Client history and violence on direct care workers in the home care setting

Byon, Ha Do; Storr, Carla L.; Edwards, Lori; Lipscomb, Jane

doi:10.1002/ajim.22652

Cited by 17 publications

(30 citation statements)

References 16 publications

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“…Patients are the largest source of violence in healthcare settings 5 . Studies have shown that a significant number of healthcare professionals and paraprofessional workers worldwide experience some type of violence from their patients, families, or relatives during delivery of care in the home setting 3,6–10 . HHWs face unique challenges that may put them at a high risk of experiencing type II violence.…”

Section: Introductionmentioning

confidence: 99%

“…5 Studies have shown that a significant number of healthcare professionals and paraprofessional workers worldwide experience some type of violence from their patients, families, or relatives during delivery of care in the home setting. 3,[6][7][8][9][10] HHWs face unique challenges that may put them at a high risk of experiencing type II violence. For example, they work alone in the patient's home and are exposed to multiple hazards such as perpetrators' access to weapons, drug-related activities, and family violence without the standard security service that is present in hospitals and residential care settings.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Byon

Lee

Choi

et al. 2020

American J Industrial Med

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Background Home healthcare workers (HHWs) provide medical and nonmedical services to home‐bound patients. They are at great risk of experiencing violence perpetrated by patients (type II violence). Establishing the reliable prevalence of such violence and identifying vulnerable subgroups are essential in enhancing HHWs’ safety. We, therefore, conducted meta‐analyses to synthesize the evidence for prevalence and identify vulnerable subgroups. Methods Five electronic databases were searched for journal articles published between 1 January 2005 and 20 March 2019. A total of 21 studies were identified for this study. Meta‐analyses of prevalence were conducted to obtain pooled estimates. Meta‐regression was performed to compare the prevalence between professionals and paraprofessionals. Results Prevalence estimates for HHWs were 0.223 for 12 months and 0.302 for over the career for combined violence types, 0.102 and 0.171, respectively, for physical violence, and 0.364 and 0.418, respectively, for nonphysical violence. The prevalence of nonphysical violence was higher than that of physical violence for professionals in 12 months (0.515 vs 0.135) and over the career (0.498 vs 0.224) and for paraprofessionals in 12 months (0.248 vs 0.086) and over the career (0.349 vs 0.113). Professionals reported significantly higher nonphysical violence for 12‐month prevalence than paraprofessionals did (0.515 vs 0.248, P = .015). Conclusion A considerable percentage of HHWs experience type II violence with higher prevalence among professionals. Further studies need to explore factors that can explain the differences in the prevalence between professionals and paraprofessionals. The findings provide support for the need for greater recognition of the violence hazard in the home healthcare workplace.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Byon

Lee

Choi

et al. 2020

American J Industrial Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…[3][4][5] Previous studies have reported that between 3% and 45% of home health workers reported being threatened or being physically assaulted by clients, family members, and neighbors. 3,4,6,7 Nine states (California, Connecticut, Illinois, Maine, Maryland, New York, New Jersey, Oregon, and Washington) have laws requiring health care facilities to have a workplace violence prevention program. New York's law covers public employers only.…”

Section: Introductionmentioning

confidence: 99%

“…3-5 Previous studies have reported that between 3% and 45% of home health workers reported being threatened or being physically assaulted by clients, family members, and neighbors. 3,4,6,7…”

Section: Introductionmentioning

confidence: 99%

New Jersey Home Health Care Aides Survey Results

Ridenour

Hendricks

Hartley

et al. 2019

Home Health Care Management & Practice

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The objective of the study was to report on what violence-based training home health care aides received, their participation in health promotion classes, and home health care aides’ experience with workplace violence. In 2013, a mail survey was completed by 513 home health care aides in the state of New Jersey. Ninety-four percent of the respondents were female. Respondents whose agency was part of a hospital were more likely to receive violence-based safety training than respondents whose agency was not part of a hospital ( p = .0313). When the perpetrator of violence was a patient or family member, the respondents experienced verbal abuse the most (26%), then physical assault (16%) and exposure to bodily fluids (13%). Home health care aides whose agency was part of a hospital were more likely to receive violence-based safety training. Training is an important component of a workplace violence prevention program.

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“…However, less attention is paid to how direct care workers are also on the receiving end of physical abuse. As for the existing research that does examine violence directed toward direct care workers, most of it is survey-based and quantitative (Byon et al 2016;Pompeii et al 2015) and lacks a recounting of the actual experiences of direct care workers themselves. This article will examine some of these experiences in detail.…”

Section: Bodies On the Line: The Risk Of Physical Abuse From Patients/ Clientsmentioning

confidence: 99%

Bodily Burdens: Physical Abuse, Workplace Injury, and Understanding Intersectionality through the Experiences of African Immigrant Direct Care Health Workers

Covington‐Ward

2021

Transforming Anthropology

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This article uses Leith Mullings's intersectional approach to health disparities combined with a novel focus on the impact of direct care jobs on workers' bodies in order to illuminate the everyday experiences of African immigrant direct health care workers in the Greater Pittsburgh metropolitan area. The research for this article is based on thirty interviews with African immigrant direct care workers conducted in 2014. Specifically, by examining direct care workers' experiences of being physically and verbally abused by patients, and by exploring the impact of extremely high rates of physical injury on the job, this article aims to show the bodily burdens, the physical embodied costs, that direct care workers bear and carry for the larger society related to caring for the elderly and cognitively and physically disabled patients. A focus on the body shows how American labor sectors, including direct care, are shaped by racialized and gendered social orders that immigrants must face after their arrival in the United States. [Black Body Studies, African immigrants, direct care, aging, intersectionality]

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Client history and violence on direct care workers in the home care setting

Abstract: Policy and practices that support the communication of appropriate client risk information may reduce the likelihood of workplace violence among DCWHs. Am. J. Ind. Med. 59:1130-1135, 2016. © 2016 Wiley Periodicals, Inc.

Cited by 17 publications

References 16 publications

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

New Jersey Home Health Care Aides Survey Results

Bodily Burdens: Physical Abuse, Workplace Injury, and Understanding Intersectionality through the Experiences of African Immigrant Direct Care Health Workers

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