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1.
J Nurs Adm ; 49(11): 525-530, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651611

RESUMO

Healthcare workplace violence is a growing concern among nurses; however, nurse administrators and managers may not be fully aware of the level, frequency, or extent of the trauma that staff nurses experience. This information gap is influenced by nurses' failure to report violent incidents, their belief that they are expected to care for violent/assaultive patients, time required for extensive documentation about these incidents, and perceptions that minimal follow-up to mitigate future episodes will occur. This article describes the evidence-based structures, processes, and practices supported to minimize organizational risk and protect nurses and other staff from being physically or emotionally injured and/or traumatized in the workplace.


Assuntos
Guias como Assunto , Recursos Humanos de Enfermagem no Hospital/psicologia , Gestão da Segurança/métodos , Gestão da Segurança/normas , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
2.
Biomed Res Int ; 2019: 5430870, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31275976

RESUMO

Violence in the workplace is one of the most serious issues affecting the healthcare sector. The incidence of violent behaviour towards healthcare workers is increasing worldwide. It is difficult to assess the extent of the problem, however, as violent incidents are underreported. In fact, many doctors and nurses see violence-perpetrated primarily by patients and visitors (friends and relatives of patients)-as a part of their job. Several studies indicate that violent behaviour against healthcare workers has serious consequences for the professionals involved, as well as for the wider healthcare system. The purpose of this study was to ascertain the prevalence of patient and visitor violence in a number of emergency departments in northeastern Italy and to explore the relationship between violence and certain psychosocial factors (adult attachment style, age, and job satisfaction). Data were collected using an online questionnaire. Our results demonstrate that patient and visitor violence in emergency departments is a serious risk for nurses and doctors and that it is affected by several factors relating to both patient pathologies and the way the workplace and work patterns are organised. Previous studies indicate that the most common form of violence experienced in these contexts is emotional violence and that nurses are more likely than doctors to suffer emotional and physical violence. Based on multiple regression analysis of the data, it appears that greater age and higher scores in secure attachment are associated with reduced experience of emotional violence from patients and visitors. Furthermore, our results show that the relationship between secure attachment and the amount of patient-and-visitor-perpetrated emotional violence experienced is mediated by levels of job satisfaction. We also discuss the potential implications of these results in terms of using staff training to prevent and manage patient and visitor violence and improve the safety of healthcare professionals.


Assuntos
Serviço Hospitalar de Emergência , Pessoal de Saúde/psicologia , Satisfação no Emprego , Violência no Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pacientes , Análise de Regressão , Fatores de Risco , Visitas a Pacientes , Adulto Jovem
4.
Health Qual Life Outcomes ; 17(1): 93, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31146735

RESUMO

BACKGROUND: Workplace violence (WPV) is a global public health problem and has caused a serious threat to the physical and mental health of healthcare workers. Moreover, WPV also has an adverse effect on the workplace behavior of healthcare workers. This study has three purposes: (1) to identify the prevalence of workplace violence against physicians; (2) to examine the association between exposure to WPV, job satisfaction, job burnout and turnover intention of Chinese physicians and (3) to verify the mediating role of social support. METHODS: A cross-sectional study adopted a purposive sampling method to collect data from March 2017 through May 2017. A total of nine tertiary hospitals in four provinces, which provide healthcare from specialists in a large hospital after referral from primary and secondary care, were selected as research sites based on their geographical locations in the eastern, central and western regions of China. Descriptive analyses, a univariate analysis, a Pearson correlation, and a mediation regression analysis were used to estimate the prevalence of WPV and impact of WPV on job satisfaction, job burnout, and turnover intention. RESULTS: WPV was positively correlated with turnover intention (r = 0.238, P < 0.01) and job burnout (r = 0.150, P < 0.01), and was negatively associated with job satisfaction (r = - 0.228, P < 0.01) and social support (r = - 0.077, P < 0.01). Social support was a partial mediator between WPV and job satisfaction, as well as burnout and turnover intention. CONCLUSIONS: The results show a high prevalence of workplace violence in Chinese tertiary hospitals, which should not be ignored. The effects of social support on workplace behaviors suggest that it has practical implications for interventions to promote the stability of physicians' teams. TRIAL REGISTRATION: (Project Identification Code: HMUIRB2014005), Registered March 1, 2014.


