Violence in Healthcare Settings: A Scoping Review of Theoretical Foundations and Implications for Violence Prevention in Healthcare Systems
Keywords:
Workplace violence, Healthcare workers, Violence prevention, Healthcare settings, Scoping review, Occupational healthAbstract
Background: Workplace violence in healthcare settings is a growing occupational health concern affecting healthcare workers worldwide. Exposure to aggression and threats can negatively impact staff wellbeing and the quality of patient care.
Objective: This scoping review aimed to synthesize theoretical perspectives and empirical evidence related to workplace violence in healthcare settings and to examine implications for violence prevention strategies in healthcare systems.
Materials and Method: The review followed the methodological framework proposed by Arksey and O’Malley and further refined by Levac and colleagues. Literature searches were conducted in PubMed, CINAHL, PsycINFO, and the Thai-Journal Citation Index for studies published between 2014 and 2024. Titles and abstracts were screened independently by two reviewers, followed by full-text assessment based on predefined inclusion criteria.
Results: The search identified 1,847 records. After screening and eligibility assessment, 16 studies were included in the final synthesis. The literature highlighted several relevant theoretical perspectives, including emotional intelligence, ecological systems theory,
and communication-based approaches to conflict management. Empirical findings indicate that workplace violence is shaped by interactions among patient characteristics, staff communication practices, and organizational factors.
Conclusions: Effective violence prevention requires integrated strategies addressing individual competencies, organizational policies, and systemic conditions within healthcare systems.
References
Spector P E, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies. 2014; 51 (1): 72–84. https://doi.org/10.1016/j.ijnurstu.2013.01.010
Liu J, Gan Y, Jiang H, Li L, Dwyer R, Lu K, et al. Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occupational and Environmental Medicine. 2019; 76 (12): 927–37. https://doi.org/10.1136/oemed-2019-105849
Chapman R, Perry L, Styles I, Combs S. Predicting patient aggression against nurses in all clinical settings. British Journal of Nursing. 2009; 18 (8): 476–83. https://doi.org/10.12968/bjon.2009.18.8.42435
Shi L, Zhang D, Zhou C, Yang L, Sun T, Hao T, et al. A cross-sectional study on the prevalence and risk factors for workplace violence against healthcare workers in China. BMJ Open. 2020; 10 (6): e036456. https://doi.org/10.1136/bmjopen-2019-036456
Lanctôt N, Guay S. The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences. Aggression and Violent Behavior. 2014; 19 (5): 492–501. https://doi.org/10.1016/j.avb.2014.07.010
Peek-Asa C, Casteel C, Allareddy V, Nocera M, Goldmacher S, O’Hagan E. Workplace violence prevention programs in psychiatric units and facilities. Archives of Psychiatric Nursing. 2009; 23 (2): 166–76. https://doi.org/10.1016/j.apnu.2008.05.008
Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology. 2005; 8 (1): 19–32. https:// doi.org/10.1080/1364557032000 119616
Levac D, Colquhoun H, O’Brien KK. Scoping studies: Advancing the methodology. Implementation Science. 2010; 5: 69. https://doi.org/10.1186/1748-5908-5-69
Aljohani B, Burkholder J, Tran QK, Chen C, Beisenova K, Pourmand A. Workplace violence in the emergency department: A systematic review and meta-analysis. Public Health. 2021; 196: 186–97. https://doi.org/10.1016/j.puhe.2021.02.009
Hassankhani H, Parizad N, Gacki- Smith J, Rahmani A, Mohammadi E, Hassankhani H. Workplace violence against nurses in emergency departments: A qualitative study. International Emergency Nursing. 2018; 39: 9–14. https://doi.org/10.1016/j.ienj.2017.07.007
Arnetz JE, Hamblin L, Ager J, Luborsky M, Upfal MJ, Russell J, et al. Underreporting of workplace violence: Comparison of self-report and actual documentation of hospital incidents. Workplace Health & Safety. 2015; 63 (5): 200–10. https://doi.org/10.1177/2165079915574684
Barrera M, Castro FG. A heuristic framework for the cultural adaptation of interventions. Clinical Psychology: Science and Practice. 2006; 13 (4): 311–6. https://doi.org/10.1111/j.1468-2850.2006.00043.x
Fredrickson BL. The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist. 2001; 56 (3): 218–26. https://doi.org/10.1037/0003-066X.56.3.218
Fredrickson BL. Positive emotions broaden and build. Advances in Experimental Social Psychology. 2013; 47: 1–53. https://doi.org/10.1016/B978-0-12-407236-7.00001-2
Goleman DP. Emotional intelligence: Why it can matter more than IQ for character, health and lifelong achievement. 1995, New York: Bantam Books.
Bronfenbrenner U. The ecology of human development: Experiments by nature and design. 1979. Harvard University Press.
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