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Violence Experienced by Nurses Working in Hospitals
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Susan Holland EdD, MSN, RN
Major Themes
Introduction/Problem
The problem of violence experienced by RNs working in hospitals is important to solve for a
variety of reasons. There can be significant physical and psychological harm experienced by
these healthcare workers who experience violence, including physical injury, disability,
psychological trauma or death (National Institute for Occupational Safety and Health (NIOSH),
2002).
Aim/Goal
To explore the results of an evaluation of nurses’ experiences and beliefs about physical
violence and/or aggression in the workplace and how the Code of Ethics for Nurses with
Interpretive Statements of the American Nurses Association (ANA) may support and guide
decision making and recommendations for organizations (ANA, 2015).
1. Lack of Reporting
➢ 83.2% of RNs reported that on average they experience aggression
or physical violence from patients or visitors at least a couple of
times a year,
➢ Only 19.8% of RNs actually report these incidents most
of the time or always.
Methods
The methodology and analysis was based upon Clark and Estes (2008) Gap Analysis Framework
and focused on knowledge, motivation and organizational elements related violence experienced
by RNs working in hospitals in Massachusetts. Snowball sampling was used to invite RNs to
participate in an electronic survey that included fixed responses and some open ended items. To
analyze the open-ended responses within the survey this investigator coded the data and
developed a codebook reflecting the conceptual framework in relation to answering the research
questions. Descriptive statistics was applied to for the quantitative analysis.
Results
The sample size was 254. The data collected included demographics, frequency of experiencing
acts of aggression and/or physical violence, frequency of reporting these incidents, and an
assessment of the knowledge, motivation, and organizational influences related this problem of
practice. The two major findings were that there was a lack of reporting of these types of
incidents and there was low self-efficacy of RNs related to this problem of practice.
2. Low Self Efficacy
0 (being not at all confident) to 10 (being very confident)
Recommendations for Practice
Address the knowledge, motivation and organizational influences using Clark and Estes (2008)
framework supported by the ANA Code of Ethics for Nurses with Interpretive Statements,
specifically the “Promotion of Personal Health, Safety, and Well-Being” as well as the
“Preservation of Integrity” (ANA, 2015).
For more information, contact:
Susan Holland, EdD, MSN, RN, sholland@bidmc.harvard.edu
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Susan Holland (<a href="mailto:sholland@bidmc.harvard.edu" target="_blank" rel="noreferrer noopener">sholland@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Nursing
Critical Care
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Susan Holland
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Violence Experienced by Nurses Working in Hospitals
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Format
The file format, physical medium, or dimensions of the resource
pdf
Compliance
Safety