Violence Against Nurses Working in US Emergency Departments

Gacki-Smith, Jessica; Juarez, Altair; Boyett, Lara; Homeyer, Cathy; Robinson, Linda; MacLean, Susan

doi:10.1097/nna.0b013e3181ae97db

Cited by 313 publications

(327 citation statements)

References 19 publications

(49 reference statements)

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“…It is surprising to note that only 35.1% of abuse incidents were reported by nurses. This is consistent with the high rates of underreporting identified in other studies [18][19][20]. The most common reason for not reporting abuse was that it would be useless In addition, over one-third of abused nurses stated that the situation was handled/ resolved and the offender apologized.…”

Section: Discussionsupporting

confidence: 75%

318 Verbal and physical abuse against Jordanian nurses in the work environment

Ahmed

2012

East Mediterr Health J

101

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This descriptive cross-sectional study determined the prevalence and sources of verbal and physical workplace abuse in the last 6 months, the nurses' reactions to abuse, and their opinions about it. Data were collected by questionnaire from 447 nurses working in various departments in 3 hospitals in Amman. The prevalence of verbal and physical abuse was 37.1% and 18.3% respectively. Younger, less experienced nurses and those in emergency and intensive care departments experienced more abuse. Patients and their relatives were the usual abusers. Only 35.1% of the abused nurses reported it; of those that did not, 57.1% thought it was useless to do so, while 34.2% thought they could handle the incident without help. Over half of the abused nurses considered leaving nursing and felt their quality of work decreased because of the abuse. Negative societal image of nurses (64%) and poor support from hospital authorities (60%) were the factors the nurses believed most contributed to abuse. ,1 % des membres du personnel infirmier ayant subi des violences notifiaient l'incident ; parmi ceux qui s'abstenaient de le notifier, 57,1 % pensaient que la démarche était inutile et 34,2 % qu'ils pouvaient gérer l'incident sans aide. Plus de la moitié du personnel infirmier ayant subi des violences envisageait de changer de métier et avait le sentiment que la qualité de leur travail était affectée en raison de cette violence. L'image négative du personnel infirmier dans la société (64 %) et le soutien médiocre consenti par l'administration des hôpitaux (60 %) étaient les facteurs qui contribuaient le plus à la violence selon l'avis du personnel infirmier.

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Section: Discussionsupporting

confidence: 75%

318 Verbal and physical abuse against Jordanian nurses in the work environment

Ahmed

2012

East Mediterr Health J

101

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“…Although seemingly incongruous, these contradictory perceptions of security staff are also evident in the literature. 25 An interesting finding was that elderly patients were not perceived to be a source of violence. This is in contrast with findings in the literature that indicate that healthcare workers in aged care settings experience high levels of violence.…”

Section: Discussionmentioning

confidence: 92%

At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses

Morphet¹,

Griffiths²,

Plummer³

et al. 2014

Aust. Health Review

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Objective. Violence is widespread in Australian emergency departments (ED) and most prevalent at triage. The aim of the present study was to identify the causes and common acts of violence in the ED perceived by three distinct groups of nurses.Methods. The Delphi technique is a method for consensus-building. In the present study a three-phase Delphi technique was used to identify and compare what nurse unit managers, triage and non-triage nurses believe is the prevalence and nature of violence and aggression in the ED.Results. Long waiting times, drugs and alcohol all contributed to ED violence. Triage nurses also indicated that ED staff, including security staff and the triage nurses themselves, can contribute to violence. Improved communication at triage and support from management to follow up episodes of violence were suggested as strategies to reduce violence in the ED Conclusion. There is no single solution for the management of ED violence. Needs and strategies vary because people in the waiting room have differing needs to those inside the ED. Participants agreed that the introduction and enforcement of a zero tolerance policy, including support from managers to follow up reports of violence, would reduce violence and improve safety for staff. Education of the public regarding ED processes, and the ED staff in relation to patient needs, may contribute to reducing ED violence.What is known about the topic? Violence is prevalent in Australian healthcare, and particularly in emergency departments (ED). Several organisations and government bodies have made recommendations aimed at reducing the prevalence of violence in healthcare but, to date, these have not been implemented consistently, and violence continues. What does this paper add? This study examined ED violence from the perspective of triage nurses, nurse unit managers and non-triage nurses, and revealed that violence is experienced differently by emergency nurses, depending on their area of work. Triage nurses have identified that they themselves contribute to violence in the ED by their style of communication.Nurse unit managers and non-triage nurses perceive that violence is the result of drugs and alcohol, as well as long waiting times. What are the implications for practitioners? Strategies to reduce violence must address the needs of patients and staff both within the ED and in the waiting room. Such strategies should be multifaceted and include education of ED consumers and staff, as well as support from management to respond to reports of violence.

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“…Ever reporting of the violence was found to be statistically significantly associated with age and religion, the younger staff nurses were reporting the violence, an encouraging finding but should be interpreted with caution as it may also be suggesting that since there has been no actions taken by the authorities in the past, the older staff nurses have stopped reporting or they had started perceiving violence as a part of employment as shown by other studies. 54 Certainly, no one will report if s/he thinks that nothing will be done after a report is made. Hence it is important that necessary action must be taken against perpetrators of violence, and nurses who report violence against them should be informed of what action has been taken against the perpetrator.…”

Section: Discussionmentioning

confidence: 99%

Violence against health care workers: a provider’s (staff nurse) perspective

Mishra

Chopra

Jauhari

et al. 2018

Int J Community Med Public Health

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Background: Work place violence has become an endemic problem for health care workers (HCW) worldwide. The staff nurses are the most vulnerable and most assaulted among all the health care workers. The study was conducted with an aim to assess the frequency of violence and factors responsible, the response of the staff nurses after an incident of violence, any association between the socio-demographic factors with the violence against the HCW and to seek the suggestions to stop/prevent such incidents.Methods: A cross sectional study conducted in a tertiary care private sector hospital in Lucknow. All the staff nurses working in IIMSR (Purposive Convenience). 141 staff nurses consented and were enrolled in the study. A qualified consenting nurse having at least 6 months of professional experience were included in the study.Results: Approximately three fourth of the nurses have ever been exposed to the violence and verbal abuse was the most common form of violence. The intense workload, high patient expectation and substance abuse were the three important contributing factors. The majority of nurses who suffered violence ever, felt that it was preventable. Ever reporting of violence was high and majority (>80%) of respondents felt that making the waiting room/area comfortable and restricted entry to staff and examination room can stop or prevent the violence.Conclusions: The violence against health care workers especially nurses is a major problem and can threaten the delivery of effective quality care. These incidents are preventable, provided security; training and communications measures are in place.

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Violence Against Nurses Working in US Emergency Departments

Cited by 313 publications

References 19 publications

318 Verbal and physical abuse against Jordanian nurses in the work environment

318 Verbal and physical abuse against Jordanian nurses in the work environment

At the crossroads of violence and aggression in the emergency department: perspectives of Australian emergency nurses

Violence against health care workers: a provider’s (staff nurse) perspective

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