Workplace violence in healthcare: Insights into incidents, types, and reporting mechanisms for hospital nurses

Workplace violence in healthcare: Insights into incidents, types, and reporting mechanisms for hospital nurses

Authors

Keywords:

workplace violence, hospital nurses, reporting systems, violence types, nurse safety, aggression in healthcare, incident reporting

Abstract

Background and aim of the work: In healthcare, addressing workplace violence incidents is complicated by employees' reluctance to report cases, particularly among nurses who may view violence as a regular part of their job. This leads to underreporting due to perceived insignificance and a lack of understanding of reporting procedures. Inadequate support and safety policies from hospital management also pose significant obstacles in addressing workplace violence. This study aims to investigate, analyze thoroughly, and document workplace violence incidents and related occurrences experienced by nurses in hospital settings in Aceh, Indonesia.

Research design and methods: A qualitative research study was undertaken to comprehend the workplace violence experienced by nurses in hospital settings. Seven key informants participated in in-depth interviews to explore their perceptions of workplace violence in hospitals. Following data collection, the researcher utilized thematic analysis to meticulously examine and identify the themes, sub-themes, and underlying meanings associated with the phenomenon of workplace violence.

Results: A study on workplace violence experienced by nurses in Aceh Province identified three primary themes. The first theme focused on the nature and frequency of incidents, providing insight into their prevalence and characteristics. The second theme examined the types of workplace violence encountered by the nurses, including physical assault, emotional abuse, threats, verbal sexual harassment, and sexual abuse. The third theme explored the challenges associated with reporting workplace violence incidents within the healthcare setting, offering an understanding of the barriers and complexities involved.

Conclusions: Having transparent and standardized regulations for reporting workplace violence incidents and having the necessary support and infrastructure are crucial for handling such incidents appropriately and effectively. Ultimately, it is hoped that this will motivate and support nurses to report acts of violence and better deal with them in the future.

References

International Council of Nurses. Prevention and management of workplace violence. 2017. p. 1–6.

Sullivan EJ. Effective Leadership and Management in Nursing. eigth. New York: Pearson Education; 2012. 354 p.

Putra A, Kamil H, Adam M, Usman S. Socio-Demographic and Workplace Violence among Nurses in Aceh, Indonesia: A Correlational Study. J Liaquat Univ Med Heal Sci. 2024;65–71. doi: 10.22442/jlumhs.2024.01127.

The Joint Commission. Workplace Violence Prevention Standards [Internet]. 2021. Available from: https://www.jointcommission.org/resources/patient-safety-topics/workplace-violence-prevention/%0Ahttps://iahssf.org/assets/IAHSS-Foundation-Threat-Assessment-Strategies-to-

Fasanya BK, Dada EA. Caregivers’ Concerns – Age-Group Issues on Workplace Violence. Procedia Manuf. 2015;3:227–33. doi: 10.1016/j.promfg.2015.07.133.

Kamil H, Yuswardi Y, Putra A, Maurissa A, Mayasari P. Nursing Process Documentation among Nursing Students. J Liaquat Univ Med Heal Sci. 2024;89–93. doi: 10.22442/jlumhs.2024.01131.

Fute M, Mengesha ZB, Wakgari N, Tessema GA. High prevalence of workplace violence among nurses working at public health facilities in Southern Ethiopia. BMC Nurs. 2015;14(1):9. doi: 10.1186/s12912-015-0062-1.

ALBashtawy M. Workplace violence against nurses in emergency departments in Jordan. Int Nurs Rev. 2013;60(4):550–5. doi: 10.1111/inr.12059.

Opie T, Lenthall S, Dollard M, et al. Trends in Workplace Violence in the Remote Area Nursing Workforce. Aust J Adv Nurs. 2010;27(4):18–23. doi: 10.3316/informit.207404584689045

Zahra AN, Feng J-Y. Workplace violence against nurses in Indonesian emergency departments. Enfermería Clínica. 2018;28(Suppl. 1):184–90. doi: 10.1016/S1130-8621(18)30064-0.

Kharissa C, Putra A, Yuswardi Y, Yusuf M, Maurissa A. Work-Related Physical Violence Incidents among Nurses in the Banda Aceh Region. Int J Adv Multidiscip Res Stud. 2023;3(2):353–5. Available from: https://www.multiresearchjournal.com/arclist.php?list=2023.3.2&id=1028

Antão HS, Sacadura-Leite E, Manzano MJ, et al. Workplace Violence in Healthcare: A Single-Center Study on Causes, Consequences and Prevention Strategies. Acta Med Port. 2020;33(1):31. doi: 10.20344/amp.11465.

