Violence towards Emergency Nurses: The 2016 Italian National Survey-A cross-sectional study.
Emergency Department
Emergency nurses
Italy
cross-sectional study
survey
workplace violence
Journal
Journal of nursing management
ISSN: 1365-2834
Titre abrégé: J Nurs Manag
Pays: England
ID NLM: 9306050
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
02
07
2018
revised:
16
10
2018
accepted:
10
11
2018
pubmed:
16
11
2018
medline:
26
9
2019
entrez:
16
11
2018
Statut:
ppublish
Résumé
To analyse the dimensions and characteristics of violence towards Emergency nurses in a national context (Italy). Nurses are the most exposed to workplace violence, especially in Emergency Department contexts. A cross-sectional study was conducted in all Italian regions. Descriptive analyses were used to examine violence from patients and relatives (Type II violence) concerning personal characteristics of the Emergency nurses and perpetrators, environmental and organisational factors. Multinomial logistic regression analysis was used to investigate risk factors. About 76.0% of Emergency nurses experienced verbal violence, 15.5% both verbal and physical violence and only 8.5% denied having experienced either. Older age and more experience in Emergency settings are protective factors. Working in the South of Italy significantly increases the probability of being exposed. There are many factors explaining violence, but some correlations are not clear. Factors that have a positive effect on this problem include: specific training for younger nurses, a strong alliance between users and health personnel to restore a relationship of trust between parties, physical barriers and appropriate architectural measures. Comprehensive approaches can represent an effective strategy to counteract workplace violence.
Sections du résumé
AIM
OBJECTIVE
To analyse the dimensions and characteristics of violence towards Emergency nurses in a national context (Italy).
BACKGROUND
BACKGROUND
Nurses are the most exposed to workplace violence, especially in Emergency Department contexts.
METHODS
METHODS
A cross-sectional study was conducted in all Italian regions. Descriptive analyses were used to examine violence from patients and relatives (Type II violence) concerning personal characteristics of the Emergency nurses and perpetrators, environmental and organisational factors. Multinomial logistic regression analysis was used to investigate risk factors.
RESULTS
RESULTS
About 76.0% of Emergency nurses experienced verbal violence, 15.5% both verbal and physical violence and only 8.5% denied having experienced either. Older age and more experience in Emergency settings are protective factors. Working in the South of Italy significantly increases the probability of being exposed.
DISCUSSION
CONCLUSIONS
There are many factors explaining violence, but some correlations are not clear.
CONCLUSION
CONCLUSIONS
Factors that have a positive effect on this problem include: specific training for younger nurses, a strong alliance between users and health personnel to restore a relationship of trust between parties, physical barriers and appropriate architectural measures.
IMPLICATIONS FOR NURSING MANAGEMENT
CONCLUSIONS
Comprehensive approaches can represent an effective strategy to counteract workplace violence.
Types de publication
Journal Article
Langues
eng
Pagination
792-805Informations de copyright
© 2018 John Wiley & Sons Ltd.