Prevalence and Risk Factors of Workplace Violence Among Registered Nurses in Tertiary Hospitals
Keywords:
Bullying, Registered nurses, Tertiary hospital, Verbal abuse, Workplace violence.Abstract
Workplace violence in healthcare organizations is a significant global occupational health problem, and nurses are the occupational group at greatest risk. This descriptive research examined the prevalence of workplace violence andrisk factors among registered nurses working at tertiary care hospitals in upper Northern Thailand. Workplace violence was defined as physical and psychological violence. Psychological violence include verbal abuse, bullying/mobbing, and sexual harassment. Data was collected from 555 purposively chosen registered nurses,and analyzed using logistic regression. The survey tool was adapted from the standardized Workplace Violence Questionnaire developed by the ILO/ICN/WHO/PSI in 2003.
The prevalence of physical workplace violence in the preceding 12 months was found to be 12.1%, while the prevalence ofpsychological violence was verbal abuse (50.3%), bullying/mobbing (10.3%),and sexual harassment (1.6%). Risk factors for verbal abuseincluded being a registered nurse withdirect nursing care responsibilities;workplaces without adequate security; having workplace violence concerns; and less than ten years work experience. Physical violence risk factors included high patient workloads per nurse; the provision of nursing care to adolescent and adult patients; lack of workplace violence reporting procedures;being aged under 35 years; and workplaces without adequate security.
The results suggest that healthcare managers should actively develop and implement safe hospital policies, systems for reporting incidents, and security measures to prevent workplace violence from patients and their relatives and bullying from co-workers. Education and training are also recommended for the management of violence and aggression from patients as well as bullying
References
Martino VD. Relationship between work stress and workplace violence in the health sector: Geneva: ILO/ICN/WHO/PSI. C2003 [cited 2019 Oct 1]. Available from https://www.who.int/violence_injury_prevention/violence/
interpersonal/en/WVstresspaper.pdf
Occupational Safety and Health Administration. Guidelines for prevention workplace violence for healthcare and social service workers. OSHA Publication 3148-01R. Washington DC: U.S. Department of Labor. C2016 [cited 2016 March 16]. Available from https://www.osha.gov/Publications/osha3148.pdf
Phillips JP. Workplace violence against health care workers in the United states. N Engl J Med. 2016; 374 (17): 1661-9. DOI:10.1056/NEJMra1501998
Chang HE, Cho SH. Workplace violence and job outcomes of newly licensed nurses. Asian Nurs Res (Korean Soc Nurs Sci). 2016; 10 (4): 271-6. DOI:10.1016/j.anr.2016.09.001
Arnetz J, Hamblin LE, Sudan S, Arnetz B. Organizational determinants of workplace violence against hospital workers. J Occup Environ Med. 2018; 60 (8):693 -9. DOI:10.1097/JOM.0000000000001345
Mantzouranis G, Fafliora E, Bampalis VG, Christopoulou I. Assessment and analysis of workplace violence in a Greek tertiary hospital. Arch Environ Occup Health. 2015;70 (5): 256-64. DOI:10.1080/19338244.2013.879564
Stewart MW. Workplace violence against nurses. J Perianesth Nurs. 2018; 33 (3): 356-9. Available from: https://doi.org/10.1016/j.jopan.2018.03.002
Cheung T, Lee PH, Yip PSF. Workplace violence toward physicians and nurses: prevalence and correlates in Macau. Int J Environ Res Public Health. 2017;14 (8): 1-15. DOI: 10.3390/ijerph14080879
Patcharatanasan N, Lertmaharit S. The prevalence characteristics and related factors of workplace violence in
healthcare workers in emergency departments of government hospitals in region 6 health provider. JPMAT. 2018; 8 (2): 212-25. (in Thai).
