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Dilemmas and Repercussions of Workplace Violence against Emergency Nurses: A Qualitative Study

Author

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  • Mei-Chi Hsu

    (Department of Nursing, I-Shou University, Kaohsiung City 82445, Taiwan)

  • Mei-Hsien Chou

    (Department of Nursing, I-Shou University, Kaohsiung City 82445, Taiwan)

  • Wen-Chen Ouyang

    (Department of Geriatric Psychiatry, Jianan Psychiatric Center, Ministry of Health and Welfare, Tainan City 71742, Taiwan
    Department of Nursing, Shu-Zen Junior College of Medicine and Management, Kaohsiung City 82144, Taiwan
    Department of Psychiatry, College of Medicine, Kaohsiung Medical University, Kaohsiung City 80708, Taiwan)

Abstract

Nurses received the highest rate of workplace violence due to their close interaction with clients and the nature of their work. There have been relatively few qualitative studies focus on nurses’ perceptions of and experiences with the antecedents, dilemma and repercussions of the patient and visitor violence (PVV), leaving a considerable evidence gap. The aim of this study was to explore nurses’ experience of PVV in emergency department, the impact of PVV on quality of care, and supports needed after exposure to such incidents. We conducted semi-structured interviews with a purposive and snowball sample of nurses, and analyzed the content of the interview transcripts. A total of 10 nurses were approached and agreed to participate. Those participants ranged in age from 24 to 41 years old, eight female and two male nurses, and the majority of them (80%) held a university Bachelor degree in nursing. The average time in nursing practice was 7.2 years. We conceptualized five analytical themes, which comprised: (1) multifaceted triggers and causes of PVV; (2) experiences following PVV; (3) tangled up in thoughts and struggle with the professional role; (4) self-reflexivity and adjustment; and, (5) needs of organizational efforts and support following PVV. This paper provides compelling reasons to look beyond solely evaluating the existence of workplace, and considering the perceived professional inefficacy, impacts of being threatened or assaulted in nurses. There are also urgent needs in provision of prevention and management of workplace training programs to ensure the high-quality nursing care.

Suggested Citation

  • Mei-Chi Hsu & Mei-Hsien Chou & Wen-Chen Ouyang, 2022. "Dilemmas and Repercussions of Workplace Violence against Emergency Nurses: A Qualitative Study," IJERPH, MDPI, vol. 19(5), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:2661-:d:758133
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    References listed on IDEAS

    as
    1. Fereshteh Najafi & Masoud Fallahi‐Khoshknab & Fazlollah Ahmadi & Asghar Dalvandi & Mehdi Rahgozar, 2018. "Antecedents and consequences of workplace violence against nurses: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 116-128, January.
    2. Jin-Lain Ming & Hui-Mei Huang & Shiao-Pei Hung & Ching-I Chang & Yueh-Shuang Hsu & Yuann-Meei Tzeng & Hsin-Yi Huang & Teh-Fu Hsu, 2019. "Using Simulation Training to Promote Nurses’ Effective Handling of Workplace Violence: A Quasi-Experimental Study," IJERPH, MDPI, vol. 16(19), pages 1-10, September.
    3. Shu-Fen Niu & Shu-Fen Kuo & Hsiu-Ting Tsai & Ching-Chiu Kao & Victoria Traynor & Kuei-Ru Chou, 2019. "Prevalence of workplace violent episodes experienced by nurses in acute psychiatric settings," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-13, January.
    4. Kai Xing & Xue Zhang & Mingli Jiao & Yu Cui & Yan Lu & Jinghua Liu & Jingjing Zhang & Yuchong Zhao & Yanming Zhao & Ye Li & Libo Liang & Zheng Kang & Qunhong Wu & Mei Yin, 2016. "Concern about Workplace Violence and Its Risk Factors in Chinese Township Hospitals: A Cross-Sectional Study," IJERPH, MDPI, vol. 13(8), pages 1-11, August.
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