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Difference in work-related violence by nurse license type
Nancy M Nachreiner1, Helen E Hansen, Akiko Okano
1Center for Violence Prevention and Control, Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA. nachr001@umn.edu
Licensed practical nurses (LPNs) face higher risks of workplace violence than registered nurses (RNs). Understanding these differences is key to developing effective safety interventions for all nurses.
Area of Science:
- Nursing
- Occupational Health
- Criminology
Background:
- Nurses experience significant work-related violence.
- Variations in violence risk exist between different nursing license types.
Purpose of the Study:
- Compare workplace violence experiences between registered nurses (RNs) and licensed practical nurses (LPNs).
- Quantify differences in risks and exposures.
- Inform the development of targeted interventions.
Main Methods:
- Survey of a random sample of 6,300 licensed Minnesota nurses.
- Self-reported data on violent events and demographics over a 12-month period.
- Statistical adjustment for confounders and nonresponse.
Main Results:
- LPNs showed increased risk for physical assault (OR=1.4) and nonphysical violence (OR=1.2) compared to RNs.
- Psychiatric and long-term care settings increased violence risk for both RNs and LPNs.
- Clinic settings decreased violence risk for both license types.
- Specific risks varied by license type and patient population (e.g., pediatrics).
Conclusions:
- LPNs face a statistically significant higher risk of workplace violence compared to RNs.
- Work setting and specific duties influence violence exposure differently for RNs and LPNs.
- Tailored interventions are needed based on license type and practice environment to mitigate nursing workplace violence.
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