Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study.

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Abstract

Workplace violence (WPV) against health professionals is a global problem with an increasing incidence. The aims of this study were as follows: 1) to examine the frequency and characteristics of WPV in different settings and professionals of a general hospital and 2) to identify the clinical and organizational factors related to this phenomenon.

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Most cited references 51

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Gender and aggressive behavior: a meta-analytic review of the social psychological literature.

Alice Eagly, Valerie Steffen (1986)

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Violence against nurses working in US emergency departments.

Jessica Gacki-Smith, Altair Juarez, Lara Boyett … (2015)

The objective of this study was to investigate emergency nurses' experiences and perceptions of violence from patients and visitors in US emergency departments (EDs). The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce. Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey. Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence. Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate these factors. Commitment from hospital administrators, ED managers, and hospital security is necessary to facilitate improvement and ensure a safer workplace for ED nurses.

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Causes and management of patient aggression and violence: staff and patient perspectives.

Richard Whittington, J Duxbury (2005)

This paper reports a study of staff and patient perspectives on the causes of patient aggression and the way it is managed. The incidence of aggression in healthcare is reportedly on the increase, and concerns about the management of this problem are growing. A convenience sample of 80 patients and 82 nurses from three inpatient mental healthcare wards were surveyed using The Management of Aggression and Violence Attitude Scale. A further five patients and five nurses from the same sample participated in a number of follow-up interviews. Patients perceived environmental conditions and poor communication to be a significant precursor of aggressive behaviour. Nurses, in comparison, viewed the patients' mental illnesses to be the main reason for aggression, although the negative impact of the inpatient environment was recognized. From interview responses, it was evident that both sets of respondents were dissatisfied with a restrictive and under-resourced provision that leads to interpersonal tensions. There are differences between the views of staff and patients about reasons for aggression and its management. Future approaches therefore need to be developed that address these opposing views. For example, training in the use of fundamental therapeutic communication skills was advocated by patients, whilst the need for greater attention to organizational deficits was advocated by nurses. A move away from reliance on the use of medication was also felt to be necessary. Evaluation of local needs and practices must be an integral part of this process.

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Author and article information

Journal

Journal ID (iso-abbrev): Psychol Res Behav Manag

Title: Psychology research and behavior management

Publisher: Informa UK Limited

ISSN: 1179-1578

ISSN (Print): 1179-1578

Publication date (Electronic): 2016

Volume: 9

Affiliations

[1 ] Department of Diagnostic, Clinical and Public Health Medicine, School of Nursing.

[2 ] School of Psychiatry, University of Modena and Reggio.

[3 ] Department of Mental Health, Service of Psychiatric Diagnosis and Treatment, Modena, Italy.

Article

Publisher Item ID: prbm-9-263

DOI: 10.2147/PRBM.S114870

PMC ID: 5042196

PubMed ID: 27729818

SO-VID: c3c943ac-b75c-4ab8-82d1-1e56656ace6d

History

Keywords: aggression,general hospital,health professionals,nurses,patient,physicians,workplace violence

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Keywords: aggression, general hospital, health professionals, nurses, patient, physicians, workplace violence

Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study.

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Abstract

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Italian Studies

Most cited references 51

Gender and aggressive behavior: a meta-analytic review of the social psychological literature.

Violence against nurses working in US emergency departments.

Causes and management of patient aggression and violence: staff and patient perspectives.

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