Pich, Hazelton, Sundin, and Kable (2010) research aimed to explore the concept of nurses in Australia being identified as the occupation at most risk of patient-related violence in the health care sector. The researchers found that patient-related violence against nurses was highest in emergency departments; 70% of nurses working there estimated to experience violence on a weekly basis and between 60-90% of nurses reported exposure to violence, both verbal and physical (Pich et al., 2010). Patients were consistently identified as the most common source of such violence, responsible for ≤89% of all cases (Pich et al., 2010). Verbal abuse, a form of psychological abuse, was reported by ≤82% of nurses across a range of clinical environments to be the most common form of abuse (Pich et al., 2010). Swearing or obscenity was identified as the most common and was reported to be the most violent form of verbal aggression (Pich et al., 2010). Physical violence was reported to co-exist with verbal violence, with “being pushed” as the most common form of physical abuse (Pich et al., 2010). One limitation in this research study was the focus on only patient-related violence occurring in emergency departments. The researchers concluded that patient-related violence has negative implications not only for nurses themselves, but also for patients’ quality of care and nurse retention and recruitment rates. Therefore, the researchers suggested that policy-makers and administrators recognize this issue as a priority and implement preventative measures.
The purpose of Shiao et al. (2010) cross-sectional study was to understand the incidence of work-related assaults in nurses working in general and psychiatric hospitals in Taiwan. The researchers use...
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...ctivity. Nursing Economic, 29(2), 59-67.
Hegney, D., Tuckett, A., Parker, D., & Eley, R. (2010). Workplace violence: Differences in perceptions of nursing work between those exposed and those not exposed: A cross-sector analysis. International Journal of Nursing Practice, 16(2), 188-202.
Pich, J., Hazelton, M., Sundin, D., & Kable, A. (2010). Patient-related violence against emergency department nurses. Nursing & Health Sciences, 12(2), 268-274.
Shiao, J., Tseng, Y., Hsieh, Y., Hou, J., Cheng, Y., & Guo, Y. (2010). Assaults against nurses of general and psychiatric hospitals in taiwan. International Archives of Occupational and Environmental Health, 83(7), 823-832.
Zeller, A., Dassen, T., Kok, G., Needham, I., & Halfens, R. (2012). Factors associated with resident aggression toward caregivers in nursing homes. Journal of Nursing Scholarship, 44(3), 249-257.
Employment discrimination includes unequal treatment in employment decisions, opportunities, hiring and firing, compensation, promotion done by the supervisor and management on the basis of nurses’ race, origin, color, religion and language (Walani, 2015). In some cases even the patients refuge to be treated from a nurse with certain ethnic or national background. In Primeau’s study (2014), one IEN reports that a patient denied her care and said, “I don’t want to be treated by a terrorist”. Moreover, immigrant nurses are often employed in less desirable areas, lower positions and are excluded from the opportunities which could promote them easily to higher positions ((Li, 2014). Discrimination is not only unethical but also an illegal practice at any workplace. However, sometimes the IENs themselves acknowledge that they have less confidence and take inequality for granted. So, they do not report some cases of discrimination. Moreover, even the colleagues, patients and families treat the IENs with aggression, resentment, less trust and uncooperative manner (College of Nurses of Ontario [CNO], 2007). Sometimes, the coworkers intentionally misunderstand and underestimate the IENs’ education and skills and bully them (Kingma, 2007). A study by Hagey shows that immigrant black nurses also face racial discrimination in nursing employment in Canada (2001).
Several databases including Academic Search Premier, JSTOR, CINAHL, MEDLINE, and Cochrane were accessed using the key words “workplace violence,” “nurses,” student nurses,” horizontal violence,” “bullying,” “oppression,” and “intergroup conflict.” The purpose of the literature search was to determine the predominance of horizontal violence among new nurses and nursing students.
Assaults in the healthcare setting are recognized as a growing problem. In considering the violence and aggression in mental health units, the larger issue of violence and aggression in mainstream culture must not be ignored. It has been observed that physical attack in a mental health unit setting appear to be happening more frequently while the attacks include patient-to patient and patient-to-staff aggressive behavior. Most commonly, reporting of aggressive behavior toward healthcare staff is noted; however, it cannot be completely explained by patient characteristics or staff member behaviors (Foster, Bowers, & Nijman, 2006). To improve patient control of aggression and violence, an organization must better define the management and reporting of this behavior, identify appropriate management programs and training, and evaluate the frequency and precipitants.
