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Workplace Violence Against Nurses

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Workplace violence is problematic for nurses working at a healthcare institution. Violence can derive from physical and verbal abuse. An escalated physical violence can cause injuries and in severe cases, death. Several risk factors can increase workplace violence against nurses. Mandiracioglu (2006) found that demented patients had 11 percent chances of being violent than patients with other psychiatric diseases had 25 percent. Furthermore, patients with drugs and alcohol abuse had 35 percent chances of being violent against nurses (DuHart, 2001). Patients under influence of drugs had 50 percent chances of being verbally abusive and 96 percent chances of being physically violent (Crilly, Chaboyer, & Creedy, 2004). Crilly et al. (2004) stated …show more content…

Safety is defined as to “ minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (Cronenwett, Sherwood, Pohl, Barnsteiner, Moore, Sullivan, Ward, & Warre, 2009). Nurses implementing Knowledge, Skills and Attitudes (KSA) about a patient and family can prevent workplace violence. An example would be a patient under alcohol influence. Knowledgeable nurse would recognize the erratic behavior of alcohol withdrawal symptoms. Alcohol withdrawal changes patient’s state of mind and can cause verbal or physical abuse. Therefore, a knowledgeable nurse will implement skills in promoting patient and individual safety. Strategies such as sedation, restraints, sitter, or security at the bedside can be implemented before the escalation of work place violence occurs. Furthermore, a nurses attitude towards this patient matters in order to de-escalate anger. An angry or confused patient must be a handle wisely with proper nursing intervention. Nurses must listen, acknowledge, and control tone and body language during communication. A calm and collective nurse can promote safety and prevent workplace

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Violence against nursing staff and peer-to-peer assault is a significant problem on adult inpatient psychiatric units (Delaney & Johnson, 2006). OSHA (2015) reports less than two employees per 10,000 in private industry suffered injuries related to workplace violence compared to 7.8 cases per 10,000 employees in hospitals. The negative result of staff injury is the “hidden costs” of low “productivity, morale and employee retention” (OSHA, 2013, p. 4). The current practice model on psychiatric units is an emphasis on maintaining a therapeutic milieu and the use of de-escalation techniques as needed to address agitated, aggressive and assaultive behaviors (Delaney & Johnson, 2006).

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Specifically, Mary and her new and seasoned nurses should agree on the best method that they would use in implementing the skills. In the view of Pilcher (2009), the process should come out of a collaboration among the nurses and should not be the single choice of one of them. In conclusion, the guarantee of patient safety, as well as the provision of quality services, has been the concern of most healthcare organizations. Nurses in the ICU Department ought to have plans on how they will ensure they follow the fundamental principals contained in the QSEN safety competencies.

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I worked as a Nurse’s Assistant and Secretary for 8 years. I started when I was 18 years old, working on a psychiatric unit. I learned to be mindful of my surroundings and to read people’s emotions and body language to prevent escalating a patient’s bad mood into a physical altercation. This may seem like an extreme example, but I have witnessed people that were unaware, or didn’t care how they approached the patient, and the patient responded in a belligerent manor.

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Police and prosecutors tend to downplay the violent assaults on health care workers unless someone is severely injured, even though 30 states have felony laws against it (Jacobson, 2014, p. 4). According to a descriptive study conducted by Lisa Wolf there were many instances in, which the legal, judicial system was unwilling to pursue charges against patients, or family members who assaulted nurses. Thus the focus on legislation to make an assault on health care workers a felony crime may have limited efficacy unless efforts are made to address society’s complacency toward violence against nurses (Wolf et al., 2014, p. 3). In Pennsylvania two house bill’s were introduced one in 2011 House Bill 1992.

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A majority of these issues in the work place are not reported due to the fear of retaliation. People may fear losing their job or making the other employee even angrier. This can be especially scary for a new nurse or another employee who is finding themselves in a position where they are trying to be liked. Nursing is not about going to work to make friends and be liked. It is about caring for our patients and their families and doing so in a safe environment is key for everyones safety.

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