shown to decrease the incidence of violence in healthcare settings globally. Lack of consistency in the evidence suggests the need for further research to assess mitigating strategies for violence against healthcare workers in inpatient hospital settings.Implications for the Profession and/or Patient CarePatient safety is a cornerstone of nursing practice; however, healthcare workers need to feel safe in their work environment. Violent events are chronically underreported, ill defined, and when reported, do not address change in the practice setting. Identifying strategies to address escalating behaviour before it results in violence is crucial for everyone's safety.ImpactThis integrative review exposes the scarcity of evidence available to address rising concerns about patients on healthcare provider violence (Type II) in the workplace. Although several assessment tools for identifying violent patients exist, evidence regarding prevention is woefully absent. The review highlights potential interventions for further study to equip healthcare workers to manage patients safely and effectively before an escalation occurs.Reporting MethodPRISMA checklist for integrative reviews.Patient or Public ContributionNo patient or public contribution was part of this review.

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Understanding the Experience of Workplace Violence in Hospitals as Documented by Nursing Staff: Using the READ Approach

Brunero,

Tetik,

Donnelly

et al. 2024

Workplace Health Saf

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Background: Workplace violence has a significant impact on patients, families, and staff safety. Workplace violence can produce traumatic results for those involved; the importance of preventive measures needs to be paramount in health service policy and process. Health care staff are required to document their experiences of violent incidents after every occasion, usually via an incident reporting system, which allows for a free text description of the event. There is a lack of understanding of how health care staff document reports of violence and how they explain the events. Methods: This study aims to determine the circumstances surrounding workplace violent events as documented by health care staff. The four-step Review, Extract, Analyze, and Document (READ) approach to document analysis was used to examine workplace violence incident reports over 12 months (September 2021–September 2022) in a tertiary referral hospital. Findings: Six categories of workplace violence were found: (a) “Escalation Dynamics”—patterns and progression of how violence incidents intensify; (b) “Warning Behaviors”—verbal or non-verbal signals that may foreshadow physical violence if not addressed; (c) “Authoritative Institutional Interventions”—how aggression correlates to protocols involving security personnel or law enforcement; (d) “Care Delivery Methods”—how certain treatment procedures and approaches might inadvertently elicit violence; (e) “Situational Stressors”—external circumstances or changes that act as triggers for violence; and (f) “Unprovoked triggers”—sudden and seemingly unprovoked violent outbursts. Conclusions and application to practice: Workplace violence in health care is a multifaceted interplay of events with the nurse involved in all aspects of the process. These findings can be used by occupational health nurses in education and policy development. The findings can be used to focus education on how violent incidents may escalate and provide more opportunities for de-escalation by health care staff.

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Addressing Workplace Violence and Aggression in Health Care Settings:

Cited by 4 publications

References 5 publications

Addressing Workplace Violence With Evidence

Addressing Workplace Violence With Evidence

Risky Business. Interventions to Prevent Aggression Against Health Workers From Patients at Risk: An Integrative Review

Understanding the Experience of Workplace Violence in Hospitals as Documented by Nursing Staff: Using the READ Approach

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