Educational and managerial policy making to reduce workplace violence against nurses: An action research study

Hemati-Esmaeili, Maliheh; Nabavi, Fatemeh Heshmati; Pouresmail, Zohre; Mazlom, Seyedreza; Reihani, Hamidreza

doi:10.4103/ijnmr.ijnmr_77_17

Cited by 13 publications

(29 citation statements)

References 15 publications

(17 reference statements)

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“…In conclusion, work-related stressors in Dutch pediatricians are high and can subsequently lead to posttraumatic stress disorder. Parental aggression towards pediatricians seems to be a common problem, something that should be addressed, for example with CMD training programs [19]. In this study, the amount of pediatricians with PTSD complaints was higher compared to prevalences found in the general population and the same applies to depression and anxiety symptoms.…”

Section: Discussionmentioning

confidence: 56%

“…Therefore, we think that it is necessary to not only develop a better support system after an adverse event but to also implement ways to teach pediatricians to cope with aggression. For example, certain training programs (conflict management and de-escalation (CMD)) focus on how to cope with aggression [19, 20]. Another stressor may be a complaint to the disciplinary board.…”

Section: Discussionmentioning

confidence: 99%

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Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

et al. 2019

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The objective of this study was to study mental health, coping, and support after work-related adverse events among pediatricians. Physicians are frequently exposed to adverse events. It makes them at risk for posttraumatic stress disorder (PTSD), depression, and anxiety disorders. Besides the personal impact, physicians could pose a threat towards patients, as mental health problems are associated with medical errors. A questionnaire was sent to all members of the Pediatric Association of The Netherlands in October 2016. The questionnaire focused on adverse events, coping, and support. The Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included for evaluation of anxiety, depression, and posttraumatic stress. Four hundred ten questionnaires (18.9%) were eligible for analysis. Seventy-nine % ( n = 325) of the respondents experienced adverse events, with “missing a diagnosis” having the most emotional impact and “aggressive behavior” as the most common adverse event. Nine (2.2%) pediatricians scored above the cut-off value on the Trauma Screening Questionnaire, indicative of PTSD. In total, 7.3% ( n = 30) and 14.1% ( n = 58) scored above the cut-off values in the Hospital Anxiety and Depression Scale, indicative of depression and anxiety. Only 26.3% reported to have a peer support protocol available for emotional support following adverse events. Conclusion : Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems compared to the general high-income population. Aggression towards pediatricians seems to be a common problem. Protocolled (peer) support should be implemented. What is known: • Physicians are frequently exposed to adverse events. It makes physicians at risk for depression, anxiety, and posttraumatic stress. • Physicians who are affected by these events pose a threat towards patients, as mental health problems are associated with medical errors. What is new: • Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems. • It is advised that (peer) support after adverse events is protocolled and education on coping strategies is implemented, to improve mental well-being of pediatricians.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

et al. 2019

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“…An interventional study from Iran which focused on patient education has reported reduction in the events of violence by 18.6%. 35 Regulatory measures include adherence to access restriction policies of hospitals. Job-related reasons perpetrated by colleagues or seniors included dissatisfaction with performance, being late or disagreeing on job conditions.…”

Section: Bmj Global Healthmentioning

confidence: 99%

The magnitude and determinants of violence against healthcare workers in Pakistan

