Institutional strategies to prevent violence in nursing work: an integrative review

Abstract

Objective: To analyze the production of research that adopted as object of investigation: institutional strategies, actions and programs to curb and/or prevent the nursing workplace violence. Method: Integrative review of 14 articles in full, available in the databases LILACS, PubMed Central, Scopus, CINAHL and Web of Science. Results: Of the articles analyzed, most arise from quantitative research (71%), carried out in the United States (65%), with educational actions (57%) and programs (43%), denoting policies. Conclusion: Results showed various ways to curb or prevent nursing workplace violence. These are specific strategies, there are few programs deployed worldwide, usually centered in the United States, Canada and Sweden. Most of them is well evaluated and can serve as a model for the development and dissemination of policies according to the needs of each location.

Predictors of moral harassment in nursing work in critical care units

“…It is a reference institution for the North and Northeast regions of the country, with 525 beds in several units and specialties. It was specifically carried out in intensive care units (ICU), emergency and surgical center, as they are sectors of critical care, where there is greater possibility of evidence of moral harassment according to previous studies (1,(12)(13) .…”

“…Around the world, the working context of nursing and its unfolding in the team's results have been the subject of investigation in different scenarios. A greater emphasis is directed to the study of disruptive behaviors in healthcare work, which are common, measurable and associated with the culture of safety and professional welfare (1)(2)(3)(4) .…”

“…It is, therefore, a phenomenon that has been present for many years in nursing work environments and that has plagued the health of professionals worldwide, often veiled or remaining only as an index for situational diagnosis (1,9) .…”

“…Studies point out the need to investigate this phenomenon better in different practice scenarios, as it directly affects patient care. This happens because the harassed professionals feel incompetent and incapable of carrying out their work, leading to a higher risk of errors and adverse events, because they become unable to think clearly or to concentrate (1,(10)(11) .…”

Preventive strategies against violence at work from the perspective of pre-hospital care nurses / Estratégias preventivas contra a violência no trabalho sob a ótica dos enfermeiros do atendimento pré-hospitalar

“…In this regard, violence in the health sector has become a worldwide public health problem, with harmful repercussions on workers' health and patient care. [1][2][3] Scientific evidence repeatedly points out the violence experienced by health workers as threats, insults, bullying, physical assaults, verbal assaults, moral harassment, and sexual harassment, perpetrated by patients, patients' family members, professional colleagues, managers, managers, external public and members of support sectors or services, resulting in physical, psychological and mental disorders, emotional instability, willingness to give up the profession and fear of exercising work activities. [3][4][5] Bearing in mind this perspective, registered nurses who work in Pre-Hospital Care (PHC) services, who are susceptible to suffering violence in the work environment, do need the training to identify possible risks and familiarize themselves with preventive measures to minimize the likelihood of aggression.…”