2.50
Hdl Handle:
http://hdl.handle.net/10755/306545
Category:
Abstract
Type:
Poster
Title:
Prevalence and Cost of Workplace Violence
Author(s):
Gabel Speroni, Karen; Fitch, Tammy
Lead Author STTI Affiliation:
Non-member
Author Details:
Karen Gabel Speroni, PhD, MHSA, BSN, RN; Tammy Fitch, BSN, RN, CPEN, CCRN, tammy.fitch@inova.org
Abstract:

Research Abstract

Purpose: Hospitals nurses experience workplace violence however more information is needed on its impact. This study evaluated the prevalence of verbal and physical workplace violence to nurses by patients / visitors and quantified annual charges for treatment of workplace violence injuries.

Design: This study included survey research and database retrospective review components.

Setting: This study was conducted in a large community hospital system in the United States mid-Atlantic region.

Participants/Subjects: Hospital nurses were eligible to participate in this survey. A total of 844 nurses responded to the survey (response rate=16.9%). Nurses who had reported to administrators workplace violence in a one year period were included to determine costs [charges].

Methods: Researchers created a 65-item survey to evaluate prevalence and varying aspects of verbal and physical workplace violence for nurses by patients or visitors of a patient. Content validity for survey relevance and clarity was completed. This study received Institutional Review Board approval. Nurse participants (Registered Nurses, Licensed Pratical Nurses, and assistants) completed informed consent prior to linking into SurveyMonkeyTM. Third party administrator payment data was used to determine the payments made for health care services rendered for workplace violence and indemnity costs. Significance was based on statistical findings < 0.05.

Results/Outcomes: Of the 844 nurses responding to the survey, most were female (91.4%), Registered Nurses (78.7%), aged 26-65 years (95.2%). Annual occurrence of workplace violence prevalence amongst nurses by visitors or patient visitors was 35.5% (verbal violence=58.2%; physical violence=29.0%). Annually, there were on average 6 occurrences of verbal violence and 7 physical violence occurrences. Most common verbal violence to nurses by a patient was being shouted or yelled at (57.2%), sworn or cursed at (51.5%), and being called derogatory names (41.4%). Most common physical violence by a patient was being grabbed (35.8%), kicked (25.9%), scratched (25.8%), and pinched (24.3%). Annually male nurses (70.0%) reported more patient physical and verbal violence than females (58.7%). Nurses 35 years of age and younger reported the most violence (<25=72.4%; 26-35=65.9%). Significantly greater reports of violence occurred for evening and night shift nurses than for day shift. Most workplace violence occurred on inpatient (40.4%), emergency department (17.6%), and intensive care units (16.8%). Treatable incidents of workplace violence are less than 1% (.46%) of nurses (106 nurses reported injuries and 28%, required treatment). The largest barrier to reporting workplace violence was non-physical injury (32.5%). Over 12 percent of nurses specified violence comes with the jobs. Most patient violence (44.9%) was from dementia/Alzheimer’s patients. Total annual workplace violence related charges were $94,156 (treatment=$78,924; indemnity=$15,232). Average treatment charges were $2,631 ($7,617 with indemnity). Per 100 nurses injured by workplace violence, annual institutional charges for treatment and indemnity is $313,853 (per non-injured nurse=$1,448.55).

Implications: Nurses are commonly exposed to workplace violence, whether verbal or physical by patients. Although less common, workplace violence can result in harm to nurses and costs to the institution. The impact of workplace violence caused by patients to hospital nurses demonstrates the need for enhanced workplace violence programs.

Keywords:
Workplace Violence
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Ft. Lauderdale, Florida, USA
Description:
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titlePrevalence and Cost of Workplace Violenceen_GB
dc.contributor.authorGabel Speroni, Karenen_GB
dc.contributor.authorFitch, Tammyen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKaren Gabel Speroni, PhD, MHSA, BSN, RN; Tammy Fitch, BSN, RN, CPEN, CCRN, tammy.fitch@inova.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306545-
dc.description.abstract<p>Research Abstract</p><p>Purpose: Hospitals nurses experience workplace violence however more information is needed on its impact. This study evaluated the prevalence of verbal and physical workplace violence to nurses by patients / visitors and quantified annual charges for treatment of workplace violence injuries.</p><p>Design: This study included survey research and database retrospective review components.</p><p>Setting: This study was conducted in a large community hospital system in the United States mid-Atlantic region.</p><p>Participants/Subjects: Hospital nurses were eligible to participate in this survey. A total of 844 nurses responded to the survey (response rate=16.9%). Nurses who had reported to administrators workplace violence in a one year period were included to determine costs [charges].</p><p>Methods: Researchers created a 65-item survey to evaluate prevalence and varying aspects of verbal and physical workplace violence for nurses by patients or visitors of a patient. Content validity for survey relevance and clarity was completed. This study received Institutional Review Board approval. Nurse participants (Registered Nurses, Licensed Pratical Nurses, and assistants) completed informed consent prior to linking into SurveyMonkeyTM. Third party administrator payment data was used to determine the payments made for health care services rendered for workplace violence and indemnity costs. Significance was based on statistical findings < 0.05.</p><p>Results/Outcomes: Of the 844 nurses responding to the survey, most were female (91.4%), Registered Nurses (78.7%), aged 26-65 years (95.2%). Annual occurrence of workplace violence prevalence amongst nurses by visitors or patient visitors was 35.5% (verbal violence=58.2%; physical violence=29.0%). Annually, there were on average 6 occurrences of verbal violence and 7 physical violence occurrences. Most common verbal violence to nurses by a patient was being shouted or yelled at (57.2%), sworn or cursed at (51.5%), and being called derogatory names (41.4%). Most common physical violence by a patient was being grabbed (35.8%), kicked (25.9%), scratched (25.8%), and pinched (24.3%). Annually male nurses (70.0%) reported more patient physical and verbal violence than females (58.7%). Nurses 35 years of age and younger reported the most violence (<25=72.4%; 26-35=65.9%). Significantly greater reports of violence occurred for evening and night shift nurses than for day shift. Most workplace violence occurred on inpatient (40.4%), emergency department (17.6%), and intensive care units (16.8%). Treatable incidents of workplace violence are less than 1% (.46%) of nurses (106 nurses reported injuries and 28%, required treatment). The largest barrier to reporting workplace violence was non-physical injury (32.5%). Over 12 percent of nurses specified violence comes with the jobs. Most patient violence (44.9%) was from dementia/Alzheimer’s patients. Total annual workplace violence related charges were $94,156 (treatment=$78,924; indemnity=$15,232). Average treatment charges were $2,631 ($7,617 with indemnity). Per 100 nurses injured by workplace violence, annual institutional charges for treatment and indemnity is $313,853 (per non-injured nurse=$1,448.55).</p><p>Implications: Nurses are commonly exposed to workplace violence, whether verbal or physical by patients. Although less common, workplace violence can result in harm to nurses and costs to the institution. The impact of workplace violence caused by patients to hospital nurses demonstrates the need for enhanced workplace violence programs.</p>en_GB
dc.subjectWorkplace Violenceen_GB
dc.date.available2013-12-09T16:59:14Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T16:59:14Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationFt. Lauderdale, Florida, USAen_GB
dc.description2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Centeren_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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