et al. 2020

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► Main reasons among hospital HCW's included reaction of attendants to adverse outcomes, impatient behavior of patients and attendants, delay in care and lack of facilities ► Among ambulance workers, main reasons included delay in arrival and shifting of the patient and lack of facilities to provide good quality pre-hospital emergency care ► Among field healthcare workers, misconception of vaccines was the main reason. ► This study proposes interventions according to main reasons of violence.What do the findings imply?► The findings of the study provide directions for different healthcare settings on how to protect HCW's. ► The essential interventions required are increasing resources to provide good quality of care, introducing policies to improve responsiveness to patient's needs, training HCW's in communication and deescalation skills and introducing educational and regulatory measures to improve patient and attendant behavio AbsTrACTObjectives To determine the magnitude and determinants of violence against healthcare workers (HCWs) and to identify the predominant types and causes of violence experienced by them.Methodology A cross-sectional survey based on structured questionnaire adopted from previous surveys and qualitative data was conducted in 4 large cities and 12 districts in 3 provinces of Pakistan. The survey covered 8579 from all cadres of HCWs, including doctors, nurses, technicians, support staff, ambulance workers, vaccinators, lady health visitors, midwives and lady health workers (LHWs). The predictors of overall violence experienced, physical violence experienced and verbal violence experienced were separately analysed for tertiary care hospitals, secondary care hospitals, primary care hospitals and field-level HCWs. Logistic regression was used to compute adjusted ORs with 95% CIs for the association of different factors with the violence experienced. results More than one-third (38.4%) reported having experienced any form of violence in the last 6 months. Verbal violence was the most commonly experienced form (33.9%), followed by physical violence (6.6%). The main reasons for physical violence were death of patients (17.6%), serious condition of patients (16.6%) and delay in care (13.4%). Among the different types of field HCWs, emergency vehicle operators were significantly more likely to experience verbal violence compared with LHWs (adjusted OR=1.97; 95% CI 1.31 to 2.94; p=0.001). Among hospital HCWs, those working in private hospitals were significantly less likely to experience physical violence (adjusted OR=0.52; 95% CI 0.38 to 0.71; p=0.001) and verbal violence (adjusted OR=0.57; 95% CI 0.48 to 0.68

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“…Likewise, in a study conducted by Warren (2011) to determine Workplace violence in hospitals: Safe havens no more, that majority of nurses who were exposed to workplace violence had various psychological disturbances after the attack. As well, Hemati-Esmaeili et al (2018) mention that the level of occupational violence against nurses increases from 68.8 to 98.6 percent, which is a considerable rate among healthcare settings. Moreover, Magnavita and Heponiemi (2011) concluded that nurses reported more physical assaults during the previous 12 months, and nurses were mostly assaulted or harassed by patients or their relatives and friends.…”

Section: What Is the Level Of Anxiety Regarding Workplace Violence Ammentioning

confidence: 99%

“…Furthermore, the management of violent incidents and its subsequent interventions result in reducing the risk of psychological and physical side effects of violence among nurses. As follows, providing a safe working environment for their employees is the responsibility of healthcare managers (Hemati-Esmaeili et al, 2018). The active participation of managers in policies to prevent and combat violence at work is a preponderant factor for the use of knowledge, skills, and attitudes that allow the appropriate decision making regarding violence management (Sousa et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Experience of workplace violence against emergency nurses: Suggesting managerial policies and control measures

al.¹

2020

Int. j. adv. appl. sci.

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The occupational health and safety duty act requires employers to provide a safe and healthy workplace for all of their responsible nursing staff and to gross rational steps to avoid or decline the risk of workplace violence. The aim of the study was to investigate workplace violence against emergency nurses: Suggesting managerial policies and measures used to control it. Descriptive methodological approach was used to fulfillment study aim. The study was conducted at emergency hospital of Zagazig University Hospitals. A purposive sample of 135 nurses working in emergency hospital and fulfilled the inclusion criteria and Jury committee sample (30 experts). An adjusted self-administered questionnaire which comprised of three parts: Socio-demographic of the nurses, Workplace violence and opinionative sheet. The findings clear that 39.3% of the nurses were aged from 20-30 years, with a mean age 35.61±10.67years. The majority of them (89.6%) were females. More than half of them (53.3%) were reported very worried, while only onequarter (25.9%) of them reported that they didn't worried at all. All the studied nurses (100%) exposed to workplace violence, and 63.0% of them exposed to physical workplace violence. two-thirds of them (68.1%) were very dissatisfied with the manner in which the incident was handled. (97.0%) nurses reported their hospital did not develop any policies related workplace violence. Suggesting managerial policies and control measures should be applied and practiced at Emergency hospital, disseminated by the hospital administration to all departments, reviewed, revised and updated periodically as appropriate and as necessary.

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Educational and managerial policy making to reduce workplace violence against nurses: An action research study

Cited by 13 publications

References 15 publications

Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

Occupational well-being in pediatricians—a survey about work-related posttraumatic stress, depression, and anxiety

The magnitude and determinants of violence against healthcare workers in Pakistan

Experience of workplace violence against emergency nurses: Suggesting managerial policies and control measures

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