Risk Factors for Work-Related Assaults on Nurses

Gerberich, Susan Goodwin; Church, Timothy R.; McGovern, Patricia M.; Hansen, Helen; Nachreiner, Nancy M.; Geisser, Mindy S.; Ryan, Andrew D.; Mongin, Steven J.; Watt, Gavin D.; Jurek, Anne M.

doi:10.1097/01.ede.0000164556.14509.a3

Cited by 116 publications

(109 citation statements)

References 15 publications

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“…[5][6][7][8][9][10][12][13][14] A Spanish study including about 8000 healthcare workers reported that 11% had experienced physical aggression, 64% had experienced threatening behavior, intimidation, or insults in the past year. 11 The incidence of physical aggression was similar in both studies, but the incidence of verbal abuse was about twice as high as that of this study.…”

Section: Incidence Of Workplace Violencementioning

confidence: 99%

“…[10][11][12][13][14][15] In these departments, patients with mental illness, postoperative delirium, or dementia are likely to be admitted. Nurses and nursing aides are reported to be likely to experience physical aggression.…”

Section: Risk Factors Of Physical Aggressionmentioning

confidence: 99%

“…Because those effects might lead to higher than usual turnovers of healthcare staff at a hospital, and interfere with high-quality healthcare services, workplace violence at healthcare settings became a global concern; a lot of studies investigating those circumstances mainly were conducted in developed countries. [4][5][6][7][8][9][10][11][12][13][14][15] Those studies revealed that the psychiatric ward, the emergency room, or the long-term care facilities were the high-risk areas of workplace violence; the incidence rate of physical aggression in the past year ranged from 3% to 35%; and the incidence rate of verbal abuse in the past year ranged from 26% to 64%. But the overall circumstances are still unclear, because most of the subjects in those studies were limited to nurses or some departments, such as the psychiatric ward or the emergency room.…”

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confidence: 99%

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Risk factors of workplace violence at hospitals in Japan

Fujita

Itô

Seto

et al. 2011

Journal of Hospital Medicine

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BACKGROUND:Patients and their relatives exposed to mental stress caused by hospitalization or illness might use violence against healthcare staff and interfere with quality healthcare.OBJECTIVE:The aim of this study was to investigate incidences of workplace violence and the attributes of healthcare staff who are at high risk.DESIGN:A questionnaire‐based, anonymous, and self‐administered cross‐sectional survey.SETTING:Healthcare staff (n = 11,095) of 19 hospitals in Japan.MEASUREMENTS:Incidence rates and adjusted odd ratios of workplace violence were calculated to examine the effect of attributes of healthcare staff to workplace violence by using logistic regression analysis.RESULTS:The response rate for survey completion was 79.1% (8711/11,095). Among the respondents, 36.4% experienced workplace violence by patients or their relatives in the past year; 15.9% experienced physical aggression, 29.8% experienced verbal abuse, and 9.9% experienced sexual harassment. Adjusted odds ratios of physical aggression were significantly high in psychiatric wards, critical care centers/intensive care units (ICU)/cardiac care units (CCU), long‐term care wards, for nurses, nursing aides/care workers, and for longer working hours. Adjusted odds ratios of verbal abuse were significantly high in psychiatric wards, long‐term care wards, outpatient departments, dialysis departments, and for longer years of work experience, and for longer working hours. Adjusted odds ratios of sexual harassment were significantly high in dialysis departments, for nurses, nursing aides/care workers, technicians, therapists and females. The general ward and direct interaction with patients were common risk factors for each type of workplace violence.CONCLUSIONS:The mechanisms and the countermeasures for each type of workplace violence at those high‐risk areas should be investigated. Journal of Hospital Medicine 2012;. © 2011 Society of Hospital Medicine.

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Section: Incidence Of Workplace Violencementioning

confidence: 99%

Section: Risk Factors Of Physical Aggressionmentioning

confidence: 99%

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confidence: 99%

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Risk factors of workplace violence at hospitals in Japan

Fujita

Itô

Seto

et al. 2011

Journal of Hospital Medicine

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“…Most cases worked in nursing homes or long term care facilities, while controls worked in hospital in-patient facilities 19) . Cases also most frequently worked in long-term care departments within these facilities, with a geriatric population, compared to controls who worked in medical/ surgical departments with an adult (non-geriatric) population 19) . Cases and controls described their perceived work environment (See Table 1).…”

Section: Phasementioning

confidence: 99%

Minnesota Nurses' Study: Perceptions of Violence and the Work Environment

et al. 2007

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Work-related violence is an important problem worldwide, and nurses are at increased risk. This study identified rates of violence against nurses in Minnesota, USA, and their perceptions of the work environment. A sample of 6,300 randomly selected nurses described their experience with work-related violence in the previous year. Differences in perceptions of the work environment and work culture were assessed, based on a nested case-control study, comparing nurses who experienced assault to non-assaulted nurses. Annual rates of physical and non-physical assault, per 100 nurses, were 13.2 (95% CI: 12.2-14.3), and 38.8 (95% CI: 37.4-40.4). Cases were more likely than controls to report: higher levels of work stress; that assault was an expected part of the job; witnessing all types of patient-perpetrated violence in the previous month; and taking corrective measures against work-related assault. Controls versus cases were more likely to perceive higher levels of morale, respect and trust among personnel, and that administrators took action against assault. Nurses frequently experienced work-related violence, and perceptions of the work environment differed between nurses who had experienced physical assault, and those who had not. Employee safety, morale, and retention are particularly important in light of the nursing shortage, and knowledge of nurses' perceptions will assist in tailoring interventions aimed at reducing the substantial risk of physical assault in health care settings.

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“…Workplace violence against staff is common in healthcare and social service settings [Islam et al 2003;Gerberich et al 2004;McPhaul 2004;Gerberich et al 2005;Nachreiner et al 2007]. Healthcare leads all other industries in the number of nonfatal assaults resulting in lost work days in the United States, accounting for 60% of all such assaults.…”

Section: Results (Continued)mentioning

confidence: 99%

Health hazard evaluation report: HETA-2008-0046-3123, evaluation of resident aggression toward staff in a center for the developmentally disabled - Michigan.

2011

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Risk Factors for Work-Related Assaults on Nurses

Abstract: These results may guide in-depth investigation of ways protective and risk factors can control violence against nurses.

Cited by 116 publications

References 15 publications

Risk factors of workplace violence at hospitals in Japan

Risk factors of workplace violence at hospitals in Japan

Minnesota Nurses' Study: Perceptions of Violence and the Work Environment

Health hazard evaluation report: HETA-2008-0046-3123, evaluation of resident aggression toward staff in a center for the developmentally disabled - Michigan.

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