Violence against nursing workers: repercussions on patient access and safety

Abstract

Objectives: to analyze the repercussions of violence against nursing professionals, in the access and safety of patients in Family Health Strategy. Methods: a mixed study, with 169 nursing professionals. We used a socio-labor questionnaire, Survey Questionnaire Workplace Violence in the Health Sector, a patient safety instrument and interviews. Results: verbal aggression was related to support (p=0.048), respect (p=0.021), hours of care (p=0.047) and patient safety behaviors (p=0.033) among professionals. Suffering from bullying was related to fear of questioning when something is wrong (p=0.010) and lack of support from management (p=0.016). Victims of physical violence felt that their mistakes could be used against them. Mixed data converge and confirm that violence affects professional behavior and puts Primary Health Care attributes at risk. Conclusions: violence affects workers’ behavior, interferes with the care provided, weakens the access and safety of patients.

Prevalence and factors associated with workplace violence against Brazilian multiprofessional residents during the pandemic

“…For this reason, violence at work can easily undermine their self-esteem and morale and affect how they will approach their work in the future. In addition, violence has repercussions on professional conduct and interpersonal relationships, making workers more likely to provide unsafe health care and to make mistakes 34,47 , which can lead to potentially catastrophic consequences for students, workers, patients and their families.…”

“…Research reports point to an association between violence in the health workplace and the increase in adverse events, such as medication errors and falls 48 ; reduction in the amount of time with patients and in the performance of tasks, as well as a decrease in the quality of care provided 34 . Violence also changes individual behavior in situations of errors and incidents: victims consider that their failures during care can be used against them and, therefore, tend not to notify them 47 .…”

Prevalência e fatores associados à violência no trabalho contra residentes multiprofissionais durante a pandemia

“…Por essa razão, a violência no trabalho pode facilmente minar sua autoestima e moral e afetar a maneira como abordarão seu trabalho no futuro. Além disso, a violência repercute nas condutas profissionais e nas relações interpessoais, tornando o trabalhador mais propenso a prestar uma assistência em saúde insegura e a cometer erros 34, 47 , o que pode levar a consequências potencialmente catastróficas para estudantes, trabalhadores, pacientes e seus familiares.…”

“…Relatos de pesquisa apontam associação entre a violência no local de trabalho em saúde e o aumento de eventos adversos, como erros de medicação e quedas 48 ; redução na quantidade de tempo com os pacientes e na execução de tarefas, bem como piora na qualidade do atendimento prestado 34 . A violência também muda as condutas individuais em situações de erros e incidentes: as vítimas consideram que suas falhas durante o cuidado podem ser usadas contra elas e, por isso, tendem a não as notificar 47 .…”

A look at the past to draw lessons for the future: how the case of an urgent ICU transfer taught us to always be ready with a plan B

“…O – for all ICUs except HAIs. Outcome indicators included adverse events ( 23 , 24 ), workplace violence ( 25 ), occupational injuries reporting, and patient complaints ( 26 ); condition at ICU discharge; mortality rates between 2015 and 2019, stratified by a six-month period for all hospital ICUs; for ICU-B, we assessed the incidence of HAIs among patients before and after transfer ( 7 ). We examined the incidence of HAIs using only ICU-B clinical records, including all patients admitted to ICU-B at Udine Hospital between July 1, 2016 and June 30, 2017.…”