Types of Violence and Coping Methods Experienced by General Hospital Nurses
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Verbal abuse
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Purpose: To investigate and describe the nature and extent of violence against nurses and the perceived effects thereof on nurses in the southern region of Malawi. Methods: A descriptive, cross-sectional study in which 190 questionnaires were sent out to nurses from five facilities, 112 were returned completed (60% response rate). The five facilities included two central hospitals, one psychiatric hospital and two health care centres. Results: 86% of the respondents agreed that violence against nurses is a problem in Malawi. The prevalence of violence for the five facilities in the preceding 12 months was 71% (CI 61% – 79%) and was highest at the psychiatric hospital (100%). The types of violence experienced include verbal abuse (95%), threatening behaviours (73%), physical assaults (22%), sexual harassments (16%) and other (3%). Perpetrators of violence were: patients (71%); patients' relatives (47%); and work colleagues (43%). Nurses reacted to incidents of violence by reporting to managers, telling their friends, crying, retaliating, or ignoring the incident. Most (80%) nurses perceived that violence has psychological effects on them, which consequently affects their work performance and make them lose interest in the nursing profession. Conclusions: Workplace violence against nurses exists in Malawi and it affects nurses psychologically; may result in poor work performance; and may be a causative factor in the attrition of nurses from the nursing profession. The study recommends that health facilities should adopt policies aimed at minimizing violence against nurses to create motivating and safe working environment for nurses.
Workplace violence
Verbal abuse
Descriptive research
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Aim The present study aims to assess the perception of nurses, patients and their relatives regarding the nature of workplace violence against nurses. Background Workplace violence adversely affects the health, well-being and safety of nurses and the quality of nursing care. Methods In the present descriptive comparative study, the nature of violence was assessed using a modified and validated International Labor Office, the International Council of Nurses, World Health Organization, and Public Services International Questionnaire. Results Nurses, patients and relatives reported verbal abuse as the most common and sexual violence as the least common type of violence against nurses. Nurses mostly blamed factors associated with patients and their relatives as the cause of violence, whereas patients and their relatives blamed social factors. Conclusions This study shows that violence is significantly prevalent in clinical settings, but its nature is differently perceived by nurses, patients and their relatives. This phenomenon requires further studies because knowledge of the causes of this difference could help to reduce and control violence. Implications for Nursing Management It is necessary that nursing managers inform nurses about protocols for reporting all such cases in order to collect information, and based on a clear procedure, actively pursue reported cases and take the necessary measures to prevent violence against nurses.
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Nursing management
Emergency nursing
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A B S T R A C T Aims: Effect of workplace violence is one of the most important reasons for leaving the nursing profession. This study aimed to assess the vision of intensive care nurses about workplace violence. Methods : A cross sectional study was conducted on intensive care nurses of Therapeutic and Educational Centers of Hamadan in 2009. By using quota sampling, a number of 170 nurses were selected. Data gathering tool was the modified Minnesota Workplace Violence Questionnaire which included 52 questions. Data were analyzed using SPSS 16 software and by descriptive statistics. Results: Prevalence of violence was 74.1%, most common kinds of violence were verbal misbehavior, threatening, physical battery and sexual assault and the most violence was from patients and their accompanies. The most violence was reported verbally and legal pursuit was little and the most common reason for that was nurses' feeling that it is useless. Most of the nurses were dissatisfied with violence management in their institute. Conclusion: Despite high prevalence of violence, written reporting and legal pursuit of it was low. It seems, workplace violence can be reduced with educating the nurses, managers' support, patients' accompanies under surveillance, empowering the guarding unit and effective inter-individual relationship.
Workplace violence
Sexual Violence
Sexual assault
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Background: Nurses and nursing students are exposed to workplace violence.
Objectives: To compare the characteristics and effects of violence in nursing students and nurses in order to assess the phenomenon and take preventive action.
Methods: A retrospective survey was conducted in three Italian university schools of nursing. At the end of a lecture, 346 of 349 students agreed to fill out a questionnaire that included domains on violence, mental health, job stress, and organizational justice. This group was compared with 275 nurses from a general hospital (94.2% participation rate).
Results: The prevalence of subjects reporting at least one upsetting episode of physical or verbal violence during their lifetime activity in clinical settings was 43% in nurses and 34% in nursing students. Nurses reported more physical assaults (odds ratio [OR] 2.89, 95% confidence interval [CI] 1.35–6.18), threats (OR 2.84, 95% CI 1.39–5.79), and sexual harassment (OR 2.3, 95% CI 1.15–5.54) during the previous 12 months than students. Nurses were mostly assaulted or harassed by patients or their relatives and friends (“external” violence), whereas students often reported verbal and also physical violence on the part of colleagues, staff, and others, including teachers, doctors, and supervisors (“internal” violence). Verbal violence was associated with high levels of psychological problems, as measured by the 12-item version of the General Health Questionnaire, in both students and nurses. Verbal violence was also associated with high job strain, low social support, and low organizational justice, but only among nursing students.