Assuntos
Esgotamento Profissional/psicologia , Satisfação no Emprego , Médicos/psicologia , Violência no Trabalho/psicologia , Adulto , China/epidemiologia , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Reorganização de Recursos Humanos/estatística & dados numéricos , Prevalência , Qualidade de Vida , Apoio Social , Centros de Atenção Terciária/estatística & dados numéricos , Violência no Trabalho/estatística & dados numéricos
5.
Nurs Outlook ; 67(5): 567-577, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31202443

RESUMO

BACKGROUND: In order to improve organizational culture and job outcomes, it is important to characterize and better understand the relationship between aggression and verbal abuse among nurses. PURPOSE: To examine the relationships among demands at work, aggression, and verbal abuse among nurses. METHODS: A cross-sectional study was conducted using survey data from three tertiary hospitals located in South Korea. Sixteen nursing units were selected and 378 nurses' data were used as the final sample. The relationships were examined by multiple linear or logistic regression analyses. FINDINGS: More than 70% of the nurses had experienced at least 1 type of verbal abuse. Higher physical aggression and hostility were significantly related to greater verbal abuse experience. CONCLUSION: To prevent the vicious cycle of victims becoming perpetrators, it is necessary to develop and implement concrete strategies to manage verbal abuse and aggression among nurse colleagues.


Assuntos
Agressão/psicologia , Atitude do Pessoal de Saúde , Bullying/psicologia , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Violência no Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , República da Coreia , Inquéritos e Questionários , Adulto Jovem
6.
Nurs Outlook ; 67(5): 558-566, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31202444

RESUMO

BACKGROUND: Most nurses have experienced some form of workplace violence, which could lead to physical or psychological harm and reduced job performance. Previous studies have examined the effects of workplace violence on nurses' job satisfaction and patient safety, but there have been very few examinations of whether workplace violence affects patient safety through nurse job satisfaction and burnout. PURPOSE: To investigate the relationships among workplace violence, nurse outcomes and patient safety. To explore whether nurse burnout and job satisfaction play mediating roles in the association of workplace violence and patient safety. METHODS: A cross-sectional survey was conducted in 23 hospitals in Guangdong province in China to collect data from 1502 nurses. A structural equation model design was tested with validated measurement instruments. FINDINGS: Nurse-reported workplace violence was found to be associated directly with higher incidences of burnout, less job satisfaction, lower patient safety and more adverse events. Nurse burnout was associated directly with lower patient safety and more adverse events. Higher nurse job satisfaction was associated directly with higher patient safety. Nurse burnout and job satisfaction played mediating roles in workplace violence and patient safety. The model explained 19.8% and 35.0% of nurse-reported patient safety and adverse events, respectively. DISCUSSION: It is important for administrators to consider how to protect nurses from workplace violence, to improve their wellbeing at work, and to deliver safe patient care. When nurses experience workplace violence, it is necessary to pay attention to their emotional reactions and job attitudes, and to provide them with support in order to avoid adverse impacts on patient safety. Further practices and research initiatives to support nurses' safety at work are recommended.


Assuntos
Esgotamento Profissional/psicologia , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Reorganização de Recursos Humanos/estatística & dados numéricos , Violência no Trabalho/psicologia , Adulto , China , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
7.
Work ; 63(1): 99-111, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31127748

RESUMO

BACKGROUND: The frequency of being exposed to work-related violence and threats is high in employees working in the human service sector. The question is whether certain employees are particularly exposed to violence and threats than others. OBJECTIVE: This study examined whether particular employees were especially exposed to work-related violence and threats due to personal characteristics, coping styles, attitudes or participating in violence prevention training. We also examined the role played by supervisors. METHODS: Questionnaire data were collected in 2010 and 2011. In all, 3584 employees from special schools, psychiatric wards, eldercare and the Prison and Probation Service participated. We used multivariate logistic regression analyses. RESULTS: We found persons high on the extroversion and introversion scales were associated with statistical significant increased risk for work-related threats. Furthermore, accepting attitudes concerning work-related violence were also statistical significant associated with increased the risk for both work-related threats and violence. Associations between coping styles and work-related threats and violence were very small and statistically non-significant and we found no effect of violence prevention training. The risk for work-related threats for persons high on the extroversion scale was decreased if supervisor violence prevention behaviour was high. Furthermore, if supervisor prevention behaviour was high, prevention training decreased the risk for work-related violence. However, these associations weren't statistically significant. CONCLUSION: The results stress that effective prevention requires involvement of both employees and supervisors.


