Violence in Healthcare Facilities: Lessons From the Veterans Health Administration

Hodgson, Michael; Reed, Richard; Craig, Thomas J.; Murphy, Frances M.; Lehmann, Larry; Belton, Linda; Warren, Nicola

doi:10.1097/01.jom.0000141658.91805.47

Cited by 62 publications

(58 citation statements)

References 16 publications

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“…It may be that nurses can predict and manage tense situations better as their experience increases. However, the findings of Hodgson et al [23] conflict with this; they reported that nurses who had more than 20 years of experience were exposed to more violence. The difference is likely due to the fact that they examined the lifetime incidence of workplace violence, not just a 12-month period, and those who had worked longer would be expected to have experienced more violent events.…”

Section: Discussioncontrasting

confidence: 46%

318 Verbal and physical abuse against Jordanian nurses in the work environment

Ahmed

2012

East Mediterr Health J

101

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This descriptive cross-sectional study determined the prevalence and sources of verbal and physical workplace abuse in the last 6 months, the nurses' reactions to abuse, and their opinions about it. Data were collected by questionnaire from 447 nurses working in various departments in 3 hospitals in Amman. The prevalence of verbal and physical abuse was 37.1% and 18.3% respectively. Younger, less experienced nurses and those in emergency and intensive care departments experienced more abuse. Patients and their relatives were the usual abusers. Only 35.1% of the abused nurses reported it; of those that did not, 57.1% thought it was useless to do so, while 34.2% thought they could handle the incident without help. Over half of the abused nurses considered leaving nursing and felt their quality of work decreased because of the abuse. Negative societal image of nurses (64%) and poor support from hospital authorities (60%) were the factors the nurses believed most contributed to abuse. ,1 % des membres du personnel infirmier ayant subi des violences notifiaient l'incident ; parmi ceux qui s'abstenaient de le notifier, 57,1 % pensaient que la démarche était inutile et 34,2 % qu'ils pouvaient gérer l'incident sans aide. Plus de la moitié du personnel infirmier ayant subi des violences envisageait de changer de métier et avait le sentiment que la qualité de leur travail était affectée en raison de cette violence. L'image négative du personnel infirmier dans la société (64 %) et le soutien médiocre consenti par l'administration des hôpitaux (60 %) étaient les facteurs qui contribuaient le plus à la violence selon l'avis du personnel infirmier.

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Section: Discussioncontrasting

confidence: 46%

318 Verbal and physical abuse against Jordanian nurses in the work environment

Ahmed

2012

East Mediterr Health J

101

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“…1,2 Briefly, these techniques involved advertisement to all employees in VHA by e-mail messages and bulletin boards. Employees received e-mails and e-mail reminders with a link to the survey instrument, and local coordinators supported administration.…”

Section: Methodsmentioning

confidence: 99%

Disparities in Health Behaviors and Chronic Conditions in Health Care Providers in the Veterans Health Administration

Schult¹,

Awosika²,

Hodgson³

et al. 2011

Journal of Occupational &Amp; Environmental Medicine

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“…5,7,21,24,25 In novel findings, increasing hours worked in the public and NGO sector were weakly associated with external aggression, negatively for males but positively for females, whereas for internal aggression increasing hours worked in private practice for both males and females was weakly protective for aggression exposure. In addition, for male clinicians, having a poor support network of other doctors was positively associated with external aggression, whereas for both male and female clinicians, having a poor support network of other doctors was positively associated with internal aggression.…”

Section: Sex Differences In Aggression In Medical Work Australian Heamentioning

confidence: 89%

Differences in risk and protective factors for workplace aggression between male and female clinical medical practitioners in Australia

Hills¹

2017

Aust. Health Review

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Objectives. The aim of the present study was to investigate differences in prevalence, as well as risk and protective factors, for exposure to workplace aggression between male and female clinicians in Australian medical practice settings.Methods. In a cross-sectional, self-report study in the third wave of the Medicine in Australia: Balancing Employment and Life survey (2010-11), 16 327 medical practitioners were sampled, with 9449 (57.9%) respondents working in clinical practice. Using backward stepwise elimination, parsimonious logistic regression models were developed for exposure to aggression from external (patients, patients' relatives or carers and others) and internal (co-workers) sources in the previous 12 months.Results. Overall, greater proportions of female than male clinicians experienced aggression from external (P < 0.001) and internal (P < 0.01) sources in the previous 12 months. However, when stratified by doctor type, greater proportions of male than female general practitioners (GPs) and GP registrars experienced external aggression (P < 0.05), whereas greater proportions of female than male specialists experienced external (P < 0.01) and internal (P < 0.01) aggression. In logistic regression models, differences were identified in relation to age for males and experience working in medicine for females with external and internal aggression; working in New South Wales (vs Victoria) and internal aggression for females; a poor medical support network and external aggression, and perceived unrealistic patient expectations with internal aggression for males; warning signs in reception and waiting areas with external aggression for males; and optimised patient waiting conditions with external and internal aggression for females.Conclusions. Differences in risk and protective factors for exposure to workplace aggression between male and female clinicians, including in relation to state and rural location, need to be considered in the development and implementation of efforts to prevent and minimise workplace aggression in medical practice settings.What is known about the topic? Workplace aggression is prevalent in clinical medical settings, but there are conflicting reports about sex-based differences in the extent of exposure, and little evidence on differences in risk and protective factors for exposure to workplace aggression. What does this paper add? Differences in workplace aggression exposure rates between male and female clinicians are highlighted, including when stratified by doctor type. New evidence is reported on differences and similarities in key personal, professional and work-related factors associated with exposure to external and internal aggression. What are the implications for practitioners? In developing strategies for the prevention and minimisation of workplace aggression, consideration must be given to differences between male and female clinicians, including with regard to personality, age and professional experience, as well as work locations, conditions and settin...

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Violence in Healthcare Facilities: Lessons From the Veterans Health Administration

Abstract: Although work in health care is associated with high rates of assaults, closer scrutiny suggests specific possible intervention strategies.

Cited by 62 publications

References 16 publications

318 Verbal and physical abuse against Jordanian nurses in the work environment

318 Verbal and physical abuse against Jordanian nurses in the work environment

Disparities in Health Behaviors and Chronic Conditions in Health Care Providers in the Veterans Health Administration

Differences in risk and protective factors for workplace aggression between male and female clinical medical practitioners in Australia

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