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Nurses' experiences and support needs following workplace violence: A qualitative systematic review

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  • Junfeng Zhang
  • Jing Zheng
  • Yingying Cai
  • Kexin Zheng
  • Xingling Liu

Abstract

Aims and objectives To systematically identify, appraise and synthesise existing qualitative studies exploring nurses' lived experiences of workplace violence by patients, families and hospital visitors, identifying their support needs following workplace violence. Background Workplace violence against nurses is a significant concern globally, as it leads to serious negative consequences for nurses, patients and organisations as a whole. Having adequate support is considered significant. While numerous studies have been conducted on workplace violence, few qualitative reviews have focused on identifying nurses' support needs following episodes of workplace violence. Methods Four databases (MEDLINE, CINAHL, PsychINFO and Scopus) were systematically searched. Additionally, hand searching of prominent journals, grey literature and reference lists of included studies was also performed to identify additional research. The Critical Appraisal Skills Programme checklist for qualitative studies was used to assess all included articles. Thomas and Harden's three‐stage approach to thematic analysis was followed, using the ENTREQ statement for reporting. Results Ten studies published in English, conducted across eight countries, met the inclusion criteria. Four analytical themes relating to nurses' experiences were identified: “inevitable and unpredictable trauma in the career” “higher tolerance and understanding of unintentional violence,” “positive learning or passive adjustment” and “struggle with the role and behaviour conflict.” In terms of nurses' support needs, the analysis yielded two themes: “informal support needs” and “formal support needs.” Conclusion Nurses experience significant and lasting psychological trauma due to workplace violence; however, the support for nurses remains seriously inadequate. Establishing an effective and robust support system based on nurses' needs must be viewed as a priority for organisations, as well as researchers. Relevance to clinical practice Institutions and managers have a duty to maintain an awareness of nurses' experiences and support needs regarding workplace violence. There is a need for further policymaking and research, based on clinical practice, in order to develop effective preventive and interventive strategies regarding workplace violence.

Suggested Citation

  • 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.
  • Handle: RePEc:wly:jocnur:v:30:y:2021:i:1-2:p:28-43
    DOI: 10.1111/jocn.15492
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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.
    2. Catherine Houghton & Kathy Murphy & Ben Meehan & James Thomas & Dawn Brooker & Dympna Casey, 2017. "From screening to synthesis: using nvivo to enhance transparency in qualitative evidence synthesis," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(5-6), pages 873-881, March.
    3. 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.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    1. Serra-Sastre, Victoria, 2024. "Workplace violence and intention to quit in the English NHS," LSE Research Online Documents on Economics 121623, London School of Economics and Political Science, LSE Library.
    2. Daniela Acquadro Maran & Davide Minniti & Michele Presutti & Marta Alesina & Adelina Brizio & Paola Gatti, 2023. "Workplace Bullying among Healthcare Professionals: A Quanti-Qualitative Survey in a Sample of Women Working in an Italian Healthcare Setting," IJERPH, MDPI, vol. 20(10), pages 1-13, May.
    3. Serra-Sastre, Victoria, 2024. "Workplace violence and intention to quit in the English NHS," Social Science & Medicine, Elsevier, vol. 340(C).

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