“Vulnerability is at the core, the heart, the center, of meaningful human experiences” (Brown, 2014). Vulnerability can be regarded as a constant human experience that can be affected by physical, social and psychological dimensions (Scanlon & Lee, 2006; Malone, 2000) Deconstructing the concept of vulnerability and how it relates to client care is imperative for nurses due to their dynamic role in health care (Gjengedal et al.2013). In this paper I will provide a theoretical overview of the nursing concept vulnerability. I will explore how a thorough understanding of vulnerability informs the nursing concept of vulnerability and informs the nursing practice and the nursing profession. I will identify the gaps in the nursing
Nurses encounter various challenges in the workplace. One of the most alarming trends is that they often become the victims of physical violence. It should be kept in mind that healthcare settings account for about 60 percent of all violent assaults that occur in various American workplaces (Gates, Gillespie, & Succop, 2011, p. 59). Additionally, more than 50 percent of nurses report that they suffered from physical abuse, at least once (Gates et al., 2011, p. 60). In turn, this tendency makes nurses even more vulnerable to the effects of stress. Moreover, they are likely to feel dissatisfied with their jobs. This paper is aimed at reviewing the scholarly articles that can illustrate the origins of this problem and its impacts on the experiences
Following a study published by the Bureau of Labor Statistics (2016), workers in health care and social assistance settings are five times more likely to be victims of nonfatal assaults or violent attacks compared to the average worker in other occupations. Examples of healthcare violence can include verbal or physical threats and physical attacks by patients (U.S. Bureau of Labor Statistics, 2016). A report done by the American Nurses Association (ANA) found that 43% of nurses and nursing students had been verbally or physically threatened by a patient or a patient’s family member, and 24% had been assaulted (Potera, 2016). These numbers are only taking into consideration for the nurses who do decide to report an assault. Violence is extremely under reported due to lack of a reporting policy, lack of faith in the reporting system, and fear of retaliation (Workplace Violence in Healthcare, 2016). Cultural factors are also a reason as to why underreporting occurs. “Caregivers feel a professional and ethical duty to do no harm to their patients, sometimes putting their own safety and health at risk to help a patient” (Workplace Violence in Healthcare, 2016). The nurse has a responsibility to the patient and will sometimes allow the patient’s bad
Injury can result from many different incidents. One specifically important incident resulting in injury is domestic violence. It is approximated statistically that 1.8 million to 3-4 million domestic violence cases occur each year, unfortunately, the number of cases that occur cannot be more accurate due to domestic violence usually occurring in the relative privacy of one’s home. (Kelly, 2003) As disturbing as these numbers may be, we need to acknowledge that domestic violence is not a new problem arising in American homes but what is new is that we are now more aware of how serious the issue of domestic violence is in today’s society. Today, domestic violence, in its broadest definition is being defined as verbal, emotional, threatening, or physical abuse among current or former intimate partners and includes any persons related by blood. (Robert, 2002) They may be living currently within the same household or have been in the past for it to be considered domestic. Domestic violence has no barriers. It affects any race, religion, culture, or socioeconomic status. In today’s world every nurse knowingly or not is most likely to encounter a situation involving domestic violence. (Nucero & O’Connor, 2002) Therefore, it is important that within this discussion that the following issues is to be identified: the seriousness of domestic violence and what factors contribute to domestic violence, what role the legal system must take on when domestic violence occurs, and lastly what a nurse and the medical world can do in identifying and assessing domestic violence.
