DOI QR코드

DOI QR Code

Workplace Violence and Safety Issues in Long-Term Medical Care Facilities: Nurses' Perspectives

  • Fasanya, Bankole K. (Department of Built Environment (Environmental Health and Occupational Safety), North Carolina Agricultural and Technical State University) ;
  • Dada, Emmanuel A. (Department of Built Environment (Environmental Health and Occupational Safety), North Carolina Agricultural and Technical State University)
  • Received : 2015.02.25
  • Accepted : 2015.11.07
  • Published : 2016.06.30

Abstract

Background: Workplace violence (WPV) is becoming an issue that needs immediate attention in the United States, especially during this period as more states are adopting the "stand your ground laws to promote worker protection." This study was conducted to investigate how WPV has contributed to an unsafe environment for nurses and nursing assistants who work in long-term medical care facilities. Methods: A structure questionnaire was used to collect data for the study. Three facilities were sampled and 80 nurses and certified nursing assistants participated in the study. Ninety-two percent (n = 74) were female and 8% (n = 6) were male. Approximately 62% were black or African American, approximately 33% were Caucasians, and only 2% were from other ethnicities. Results: We found that 65% of the participants had experienced WPV while 41% believed that management shows little or no concern for their safety. Approximately 23% of respondents believed that reporting supervisor's WPV act is an unsafe action. In addition, 22% of those who reported that they have experienced WPV believed that the work environment is not safe to perform their duties. This significant difference in perception of workplace safety between those who had experienced WPV and those who had not was significant (t = 3.95, df = 158, p < 0.0001). Conclusion: WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.

