Workplace Violence: A Primer for Critical Care Nurses

Alexy, Eileen M.; Hutchins, Joseph A.

doi:10.1016/j.ccell.2006.05.014

Cited by 34 publications

(27 citation statements)

References 21 publications

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“…This is in contrast to findings in the literature that indicate patients under the influence of alcohol are more likely to display challenging behaviour. 7,11,12 Additionally, this study supports the views of others, 7,11,12 that those with a mental health history are often more likely to display challenging behaviour.…”

Section: Discussionsupporting

confidence: 84%

“…2,[6][7][8][9] Within the literature, challenging behaviour is described as acts of physical or verbal assault, intimidation and damage to property. [10][11][12] Patients displaying challenging behaviour have often been identified with having a mental health history especially psychosis or a drug and alcohol condition. 7,11,12 Studies have reported that up to 90% of nurses working in EDs have experienced some form of workplace violence.…”

Section: Introductionmentioning

confidence: 99%

“…[10][11][12] Patients displaying challenging behaviour have often been identified with having a mental health history especially psychosis or a drug and alcohol condition. 7,11,12 Studies have reported that up to 90% of nurses working in EDs have experienced some form of workplace violence. 7,13 Emergency nurses are often the first clinicians to assess a patient and generally attend to the patient for longer periods of time compared to other ED clinicians.…”

Section: Introductionmentioning

confidence: 99%

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Rates of workplace aggression in the emergency department and nurses’ perceptions of this challenging behaviour: A multimethod study

Hyland

Watts

Fry

2016

Australasian Emergency Nursing Journal

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Rates of workplace aggression in the emergency department and nurses’ perceptions of this challenging behaviour: A multimethod study

Hyland

Watts

Fry

2016

Australasian Emergency Nursing Journal

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“…Further, manuscripts were excluded if they utilised surveys to quantify violence through subjective opinion or incorporated episodes of WPV occurring outside the ED. Cross‐sectional surveys have been the principal tool used to establish incidence and prevalence data, although they are limited in establishing true incidence due to subjective definitions of violence and underreporting of patient‐perpetrated assault . Manuscripts were also excluded if they reported on a duplicate population or had not disclosed their data source.…”

Section: Methodsmentioning

confidence: 99%

Review article: Workplace violence in the emergency department: A systematic review and meta analysis

Nikathil

Olaussen

Gocentas

et al. 2017

Emerg Medicine Australasia

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Patient or visitor perpetrated workplace violence (WPV) has been reported to be a common occurrence within the ED. No universal definition of violence or recording of such events exists. In addition ED staff are often reluctant to report violent incidents. The true incidence of WPV is therefore unclear. This systematic review aimed to quantify WPV in EDs. The association of WPV to drug and alcohol exposure was explored. The databases MEDLINE, Embase, PsycInfo and the Cochrane Library were searched from their commencement to 10 March 2016. MeSH terms and text words for ED, violence and aggression were combined. A meta-analysis was conducted on the primary outcome variable-proportion of violent patients among total ED presentations. A secondary meta-analysis used studies reporting on proportion of drug and alcohol affected patients occurring within the violent population. The search yielded a total of 8720 records. A total of 7235 were unique and underwent abstract screening. A total of 22 studies were deemed relevant according to inclusion and exclusion criteria. Retrospective study design predominated, analysing mainly security records and incident reports. The rates of violence from individual studies ranged from 1 incident to 172 incidents per 10 000 presentations. The pooled incidence suggests there are 36 violent patients for every 10 000 presentations to the ED (95% confidence interval 0.0030-0.0043). WPV in the ED was commonly reported. There is wide heterogeneity across the study methodology, definitions and rates. More standardised recording and reporting may inform preventive measures and highlight effective management strategies.

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“…This view is reinforced by the hierarchical organizational culture within hospitals which limits reporting of BHHV-related behaviors (Alexy & Hutchins, 2006;Lewis, 2006). What constitutes BHHV varies, in part, according to people' s ideas and perceptions about workplace culture.…”

Section: Perpetrators and Recipients Of Bhhvmentioning

confidence: 98%

Bullying, Harassment, and Horizontal Violence in the Nursing Workforce The State of the Science

Vessey

DeMarco²,

DiFazio³

2010

Annu Rev Nurs Res

173

174

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In the complex health care workplace of nurses, intra/interprofessional ideals intersect with the expectations of patients, families, students, and coworkers in a context of managed care environments, academia, and other health care enterprises. Integral to quality assessment, management, and assurance is collegial and respectful communication. Decades of reported descriptive and anecdotal data on intra/inter professional and on client communication, describe the antithesis of these ideals. Specifically, increasing frequency and rates of persistent bullying, harassment, or horizontal violence (BHHV) have shown to yield detrimental effects on workplace satisfaction, workforce retention, and the psychological and physical health of nurses as well as implied effects on quality of patient care and risk of poor health outcomes. Persistent BHHV among nurses is a serious concern. In advancing the science of description and explanation to a level of prevention intervention, explanatory models from biology, developmental psychology, intra/interpersonal interactionism are described along with theoretical explanations for the prevalence of BHHV in nurse workplaces. Making the connection between explanatory models and creative solutions to address BHHV through multiple levels of behavioral influence such as individual, environmental, interpersonal, and cultural contexts is key to advancing the science of the relationship between professional behavior and client/family/community health care outcomes.

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Workplace Violence: A Primer for Critical Care Nurses

Cited by 34 publications

References 21 publications

Rates of workplace aggression in the emergency department and nurses’ perceptions of this challenging behaviour: A multimethod study

Rates of workplace aggression in the emergency department and nurses’ perceptions of this challenging behaviour: A multimethod study

Review article: Workplace violence in the emergency department: A systematic review and meta analysis

Bullying, Harassment, and Horizontal Violence in the Nursing Workforce The State of the Science

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