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Worksite Walkthrough Intervention: Data-driven Prevention of Workplace Violence on Hospital Units
Lydia E Hamblin1, Lynnette Essenmacher, Mark Luborsky
1Department of Family Medicine, Michigan State University, East Lansing, Michigan (Drs Hamblin, Judith Arnetz); Detroit Medical Center, Occupational Health Services, Detroit, Michigan (Ms Essenmacher, Mr Russell, Dr Upfal); Institute of Gerontology, Wayne State University, Detroit, Michigan (Dr Luborsky); Department of Neurobiology, Caring Sciences and Society, Karolinska Institutet, Stockholm, Sweden (Dr Luborsky); Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, Michigan (Dr Janisse); Department of Emergency Medicine, Wayne State University, Detroit, Michigan (Dr Upfal), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden (Dr Arnetz); and Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden (Dr Arnetz).
Objective:
The aim of this study was to describe the implementation of a data-driven, unit-based walkthrough intervention shown to be effective in reducing the risk of workplace violence in hospitals.
Methods:
A structured worksite walkthrough was conducted on 21 hospital units. Unit-level workplace violence data were reviewed and a checklist of possible prevention strategies and an Action Plan form guided development of unit-specific intervention. Unit supervisor perceptions of the walkthrough and implemented prevention strategies were reported via questionnaires. Prevention strategies were categorized as environmental, behavioral, or administrative.
Results:
A majority of units implemented strategies within 12 months' postintervention. Participants found the walkthrough useful, practical, and worthy of continued use.
Conclusions:
Structured worksite walkthroughs provide a feasible method for workplace violence reduction in hospitals. Core elements are standardized yet flexible, promoting fidelity and transferability of this intervention.
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