Violence against Emergency Department nurses; Can we identify the perpetrators?

<h4>Introduction</h4>Violence against health care workers is a major issue in health care organisations and is estimated to affect 95% of workers, presenting an enormous risk for workers and employers. Current interventions generally aim at managing rather than preventing or minimising v...

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Main Authors: Evelien Spelten, Brodie Thomas, Peter O'Meara, Julia van Vuuren, Anthony McGillion
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0230793
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author Evelien Spelten
Brodie Thomas
Peter O'Meara
Julia van Vuuren
Anthony McGillion
author_facet Evelien Spelten
Brodie Thomas
Peter O'Meara
Julia van Vuuren
Anthony McGillion
author_sort Evelien Spelten
collection DOAJ
description <h4>Introduction</h4>Violence against health care workers is a major issue in health care organisations and is estimated to affect 95% of workers, presenting an enormous risk for workers and employers. Current interventions generally aim at managing rather than preventing or minimising violent incidents. To create better-targeted interventions, it has been suggested to shift attention to the perpetrators of violence. The aim of this study was to identify and discuss the perceptions, held by Emergency Department nurses, about perpetrators of occupational violence and aggression.<h4>Methods</h4>Two focus groups were conducted with Emergency Department nurses at a major metropolitan hospital in Australia. In the focus groups, the nurses' perceptions about perpetrators of violence against health care workers were identified and discussed. The results were analysed using descriptive analysis.<h4>Results</h4>This study confirmed that violence is a major issue for Emergency Department nurses and has a considerable impact on them. Participants acknowledged that violence at work had become an intrinsic part of their job and they tend to focus on coping mechanisms. The nurses identified six overlapping groups of perpetrators and described their approach to dealing with these perpetrators. The results highlighted additional factors that impact on the occurrence and management of violence, such as the presence of security, wait times, and the triage system.<h4>Conclusions</h4>Based on the focus groups with Emergency Department nurses we conclude that violence at work is an everyday danger for Emergency Department nurses, who feel vulnerable and recognise that it is not within their power to solve this issue given the societal component. Our conclusion is that attention needs to shift from equipping workers with tools to manage violence to the perpetrator and the development of interventions to reduce violence from targeted perpetrator groups.
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spelling doaj.art-bf4bac12df2a451580c130ffb15115962022-12-21T18:32:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01154e023079310.1371/journal.pone.0230793Violence against Emergency Department nurses; Can we identify the perpetrators?Evelien SpeltenBrodie ThomasPeter O'MearaJulia van VuurenAnthony McGillion<h4>Introduction</h4>Violence against health care workers is a major issue in health care organisations and is estimated to affect 95% of workers, presenting an enormous risk for workers and employers. Current interventions generally aim at managing rather than preventing or minimising violent incidents. To create better-targeted interventions, it has been suggested to shift attention to the perpetrators of violence. The aim of this study was to identify and discuss the perceptions, held by Emergency Department nurses, about perpetrators of occupational violence and aggression.<h4>Methods</h4>Two focus groups were conducted with Emergency Department nurses at a major metropolitan hospital in Australia. In the focus groups, the nurses' perceptions about perpetrators of violence against health care workers were identified and discussed. The results were analysed using descriptive analysis.<h4>Results</h4>This study confirmed that violence is a major issue for Emergency Department nurses and has a considerable impact on them. Participants acknowledged that violence at work had become an intrinsic part of their job and they tend to focus on coping mechanisms. The nurses identified six overlapping groups of perpetrators and described their approach to dealing with these perpetrators. The results highlighted additional factors that impact on the occurrence and management of violence, such as the presence of security, wait times, and the triage system.<h4>Conclusions</h4>Based on the focus groups with Emergency Department nurses we conclude that violence at work is an everyday danger for Emergency Department nurses, who feel vulnerable and recognise that it is not within their power to solve this issue given the societal component. Our conclusion is that attention needs to shift from equipping workers with tools to manage violence to the perpetrator and the development of interventions to reduce violence from targeted perpetrator groups.https://doi.org/10.1371/journal.pone.0230793
spellingShingle Evelien Spelten
Brodie Thomas
Peter O'Meara
Julia van Vuuren
Anthony McGillion
Violence against Emergency Department nurses; Can we identify the perpetrators?
PLoS ONE
title Violence against Emergency Department nurses; Can we identify the perpetrators?
title_full Violence against Emergency Department nurses; Can we identify the perpetrators?
title_fullStr Violence against Emergency Department nurses; Can we identify the perpetrators?
title_full_unstemmed Violence against Emergency Department nurses; Can we identify the perpetrators?
title_short Violence against Emergency Department nurses; Can we identify the perpetrators?
title_sort violence against emergency department nurses can we identify the perpetrators
url https://doi.org/10.1371/journal.pone.0230793
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