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Workplace violence as a crisis: Using O'Rourke's theory as a framework to foster role clarity and professional role
Leah Korkis1, Theresa Murphy1, Maria W O'Rourke2
1USC Verdugo Hills Hospital, Glendale, CA.
Background:
Workplace violence (WPV) against nurses, particularly by patients and visitors, poses a significant challenge to the profession and patient care. Nurses are introduced to the ethical principle of Do No Harm early in their education, yet this obligation becomes complex when their own safety is at risk.
Purpose:
This paper examines nurses' experiences with WPV and its impact on professional role commitment and quality care. It offers a theory-driven, evidence-based framework to guide nurse executives and educators in addressing WPV.
Methods:
Drawing from sociology, psychology, and WPV research, this paper employs O'Rourke's middle-range theory to identify interventions that address the environment of care, healthcare workers, and nurses.
Discussion:
WPV not only threatens nurses' physical safety but also disrupts the alignment between professional role expectations and obligations, straining their professional role identity and commitment. Effective strategies and supportive interventions, particularly from nurse leaders, are critical.
Conclusion:
Addressing WPV through theory-driven, evidence-based strategies is essential to ensuring nurse safety, strengthening professional role identity, and sustaining a committed nursing workforce.
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