Violence against nurses by patients and visitors in the emergency department: An integrative review

Abstract

AimThis integrative review explored violence against emergency nurses by patients/visitors, examining its nature, contributing factors and consequences.DesignIntegrative review.Data SourcesArticles were obtained from PubMed, CINAHL, EMBASE, Web of Science and PsycInfo databases, up until December 2021.Review Methods26 articles were reviewed, evaluating study quality with the Crowe Critical Appraisal Tool and synthesizing conclusions through theme development and coding.ResultsThis review delves into the issue of violence perpetrated against emergency nurses by patients and visitors. It elucidates three overarching themes: the nature of violence, the contributing factors and the consequences of such acts.ConclusionThe findings inform healthcare policy for the development of prevention approaches while identifying research gaps and emphasizing the need for alternative study designs and methodologies.ImpactThis review has implications for nursing practice, policymaking and research, emphasizing the need for stakeholder engagement and tailored interventions for at‐risk emergency nurses.No Patient or Public ContributionThis project was an integrative review of the literature therefore no patient or public contribution was necessary.What Already is KnownViolence by patients and visitors in healthcare settings, especially in emergency departments, has garnered considerable attention.What this Paper AddsThis review specifically examines violence‐targeting emergency department nurses from patients and visitors, assessing its characteristics, contributing factors and consequences.Implications for Practice/PolicyThe findings will guide stakeholder engagement in developing interventions to support vulnerable emergency nurses.

Incident of violence escalation of patients with psychiatric emergencies boarding in the emergency department in the central region of Thailand and its association: a prospective observational study

“…Violence in the emergency department negatively impacts the provider and emergency service systems. In a previous study, violent incidents were correlated with negative emotions, negative physical symptoms [ 5 ], and intention to resign from the nursing job [ 6 – 8 ], which had a reversible effect on service systems and patient safety [ 9 ]. Psychiatric emergency patients must use services in the general emergency department [ 10 , 11 ]; this trend is increasing [ 12 – 14 ].…”