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Related Experiment Video

Updated: May 13, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

A framework for translating workplace violence intervention research into evidence-based programs.

Kathleen M McPhaul¹, Matthew London, Jane A Lipscomb

¹Office of Occupational Health and Public Health, Veterans Health Administration, USA. kate.mcphaul@va.gov

Online Journal of Issues in Nursing

|March 5, 2013

Summary

Workplace violence in healthcare is a serious occupational hazard. Developing effective prevention programs requires organizational commitment, utilizing existing evidence, and adapting strategies to the local healthcare setting.

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Last Updated: May 13, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

Area of Science:

Occupational Health
Healthcare Management
Nursing Practice

Background:

Workplace violence is a pervasive and complex occupational hazard within modern healthcare settings.
It is frequently normalized as an inherent aspect of the demanding healthcare environment, affecting various staff, including nurses.
Existing scientific evidence for prevention strategies is substantial but not yet definitive.

Purpose of the Study:

To provide background information on workplace violence in healthcare.
To offer a framework for creating comprehensive workplace violence prevention programs.
To guide healthcare organizations in developing evidence-based and locally relevant prevention strategies.

Main Methods:

Review of scientific evidence on workplace violence prevention.
Analysis of regulatory guidance and workplace safety policies.
Emphasis on utilizing facility-level, locally generated practice evidence.

Main Results:

The evidence for workplace violence prevention is strong but requires further development.
Nurses often lead the implementation of prevention programs, relying on local data.
Organizational structures and processes are crucial for effective violence prevention.

Conclusions:

Comprehensive workplace violence prevention programs are essential in healthcare.
A framework integrating scientific evidence, regulatory support, and local data is proposed.
Nurses play a pivotal role in leading and implementing these vital programs.