Strategies and Tools to Reduce Workplace Violence

Gallant-Roman, Mary A.

doi:10.3928/08910162-20081101-04

Cited by 38 publications

(36 citation statements)

References 18 publications

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“…It has been reported that health care professionals, and nurses in particular, are more commonly bullied than those in other professions (Gallant-Roman, 2008). It was also found in this study that most nurses received negative criticism although they reported performing their jobs properly, were held responsible for others' mistakes, and were assigned duties outside their work responsibilities.…”

Section: Discussionmentioning

confidence: 50%

Workplace Bullying in Nursing

Ovayolu¹,

Ovayolu²,

Karadağ³

2014

Workplace Health Saf

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This research was designed to determine whether nurses are bullied by other staff members and the effects of such behaviors on the nurse victims. This study reports on nurses' interpersonal workplace relationships in a culturally unique environment. The study was conducted with 260 nurses working in three public hospitals. Data were collected using a questionnaire. The majority of nurses were female with bachelor's degrees and reported being assigned duties outside their usual responsibilities, held responsible for coworkers' mistakes, and criticized for job performance although they thought they had done their work properly. Most of the nurses who were bullied experienced health and sleep problems,did not want to go to work, and had communication problems with other staff members. Nearly all of the study nurses received psychological support to solve their problems and believed that the best way to prevent bullying was education.

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Section: Discussionmentioning

confidence: 50%

Workplace Bullying in Nursing

Ovayolu¹,

Ovayolu²,

Karadağ³

2014

Workplace Health Saf

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“…Although patient violence against nurses has been identified in current nursing literature, such as Pich et al, (2010) and Gallant-Roman (2008), as a serious occupational hazard, there is a lack of simple screening tools to identify the potential for violence in this setting (Wilkes et al, 2010). Early recognition of the warning signs of patient violence may reduce the incidence of occurrence or increase preparedness for such an event.…”

Section: Statement Of Problemmentioning

confidence: 99%

“…There is generally a more infrequent reference to the risk of violence in the health care sector, although the incidence is significantly higher and often underreported (Child & Mentes, 2010). Gallant-Roman (2008) reported that the cost of workplace violence was estimated to be $4.2 billion annually in 2001. Nurses also reported workplace violence twice as often as any other healthcare provider.…”

Section: Workplace Violencementioning

confidence: 99%

“…Health care worksites must take an active role in the prevention of workplace violence through prevention programs and interventions. As discussed by Gallant-Roman (2008), workplace violence costs nearly $4.2 billion annually and nurses were twice as likely to be subject to work-related violence as any other profession. Nurses working in the ED, within mental health facilities, and with the geriatric population were identified as being at particular risk.…”

Section: Workplace Violencementioning

confidence: 99%

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Predictive Behavioral Cues of Patient Violence in the Emergency Department

Roy

2013

Preprint

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Nurses are often subject to violence at the hands of their patients. The Emergency Department (ED) has become the area most vulnerable in the hospital setting, with contributing factors including the rise of polysubstance drug abuse, the increasing psychiatric population, and overall stressors related to the economy. The ED is the "gateway" to the availability of shelter, medications, and resources for many people that pass through every year. Accurate and timely identification of the most common and easily identifiable precursors of violence is essential in order to develop and implement effective de-escalation techniques that have the potential to reduce actual events. The purpose of this research project was to demonstrate the usefulness of a behavioral cue assessment tool in providing a simple predictor for potential violence in the ED setting.The methodology included a behavioral assessment checklist containing 17 cues developed by Wilkes, Mohan, Luck and Jackson (2010). Nurses completed the 17 item behavioral assessment on all patients being treated in the ED during a three-week time period. All 17 behavioral cues demonstrated a positive predictive factor for violence based on statistical analysis. Given the simplicity, cost effective nature, and predictability, the checklist appears to be feasible to use to potentially reduce healthcare costs related to injuries and emotional distress of nurses at the hands of violent patients.Further research is indicated. This study further exemplifies the qualities of an advanced practice registered nurse (APRN), including research, education, cost containment, and improved patient care. Statement of ProblemWorkplace violence is a complicated and often underreported occupational hazard that has become almost a social norm in the health care setting (Pich, Hazelton, Sundin, & Kable, 2010). In 2002, the National Institute for Occupational Safety and Health (NIOSH) defined workplace violence as violent acts (including physical assaults and threats of assaults) directed towards persons at work or on duty. Workplace violence is further defined as physical assault, emotional or verbal abuse, and threatening, harassing or coercive behavior that causes physical or emotional harm (NIOSH, 2002). At particular risk are members of the nursing profession and others with continued patient contact in high anxiety-type situations.The most common types of physical violence reported by the nurse respondents in a study conducted by the Emergency Nurses Association (ENA) included being "spit on", "hit", "pushed/shoved", "scratched" or "kicked" (Gacki-Smith et al., 2009). Verbal abuse was reported by nearly 70% of respondents, with the most common examples being "yelled/cursed at", "intimidated" and "harassed with a sexual language/innuendo". (2012) discussed the psychometric properties of violence assessment tools and identified the need for such tools to determine overall usefulness as demonstrated by a satisfactory sensitivity, specificity, and inter-rater reliability. Also to...

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“…Ramos (cited in Gallant-Roman, 2008) indicated that a tough, socially dominant personality is a strong predictor of longevity in nursing. Ramos (cited in Gallant-Roman, 2008) indicated that a tough, socially dominant personality is a strong predictor of longevity in nursing.…”

Section: Tools and Strategiesmentioning

confidence: 99%