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Workplace violence against clinicians in Cypriot emergency departments: a national questionnaire survey

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  • Paraskevas Vezyridis
  • Alexis Samoutis
  • Petroula M Mavrikiou

Abstract

Aims and objectives To identify perceived prevalence, characteristics, precipitating factors and suggestions for improving workplace violence in all nine public emergency departments in the Cyprus Republic. Background Workplace violence is a common phenomenon in emergency departments, but little is known about this phenomenon in Cyprus. Design A retrospective cross‐sectional survey. Methods Two hundred and twenty of 365 emergency nurses (85·7%) and doctors (14·3%) participated in this study, of which 62% were female. Data were collected via a Greek language version of the Violent Incident Form. Additional questions examined perceived frequencies, encouragement for reporting, satisfaction with actions taken and suggestions for improvement. Descriptive analysis, chi‐square tests and multiple logistic regression analyses were used to describe and associate characteristics with workplace prevalence. Results During the previous 12 months, the vast majority of nurses and doctors (76·2%) were exposed to verbal abuse (88·8%), mainly by relatives or friends of the patient (59·1%). Relatively inexperienced clinicians were at greater risk. Waiting time was identified as the most significant organisational factor. Alcohol intoxication, substance abuse and mental illness were individual factors for workplace violence. Severe underreporting (72·2%) and a belief that workplace violence is part of the work (74·1%) were also identified. Workplace violence was highly correlated with several factors, including a lack of encouragement for reporting, a feeling in advance that a violent incident was about to happen and having to handle the incident personally. Suggestions for improvement included more security measures (26·7%) and public education about the proper use of emergency services (15·2%). Conclusion Verbal abuse is common in Cypriot emergency departments, but clinicians are increasingly worried about physical assaults. Relevance to clinical practice Training, security policies, encouragement of reporting and support for staff after a violent incident are needed. Future research should try to include the perpetrator's viewpoint.

Suggested Citation

  • Paraskevas Vezyridis & Alexis Samoutis & Petroula M Mavrikiou, 2015. "Workplace violence against clinicians in Cypriot emergency departments: a national questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(9-10), pages 1210-1222, May.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:9-10:p:1210-1222
    DOI: 10.1111/jocn.12660
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    References listed on IDEAS

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    1. Rukiye Pinar & Firdevs Ucmak, 2011. "Verbal and physical violence in emergency departments: a survey of nurses in Istanbul, Turkey," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(3‐4), pages 510-517, February.
    2. Hsiang‐Chu Pai & Sheuan Lee, 2011. "Risk factors for workplace violence in clinical registered nurses in Taiwan," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(9‐10), pages 1405-1412, May.
    3. Linda Anderson & Mary FitzGerald & Lauretta Luck, 2010. "An integrative literature review of interventions to reduce violence against emergency department nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2520-2530, September.
    4. Jessica L Taylor & Lynn Rew, 2011. "A systematic review of the literature: workplace violence in the emergency department," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(7‐8), pages 1072-1085, April.
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    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. Murat Çevik & Raziye Ş. Gümüştakim & Pınar Bilgili & Duygu Ayhan Başer & Adem Doğaner & Selda H. K. Saper, 2020. "Violence in healthcare at a glance: The example of the Turkish physician," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(6), pages 1559-1570, November.

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