2.50
Hdl Handle:
http://hdl.handle.net/10755/324147
Category:
Abstract
Type:
Presentation
Title:
Violence in the Workplace: Strategies for Change
Author(s):
Bradley, Darlene; Stepp, Sherlene
Author Details:
Darlene Bradley, PhD, RN, CNS, FAEN, email: darlene004@aol.com; Sherlene Stepp, RN, MICN
Abstract:
Evidence-based Practice AbstractPurpose: An escalation of violence in the emergency department resulted in staff fear, anxiety from threatening behaviors, injury, and destruction of medical center property. The purpose of this project is to understand the scope of violence in the emergency department related to the verbal and physical abuse of staff, preventative strategies, and the development of processes that ensure workplace safety. Design: This multidisciplinary quality improvement project was based on results from quantitative and qualitative data derived from the acts of violence in the emergency department, incident reports, and security documentation. Preliminary data was analyzed and submitted to a newly formed “Workplace Violence and Psychiatric Care” interdisciplinary team inclusive of emergency nurses, security, medical staff, and university police. Setting: The project was developed at a University Medical Center in a Level I trauma center, Comprehensive Emergency Department, associated with a Designated Psychiatric Facility. The facility is located in a county that requires in-custody patients on psychiatric holds by police to be treated at designated psychiatric facilities. Participants/Subjects: Participants in the project include primarily registered emergency nurses, trauma technicians, security officers, physicians and residents; all regularly assigned to the emergency department. All have received extensive training on an annual basis in the prevention and management of assaultive behavior. Methods: Significant events occurred in the emergency department that led to staff injury, and anxiety, along with facility damage. In many instances, containment of the violence required police intervention. A multidisciplinary team was convened to analyze the course of events and devise solutions that capture the extent of violence and the resulting consequences. The project was conceptualized using two primary sources of information; the ENA Workplace Violence Toolkit, and a dissertation using qualitative research to study violence perpetrated against registered nurses in the workplace. The Emergency Nurse’s Association’s Safety Event Form was adapted and modified to include but not limited to interventions prior to the acts of violence, details specific to either physical and/or verbal acts of violence and/or threats, and the addition of report numbers made by security and/or police. Results/Outcomes: Through the analysis and recommendations from the “Workplace Violence and Psychiatric Care” team a variety of initiatives and processes were implemented. Only a few examples are included here such as a 5150 algorithm established to reduce the likelihood of patients hiding weapons and/or contraband on their bodies, or within their belongings. A color-coded risk identification was activated with a visual cue to alert all emergency department staff and physicians about a patient’s potential for suicidal or homicidal activity. A training and competency course specific to emergency personnel was designed to address results identified from the safety event forms for the prevention of assaultive behaviors. Implications: Violence against professional staff is a national issue. Initiatives adapted from this project have the potential to decrease violence in the workplace and to establish greater levels of comfort, and promotion of safety within hospitals. The modified Safety Event Form may be the impetus for further research.
Keywords:
Violence in the Workplace
Repository Posting Date:
4-Aug-2014
Date of Publication:
4-Aug-2014
Conference Date:
2014
Conference Name:
2014 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Phoenix, Arizona USA
Description:
2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleViolence in the Workplace: Strategies for Changeen_GB
dc.contributor.authorBradley, Darleneen_GB
dc.contributor.authorStepp, Sherleneen_GB
dc.author.detailsDarlene Bradley, PhD, RN, CNS, FAEN, email: darlene004@aol.com; Sherlene Stepp, RN, MICNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/324147-
dc.description.abstractEvidence-based Practice Abstract</.p>Purpose: An escalation of violence in the emergency department resulted in staff fear, anxiety from threatening behaviors, injury, and destruction of medical center property. The purpose of this project is to understand the scope of violence in the emergency department related to the verbal and physical abuse of staff, preventative strategies, and the development of processes that ensure workplace safety. Design: This multidisciplinary quality improvement project was based on results from quantitative and qualitative data derived from the acts of violence in the emergency department, incident reports, and security documentation. Preliminary data was analyzed and submitted to a newly formed “Workplace Violence and Psychiatric Care” interdisciplinary team inclusive of emergency nurses, security, medical staff, and university police. Setting: The project was developed at a University Medical Center in a Level I trauma center, Comprehensive Emergency Department, associated with a Designated Psychiatric Facility. The facility is located in a county that requires in-custody patients on psychiatric holds by police to be treated at designated psychiatric facilities. Participants/Subjects: Participants in the project include primarily registered emergency nurses, trauma technicians, security officers, physicians and residents; all regularly assigned to the emergency department. All have received extensive training on an annual basis in the prevention and management of assaultive behavior. Methods: Significant events occurred in the emergency department that led to staff injury, and anxiety, along with facility damage. In many instances, containment of the violence required police intervention. A multidisciplinary team was convened to analyze the course of events and devise solutions that capture the extent of violence and the resulting consequences. The project was conceptualized using two primary sources of information; the ENA Workplace Violence Toolkit, and a dissertation using qualitative research to study violence perpetrated against registered nurses in the workplace. The Emergency Nurse’s Association’s Safety Event Form was adapted and modified to include but not limited to interventions prior to the acts of violence, details specific to either physical and/or verbal acts of violence and/or threats, and the addition of report numbers made by security and/or police. Results/Outcomes: Through the analysis and recommendations from the “Workplace Violence and Psychiatric Care” team a variety of initiatives and processes were implemented. Only a few examples are included here such as a 5150 algorithm established to reduce the likelihood of patients hiding weapons and/or contraband on their bodies, or within their belongings. A color-coded risk identification was activated with a visual cue to alert all emergency department staff and physicians about a patient’s potential for suicidal or homicidal activity. A training and competency course specific to emergency personnel was designed to address results identified from the safety event forms for the prevention of assaultive behaviors. Implications: Violence against professional staff is a national issue. Initiatives adapted from this project have the potential to decrease violence in the workplace and to establish greater levels of comfort, and promotion of safety within hospitals. The modified Safety Event Form may be the impetus for further research.en_GB
dc.subjectViolence in the Workplaceen_GB
dc.date.available2014-08-04T13:28:22Z-
dc.date.issued2014-08-04-
dc.date.accessioned2014-08-04T13:28:22Z-
dc.conference.date2014en_GB
dc.conference.name2014 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationPhoenix, Arizona USAen_GB
dc.description2014 ENA Leadership Conference Theme: Safe Practice, Safe Care. Held at the Phoenix 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. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_GB
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