Violet Education Bundle for Workplace Violence: A Quality Improvement Project.

Area of Science:

• Healthcare Management
• Occupational Safety
• Nursing Practice

Background:

• Workplace violence (WPV) in healthcare negatively impacts staff well-being and institutional stability.
• Increasing WPV incidents contribute to staff attrition and exacerbate healthcare workforce shortages.
• Underreporting of WPV is common due to cultural acceptance, lack of resource awareness, and inadequate support.

Purpose of the Study:

• To implement a WPV intervention bundle in a general surgery unit.
• To evaluate the impact of the bundle on staff utilization of WPV resources.
• To assess changes in staff confidence, knowledge, and perceived support following WPV events.

Main Methods:

• A hybrid education bundle, the Violet Education Bundle, was implemented.
• The bundle included training on de-escalation, incident reporting, and psychological support resources.
• A single-group, pre- and post-test design with a paired t-test was used for evaluation.

Main Results:

• Only 23.2% of staff completed both pre- and post-surveys.
• No statistically significant increases were observed in resource utilization, confidence, knowledge, or perceived support from pre- to post-implementation.
• Limited survey completion may have influenced the statistical significance of the findings.

Conclusions:

• Nurses anecdotally reported valuing the consolidated WPV resources.
• The 60-day follow-up period may have been insufficient to detect significant changes.
• Further research with longer follow-up is needed to assess sustained effectiveness of WPV interventions.