Assuntos
Organização e Administração/normas , Violência no Trabalho/psicologia , Adaptação Psicológica , Adulto , Estudos de Coortes , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Organização e Administração/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Fatores de Risco , Autoeficácia , Inquéritos e Questionários , Violência no Trabalho/estatística & dados numéricos
8.
Hu Li Za Zhi ; 66(3): 59-71, 2019 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-31134601

RESUMO

BACKGROUND: Workplace violence is a phenomenon that is prevalent around the world. Nursing personnel are one of the most frequent victims of workplace attacks. Beyond the harm done to physical health, mental health, and workplace morale, workplace violence also leads to the loss of personnel and causes severe injury to institutions and nursing professionals. PURPOSE: The aim of this study is to improve the awareness, attitudes, and self-confidence of nurses with regard to workplace violence using clinical simulation teaching and training courses. METHODS: A total of 400 clinical nurses at a tertiary hospital in Taipei City were enrolled and randomly assigned into either the experimental group, which received the education intervention, or the control group, which received no intervention. A total of 392 enrolled participants completed the study, including 200 in the experimental group and 192 in the control group. Before and after the intervention, a structured questionnaire was used to collect data, which were analyzed using a GEE model with SPSS V.23. RESULTS: After the clinical simulation teaching course, awareness of workplace violence as well as related attitudes and self-confidence were higher in the experimental group than the control group. Moreover, the posttest scores and pretest-posttest differences in scores were significantly higher in the experimental group than in the control group (p < .001). Advanced analysis of the data showed that cognition scores, being older in age, and having a registered nurse grade of N3 were all associated with earning a higher score. In addition, in terms of attitude, registered nurse grade was found to correlate positively with score. Further, male participants earned higher self-confidence scores than their female colleagues and participants who worked in either the emergency or psychiatric departments earned higher scores. CONCLUSIONS: The "Workplace Violence Clinical Simulation Teaching and Training Course" was shown to improve the awareness, attitudes, and self-confidence of clinical nurses with regard to workplace violence and may thus help reduce the risk and harm of violence in this category. In the future, contextual teaching courses on workplace violence prevention should be developed for different nursing levels, divisions, and units based on their specific characteristics and needs.


Assuntos
Adaptação Psicológica , Recursos Humanos de Enfermagem no Hospital/psicologia , Treinamento por Simulação , Violência no Trabalho/psicologia , Cidades , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Taiwan , Centros de Atenção Terciária
9.
Psychiatry Res ; 272: 730-736, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30832193

RESUMO

The objectives were to evaluate the workplace violence and risk for psychiatric morbidity, as well as their correlates, among health workers in a tertiary healthcare setting in Nigeria. A stratified random sampling technique was used to recruit the health workers. Each participant was administered a socio-demographic questionnaire, the ILO/ICN/WHO/PSI Workplace Violence Questionnaire and the 12- item General Health Questionnaire. A total of 380 health workers were recruited, with a mean age of 36.4 (±7.64) years. The prevalence rates of workplace violence and risk of psychiatric morbidity were 39.9% and 38.5%. Factors with independent associations with workplace violence included young age, female sex and worry about workplace violence while a widowed, separated or divorced marital status and being victim of workplace violence independently increased risk for developing psychiatric morbidity. This study therefore showed that workplace violence is common in the health care setting, and significant proportion of workers are at risk for developing psychiatric morbidity. These observations suggest need for the regular mental health screening of health workers, as well as the need for programmes aimed at preventing workplace violence in this setting.


