Nursing management of emergency department violence-Can we do more?

design emergency department nurses risk factors violence workplace

Journal

Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302

Informations de publication

Date de publication:
Apr 2023
Historique:
revised: 04 01 2022
received: 22 10 2021
accepted: 07 01 2022
pubmed: 2 2 2022
medline: 10 3 2023
entrez: 1 2 2022
Statut: ppublish

Résumé

Emergency departments are the services with the highest risk of violence for nurses. Reports of violence in health care have increased exponentially in the last decade. Front line hospital services are more at risk, and worldwide there are attempts to quantify, manage and prevent episodes of violence, but no consistent solutions have yet been identified. To stimulate reflection on causal factors of violence against nurses in emergency departments and discuss potential solutions and strategies for aspects that largely remain unresolved. A position paper underpinned by experiences and evidence reported in the literature. A search of Scopus and CINAHL using the term 'violence' provided information concerning the prevalence of the term 'violence' in contemporary literature and enabled to capture a general overview of contributing factors of violence and current approaches to its management and prevention. However, while risk factors have been identified, there is a tendency to over accentuate the extent of their contribution. The main risk factors present conditions related to or accompanied by mental illness and the impact of overcrowding and long waiting times. More is needed in terms of implementation of more far-reaching, holistic, practical and effective management solutions to promote nurses' safety and adequately support vulnerable patients.

Sections du résumé

BACKGROUND BACKGROUND
Emergency departments are the services with the highest risk of violence for nurses. Reports of violence in health care have increased exponentially in the last decade. Front line hospital services are more at risk, and worldwide there are attempts to quantify, manage and prevent episodes of violence, but no consistent solutions have yet been identified.
AIMS OBJECTIVE
To stimulate reflection on causal factors of violence against nurses in emergency departments and discuss potential solutions and strategies for aspects that largely remain unresolved.
DESIGN METHODS
A position paper underpinned by experiences and evidence reported in the literature.
METHODS METHODS
A search of Scopus and CINAHL using the term 'violence' provided information concerning the prevalence of the term 'violence' in contemporary literature and enabled to capture a general overview of contributing factors of violence and current approaches to its management and prevention.
CONCLUSIONS CONCLUSIONS
However, while risk factors have been identified, there is a tendency to over accentuate the extent of their contribution. The main risk factors present conditions related to or accompanied by mental illness and the impact of overcrowding and long waiting times.
RELEVANCE TO CLINICAL PRACTICE CONCLUSIONS
More is needed in terms of implementation of more far-reaching, holistic, practical and effective management solutions to promote nurses' safety and adequately support vulnerable patients.

Identifiants

pubmed: 35102617
doi: 10.1111/jocn.16211
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1487-1494

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.

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Auteurs

Fiona Timmins (F)

School of Nursing, Midwifery & Health Systems, University College Dublin, Dublin 4, Ireland.

Gianluca Catania (G)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Milko Zanini (M)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Giulia Ottonello (G)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Francesca Napolitano (F)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Maria Emma Musio (ME)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Giuseppe Aleo (G)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Loredana Sasso (L)

Department of Health Sciences, University of Genoa, Genoa, Italy.

Annamaria Bagnasco (A)

Department of Health Sciences, University of Genoa, Genoa, Italy.

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