Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: A review of the literature and existing occupational injury data

Pompeii, Lisa; Dement, John M.; Schoenfisch, Ashley L.; Lavery, Amy M.; Souder, Megan; Smith, Carine; Lipscomb, Hester J.

doi:10.1016/j.jsr.2012.09.004

Cited by 103 publications

(115 citation statements)

References 22 publications

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“…Our study indicates that violence against health care workers is a major problem even in highly specialized hospitals similar to the one we investigated. The overall rate of physical assault (6.2%) was significantly lower than that measured in a public health care unit in the same region, where it reached almost 10% per year [2], thus placing it in the lowermost part of the intervals of prevalence observed in hospitals, where a recent review reported a range proportion of verbal abuse (22%–90%), physical threats (12%–64%), and assaults (2%–32%), [24]. However, the consequences of this phenomenon are as important as those observed in other cases.…”

Section: Discussionmentioning

confidence: 99%

The Exploding Spark: Workplace Violence in an Infectious Disease Hospital—A Longitudinal Study

Magnavita

2013

BioMed Research International

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Objectives. Workplace violence (WV) is an important occupational hazard for healthcare workers (HCWs). Methods. A longitudinal study was carried out on HCWs from an infectious disease hospital. Work-related stress, anxiety, and depression were measured at baseline in 2003, and they were reassessed in 2005, along with the assaults that occurred in the previous year. Results. One-year prevalences of 6.2% and 13.9% were reported for physical and verbal aggressions, respectively. Perpetrators were mainly patients. The professional groups most frequently attacked were physicians, followed by nurses. Workers with job strain at baseline had a significant risk of being subject to aggression (OR 7.7; CI 95%, 3.3–17.9) in the following year. The relationship between job strain and subsequent WV remained significant even after correction for anxiety, depression, and other confounders. Conversely, experiencing WV was associated with a high risk of job strain and effort-reward imbalance in the following year. The final levels of anxiety and depression were predicted using regression models that included physical aggression among predictive variables. Conclusions. WV is the spark that sets off a problematic work situation. Effective prevention of WV can only be achieved within the framework of an overall improvement in the quality of work.

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Section: Discussionmentioning

confidence: 99%

The Exploding Spark: Workplace Violence in an Infectious Disease Hospital—A Longitudinal Study

Magnavita

2013

BioMed Research International

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“…5,18,19 Certain environments, such as emergency departments 20,21 and mental health units 22 are at increased risk for Type II violence, as are frontline staff, including nurses, 22,23 physicians 20 and patient care associates. 22 Security staff, who often intervene in efforts to protect both worker and patient safety, are frequently injured in incidents with violent patients.…”

Section: Introductionmentioning

confidence: 99%

Preventing Patient-to-Worker Violence in Hospitals

Arnetz

Hamblin

Russell

et al. 2017

Journal of Occupational &Amp; Environmental Medicine

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Objective To evaluate the effects of a randomized controlled intervention on the incidence of patient-to-worker (Type II) violence and related injury in hospitals. Methods Forty-one units across 7 hospitals were randomized into intervention (n=21) and control (n=20) groups. Intervention units received unit-level violence data to facilitate development of an action plan for violence prevention; no data were presented to control units. Main outcomes were rates of violent events and injuries across study groups over time. Results Six months post-intervention, incident rate ratios of violent events were significantly lower on intervention units compared to controls (IRR 0.48, 95% CI 0.29-0.80). At 24 months, the risk for violence-related injury was lower on intervention units, compared to controls (IRR 0.37, 95% CI 0.17-0.83). Conclusion This data-driven, worksite-based intervention was effective in decreasing risks of patient-to-worker violence and related injury.

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“…A variety of mental health effects on workers from Type II violence have been described across several studies [Pompeii et al, 2013]. A variety of mental health effects on workers from Type II violence have been described across several studies [Pompeii et al, 2013].…”

Section: Introductionmentioning

confidence: 99%

Impact of hospital Type II violent events: Use of psychotropic drugs and mental health services

Dement

Lipscomb

Schoenfisch

et al. 2014

American J Industrial Med

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Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: A review of the literature and existing occupational injury data

Cited by 103 publications

References 22 publications

The Exploding Spark: Workplace Violence in an Infectious Disease Hospital—A Longitudinal Study

The Exploding Spark: Workplace Violence in an Infectious Disease Hospital—A Longitudinal Study

Preventing Patient-to-Worker Violence in Hospitals

Impact of hospital Type II violent events: Use of psychotropic drugs and mental health services

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