Violence towards Emergency Nurses. The Italian National Survey 2016: A qualitative study

Ramacciati, Nicola; Ceccagnoli, Andrea; Addey, Beniamino; Rasero, Laura

doi:10.1016/j.ijnurstu.2018.01.017

Cited by 69 publications

(99 citation statements)

References 52 publications

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“…There was broad geographical variation in the primary studies: 13 were conducted in Australia, three were from the USA, three from the UK, and a study each from Canada, Cyprus, Italy, Jordan, Lebanon, Morocco, Nigeria, Palestine, Singapore, and Taiwan . Twenty‐seven (93%) studies scored 50–100% in the mixed methods appraisal tool indicating moderate to high quality.…”

Section: Resultsmentioning

confidence: 99%

“…Harmful physical contact can include (but not limited to) striking, slapping, punching, spitting, kicking, choking, biting, pushing, sexual assault and use of weapons against staff. Verbal abuse can include (but not limited to) yelling, insults, intimidation, threats, bullying, harassment, use of derogatory gestures and swearing …”

Section: Resultsmentioning

confidence: 99%

“…Verbal abuse can include (but not limited to) yelling, insults, intimidation, threats, bullying, harassment, use of derogatory gestures and swearing. 4,6,[8][9][10]14,15,18,[23][24][25][26]29,30,32,33,[39][40][41]43,45,47 OV incidents varied between EDs, which ranged from 1.4 to 17 per 1000 presentations. 8,22,24,29,36 At least 65% of ED staff experienced OV.…”

Section: Scoping Review Findingsmentioning

confidence: 99%

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Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Cabilan

Johnston

2019

Emerg Medicine Australasia

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Occupational violence (OV) is a daily risk for ED staff. It contributes to staff stress, sick leave, turn‐over and burn‐out, and limits the capacity of staff to provide unimpeded quality care to patients and their families. Many factors contribute to incidents of OV; however, early detection of such risk factors could pre‐empt incidences of OV during ED episodes of care. A five‐stage methodological framework for scoping reviews was used to identify, summarise and synthesise OV risk factors from five key databases. A validated tool was used to appraise the quality of included studies. Independent evaluation by the reviewers was used throughout. Patient factors were extracted and described from 24 methodologically and geographically diverse papers. Methodological quality for these studies varied from moderate to high. A total of 34 OV risk factors were identified. Although there was variation in, and differences between, staff‐perceived and objective (documented) OV risk factors, patient risk factors can be categorised into three main groups: clinical presentation, behaviours and past history. Five existing ED OV risk assessment tools were identified, with limited supporting evidence for each. The results support the development of a reliable and validated OV risk assessment tool to be initiated at triage.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Scoping Review Findingsmentioning

confidence: 99%

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Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Cabilan

Johnston

2019

Emerg Medicine Australasia

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“…This finding is in contrast with Swain and Gale () who, using a brief communication skills training programme, found a decrease in perceived aggression. From the perspective of hospital administrators (Ramacciati, Ceccagnoli, Addey, & Rasero, ; Zhou et al., ) and nurses (Luck, Jackson, & Usher, ; Shi et al., ), poor communication skills are a prime factor facilitating WPV. It is therefore conceivable that, since nurses who are considered more exposed to violence or who have poor communication skills receive more training, the WPV experience by respondents is higher for those who have received training.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, through the conceptual framework underlying our studies (Ramacciati, Ceccagnoli, & Addey, ), we have tried to consider all the multiple aspects of the problem by following different methodological approaches. The qualitative analysis of the open‐ended question on nurses’ perceptions of verbal and physical violence is published (Ramacciati, Ceccagnoli, Addey, & Rasero, ). In this paper, we present the quantitative analysis of the cross‐sectional study.…”

Section: Introductionmentioning

confidence: 99%

Violence towards Emergency Nurses: The 2016 Italian National Survey—A cross‐sectional study

et al. 2019

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Aim To analyse the dimensions and characteristics of violence towards Emergency nurses in a national context (Italy). Background Nurses are the most exposed to workplace violence, especially in Emergency Department contexts. Methods A cross‐sectional study was conducted in all Italian regions. Descriptive analyses were used to examine violence from patients and relatives (Type II violence) concerning personal characteristics of the Emergency nurses and perpetrators, environmental and organisational factors. Multinomial logistic regression analysis was used to investigate risk factors. Results About 76.0% of Emergency nurses experienced verbal violence, 15.5% both verbal and physical violence and only 8.5% denied having experienced either. Older age and more experience in Emergency settings are protective factors. Working in the South of Italy significantly increases the probability of being exposed. Discussion There are many factors explaining violence, but some correlations are not clear. Conclusion Factors that have a positive effect on this problem include: specific training for younger nurses, a strong alliance between users and health personnel to restore a relationship of trust between parties, physical barriers and appropriate architectural measures. Implications for Nursing Management Comprehensive approaches can represent an effective strategy to counteract workplace violence.

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Aggression in Healthcare Work Environments and Its Related Psycho Health Consequences

Vitale¹,

Lupo²,

Calabrò

et al. 2022

Handbook of Anger, Aggression, and Violence

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Violence towards Emergency Nurses. The Italian National Survey 2016: A qualitative study

Cited by 69 publications

References 52 publications

Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Review article: Identifying occupational violence patient risk factors and risk assessment tools in the emergency department: A scoping review

Violence towards Emergency Nurses: The 2016 Italian National Survey—A cross‐sectional study

Aggression in Healthcare Work Environments and Its Related Psycho Health Consequences

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