Violent behavior and workplace violence in the emergency room- An integrated review
Rouvinen, Maria (2019)
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019061316898
https://urn.fi/URN:NBN:fi:amk-2019061316898
Tiivistelmä
Workplace violence (WPV) is a global problem, which affects the wellbeing of nurses around the world. The problem has been present for multiple years in emergency rooms and hospitals but still the problem continues. Its impact or the underlying reasons leading to its high prevalence are not widely known.
The research questions in this integrative review were to find out how common workplace violence against nurses in emergency departments is, what are the characteristics or permitting the factors of WPV against nurses and what kind of measures are recommended in the latest research about WPV to limit its appearance.
WPV in emergency rooms is a global problem, affecting the lives of multiple health care professionals, simultaneously causing unnecessary harm and discomfort in the victims and affecting the quality of care provided to patients.
Contributing factors to the appearance of WPV can be related to a cultural aspect of seeing it as a part of the job or a rite of passage for new nurses. The attitude of management in a hospital setting can also allow the appearance of WPV, if necessary steps are not implemented to limit its appearance. Problems were also seen in lack of support given by the management after a violent situation. Violent attacks are underreported. Problems can be seen in poorly designed reporting platforms, which can be hard to use by the staff. Contributing themes, such as the surroundings of the emergency rooms, communication factors and a cultural aspect of permitting WPV were present in the data.
Risk for the appearance of WPV were often related to long waiting times in the ER, non-visible security personnel, open premises of the ED area, lack of visitor policy, poorly designed hospital premises and minimal privacy. Possible solutions to end WPV were related to information given to the patients and relatives about waiting times, education to nurses about communication as well as to the community about when to come to the ED and making the design of the emergency rooms better in hospitals.
Workplace violence means the appearance of physical injuries, but also verbal, aggressive threats towards the health care personnel. WPV is regularly underreported in emergency rooms and hospitals. Better implementation of research and environmental design is needed to end WPV in all its forms.
The research questions in this integrative review were to find out how common workplace violence against nurses in emergency departments is, what are the characteristics or permitting the factors of WPV against nurses and what kind of measures are recommended in the latest research about WPV to limit its appearance.
WPV in emergency rooms is a global problem, affecting the lives of multiple health care professionals, simultaneously causing unnecessary harm and discomfort in the victims and affecting the quality of care provided to patients.
Contributing factors to the appearance of WPV can be related to a cultural aspect of seeing it as a part of the job or a rite of passage for new nurses. The attitude of management in a hospital setting can also allow the appearance of WPV, if necessary steps are not implemented to limit its appearance. Problems were also seen in lack of support given by the management after a violent situation. Violent attacks are underreported. Problems can be seen in poorly designed reporting platforms, which can be hard to use by the staff. Contributing themes, such as the surroundings of the emergency rooms, communication factors and a cultural aspect of permitting WPV were present in the data.
Risk for the appearance of WPV were often related to long waiting times in the ER, non-visible security personnel, open premises of the ED area, lack of visitor policy, poorly designed hospital premises and minimal privacy. Possible solutions to end WPV were related to information given to the patients and relatives about waiting times, education to nurses about communication as well as to the community about when to come to the ED and making the design of the emergency rooms better in hospitals.
Workplace violence means the appearance of physical injuries, but also verbal, aggressive threats towards the health care personnel. WPV is regularly underreported in emergency rooms and hospitals. Better implementation of research and environmental design is needed to end WPV in all its forms.