The Lived Experience: How Emergency Department Nurses Resolve Emotional Pain after Patient Perpetrated Workplace Violence

2.50
Hdl Handle:
http://hdl.handle.net/10755/602903
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
The Lived Experience: How Emergency Department Nurses Resolve Emotional Pain after Patient Perpetrated Workplace Violence
Other Titles:
Clinical Education Topics in the Emergency Department [Session]
Author(s):
Christie, Wanda J.
Lead Author STTI Affiliation:
Kappa Rho-at-Large
Author Details:
Wanda J. Christie, RN, wchristie@atu.edu
Abstract:
Session presented on Monday, November 9, 2015: Background: Patient perpetrated workplace violence (PPWPV) is recognized as a high risk against Registered Nurses (RN) and can result in unresolved emotional pain. Sensitizing framework for this study was the Theory of the Nurse as Wounded Healer (NWH) which explored recognition, transformation, and transcendence of emotional pain after PPWPV.  Aim: The aim w as to: 1) describe the ED RNs thoughts, feelings, and behaviors after experiencing PPWPV. Methods: After IRB approval, descriptive phenomenology with purposive sampling allowed for recruitment of thirteen ED RNs in south east US who reported PPWPV. Semi-structured interviews were audio-taped and transcribed verbatim. Content analysis and c onstant comparison identified different codes and themes developed. Results: Four themes were identified:  Feelings : anger, fear, sadness, helplessness, seeking revenge, dissociating and distancing themselves emotionally from patients and environment . Working in the ED: perceptions of peer support were high; but administrative and safety support perceptions were low. Perceptions included upper level administrators lacked understanding and security was not as ‘present’ as needed. Crisis intervention classes were not helpful. Changes : the ED RN discussed both physical and psychological changes in themselves and their peers after PPWPV. Coping : Both effective and ineffective resolutions after PPWPV were found. Effective methods included humor, exercise, and talking to the facility’s employee health program therapists, administrators, peers, family or friends. Ineffective methods included excessive alcohol intake, smoking, eating too much, and depending on prescription medications for stress and sleep. Conclusions: The ED RN may experience PPWPV that can have negative ramifications on their emotions. The NWH theory promotes recognition of emotional pain. Nurses need to be open, supportive of the team, and verbalize feelings after PPWPV. The ED RNs wanted administration policies that require strict enforcement by nurses, patients, and families. Nurses wanted written policies to ensure legal protection and guidance. The nurses wanted administrators to be more visible in their stance against PPWPV. Additional studies are needed to examine effective resolution of emotional pain after PPWPV, and to compare ED RN satisfaction with administration support after PPWPV.
Keywords:
violence; workplace violence; wounded healer
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15F02
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleThe Lived Experience: How Emergency Department Nurses Resolve Emotional Pain after Patient Perpetrated Workplace Violenceen
dc.title.alternativeClinical Education Topics in the Emergency Department [Session]en
dc.contributor.authorChristie, Wanda J.en
dc.contributor.departmentKappa Rho-at-Largeen
dc.author.detailsWanda J. Christie, RN, wchristie@atu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602903en
dc.description.abstractSession presented on Monday, November 9, 2015: Background: Patient perpetrated workplace violence (PPWPV) is recognized as a high risk against Registered Nurses (RN) and can result in unresolved emotional pain. Sensitizing framework for this study was the Theory of the Nurse as Wounded Healer (NWH) which explored recognition, transformation, and transcendence of emotional pain after PPWPV.  Aim: The aim w as to: 1) describe the ED RNs thoughts, feelings, and behaviors after experiencing PPWPV. Methods: After IRB approval, descriptive phenomenology with purposive sampling allowed for recruitment of thirteen ED RNs in south east US who reported PPWPV. Semi-structured interviews were audio-taped and transcribed verbatim. Content analysis and c onstant comparison identified different codes and themes developed. Results: Four themes were identified:  Feelings : anger, fear, sadness, helplessness, seeking revenge, dissociating and distancing themselves emotionally from patients and environment . Working in the ED: perceptions of peer support were high; but administrative and safety support perceptions were low. Perceptions included upper level administrators lacked understanding and security was not as ‘present’ as needed. Crisis intervention classes were not helpful. Changes : the ED RN discussed both physical and psychological changes in themselves and their peers after PPWPV. Coping : Both effective and ineffective resolutions after PPWPV were found. Effective methods included humor, exercise, and talking to the facility’s employee health program therapists, administrators, peers, family or friends. Ineffective methods included excessive alcohol intake, smoking, eating too much, and depending on prescription medications for stress and sleep. Conclusions: The ED RN may experience PPWPV that can have negative ramifications on their emotions. The NWH theory promotes recognition of emotional pain. Nurses need to be open, supportive of the team, and verbalize feelings after PPWPV. The ED RNs wanted administration policies that require strict enforcement by nurses, patients, and families. Nurses wanted written policies to ensure legal protection and guidance. The nurses wanted administrators to be more visible in their stance against PPWPV. Additional studies are needed to examine effective resolution of emotional pain after PPWPV, and to compare ED RN satisfaction with administration support after PPWPV.en
dc.subjectviolenceen
dc.subjectworkplace violenceen
dc.subjectwounded healeren
dc.date.available2016-03-21T16:39:08Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:39:08Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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