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Transcript of Nurse
The most prevalent types of violence are:
Grabbed or pulled
Yelled or shouted at
Sworn or cursed at
Ways to prevent abuse
A ‘Zero Tolerance to Violence’ policy.
A mechanism to disseminate the policy to all staff, volunteers, clients, family members, and visitors.
Adequate staffing to enable nurses and other health professionals to deliver timely care.
An inclusive and respectful practice environment where there is collaboration among team members;
A workplace violence committee, which includes nurses, to develop strategies for controlling and reporting violent behaviour;
A violence prevention/management education and training program for all staff, including discussion about accountability and respect for others.
A system to identify and flag situations that could create a potential for violence.
An immediate response plan.
Risk factors for violence against nurses
Image by Tom Mooring
Nurse by Molly and Amy
Responses to violence
No response from hospital to nurse (74.4%)
No action taken against the perpetrator (44.9%)
Perpetrator was given a warning (23.4%)
No response from hospital to nurse (81.3%)
No action taken against the perpetrator (50.5%)
Perpetrator was given a warning (29.6%)
increasing number of handguns and other weapons carried by individuals;
Use of hospitals by police for criminal holds and care of acutely disturbed, violent individuals;
Increasing diagnosis of dementia and Alzheimer's disease among the general population and among hospital patients;
Caring for psychiatric patients in the ED;
Increased physical patient contact;
Cases of abuse against nurses.
• At a psychiatric hospital in Maine, a patient attacked a nurse with a chair, injuring her face and head. In an earlier incident in the same unit, another angry patient beat a nurse in the head and stabbed her with a pen.
• A corrections facility nurse in Michigan was checking on an inmate whom she thought was having a seizure, when he jumped up and attacked her.
• At an ambulatory surgery center in Texas, a patient's son accused staff of trying to kill his mother, and he fatally stabbed a nurse who tried to protect other patients from harm.
• At a rehabilitation facility in Oklahoma, a man became angry when nurses removed his father's urinary catheter, attacking a nurse with a wrench, pulling out some of her hair, and forcing her into a medication room.
• In California, two incidents took place on the same day in different nearby hospitals. A visitor bypassed a weapons screening station and purportedly stabbed a nurse 22 times. In the second incident, a visitor grabbed a nurse and stabbed her in the ear with a pencil.