Home-Based Care Type II Workplace Violence Nurse Provider Experience: A Literature Review

Area of Science:

• Healthcare Management
• Occupational Safety
• Nursing Practice

Background:

• Type II workplace violence (WPV) against healthcare workers by patients, clients, or visitors is a significant threat.
• Home-based care providers are uniquely vulnerable due to isolated work environments and lack of tailored safety resources.
• Existing WPV training is often designed for hospital settings, not the specific challenges of home care.

Purpose of the Study:

• To systematically review and synthesize existing literature on Type II WPV in U.S. home health settings from 2014-2024.
• To identify the prevalence, impact, and current prevention strategies for WPV experienced by home care providers.
• To highlight gaps in training and propose recommendations for improved safety protocols.

Main Methods:

• Systematic literature review of qualitative and quantitative studies.
• Searched databases for studies published between 2014 and 2024 focusing on Type II WPV in U.S. home health.
• Included eight studies that met predefined inclusion criteria.

Main Results:

• Workplace violence in home care settings is frequently underreported.
• Current WPV training programs are generally not adapted for the unique risks of home environments.
• Home care providers face elevated risks of physical and psychological harm due to inadequate safety measures.

Conclusions:

• There is a critical need for specialized, home-based WPV prevention training.
• Training should focus on patient screening, situational awareness, and de-escalation techniques for high-risk clients.
• Future research and policy should prioritize developing comprehensive, home-specific WPV protocols and fostering a culture of safety.