Conclusions: Preventive action is urgently needed to control patient-to-worker and worker-to-worker violence in clinical settings.
Clinical Relevance: Not only nurses, but also nursing students, would benefit from multilevel programs of violence prevention.
Harassment
Workplace violence
Verbal abuse
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Objective
To explore the violence form of psychiatry nurses suffering in working place and mental status so as to provide basis for clinical nurses and managers.
Methods
The investigation method of cluster sampling was used to investigate the violence form of psychiatry nurses suffering from physical violence in working place and mental status so as to provide basis for clinical nurses and managers in this hospital within one year.χ2and one-way analysis of variance to have statistical analysis.
Results
Only 9.9% of psychiatry nurses grasped the prevention technique from violence.Compared with male nurses in psychiatry, female psychiatry nurses were easier to suffer from violence (χ2=9.611). In the aspects of physical attack (χ2=4.085), patient or family destruction and threat (χ2=5.172), the difference had statistical significance(P 0.05).
Conclusions
Psychiatry nurses are lack of knowledge to violent attach in the working place.The majority of nurses suffered from violence in working place and had undesirable mental status (especially for female nurses), which provides some basis for the managers to make the corresponding countermeasures and reduce violence in the working place.
Key words:
Workplace violence; Psychiatric; Nurses
Workplace violence
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PurposeIt is difficult to develop a good defense system that can prevent nurses from experiencing physical and verbal violence from patients and families in intensive care units, which are closed spaces. This study aimed to identify intensive care nurses' experience of violence from patients and families and investigate their coping methods, if there are any, in a tertiary hospital in South Korea.MethodsThis study used a mixed methods design using both a survey for collecting quantitative data and individual interviews for a qualitative one. A total of 200 intensive care nurses participated in the survey, with 30 of them taking part in individual interviews. Survey data were analyzed using SPSS 21.0 program, and qualitative data were analyzed by qualitative content analysis method.ResultsIn the survey, 99.5% of the nurses reported that they had experienced violence from the patients, and 67.5% of the nurses reported that they had experienced violence from their visitors (families or relatives). Verbal violence were reported more than physical ones. They showed moderate or severe responses to violence, scoring an average of 2.98 ± 0.63 of 5. The qualitative data were analyzed to draw four themes, eight categories, and 17 subcategories. The four themes were perception of violence, coping with violence experience, coping resources, and caring mind after violence experience.ConclusionWhile intensive care nurses experience unpredicted violence from patients and their visitors, they fail to cope well with the experience. The safe working environment of intensive care units is expected to contribute to quality care and an improvement of expertise in nursing.
Qualitative property
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Survey on effect of workplace violence on emergency nurses and present coping situation of hospitals
Objective To study the effect of workplace violence on emergency nurses and present coping situation of hospitals.Method Investigate 164 emergency nurses by workplace violence questionnaire.Result 124 nurses(75.6%) once suffered from violence.Hospital has no normative and effective countermeasures towards violence to protect nurses' physiology,psychology and professional attitude.Conclusion Emergency nurses is a high risk population suffering from workplace violence.Hospital should set up a systemic prevention and coping mode to create a medical circumstance with harmony.
Workplace violence
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To examine nurses' perceptions of physical and verbal violence perpetrated by patients and visitors and to investigate themes surrounding gender and the incidence of violence.The prevalence of violence towards nurses is a concern for nurses and hospital administrators. However, nurses who work in acute care and mental healthcare settings are particularly at high risk. This study examines the occurrence, type of violence and gender issues in a regional public hospital of Queensland Australia.An exploratory, qualitative design.Focus group interviews with 23 nurses from Emergency Department (ED), Intensive Care Unit (ICU) and Psychiatry Department (PD) working in Queensland regional public hospital, Australia. Qualitative data were transcribed and thematically analysed manually and by NVivo. COREQ research reporting checklist followed.Participants reported frequent incidents of verbal and physical violence on a daily basis. Severe incidence included punching, kicking, biting and scratching, as well as threats of using weapons, such as knives. Patients were more likely to exhibit physical violence, especially towards male nurses, while hospital visitors including patient's family were more likely to exhibit verbal violence. Allocating male nurses in volatile areas and to care for violent patients raises concerns that the male nurses may be seen by their patients as "bodyguards" and not as a professional nurse.Findings indicate that staff believe that violence is increasing, feel the burden to accept that violence as part of the job and that the bureaucratic processes of the organisation make it difficult to address violence or get support. Organisations need to be vigilant in ensuring assistance is accessible and simplified.This study contributes new knowledge to the discussion concerning of gender issues. Identifying gender issues could assist in developing the necessary interventions to reduce workplace violence.
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