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Reducing assaults against nursing home caregivers.

Donna Gates¹, Evelyn Fitzwater, Paul Succop

¹College of Nursing, University of Cincinnati, Cincinnati, Ohio, USA. donna.gates@uc.edu

Nursing Research

|March 22, 2005

Summary

A violence-prevention intervention improved knowledge, self-efficacy, and skills for nursing assistants (NAs). It significantly reduced assaults for those with fewer prior incidents, highlighting the need to address workplace violence.

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Area of Science:

Healthcare worker safety
Occupational health
Nursing practice

Background:

Nursing assistants (NAs) in long-term care face the highest rates of workplace assault in the US.
Workplace violence is a significant occupational hazard for healthcare professionals.

Purpose of the Study:

To evaluate a Social Cognitive Theory-based violence-prevention intervention for nursing assistants.
To assess the intervention's impact on knowledge, self-efficacy, skills, and assault incidence.

Main Methods:

A quasi-experimental design involving 138 nursing assistants across 6 long-term care homes.
Data collection included surveys, assault logs, and skills simulation at multiple time points.
Statistical analyses employed included analysis of variance and Poisson regression.

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Main Results:

Intervention group showed significant improvements in knowledge, self-efficacy, and violence-prevention skills.
The intervention effectively reduced assault incidence for NAs with fewer than 6 pre-intervention assaults (p < .001).
Assaults were significantly related to age, state anger, and resident assignment.

Conclusions:

Workplace violence in long-term care, while not fully eliminated, can be reduced through targeted interventions.
Violence against nursing assistants should not be normalized or accepted as inherent to the job.
Interventions can empower NAs and improve their safety, underscoring the value of their role.