Australian nurses' suggestions for the management of violence in the workplace: 'the people who make the policy are not the people on the floor'
Date
2022
Authors
Dafny, H.A.
Muller, A.
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Journal article
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Journal of Nursing Management, 2022; 30(6):1454-1461
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Abstract
Aim(s): To ascertain nurses’ perceptions about, and suggestions for, management solutions to workplace violence perpetrated by patients.
Background: Violence towards nurses from patients in the workplace is high in Australia. There is a need for good management responses, and experienced nurses can provide logistical suggestions about effective strategies.
Method(s): This study uses an exploratory qualitative design. Focus group interviews were undertaken with 23 nurses working in a regional public hospital in Queensland, Australia. The COREQ research reporting checklist was followed, and the qualitative data were transcribed and thematically analysed manually and by NVivo.
Results: Policy implementation, training, staff movement, seclusion, debriefing and a full reporting cycle were identified as central themes. Workplace violence management happens before, during and after a violent event.
Conclusion(s): Weak processes undermine management; staff training on de-escalation is needed. Affected staff need freedom to move from the ward. Better medical orders should be in place before an event. A full debriefing and feedback cycle are required, along with easier reporting processes.
Implications for Nursing Management: Nursing management can reduce violence by ensuring better institutional support, consistent follow-up and complete feedback procedures. Legal support, follow-up mechanisms and staff training in de-escalation are key points.
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Copyright 2021 John Wiley & Sons Ltd.