Professional nurses experience violence in the
Lanza, Zeiss, and Rierdan [ 39 ] explored the desensitization of nurses to violence and their acceptance of it as part of the job.
Nurses attacked at work
Most of the 33 incidents of violence toward nurses immediately followed interpersonal interactions between nurses and patients, with other incidents reflecting patient-related intrapersonal precursors such as the experience of symptoms. It also has the potential to be discouraging for patients to engage with nurses when they are being offered choices and input into their care at one moment to later be relinquished of all control by nurses who are attempting to gain control over an escalating situation [ 31 ]. Most perpetrator of the workplace violence were patients. Stigma also influenced how the nurse experienced violence. Being a victim of workplace violence may have consequences for workers, but it does not happen the same way or happen in different intensity on different workers, it is not a rule. A number of other researchers have explored this theme and this is found to be a fairly consistent experience of nurses working in psychiatry. They must therefore work with managers and staff at devising strategies to further reduce the incidents of violence while enacting quality patient care. Most victims responded by instructing the perpetrator to stop, followed by narrating the incident to friends, family, and colleagues. Nine participants were or had been employed full time, two participants were employed on a part-time basis and one participant worked both full and part time. Similarly, Smith and Hart [ 25 ] reported that when threats were perceived as high, nurses often disconnected from their aggressive patient by means of withdrawal, transferring blame, shielding, or seeking peer support which was evident amongst the nurses in this study. Results Thirty three unique exposures to patient violence among the sample of nurses were analysed. Potential participants who were engaged in any current legal proceedings related to their incidents of patient violence were excluded, as they were legally bound to abstain from discussing their alleged experiences. In assessing occurrences in the past six months of workplace verbal and physical abuse of nurses who worked in hospitals in Amman Jordan , there was prevalence of The rates of physical and psychological violence were Along with the Thoughtful Clinician Test, a variation of member checking was conducted by sharing a written synthesis of the study data with the participants and inviting them to comment on the accuracy of findings which was valuable as it gave RNs the ability to further explore and clarify the emerging concepts allowing further saturation of thematic patterns.
A larger sample size may have provided saturation for other thematic patterns. Other RNs declined to work with the aggressors for a few shifts to provide distance, slowly regain some rapport with the patient and regain some of their own self confidence.
As prevention measures moved along the continuum of primary to secondary strategies, the focus shifted from individual nurse strategies to the adoption of a team approach to manage or prevent patient violence.
Violence against healthcare workers
Participation of managers, workers, scientific community, and people in general are important in searching for adequate working conditions and service safety and quality, from which proposals strengthen of federal and regional agencies intervention, e. This perception is not exclusive to nurses working in psychiatry, but has been found to be a common perception amongst nurses working in other clinical areas and across several countries [ 15 , 41 , 42 ]. Institutions should train staff to handle violence, provide a therapeutic environment, simplify the reporting process, and encourage reporting of all types of violence. For the remaining participants, when violence was considered unintentional, it was legitimized as part of their illness and in this way decreased the perceived level of threat and harm; some nurses would define these actions not as violence per se, but instead acts of self-defence on the part of the patient. Assaults against nurses of general and psychiatric hospitals in Taiwan. Most Changes that nurse participants identified as needing to occur focused on improving the clinical environment, including both the physical environment as well as forming a healthy team atmosphere, and the creation of best practice guidelines for patient violence to alleviate the role conflict related to balancing the duty to self with the duty to care. Many nurses expressed a reduced level of confidence in preventing and managing future episodes of patient violence following these violent episodes. Physical violence is defined as the use of physical force against another person or group that results in physical, sexual, or psychological harm and includes beating, kicking, slapping, stabbing, shooting, pushing, biting, and pinching. Her findings indicated that nurses who experienced patient violence were inclined to want to attend to their own needs and not care for the aggressor. Stigma also influenced how the nurse experienced violence. Inferential statistics included the chi-squared test and t-test.
The credibility and authority of the researcher is also a strength of the study. J Clin Nurs [Internet]. This was especially true of verbal violence and many RNs in the study identified the routine nature of violence as not only part of the job, but something no longer worthy of reporting.
Present findings have implications for reducing the barriers to reporting violent experiences and the creation of best practice guidelines to reduce patient violence in the workplace.
Associated Data All relevant data are within the manuscript. Stigma also influenced how the nurse experienced violence. What am I supposed to say?
The findings are provided to health care institutions so that strategies for preventing workplace violence and creating safe working environments can be developed. Some participants also described poor food and substance use choices, including alcohol and smoking, as a result of experiencing patient violence.
based on 31 review