Workplace bullying is increasingly being recognised as a serious problem in society. Reports from the general media and professional press suggest that there is increasing evidence that the scale of bullying, harassment and violence amongst health care staff is widespread (UNISON, 2003). Chaboyer, Najman, and Dunn (2001) explain that although nursing in Australia is now considered a profession, the use of horizontal violence, bullying and aggression in nursing interactions has been identified as a serious problem. Levett-Jones (as cited in Clare, White, Edwards, & van Loon, 2002) explains that the recipients or victims of bullying within the nursing profession are often graduate nurses, with 25% of graduates reporting negative experiences. Bullying behaviour often renders the workplace a harmful, fearful and abusive environment and has a devastating effect on the nurse, healthcare team and patient. This essay will discuss the issue of bullying within the nursing profession, with a particular focus on the experiences of graduate nurses. The contributing historical, social, political and economic factors will be explored in order to better understand the origins of this trend. The subsequent impact of bullying on nursing practice will be analysed and recommendations for practice, supported by current literature, will be provided.
The staff knew the patient well, knew that she had a history of being violent, knowing the patient positively affects patient outcomes (Zolnierek, 2013). The Quality and Safety Education for Nurses Project has established nursing evidenced-based practice competencies which include: patient-centered care, teamwork, safety, informatics, quality improvement, and evidence-based practice. Some barriers to evidence-based practice include fixed tradition, with an inability to adapt; time constraints, inadequate education, resistance from nurses and doctors (Melnyk et al., 2014). In looking at the evidence that informed my nursing practice: this doctor was not trusting my judgment, even though I have been a nurse for 28 years, almost as many years as this doctor has been alive. She was resistant to teamwork, she placed staff at risk, and did not do what was best for the patient; Further, 30%-76% of psychiatric staff is assaulted by a patient at least once in
Therefore, this position statement is relevant because these abuses can be seen in day-to-day healthcare environment. The effects of violence in nursing can be harmful to the proper function within a workplace. It can be damaging to the nursing profession and patient care. According to (Johnston et al., 2010, p.36), workplace violence is “spreading like a ‘superbug.’” Studies have shown, that lateral violence, nurse-on-nurse, has been one of the highest incidence of violence within the workplace. Also, statistics have shown that lateral violence has one of the most emotional impacts on an individual. This will be further discussed below. For these reasons, it is important for healthcare workers to validate the detrimental effects violence can have in the workplace, and be prepared to combat and prevent workplace violence.
Eisenstark, Lam, McDermott, Quanbeck, Scott and Sokolov (2007) reported that twenty five percent of mental health nurses working in public sector hospitals take the major risk in violent attacks from patients resulting a series injury: the prevalence rate being as high as three times that of any vocational group (Del Bel,2003).this number implies that nurses physical as well as emotional health is being compromised largely each day (Lanza, 1992). Another study done from five mental health inpatient units over a period of seven months, indicated that seventy-eight percent of violent incidences came from nurses (Jones, Owen, Tarantello, and Tennant,1998).Nurses are not the only ones being challenged by violence. A study done by Albert Banerjee et.al (2008) in long term care facilities, a shocking number of personal support workers have been a victim of workplace violence. Almost half (43%) of support workers reported they experience violence in everyday work activities. 16.8% of registered nurses and one quarter (24.6%) of licensed practical nurses, registered practical nurses, and registered nursing assistants experience violence on a daily basis. In 2000, social service workers incidence injuries also rose by 9.3 from work related assaults and injuries. As significant as this numbers could be, the numbers could go higher if those underreported cases are reflected that’s comes with the employees belief, “reporting won’t change
Research indicates the relationship between horizontal violence and the burn out rate of registered nurses to be epistemologically significant due to a determined prevalence of nonphysical violence in the health care setting and the potential nature, severity and ubiquitous state of its prospective consequences. This systematic review will examine the aforementioned phenomenon in further detail with a focus on specific implications, if any, on the burn out rate of registered nurses.
... of intimate partner violence: implications for nursing care. Critical Care Nursing Clinics of North America, 24(1), 27-38.
This study explains how patient violence against nurses is a global concern, particularly in mental care field. This may affect well- being of nurses and ultimately whole healthcare system. However, nurses do not use limited methods to stop patient violence and more comprehensive methods needed. The study was conducted to explore nurses’ experiences of these violent events in mental wards and examine suggestions for violence prevention.
In January 1997, a man drove into the parking lot of a major company in Baltimore County, pulled out a gun, and aimed it at his girlfriend who was sitting in her car and killed her. The man shot himself. Several days after that, another man in another part of the county, in attempt to commit suicide, drove his vehicle the wall of a business and injured an employee who was sitting at his desk. (National, 1996)