Assuntos
Pessoal de Saúde/psicologia , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Atenção Terciária à Saúde , Violência no Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Pessoal de Saúde/tendências , Humanos , Masculino , Transtornos Mentais/diagnóstico , Pessoa de Meia-Idade , Nigéria/epidemiologia , Prevalência , Inquéritos e Questionários , Atenção Terciária à Saúde/tendências , Local de Trabalho/psicologia , Violência no Trabalho/tendências
10.
J Nurs Adm ; 49(3): 116-117, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30789553

RESUMO

Despite deeper investment in security measures, the rate of violence and point-of-care safety threats in healthcare settings is rising. As a result, nurses do not always feel safe while delivering care. In this article, the authors describe strategies for addressing point-of-care violence. This is the 2nd article of a series. The 1st article of this series, Cracks in the Foundation of the Care Environment Undermine Nurse Resilience, in the December 2018 issue (volume 48, issue 12) of The Journal of Nursing Administration, the authors explained how nursing leaders can reduce frontline nurse stress and burnout by addressing 4 "cracks in the foundation" of the care environment that can undermine nurse resilience. This article aims to help leaders address 1 of the foundational cracks: that violence and point-of-care safety threats are now commonplace in healthcare settings.


Assuntos
Esgotamento Profissional/prevenção & controle , Recursos Humanos de Enfermagem no Hospital/psicologia , Sistemas Automatizados de Assistência Junto ao Leito , Resiliência Psicológica , Violência no Trabalho/prevenção & controle , Local de Trabalho/psicologia , Agressão , Humanos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Gestão da Segurança , Estados Unidos , Violência no Trabalho/psicologia
11.
Issues Ment Health Nurs ; 40(4): 304-309, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30742547

RESUMO

Psychiatric morbidity is high in the prison population and prisoners with mental health problems present with complex needs. Working within the stressful prison environment and exposure to traumatic events may make prison mental health staff and correctional officers vulnerable to burnout, compassion fatigue, and reduced compassion satisfaction. This issue has not previously been explored in the prison setting. In this exploratory study, 36 mental health professionals and correctional officers were recruited from a prison in England and completed a series of questionnaires on their demographic and professional characteristics, exposure to traumatic events, support from managers and colleagues and on levels of burnout, compassion fatigue, and compassion satisfaction. Staff had high levels of exposure to traumatic events and the level of support provided by managers and colleagues was mixed. The majority of staff were not at high risk of burnout, compassion fatigue and reduced compassion satisfaction but higher levels of burnout, compassion fatigue and reduced compassion satisfaction were found to be associated with a range of factors including staff characteristics, exposure to traumatic events, and working environment. These findings should be interpreted with the small sample size and limited power in mind and larger surveys of staff working in prison mental health settings are needed to confirm these results across a wider number of sites but nonetheless this study highlights the need for providers to consider staff's exposure to traumatic events and to promote supportive working environments.


Assuntos
Esgotamento Profissional/epidemiologia , Fadiga por Compaixão/epidemiologia , Recursos Humanos de Enfermagem/psicologia , Polícia/psicologia , Prisões , Ferimentos e Lesões/psicologia , Adulto , Inglaterra , Feminino , Humanos , Satisfação no Emprego , Masculino , Serviços de Saúde Mental/organização & administração , Pessoa de Meia-Idade , Satisfação Pessoal , Inquéritos e Questionários , Violência no Trabalho/psicologia , Violência no Trabalho/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia
12.
Ind Health ; 57(2): 175-183, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30700668

RESUMO

This consensus report summarizes the negative impact of work-related psychosocial factors and job stressors on the health and wellbeing of shift workers. Psychosocial factors may (a) directly affect work schedules or (b) mediate or moderate relationships between work schedules, circadian factors, and health. In this paper, prominent psychosocial models (e.g. Job Strain and Effort-Reward Imbalance) are used to help assess detrimental effects, including pathophysiologic outcomes. Several studies indicate the psychosocial environment can be more problematic for shift workers compared to regular day workers. This is likely due to shift worker's experiencing greater risks of low job control, high physical work demands, lower support from supervisors, and greater levels of over-commitment. Workplace violence is another frequently encountered psychosocial stressor for shift workers more likely to be in regular contact with the general public, such as police officers, security personnel, professional drivers, and other service employees being at elevated risk. A large body of literature confirms night and irregular shift schedules increase risk for injury. Non-diurnal schedules can trigger and worsen such incidents, especially under unsafe conditions. The problem of workplace violence for shift workers, in terms of severity and consequences, is probably underestimated, especially when present among other occupational stressors. Practical considerations and recommendations for action to mitigate the detrimental effects of psychosocial stressors on night and shift workers are presented.


