Healthcare workers are known to suffer slip and falls, needle sticks, and back pain, but unfortunately, they also can face violence on the job. Recent shocking headlines include: Nurse Found Dead from Self-Inflicted Gunshot Wound after Allegedly Setting Colleague on Fire; Maine Nurses Face Increased Levels of Physical, Verbal Abuse by Patients; Nursing Assistant Gunned Down by Coworker Left Behind Three Children… And while workplace violence has been a dangerous risk among healthcare workers for years, experts believe the COVID-19 pandemic, and its added stresses and mental health challenges, have exacerbated violence.
According to the Centers for Disease Control, researchers have identified four categories of healthcare workplace violence:
Risk factors for healthcare workplace violence vary, but OSHA identify several causes, including, but not limited to: Working with people who may be delirious or under the influence of drugs; Lifting and transporting patients; Poor environmental design; Working alone, Lack of emergency communication mechanisms; Long wait times and overcrowded waiting rooms; and Unrestricted public access.
ECRI has called attention to this problem, noting that “When violence erupts in a healthcare facility, the consequences are often many and unpredictable, potentially including injury or death; property damage; lawsuits; and diminished patient, staff, and community trust.”
ECRI’s guidance article, Violence in Healthcare Facilities, can help healthcare leaders and workers understand this complex issue and take steps to prevent violence. The information includes strategies for developing action plans including: creating policies and procedures, leveraging data, encouraging reporting, preventing violence, managing violent events as they unfold and during their aftermath, ensuring that violence prevention programs addresses the possibility of gun violence (including active shooters), as well as on training employees in violence prevention and response.
Health workplace leaders must work to promote safe environments for everyone from staff to families, to patients alike. Contact ECRI to learn how you can get our guidance on this topic and strengthen your ability to create a safe care environment for all.