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Five Topics Overlooked in Workplace Violence Discussions in Health Care Settings
Kathleen R Delaney1, Kelley Peters2, Paul Thomas Clements3
1Kathleen R. Delaney is Professor Emeritus, Rush University College of Nursing, Chicago, Illinois (Kathleen_R_Delaney@rush.edu).
AACN Advanced Critical Care
|February 27, 2026
Summary
Workplace violence against nurses requires more than de-escalation. This study highlights professional, ethical, and organizational factors crucial for effective prevention strategies, enhancing nurse and patient safety.
Area of Science:
- Healthcare Management
- Nursing Practice
- Occupational Safety
Background:
- Workplace violence against healthcare professionals, particularly nurses, is a growing concern.
- Existing prevention strategies often focus on de-escalation, potentially overlooking other critical dimensions.
Purpose of the Study:
- To explore multifaceted factors in workplace violence prevention for nurses in nonpsychiatric settings.
- To identify additional elements beyond de-escalation for comprehensive prevention discourse.
Main Methods:
- Analysis of psychiatric nursing models.
- Review of current literature on workplace violence.
- Incorporation of clinical insights from experts and nurses.
Main Results:
- Identified key factors: professional responsibilities, ethical tensions, underemphasis on proactive engagement, organizational constraints, and risks of a risk-averse environment.
- Highlighted the need to integrate interpersonal approaches and organizational culture change.
Conclusions:
- Effective workplace violence prevention requires a holistic approach encompassing interpersonal strategies and organizational transformation.
- Nurses are pivotal in leading systemic changes to improve safety in healthcare settings.
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