Assuntos
Doenças Profissionais/psicologia , Estresse Ocupacional/psicologia , Jornada de Trabalho em Turnos/psicologia , Feminino , Humanos , Masculino , Estresse Ocupacional/fisiopatologia , Fatores Socioeconômicos , Estresse Psicológico , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia
13.
J Clin Nurs ; 28(11-12): 2171-2180, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30706553

RESUMO

AIM AND OBJECTIVES: This study aimed to determine the influence of work excitement, workplace violence and the violence prevention climate on professional commitment and turnover intention. BACKGROUND: Workplace violence can easily cause the quality of nursing care to decline. Improvements in the working environment and working conditions can improve nurses' professional commitment and satisfaction. DESIGN: A cross-sectional multicentre study with convenience sampling was conducted. We have complied with the guidelines of STROBE Checklist in presenting this research. METHODS: Out of 900 questionnaires, 696 were deemed valid for analysis (77.33%). This study collected data on sociodemographic information, experiences of workplace violence, professional commitment, work excitement, violence prevention climate and turnover intention. RESULTS: The results show that professional commitment has a significant effect on turnover intention. Professional commitment positively influences work excitement, especially when the work is challenging and varied. It also indirectly influences turnover intention by generating work excitement. Workplace violence introduces an interactive moderating effect on the relationship between professional commitment and work excitement. A violence prevention climate changes the interactive moderating effect of workplace violence on professional commitment, which in turn influences turnover intention. CONCLUSIONS: Positive work experience, institutional organisational policies and support systems are the mediating and moderating factors in the relationship between professional commitment and turnover intention. Nurses expect organisations to maintain good staff relations, provide a positive working environment and learning opportunities and strengthen communication channels, all of which affect nurse retention. RELEVANCE TO CLINICAL PRACTICE: Workplace violence is a serious crisis that can lead to turnover intention among hospital nurses. To enhance interpersonal relationships in the workplace and improve nurse retention, hospitals should schedule an adequate amount of staff and provide sufficient equipment and supplies to create a safe and positive work environment.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Violência no Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Intenção , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Local de Trabalho/normas
14.
Eur J Pediatr ; 178(5): 681-693, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30783762

RESUMO

The objective of this study was to study mental health, coping, and support after work-related adverse events among pediatricians. Physicians are frequently exposed to adverse events. It makes them at risk for posttraumatic stress disorder (PTSD), depression, and anxiety disorders. Besides the personal impact, physicians could pose a threat towards patients, as mental health problems are associated with medical errors. A questionnaire was sent to all members of the Pediatric Association of The Netherlands in October 2016. The questionnaire focused on adverse events, coping, and support. The Hospital Anxiety and Depression Scale and the Trauma Screening Questionnaire were included for evaluation of anxiety, depression, and posttraumatic stress. Four hundred ten questionnaires (18.9%) were eligible for analysis. Seventy-nine % (n = 325) of the respondents experienced adverse events, with "missing a diagnosis" having the most emotional impact and "aggressive behavior" as the most common adverse event. Nine (2.2%) pediatricians scored above the cut-off value on the Trauma Screening Questionnaire, indicative of PTSD. In total, 7.3% (n = 30) and 14.1% (n = 58) scored above the cut-off values in the Hospital Anxiety and Depression Scale, indicative of depression and anxiety. Only 26.3% reported to have a peer support protocol available for emotional support following adverse events.Conclusion: Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems compared to the general high-income population. Aggression towards pediatricians seems to be a common problem. Protocolled (peer) support should be implemented. What is known: • Physicians are frequently exposed to adverse events. It makes physicians at risk for depression, anxiety, and posttraumatic stress. • Physicians who are affected by these events pose a threat towards patients, as mental health problems are associated with medical errors. What is new: • Pediatricians experience a considerable amount of adverse and potentially traumatizing events associated with significantly higher mental health problems. • It is advised that (peer) support after adverse events is protocolled and education on coping strategies is implemented, to improve mental well-being of pediatricians.


