Affiliations

Aurora BayCare Medical Center

Presentation Notes

Research poster presentation at Empowering Nursing Excellence: Recognizing the Value and Impact of Nurses, Advocate Health Midwest Region Nursing Research & Professional Development Conference 2023; November 15, 2023; virtual.

Abstract

Background

Type II violence is customer/client violence and can range from verbal abuse and intimidation to actual physical assault. The World Medical Association declared violence against health care workers, “an international emergency that undermines the very foundations of health systems and impacts critically on a patient’s health” (Vento, Cainelli, & Vallone, 2020).

Purpose

This study examined the psychological adverse effects of Type II violence among nurses through surveys and individual interviews with nurses who identified as victims of Type II violence.

Method

A mixed methods convergent design was used to answer research questions dealing with measuring distress, impact of Type II violence, and the verbatim descriptions of violent experiences relayed by nurses who were victims of Type II violence.

Quantitative data was collected using two Likert style scales. Responses allowed descriptive and inferential statistical analyses. Qualitative interviews were conducted and thematic analysis identified four main themes.

Findings

Quantitative findings revealed the majority (55.9%) of study participants experienced patient and visitor violence. Another 34.3% experienced patient violence. In addition, 30% of study participants had symptoms consistent with Post-Traumatic Stress Disorder with 10% scoring high enough to experience both psychological and physiological disturbances.

Qualitative data supported quantitative findings. Qualitative results included nurses normalizing violent acts as “part of the job” and justifying these acts because perpetrators were ill or anxious.

Implications for Practice

Lingering impact of Type II violence has long-range health and work consequences for nurses. Based on study findings, assessment of available internal and external mental health resources is necessary.

In efforts to improve workplace safety, actual physical environments may need renovation to eliminate areas that are not visible to staff and provide an opportunity for unnoticed violent acts.

Leadership awareness and management of the psychological fallout following Type II violence are imperative. Leader education topics should include recognition of mental health issues, debriefing techniques, and building a culture of nurse wellbeing.

Document Type

Poster

Publication Date

11-15-2023


 

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Nov 15th, 12:00 AM

Type II violence during the COVID-19 pandemic: Nurses' experiences and implications for practice

Background

Type II violence is customer/client violence and can range from verbal abuse and intimidation to actual physical assault. The World Medical Association declared violence against health care workers, “an international emergency that undermines the very foundations of health systems and impacts critically on a patient’s health” (Vento, Cainelli, & Vallone, 2020).

Purpose

This study examined the psychological adverse effects of Type II violence among nurses through surveys and individual interviews with nurses who identified as victims of Type II violence.

Method

A mixed methods convergent design was used to answer research questions dealing with measuring distress, impact of Type II violence, and the verbatim descriptions of violent experiences relayed by nurses who were victims of Type II violence.

Quantitative data was collected using two Likert style scales. Responses allowed descriptive and inferential statistical analyses. Qualitative interviews were conducted and thematic analysis identified four main themes.

Findings

Quantitative findings revealed the majority (55.9%) of study participants experienced patient and visitor violence. Another 34.3% experienced patient violence. In addition, 30% of study participants had symptoms consistent with Post-Traumatic Stress Disorder with 10% scoring high enough to experience both psychological and physiological disturbances.

Qualitative data supported quantitative findings. Qualitative results included nurses normalizing violent acts as “part of the job” and justifying these acts because perpetrators were ill or anxious.

Implications for Practice

Lingering impact of Type II violence has long-range health and work consequences for nurses. Based on study findings, assessment of available internal and external mental health resources is necessary.

In efforts to improve workplace safety, actual physical environments may need renovation to eliminate areas that are not visible to staff and provide an opportunity for unnoticed violent acts.

Leadership awareness and management of the psychological fallout following Type II violence are imperative. Leader education topics should include recognition of mental health issues, debriefing techniques, and building a culture of nurse wellbeing.

 

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