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Hospital violence: site, severity, and nurses' preventive training.

T L Rosenthal, N B Edwards, R H Rosenthal

    Issues in Mental Health Nursing
    |October 1, 1992
    PubMed
    Summary

    Workplace violence affects 37% of nurses. While hospitals with low survey response rates reported less assault, the violence was more severe. Training is crucial for mitigating serious assaults and improving nurse safety.

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    Area of Science:

    • Occupational Health
    • Nursing Practice
    • Criminology

    Background:

    • Workplace violence is a significant risk for healthcare professionals.
    • Understanding the prevalence and characteristics of violence against nurses is essential for developing effective safety protocols.

    Purpose of the Study:

    • To investigate the prevalence and nature of workplace violence experienced by nurses.
    • To explore the relationship between hospital type, survey response rates, and reported violence.
    • To assess the impact of training on mitigating serious assaults.

    Main Methods:

    • A survey was administered to 663 nurses regarding their exposure to workplace violence.
    • Data were analyzed to compare violence rates and characteristics across different hospital types (public vs. private, general vs. psychiatric).

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  • Statistical relationships between training levels and assault severity were examined.

    • Main Results:

    • 37% of nurses reported experiencing workplace violence.
    • Hospitals with lower survey response rates reported less overall assault but described more deadly incidents.
    • Nurses in public hospitals received more violence-prevention training than those in private hospitals.
    • Increased training was associated with a negative correlation to serious assault severity.
    • Public psychiatric hospitals had the highest frequency of violent acts but the lowest rate of deadly violence.

    Conclusions:

    • Workplace violence is prevalent among nurses, with varying characteristics depending on the healthcare setting.
    • Training in violence prevention appears to be a critical factor in reducing the severity of assaults.
    • There is a need to implement comprehensive training programs for all healthcare staff, in both general and psychiatric hospitals, to address the multifaceted issue of workplace violence.