Zero tolerance of violent patients: Policy in action

Bond, Patricia; Paniagua, Hilary; Thompson, Andrew

doi:10.12968/pnur.2009.20.2.38871

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Recent initiatives include the setting up of specialised zero tolerance zones for such patients by GPs within their practices, who have been recruited from primary care trust incentives and monies. However, despite initial evidence of these centres being successful (Bond et al, 2009), reports indicate that only seven out of the possible 41 primary care trusts have set up such safe havens (Wright et al, 2003). In effect, the initiation of these services only encourages a shift in the burden of those with the propensity for violent acts from one general practice to another.…”

Section: How Is Zero Tolerance Managed In General Practice?mentioning

confidence: 99%

Zero tolerance in general practice: a policy in conflict?

Paniagua

Bond

Sallah

2009

Ethnicity and Inequalities in Health and Social Care

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Workplace violence is a serious problem within the National Health Service (NHS). To combat this and to reduce the incidence of abuse and aggression shown to staff, a zero tolerance public campaign was introduced in 2007 within the UK. The campaign endorsed employer-led zero tolerance policies, despite any evidence of the effectiveness of this approach and concerns that it is discriminatory and denies health care to those who most need it. Decisions to exclude patients from GP registers are subject to varied interpretations regarding what is deviant behaviour and the blacklisting of patients is unregulated and subject to ambiguity. Furthermore, staff training programmes, which emphasise de-escalation strategies, have not proven to be effective and can even increase violent incidences. Initiatives to provide safe havens for those excluded, while initially believed to be effective, raise many ethical arguments about the 'ghettoising' of health care for those already socially excluded. Research is needed into these centres in the hope of providing some of the answers, particularly around the triggers of violence, how violence is perceived and how it can be prevented.

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Section: How Is Zero Tolerance Managed In General Practice?mentioning

confidence: 99%

Zero tolerance in general practice: a policy in conflict?

Paniagua

Bond

Sallah

2009

Ethnicity and Inequalities in Health and Social Care

Self Cite

View full text Add to dashboard Cite

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The management of sickness absence in the NHS

Alexis

2011

Br J Nursing

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Sickness absence continues to be an economic burden to the NHS. Managers are faced with employees' sickness episodes and may have some challenges in managing this issue. This article draws on sickness absence statistics to highlight the extent of the problem in the NHS in England. It focuses on some influencing factors and possible causes of sickness absence, and explores strategies that managers could adopt when managing sickness absence in their clinical environments. It concludes by highlighting the important role that managers play in the process of managing sickness rates.

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A Realist Review of Violence Prevention Education in Healthcare

et al. 2021

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Violence from patients and visitors towards healthcare workers is an international concern affecting the safety and health of workers, quality of care, and healthcare system sustainability. Although the predominant intervention has been violence prevention (VP) education for healthcare workers, evaluating its effectiveness is challenging due to underreporting of violence and the inherent complexity of both violence and the health care environment. This review utilized a theory-driven, realist approach to synthesize and analyze a wide range of academic and grey literature to identify explanations of how and why VP education makes a difference in preventing violence and associated physical and psychological injury to workers. The review confirmed the importance of positioning VP education as part of a VP strategy, and consideration of the contexts that influence successful application of VP knowledge and skills. Synthesis and analysis of patterns of evidence across 64 documents resulted in 11 realist explanations of VP education effectiveness. Examples include education specific to clinical settings, unit-level modeling and mentoring support, and support of peers and supervisors during violent incidents. This review informs practical program and policy decisions to enhance VP education effectiveness in healthcare settings.

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Zero tolerance of violent patients: Policy in action

Abstract: Nurses should not have to accept violence from patients as part of the job, but patients also have a right to health care. Patrica Bond, Hilary Paniagua and Andy Thompson look at a scheme to address this dilemma

Cited by 3 publications

References 7 publications

Zero tolerance in general practice: a policy in conflict?

Zero tolerance in general practice: a policy in conflict?

The management of sickness absence in the NHS

A Realist Review of Violence Prevention Education in Healthcare

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