Prevention and management of occupational violence and aggression in healthcare: A scoping review

Morphet, Julia; Griffiths, Debra; Beattie, Jill; Reyes, D. Velasquez; Innes, Kelli

doi:10.1016/j.colegn.2018.04.003

Cited by 76 publications

(116 citation statements)

References 48 publications

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“…A variety of education programmes were identified, and participants recommended the introduction of a state‐wide training programme to increase consistency and ensure staff moving between health services had the same preparation and expectations. Key features of staff education were identified and are supported by the literature: resilience (or emotional intelligence) training (Craigie et al, ); de‐escalation (Morphet et al, ); and organisational responses to WPV (e.g., Code Grey) (Gillespie et al, ; Hopper, Babl, Stewart, & Woo, ).…”

Section: Discussionmentioning

confidence: 91%

“…Increased funding was also expected to increase staff access to education which was considered paramount to prevention of WPV. Education related to WPV and de‐escalation has been found to decrease the incidence of WPV (Morphet et al, ). It is therefore recommended that managers prioritize WPV education and divert funds accordingly.…”

Section: Discussionmentioning

confidence: 99%

“…However, other than handing over the patient from one service to another, for example a police officer handing over to an ambulance officer and an ambulance officer handing over to ED staff, privacy legislation currently restricts further sharing of information. Sharing of patient information, via file flagging and log books, has been shown to reduce the risk of WPV (Gillespie, Gates, Mentzel, Al‐Natour, & Kowalenko, ; Morphet et al, ). However, participants identified that these systems did not operate across services, and participants described having to ring other health services in the area to seek relevant patient‐related information.…”

Section: Discussionmentioning

confidence: 99%

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Managers’ experiences of prevention and management of workplace violence against health care staff: A descriptive exploratory study

et al. 2019

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Aim To examine health care managers’ and health and safety staff experiences of prevention and management of workplace violence against staff. Background Employers have a responsibility to protect employees from workplace violence. The varied care settings present challenges for those responsible for ensuring safety. Method Descriptive exploratory study using semi‐structured interviews with 99 participants responsible for workplace safety, from 29 health services across metropolitan and regional Victoria, Australia. Interviews were audio‐recorded, transcribed and thematically analysed. Results Five themes were identified: Workplace violence was accepted as “part of the job”; Participants relied on government resources and networking to guide them; Working alone and home visiting was a risk factor; Participants demanded a single, state‐wide training programme; Sharing information is vital. Conclusions Participants were acutely aware of the risks of violence towards staff, and of their responsibility in managing risks. Knowledge sharing and consistent, regular education can reduce the risks. Additional resources were required, particularly during home visits, or when working alone. Implications for Nursing Management Managers need to prioritize resources such as reliable rapid response systems to prevent and manage violence, particularly against staff working alone or home visiting. Information sharing between health services and other agencies is important to reducing risk.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Managers’ experiences of prevention and management of workplace violence against health care staff: A descriptive exploratory study

et al. 2019

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“…The surveillance of workplace violence is important in understanding the circumstances in which workplace violence occurs and the development of appropriate and relevant prevention and intervention strategies (Arnetz, Hamblin, Ager, et al, ; Morphet, Griffiths, Beattie, Velasquez Reyes, & Innes, ). Accurate reporting enables the identification of patterns and trends in workplace violence.…”

Section: Introductionmentioning

confidence: 99%

“…Accurate reporting enables the identification of patterns and trends in workplace violence. Nationally and internationally, there are moves for the collection and analysis of data at state‐based or national levels (Campbell, Burg, & Gammonley, ; Morphet et al, ), to monitor patterns, trends and differences, identify areas of risk and inform workplace violence prevention programmes (Arnetz, Hamblin, Ager, et al, ).…”

Section: Introductionmentioning

confidence: 99%

The trouble with reporting and utilization of workplace violence data in health care

2018

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Caring for critically ill patients with a mental illness: A discursive paper providing an overview and case exploration of the delivery of intensive care to people with psychiatric comorbidity

Flaws,

Patterson,

Bagshaw

et al. 2023

Nursing Open

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AimTo address the need for additional education in the management of mental illness in the critical care setting by providing a broad overview of the interrelationship between critical illness and mental illness. The paper also offers practical advice to support critical care staff in managing patients with mental illness in critical care by discussing two hypothetical case scenarios involving aggressive and disorganised behaviour.People living with mental illness are over‐represented among critically unwell patients and experience worse outcomes, contributing to a life expectancy up to 30 years shorter than their peers. Strategic documents call for these inequitable outcomes to be addressed. Staff working in intensive care units (ICUs) possess advanced knowledge and specialist skills in managing critical illness but have reported limited confidence in managing patients with comorbid mental illness.Design & MethodsA discursive paper, drawing on clinical experience and research of the authors and current literature.ResultsLike all people, patients with mental illnesses draw on their cognitive, behavioural, social and spiritual resources to cope with their experiences during critical illness. However, they may have fewer resources available due to co‐morbid mental illness, a history of trauma and social disadvantage.By identifying and sensitively addressing patients' underlying needs in a trauma‐informed way, demonstrating respect and maximising patient autonomy, staff can reduce distress and disruptive behaviours and promote recovery.Caring for patients who are distressed and/or display challenging behaviours can evoke strong and unpleasant emotional responses. Self‐care is fundamental to maintaining a compassionate approach and effective clinical judgement. Staff should be enabled to accept and acknowledge emotional responses and access support—informally with peers and/or through formal mechanisms as needed. Organisational leadership and endorsement of the principles of equitable care are critical to creation of the environment needed to improve outcomes for staff and patients.Relevance to clinical practiceICU nurses hold an important role in the care of patients with critical illnesses and are ideally placed to empower, advocate for and comfort those patients also living with mental illness. To perform these tasks optimally and sustainably, health services have a responsibility to provide nursing staff with adequate education and training in the management of mental illnesses, and sufficient formal and informal support to maintain their own well‐being while providing this care.Patient and public involvementThis paper is grounded in accounts of patients with mental illness and clinicians providing care to patients with mental illness in critical care settings but there was no direct patient or public contribution.

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Prevention and management of occupational violence and aggression in healthcare: A scoping review

Cited by 76 publications

References 48 publications

Managers’ experiences of prevention and management of workplace violence against health care staff: A descriptive exploratory study

Managers’ experiences of prevention and management of workplace violence against health care staff: A descriptive exploratory study

The trouble with reporting and utilization of workplace violence data in health care

Caring for critically ill patients with a mental illness: A discursive paper providing an overview and case exploration of the delivery of intensive care to people with psychiatric comorbidity

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