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Work-related assault injuries among nurses.

S S Lee1, S G Gerberich, L A Waller

  • 1Regional Injury Prevention Research Center, Division of Environmental and Occupational Health, University of Minnesota, Minneapolis 55455, USA.

Epidemiology (Cambridge, Mass.)
|October 27, 1999
PubMed
Summary

Work-related violence against nurses is a significant issue. Key risk factors include perceived administrative acceptance of assault and high patient-to-staff ratios, while security presence may reduce injuries.

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Area of Science:

  • Occupational Health
  • Nursing Safety
  • Public Health

Background:

  • Work-related violence poses a significant threat to healthcare professionals.
  • There is a critical gap in understanding the specific risk factors contributing to workplace assaults on nurses.

Purpose of the Study:

  • To identify and analyze the risk factors associated with work-related assault injuries experienced by nurses.

Main Methods:

  • A case-control study design was employed.
  • Unconditional logistic regression was utilized to model the relationship between assault injuries and various exposures, controlling for confounders.

Main Results:

  • Reduced assault rates were observed with the presence of security personnel (RR = 0.40).

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  • Increased assault rates were linked to administrative perceptions of assault as "part of the job" (RR = 8.14), lack of assault prevention training (RR = 4.64), high patient/personnel ratios (RR = 2.54), working with mentally ill patients (RR = 3.5), and longer patient lengths of stay (RR = 8.85 and 4.25).
  • Conclusions:

    • Several modifiable and environmental factors significantly increase the risk of assault injuries among nurses.
    • Targeted interventions, including security presence and comprehensive training, are crucial for mitigating workplace violence in nursing.