Assuntos
Ansiedade/epidemiologia , Depressão/epidemiologia , Estresse Ocupacional/epidemiologia , Pediatras/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adaptação Psicológica , Adulto , Idoso , Ansiedade/etiologia , Estudos Transversais , Depressão/etiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Estresse Ocupacional/psicologia , Fatores de Risco , Apoio Social , Transtornos de Estresse Pós-Traumáticos/etiologia , Violência no Trabalho/psicologia
15.
J Nurs Manag ; 27(4): 781-791, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30784135

RESUMO

AIM: To examine health care managers' and health and safety staff experiences of prevention and management of workplace violence against staff. BACKGROUND: Employers have a responsibility to protect employees from workplace violence. The varied care settings present challenges for those responsible for ensuring safety. METHOD: Descriptive exploratory study using semi-structured interviews with 99 participants responsible for workplace safety, from 29 health services across metropolitan and regional Victoria, Australia. Interviews were audio-recorded, transcribed and thematically analysed. RESULTS: Five themes were identified: Workplace violence was accepted as "part of the job"; Participants relied on government resources and networking to guide them; Working alone and home visiting was a risk factor; Participants demanded a single, state-wide training programme; Sharing information is vital. CONCLUSIONS: Participants were acutely aware of the risks of violence towards staff, and of their responsibility in managing risks. Knowledge sharing and consistent, regular education can reduce the risks. Additional resources were required, particularly during home visits, or when working alone. IMPLICATIONS FOR NURSING MANAGEMENT: Managers need to prioritize resources such as reliable rapid response systems to prevent and manage violence, particularly against staff working alone or home visiting. Information sharing between health services and other agencies is important to reducing risk.


Assuntos
Pessoal de Saúde/estatística & dados numéricos , Enfermeiras Administradoras/psicologia , Gestão de Riscos/métodos , Violência no Trabalho/prevenção & controle , Atitude do Pessoal de Saúde , Humanos , Entrevistas como Assunto/métodos , Pesquisa Qualitativa , Vitória , Violência no Trabalho/psicologia
16.
J Nurs Adm ; 49(2): 73-78, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30633062

RESUMO

OBJECTIVE: The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients. BACKGROUND: Nurses are at a high risk of experiencing violence directed toward them by patients. METHODS: This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence. Confidence was measured using the Confidence in Coping with Patient Aggression Instrument. Open-ended questions sought participants' thoughts on workplace violence prevention initiatives. RESULTS: Thirty-eight confidence scores were assessed. Nurses' confidence in coping with patient aggression was significantly higher after behavior management training. Nurse participants described the training as "timely," "helpful," and "beneficial." CONCLUSION: With an increased understanding of violent behavior stages and warning signs, a nurse is better able to manage a potentially violent situation.


Assuntos
Agressão/psicologia , Controle Comportamental , Capacitação em Serviço/organização & administração , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/educação , Violência no Trabalho/prevenção & controle , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Violência no Trabalho/psicologia , Adulto Jovem
18.
Perspect Psychiatr Care ; 55(2): 255-261, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30680722

RESUMO

PURPOSE: To examine the relationship between the emotional intelligence and sociotropic-autonomic personality characteristics of nurses working in psychiatry clinics and their exposure to violence. DESIGN AND METHODS: In this study, 103 nurses working in a mental health community hospital in Turkey were surveyed. The research data were collected using the Emotional Intelligence Evaluation Scale, the Sociotropy-Autonomy Scale, and the Personal Information Form. FINDINGS: A statistically significant relationship was determined between the "awareness of emotions" and the frequency of physical violence that was exposed; "management of emotions" and the number of psychological violence that was exposed; sociotropic personality characteristics; and the number of violent incidents. PRACTICAL IMPLICATIONS: It may be advisable to include issues such as awareness and management of emotions, the importance of autonomous personality traits in violence prevention education programs.