Niu S-F, Kuo S-F, Tsai H-T, Kao C-C, Traynor V, Chou K-R. Prevalence of workplace violent episodes experienced by nurses in acute psychiatric settings. PLoS One. 2019; 14 Available from: https://doi.org/10.1371/journal.pone.
Boafo IM, Hancock P, Gringart E. Sources, incidence and effects of non-physical workplace violence against nurses in Ghana.Nurs Open. 2016; 3 (2): 99-109. DOI: 10.1002/nop2.43
Semordzie D, Asamani, L, Fia SD, Amponsah MO. Workplace violence: the ripple ecological effects.Br J Psychol Res. 2017; 5 (1):1 - 20. Available from: http://www.researchgate.net/publication/311947894
Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. Int J Nurs Stud. 2014; 51(1):72-84. DOI:10.1016/j.ijnurstu.2013.01.010.
International Labour Office, International Council of Nurses, World Health Organization, & Public Services International. Framework guidelines for addressing workplace violence in the health sector. Geneva: WHO. C2003 [cited 2019 Oct 1]. Available from http://www.who.int/violence_injury_prevention/violence/interpersonal/en/WV
managementvictimspaper.pdf
Newes-Adeyi G, Helitzer DL, Caulfield LE, Bronner Y. Theory and practice: applying the ecological model to
formative research for a WIC training program in New York State. Health Educ Res. 2000; 15 (3): 283-91. DOI: 10.1093/her/15.3.283
Fute M, Mengesha ZB, Wakgari N, Tessema GA. High prevalence of workplace violence among nurses working
at public health facilities in Southern Ethiopia. BMC Nurs. 2015; 14: 9-16. DOI: 10.1186/s12912-015-0062-1.
Nowrouzi-Kia B, Isidro R, Chai E, Usuba K, Chen A. Antecedent factors in different types of workplace violence
against nurses: A systematic review. Aggr Violent Behav. 2019; 44: 1-7. Available from: https://doi.org/10.1016/
j.avb.2018.11.002
Alyaemni A, Alhudaithi H. Workplace violence against nurses in the emergency departments of three hospitals in Riyadh, Saudi Arabia: A cross-sectional survey. Nursing Plus Open. 2016; 2: 35-41. Available from:https://doi.
org/10.1016/j.npls.2016.09.001
Villafranca A, Hamlin C, Enns S, Jacobsohn E. Disruptive behaviour in the perioperative setting: a contemporary review. Can J Anaesth. 2017; 64 (2): 128-40. DOI: 10.1007/s12630-016-0784-x
Castronovo MA, Pullizzi A, Evans S. Nurse bullying: a review and a proposed solution. Nurs Outlook. 2016; 64
(3): 208-14. DOI: 10.1016/j.outlook.2015.11.008
Koh WMS. Management of work place bullying in hospital: A review of the use of cognitive rehearsal as an alternative management strategy. Int J Nurs Sci. 2016; 3 (2): 213-22. Available from: https:// doi.org/10.1016/j.ijnss.2016.04.010
Abdellah RF, Salama KM. Prevalence and risk factors of workplace violence against health care workers in
emergency department in Ismailia, Egypt. Pan Afr Med J. 2017; 26:21-31. DOI:10.11604/pamj.2017.26. 21.10837
Cheung T, Yip PSF. Workplace violence towards nurses in Hong Kong: prevalence and correlates. BMC Public Health. 2017; 17 (1): 196. DOI:10.1186/s12889-017-4112-3
Cho OH, Cha KS, Yoo YS. Awareness and attitudes towards violence and abuse among emergency nurses. Asian Nurs Res. 2015; 9 (3): 213-8. Available from: https://doi.org/10.1016/j.anr.2015.03.003
Ahmad M, Al-Rimawi R, Masadeh A, Atoum M. Workplace violence by patients and their families against nurses: literature review. Int J Nurs Terminol Classif. 2015; 2 (4): 46-55. Available from: https://www.researchgate.
net/publication/280525324
Daniel WW. (1999). Biostatistics: a foundation for analysis in the health sciences (7th ed.). New York: John Wiley & Sons.
