What is it about?

Healthcare workers regularly face the risk of violent physical, sexual, and verbal assault from their patients. To explore this phenomenon, a collaborative descriptive qualitative study was undertaken by university-affiliated researchers and a union council representing registered practical nurses, personal support workers, and other healthcare staff in Ontario, Canada. A total of fifty-four healthcare workers from diverse communities were consulted about their experiences and ideas. They described violence-related physical, psychological, interpersonal, and financial effects. They put forward such ideas for prevention strategies as increased staffing, enhanced security, personal alarms, building design changes, ‘‘zero tolerance’’ policies, simplified reporting, using the criminal justice system, better training, and flagging. They reported such barriers to eliminate risks as the normalization of violence; underreporting; lack of respect from patients, visitors, higher status professionals, and supervisors; poor communication; and the threat of reprisal for speaking publicly. Inadequate post-incident psychological and financial support compounded their distress.

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Why is it important?

The issue of violence may be one of the most significant occupational health and human rights issues faced by healthcare staff.

Perspectives

We were horrified by the wide spread normalization of violence that goes largely unreported. We also believe that it signifies a serious crisis within the Canadian healthcare system. Further, the issue of tolerated violence raises parallels with the generalized violence against women in our society.

James Brophy
University of Stirling

Read the Original

This page is a summary of: Assaulted and Unheard: Violence Against Healthcare Staff, NEW SOLUTIONS A Journal of Environmental and Occupational Health Policy, September 2017, SAGE Publications,
DOI: 10.1177/1048291117732301.
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