Assuntos
Inteligência Emocional , Exposição à Violência/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Psiquiátrica , Violência no Trabalho/estatística & dados numéricos , Adulto , Estudos Transversais , Exposição à Violência/psicologia , Feminino , Hospitais Psiquiátricos , Humanos , Masculino , Inquéritos e Questionários , Turquia , Violência no Trabalho/psicologia
19.
J Occup Health ; 61(1): 101-109, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30698342

RESUMO

OBJECTIVES: This study investigated whether organizational responses modified the associations between experiencing violence and depressive symptoms among emergency workers. METHODS: A nationwide survey of 1966 Korean emergency medical service (EMS) providers was analyzed. Experience of workplace violence (ie, physical violence, verbal abuse) was classified into four groups based on the victims' reporting and organizational responses: (i) "Not experienced," (ii) "Experienced, not reported," (iii) "Experienced, reported, responded by organization,"and (iv) "Experienced, reported, not responded by organization." Depressive symptoms were assessed by 11-item version of the Centers for Epidemiologic Studies Depression Scale. RESULTS: Compared to "Not experienced" group, physical violence was significantly associated with depressive symptoms among EMS providers responding "Experienced, not reported" (PR: 1.67, 95% CI: 1.37, 2.03) and "Experienced, reported, not responded by organization" (PR: 2.58, 95% CI: 1.75, 3.82), after adjusting for confounders. No significant difference was detected for workers responding "Experienced, reported, responded by organization" group (PR: 1.45, 95% CI: 0.87, 2.41). Similar trends were observed in the analysis with verbal abuse. CONCLUSIONS: Our findings suggest that organizational responses could play a critical role in mitigating depressive symptoms among EMS providers who experience violence at work.


Assuntos
Depressão/psicologia , Serviços Médicos de Emergência/estatística & dados numéricos , Cultura Organizacional , Violência no Trabalho/psicologia , Violência no Trabalho/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Depressão/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Regressão , República da Coreia/epidemiologia , Distribuição por Sexo , Inquéritos e Questionários , Adulto Jovem
20.
J Adv Nurs ; 75(8): 1657-1666, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30644125

RESUMO

AIMS: To explore associations between specific violence prevention strategies and nurses' perceptions of workplace safety in medical-surgical and mental health settings. BACKGROUND: Workplace violence is on the rise globally. Nurses have the highest risk of violence due to the nature of their work. Violence rates are particularly high among USA and Canadian nurses. Although multiple violence prevention strategies are currently in place in public healthcare organizations in British Columbia, Canada, it is unknown whether these approaches are associated with nurses' perceptions of workplace safety. DESIGN: This is an exploratory correlational design using secondary data. METHODS: Using data obtained from a province-wide survey of nurses between March 2017 - January 2018, this study included 771 nurses from medical-surgical and 189 nurses from mental health settings. Data were analysed using ordinal logistic regressions. RESULTS: For medical-surgical and mental health nurses, greater perceptions of workplace safety were related to employers listening to them with respect to violence prevention strategies. Nurses in both settings were more likely to feel safe when they were not expected to physically intervene during a code white situation. Medical-surgical nurses were more likely to feel safe when code white incident reviews were conducted and fixed alarms were used. Mental health nurses were more likely to report feeling safe when they had enough properly trained code white responders on their unit. CONCLUSION: Nurse-employer engagement is critical to nurses' perceptions of feeling safe at work. Engagement opportunities include nurses' involvement in discussions about appropriate violence prevention strategies, collaborative debriefing after violent incidents and co-development and updates of patients' behavioural care plans.


Assuntos
Atitude do Pessoal de Saúde , Recursos Humanos de Enfermagem no Hospital/psicologia , Saúde do Trabalhador/estatística & dados numéricos , Enfermagem Perioperatória , Enfermagem Psiquiátrica , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia , Adulto , Canadá , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Violência no Trabalho/estatística & dados numéricos
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