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Antecedents and consequences of workplace violence against nurses: A qualitative study

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  • Fereshteh Najafi
  • Masoud Fallahi‐Khoshknab
  • Fazlollah Ahmadi
  • Asghar Dalvandi
  • Mehdi Rahgozar

Abstract

Aims and objectives To explore Iranian nurses’ perceptions of and experiences with the antecedents and consequences of workplace violence perpetrated by patients, patients’ relatives, colleagues and superiors. Background Workplace violence against nurses is a common problem worldwide, including in Iran. Although many studies have reviewed the antecedents and consequences of workplace violence, limited information is available on this topic. An understanding of the predisposing factors for violence and the consequences of violence is essential to developing programs to prevent and manage workplace violence. Design Qualitative descriptive design. Methods In this qualitative study, 22 unstructured, in‐depth interviews were conducted with registered nurses who had experienced workplace violence and who were selecting using purposive sampling in nine hospitals. Inductive content analysis was used to analyse the data. Results Five categories emerged as predisposing factors: unmet expectations of patients/relatives, inefficient organisational management, inappropriate professional communication, factors related to nurses and factors related to patients, patients’ relatives and colleagues. Individual, familial and professional consequences were identified as outcomes of workplace violence against nurses. Conclusions Workplace violence by patients/their relatives and colleagues/superiors is affected by various complicated factors at the individual and organisational levels. In addition to negatively affecting nurses’ individual and family lives, workplace violence may lead to a lower quality of patient care and negative attitudes towards the nursing profession. Relevance to clinical practice Identifying factors, which lead to workplace violence, could help facilitate documenting and reporting such incidents as well as developing the necessary interventions to reduce them. Furthermore, native instruments must be developed to predict and monitor violence.

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  • 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.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:1-2:p:e116-e128
    DOI: 10.1111/jocn.13884
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    References listed on IDEAS

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    1. Rose Chapman & Irene Styles & Laura Perry & Shane Combs, 2010. "Examining the characteristics of workplace violence in one non‐tertiary hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(3‐4), pages 479-488, February.
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    6. 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.
    7. Mei Fen Tan & Violeta Lopez & Michelle Cleary, 2015. "Nursing management of aggression in a Singapore emergency department: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 17(3), pages 307-312, September.
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    Cited by:

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    2. Sarang Kim & Minkyung Gu & Sohyune Sok, 2022. "Relationships between Violence Experience, Resilience, and the Nursing Performance of Emergency Room Nurses in South Korea," IJERPH, MDPI, vol. 19(5), pages 1-11, February.
    3. 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.
    4. Asghar Afshar Jahanshahi & Bakr Al‐Gamrh, 2024. "Beyond external pressures: How work conditions harm employees' social and environmental responsibilities," Business Strategy and the Environment, Wiley Blackwell, vol. 33(5), pages 4292-4309, July.
    5. Junfeng Zhang & Jing Zheng & Yingying Cai & Kexin Zheng & Xingling Liu, 2021. "Nurses' experiences and support needs following workplace violence: A qualitative systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(1-2), pages 28-43, January.

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