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Violence Against Healthcare Workers in a Pediatric Emergency Department

Violence Against Healthcare Workers in a Pediatric Emergency Department Workplace violence (WPV) perpetrated by patients and visitors against nurses and physicians is a problem in adult emergency departments (EDs), but largely unrecognized and unreported in pediatric EDs. The purpose of this qualitative study was to describe the WPV that occurred in a pediatric ED and the negative effects on the workers. Data included transcribed interviews with 31 pediatric ED workers, nonparticipant observations, digital photographs, and archival records and were analyzed using a modified constant comparative analysis method. Participants perceived that both genders and all occupational groups were at risk for experiencing verbal and physical WPV. Common perpe- trator characteristics were patients receiving a psychiatric evaluation and visitors exhibiting acute anxiety. Effects were experienced by workers, perpetrators, patient bystanders, and healthcare em- ployers. It is concluded that WPV is a problem in this pediatric ED, and interventions need to be implemented to promote the safety of the workers and patients. Key words: pediatrics, productivity, workplace violence EGINA had been a registered nurse for tossed the discharge papers on the counter, 15 years before starting her orientation and said, “I have to go.” Regina left the team Rin this pediatric hospital. She offered before her preceptor could ask any questions. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Violence Against Healthcare Workers in a Pediatric Emergency Department

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Copyright
© 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e3181c8b0b4

Abstract

Workplace violence (WPV) perpetrated by patients and visitors against nurses and physicians is a problem in adult emergency departments (EDs), but largely unrecognized and unreported in pediatric EDs. The purpose of this qualitative study was to describe the WPV that occurred in a pediatric ED and the negative effects on the workers. Data included transcribed interviews with 31 pediatric ED workers, nonparticipant observations, digital photographs, and archival records and were analyzed using a modified constant comparative analysis method. Participants perceived that both genders and all occupational groups were at risk for experiencing verbal and physical WPV. Common perpe- trator characteristics were patients receiving a psychiatric evaluation and visitors exhibiting acute anxiety. Effects were experienced by workers, perpetrators, patient bystanders, and healthcare em- ployers. It is concluded that WPV is a problem in this pediatric ED, and interventions need to be implemented to promote the safety of the workers and patients. Key words: pediatrics, productivity, workplace violence EGINA had been a registered nurse for tossed the discharge papers on the counter, 15 years before starting her orientation and said, “I have to go.” Regina left the team Rin this pediatric hospital. She offered before her preceptor could ask any questions.

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2010

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