Keywords

References

  1. American Society for Industrial Security and the Society for Human Resource Management. Development of workplace violence prevention and intervention national standard [Internet]. 2009 Mar 9 [cited 2014 Dec 28]. Available from: http://security-today.com/articles/2009/03/09/asis-workplace-violence. aspx.
  2. U.S. Department of Labor, Bureau of Labor Statistics. Survey of workplace violence prevention [Internet]. 2006 [cited 2014 Dec 26]. Available from: http://www.bls.gov/iif/oshwc/osch0033.pdf.
  3. American Society for Industrial Security International Healthcare Security Council. Managing disruptive behavior and workplace violence in healthcare [Internet]. 2011 [cited 2014 Dec 28]. Available from: http://www.g4s.us/ w/media/Files/USA/PDF-Articles/Hospitals%20and%20Healthcare/Council_ Healthcare_WorkplaceViolence.ashx.
  4. U.S. Department of Labor, Occupational Safety and Health Administration. Workplace violence [Internet]. 2011 [cited 2015 Nov 23]. Available from: https://www.osha.gov/SLTC/workplaceviolence/.
  5. U.S. Department of Justice, Bureau of Justice Statistics. Violence in the workplace, 1993-1999: special report from the National Crime Victimization Survey [Internet]. Washington DC (WA): U.S. Department of Justice, Bureau of Justice Statistics; 2001 [cited 2014 Dec 26]. Available from: http://www.bjs. gov/content/pub/pdf/vw99.pdf.
  6. Fidelity Brokerage Investment Services LLC. Market and sectors [Internet]. 2014 [cited 2015 Oct 1]. Available from: https://eresearch.fidelity.com/ eresearch/markets_sectors/sectors/sectors_in_market.jhtml? tab=learn§or=35.
  7. Morrison EF. The culture of caregiving and aggression in psychiatric settings. Arch Psychiatr Nurs 1998;12:21-31. https://doi.org/10.1016/S0883-9417(98)80005-8
  8. McPhaul KM, Lipscomb JA. Workplace violence in health care: recognized but not regulated. Online J Issues Nurs 2004;9:7.
  9. Liberty Mutual. Liberty mutual workplace safety index: the direct costs and leading causes of workplace injuries [Internet]. Boston (MA): Liberty Mutual; 2004 [cited 2014 Dec 30]. Available from: http://www.libertymutual.com/.
  10. Emergency Nurses Association. Violence in the emergency care setting [Internet]. 2010 [cited 2015 Nov 23]. Available from: www.ena.org/ SiteCollectionDocuments/Position%20Statements/Violence_in_the_ Emergency_Care_Setting_-_ENA_PS.pdf.
  11. Kvas A, Seljak J. Unreported workplace violence in nursing. Int Nurs Rev 2014;61:344-51. https://doi.org/10.1111/inr.12106
  12. Whitmore B. Engaged leadership's role in workplace violence prevention [Internet]. 2012 [cited 2014 Dec 28]. Available from: http://www. huffingtonpost.com/bill-whitmore/workplace-violence_b_1278476.html.
  13. Occupational Safety and Health Administration. Guidelines for preventing workplace violence for health care and social service workers. Washington DC (WA): U.S. Department of Labor, Occupational Safety and Health Administration; 1998. 3148 p.
  14. Restrepo T, Shuford H. Violence in the workplace. National Council on Compensation Insurance [Internet]. 2012 [cited 2014 Dec 26]. Available from: https://www.ncci.com/pages/default.aspx.
  15. Gacki-Smith J, Juarez A, Boyett L, Homeyer C, Robinson L, Maclean S. Violence against nurses working in US emergency departments. J Nurses Admin 2009;39:340-9. https://doi.org/10.1097/NNA.0b013e3181ae97db
  16. Heponiemi T, Kouvonen A, Virtanen M, Vanska J, Elovainio M. The prospective effects of workplace violence on physicians' job satisfaction and turnover intentions: the buffering effect of job control. BMC Health Serv Res 2014;14:19. https://doi.org/10.1186/1472-6963-14-19
  17. Gates DM, Ross CS, McQueen L. Violence against emergency department workers. J Emerg Med 2006;31:331-7. https://doi.org/10.1016/j.jemermed.2005.12.028
  18. Microsoft Excel (computer program). Version 2010. Redmond (WA): Microsoft; 2010.
  19. d'Ettorre G, Greco M. Healthcare work and organizational interventions to prevent work-related stress in Brindisi, Italy. Saf Health Work 2015;6:35-8. https://doi.org/10.1016/j.shaw.2014.10.003
  20. Kamchuchat C, Chongsuvivatwong V, Oncheunjit S, Yip TW, Sangthong R. Workplace violence directed at nursing staff at a general hospital in southern Thailand. J Occup Health 2008;50:201-7. https://doi.org/10.1539/joh.O7001
  21. Pai H, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs 2011;20:1405-12. https://doi.org/10.1111/j.1365-2702.2010.03650.x
  22. Samuel LJ, Tudor C, Weinstein M, Moss H, Glass N. Employers' perceptions of intimate partner violence among a diverse workforce. Saf Health Work 2011;2:250-9. https://doi.org/10.5491/SHAW.2011.2.3.250
  23. Levin PF, Hewitt JB, Misner ST, Reynolds S. Assault of long-term care personnel. J Gerontol Nurs 2003;3:28-35.
  24. Child RJ, Mentes JC. Violence against women: the phenomenon of workplace violence against nurses. Issues Ment Health Nurs 2010;31:89-95. https://doi.org/10.3109/01612840903267638

Cited by

  1. Workplace Hazards Faced by Nursing Assistants in the United States: A Focused Literature Review vol.14, pp.6, 2016, https://doi.org/10.3390/ijerph14050544
  2. Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention vol.25, pp.7, 2016, https://doi.org/10.1111/jonm.12488
  3. Prevalence of Physical and Verbal Violence Against Health Care Workers in Turkey vol.49, pp.4, 2019, https://doi.org/10.1177/0020731419859828
  4. The Role of Training and Work-Related Injury on Home Health Workers’ Job Satisfaction: Analysis of the National Home and Hospice Care Survey vol.31, pp.4, 2016, https://doi.org/10.1177/1084822319842165
  5. Silent Counterattack: The Impact of Workplace Bullying on Employee Silence vol.11, pp.None, 2016, https://doi.org/10.3389/fpsyg.2020.572236
  6. Prevalence of Workplace Violence Against Health-Care Professionals in China: A Comprehensive Meta-Analysis of Observational Surveys vol.21, pp.3, 2016, https://doi.org/10.1177/1524838018774429
  7. Depressive Symptoms Following Work-Related Violence and Threats and the Modifying Effect of Organizational Justice, Social Support, and Safety Perceptions vol.36, pp.15, 2016, https://doi.org/10.1177/0886260519831386