Jiao M, Ning N, Li Y, Gao L, Cui Y, Sun H, et al. Workplace violence against nurses in Chinese hospitals: a cross-sectional survey. BMJ Open. 2015; 5 (3): e006719. DOI:10.1136/bmjopen-2014-006719
Jaradat Y, Nielsen MB, Kristensen P, Nijem K, Bjertness E, Stigum H, et al. Workplace aggression, psychological
distress, and job satisfaction among Palestinian nurses: a cross-sectional study. Appl Nurs Res. 2016; 32: 190-8.
DOI:10.1016/j.apnr.2016.07.014.
Stone T, McMillan M, Hazelton M, Clayton EH. Wounding Words: Swearing and Verbal Aggression in an Inpatient Setting. Perspect Psychiatr Care. 2011; 47 (4): 194-203. DOI: 10.1111/j.1744-6163.2010.00295.x
Tonso MA, Prematunga RK, Norris SJ, Williams L, Sands N, Elsom SJ. Workplace violence in mental health: A Victorian Mental Health Workforce Survey. Int J Ment Health Nurs. 2016; 25 (5): 444-51. Available from: https:// doi. org/10.1111/inm.12232
Stevenson KN, Jack SM, O›Mara L, LeGris J. Registered nurses' experiences of patient violence on acute care psychiatric inpatient units: an interpretive descriptive study. BMC Nurs. 2015; 14: 35. DOI: 10.1186/s12912-015-0079-5
Sawaengdee K, Ruangrattanatrai W, Hanvoravongchai P, Gajeena A. Analyses of workload and productivity of 12 public hospital nurses in region 2 of Thailand. J Health Sci. 2015; 24 (4): 741-50. (in Thai).
Wei CY, Chiou ST, Chien LY, Huang N. Workplace violence against nurses-prevalence and association with hospital organizational characteristics and health-promotion efforts: Cross-sectional study. Int J Nurs Stud. 2016; 56: 63-70. DOI: 10.1016/j.ijnurstu.2015.12.012.
Li P, Xing K, Qiao H, Fang H, Ma H, Jiao M, et al. Psychological violence against general practitioners and nurses in Chinese township hospitals: incidence and implications. Health and Qual of Life Outcomes. 2018; 16 (1): 117. DOI: 10.1186/s12955-018-0940-9.
Koh WMS. Management of workplace bullying in hospital: a review of the use of cognitive rehearsal as an alternative management strategy. Int J Nurs Sci. 2016; 3 (2): 213- 22. Available from: https:// doi. org/10.1016/j.ijnss.2016. 04.010
Berry PA, Gillespie GL, Gates D, Schafer J. Novice nurse productivity following workplace bullying. J Nurs Scholarsh. 2012; 44 (1): 80-7.DOI:10.1111/j.1547-5069.2011. 01436.x
Shi L, Zhang D, Zhou C, Yang L, Sun T, Hao T, et al. A cross–sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses. BMJ Open. 2017; 7 (6): e013105. DOI:10.1136/bmjopen2016-013105
Tiruneh BT, Bifftu BB, Tumebo AA, Kelkay MM, Anlay DZ, Dachew BA. Prevalence of workplace violence in
Northwest Ethiopia: a multivariate analysis. BMC Nurs. 2016; 15:42. DOI:10.1186/s12912-016-0162-6.
Najafi F, Fallahi-Khoshknab M, Ahmadi F, Dalvandi A, Rahgozar M. Antecedents and consequences of workplace violence against nurses: A qualitative study. J Clin Nurs. 2018; 27 (1-2): e116-e28. DOI:10.1111/jocn.13884
Thanomlikhit C, Kheawwan P. Nurse Residency Coordinator: important of role to development nursing expertise. TJNMP. 2018; 5 (2): 96-110. (in Thai).
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