Nicola Ramacciati1, Andrea Ceccagnoli2, Beniamino Addey3, Enrico Lumini4, Laura Rasero5. 1. Emergency Department, S. Maria della Misericordia Hospital, Perugia, Italy; Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy; University of Florence, Florence, Italy; Azienda Ospedaliero Universitaria Careggi, Florence, Italy. Electronic address: nicola.ramacciati@unifi.it. 2. Emergency Department, S. Maria della Misericordia Hospital, Perugia, Italy. 3. Emergency Medical System, S. Maria della Misericordia Hospital, Perugia, Italy. 4. Department of Health Sciences, University of Florence, Florence, Italy. 5. University of Florence, Florence, Italy; Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
Abstract
INTRODUCTION: Workplace Violence in the health environment is a growing issue worldwide. Emergency department have been identified asa high-risk setting for Workplace Violence and emergency nurses are most exposed to this phenomenon. To address workplace violence in the ED effectively, it is critical to understand frameworks established in the literature to assist in development of appropriate interventions and corrective measures. An overview of available theories of violence towards emergency nurses in the literature is presented herein in the format of a narrative review. METHODS: A search of international literature on WPV theories was conducted in three databases: PubMed, CINAHL, Scopus, and Proquest Central. Articles concerning theories that have direct implications for patient-related violence (client-on-worker Type 2 Violence) in the emergency department were sought. RESULTS: Four hundred and fifty-nine articles were found. Applying established inclusion and exclusion criteria, fourteen of these were included in the review. In the international literature there are 24 theories and frameworks pertaining to violence towards nurses in the emergency department which describe different intervention strategies based on these. DISCUSSION: Both the theories on violence developed by nurses and those derived from other disciplines are complex and many key elements are invariably intertwined. Understanding such theories might be useful to manage violence towards emergency nurses with greater effectiveness.
INTRODUCTION: Workplace Violence in the health environment is a growing issue worldwide. Emergency department have been identified asa high-risk setting for Workplace Violence and emergency nurses are most exposed to this phenomenon. To address workplace violence in the ED effectively, it is critical to understand frameworks established in the literature to assist in development of appropriate interventions and corrective measures. An overview of available theories of violence towards emergency nurses in the literature is presented herein in the format of a narrative review. METHODS: A search of international literature on WPV theories was conducted in three databases: PubMed, CINAHL, Scopus, and Proquest Central. Articles concerning theories that have direct implications for patient-related violence (client-on-worker Type 2 Violence) in the emergency department were sought. RESULTS: Four hundred and fifty-nine articles were found. Applying established inclusion and exclusion criteria, fourteen of these were included in the review. In the international literature there are 24 theories and frameworks pertaining to violence towards nurses in the emergency department which describe different intervention strategies based on these. DISCUSSION: Both the theories on violence developed by nurses and those derived from other disciplines are complex and many key elements are invariably intertwined. Understanding such theories might be useful to manage violence towards emergency nurses with greater effectiveness.
Authors: María Del Carmen Pérez-Fuentes; María Del Mar Molero Jurado; África Martos Martínez; María Del Mar Simón Márquez; Nieves Fátima Oropesa Ruiz; José Jesús Gázquez Linares Journal: BMJ Open Date: 2020-03-08 Impact factor: 2.692