Report and Prevent: A Quality Improvement Project to Protect Nurses From Violence in the Emergency Department

Article


Buterakos, Roxanne, Keiser, Megan M., Littler, Susan and Turkelson, Carman. 2020. "Report and Prevent: A Quality Improvement Project to Protect Nurses From Violence in the Emergency Department." Journal of Emergency Nursing. 46 (3), pp. 338-344.e7. https://doi.org/10.1016/j.jen.2020.02.010
Article Title

Report and Prevent: A Quality Improvement Project to Protect Nurses From Violence in the Emergency Department

ERA Journal ID14108
Article CategoryArticle
AuthorsButerakos, Roxanne, Keiser, Megan M., Littler, Susan and Turkelson, Carman
Journal TitleJournal of Emergency Nursing
Journal Citation46 (3), pp. 338-344.e7
Number of Pages14
Year2020
Place of PublicationUnited States
ISSN0099-1767
1527-2966
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jen.2020.02.010
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S0099176720300532
Abstract

Introduction: Most nurses experience some form of workplace violence resulting in a stressful work environment, employee injury, and turnover. The aims of this project were to develop and evaluate strategies to improve the reporting of workplace violence as well as to empower emergency nurses to prevent assaults and protect themselves.

Methods: This quality improvement project had 2 phases. The phase I educational intervention focused on the importance of reporting workplace violence. Pre- and postintervention surveys measured experiences with workplace violence and reporting. The phase II educational intervention focused on de-escalation and self-protection strategies, training, safety, confidence, and emergency nurses’ preparedness to defend themselves. Responses were analyzed using Wilcoxon signed-rank and McNemar tests.

Results: Twenty-five emergency nurses participated in phase I, with >90% reporting that they had been assaulted in the past month. Most did not report a workplace assault, which was unchanged after the intervention. Thirty-four emergency nurses participated in phase II, with a postintervention increase reported in the perceived helpfulness of learning self-protection techniques for the emergency nurses’ work life (Z = –2.179, P = 0.029).

Discussion: This study was consistent with the literature in that emergency nurses often do not report workplace assaults. Most of the emergency nurses surveyed had been assaulted. Although the educational interventions did not achieve the desired outcome, it is clear that additional interventions for individual nurses and institutions need to be developed and refined to increase reporting and prevent workplace assaults.

KeywordsDe-escalation; Emergency nurses; Workplace assault; Workplace violence
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Byline AffiliationsUniversity of Michigan, United States
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