Pai H-C, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs. 2011;20(9–10):1405–12. doi: 10.1111/j.1365-2702.2010.03650.x.

May DD, Grubbs LM. The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. J Emerg Nurs. 2002;28(1):11–7. doi: 10.1067/men.2002.121835.

Sharma RK, Sharma V. Work Place Violence in Nursing. J Nurs Care. 2016;05(02):1–3. doi: 10.4172/2167-1168.1000335.

NIOSH. Prevention Strategies and Research Needs [Internet]. 144. 2006. p. 96–100. Available from: https://www.cdc.gov/niosh/docs/96-100/

Kemenaker RI. UU No. Tahun 2022 tentang Tindak Pidana Kekerasan Seksual [Internet]. Jakarta; 2022. p. 12. Available from: https://jdih.kemnaker.go.id/katalog-2186-Undang-undang.html

OSHA. Workplace Violence. Occupational Safety and Health Administration. 2019.

OSHA. Guidelines for preventing workplace violence for health care and social service workers. Prairie Rose. 2016;66(1 Suppl).

Moleong LJ. Metodologi Penelitian Kualitatif . Remaja Rosdakarya. Inter Komunika, Stikom Interstud. 2018;

Speziale HS, Carpenter DR. Qualitative research in nursing : advancing the humanistic imperative. In: Third Edition. 2003. p. Lippincott.

Wikipedia. Aceh [Internet]. 2024 [cited 2024 October 04]. Available from: https://id.wikipedia.org/wiki/Aceh

Polit DF, Beck CT. Resource Manual for Nursing Research Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Afiyanti Y, Rachmawati IN. Metodologi penelitian kualitatif dalam riset keperawatan. Jakarta Rajawali Pers. 2014;

Herdiansyah H. Metodologi penelitian kualitatif untuk ilmu-ilmu sosial. Salemba Humanika; 2010.

Patton MQ. Qualitative research & evaluation methods. sage; 2002.

Creswell JW. Mapping the developing landscape of mixed methods research. SAGE Handb Mix methods Soc Behav Res. 2010;2:45–68.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101. doi: 10.1191/1478088706qp063oa.

Poerwandari EK. Pendekatan kualitatif untuk penelitian perilaku manusia. Jakarta: LPSP3 Fakultas Psikologi Universitas Indonesia; 2007.

ILO, ICN, WHO, PSI. Workplace violence in the health sector country case studies research ınstruments survey questionnaire English, Joint Programme on Workplace Violence in The Health Sector. 2002. 1–14 p.

Roche M, Diers D, Duffield C, Catling‐Paull C. Violence Toward Nurses, the Work Environment, and Patient Outcomes. J Nurs Scholarsh. 2010;42(1):13–22. doi: 10.1111/j.1547-5069.2009.01321.x.

Putra A, Kamil H, Adam M, Usman S. Prevalence of workplace violence in Aceh, Indonesia: A survey study on hospital nurses. Acta Biomed. 2024;95(1):e2024062. doi: 10.23750/abm.v95i1.15430.

Tian Y, Yue Y, Wang J, et al. Workplace violence against hospital healthcare workers in China: A national WeChat-based survey. BMC Public Health. 2020;20(1):582. doi: 10.1186/s12889-020-08708-3.

Park M, Cho S-H, Hong H-J. Prevalence and Perpetrators of Workplace Violence by Nursing Unit and the Relationship Between Violence and the Perceived Work Environment. J Nurs Scholarsh. 2015;47(1):87–95. doi: 10.1111/jnu.12112.

Arnetz JE, Hamblin L, Ager J, et al. Underreporting of Workplace Violence. Workplace Health Saf. 2015;63(5):200–10. doi: 10.1177/2165079915574684.

Pompeii L, Dement J, Schoenfisch A, et al. Perpetrator, worker and workplace characteristics associated with patient and visitor perpetrated violence (Type II) on hospital workers: A review of the literature and existing occupational injury data. J Safety Res. 2013;44:57–64. doi: 10.1016/j.jsr.2012.09.004.

Cheung T, Yip PSF. Workplace violence towards nurses in Hong Kong: prevalence and correlates. BMC Public Health. 2017;17(1):196. doi: 10.1186/s12889-017-4112-3.

Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. Int J Nurs Stud. 2014;51(1):72–84. doi: 10.1016/j.ijnurstu.2013.01.010.

Lanctôt N, Guay S. The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences. Aggress Violent Behav. 2014;19(5):492–501. doi: 10.1016/j.avb.2014.07.010.

Kvas A, Seljak J. Unreported workplace violence in nursing. Int Nurs Rev. 2014;61(3):344–51. doi: 10.1111/inr.12106.

Phillips JP. Workplace violence against health care workers in the United States. N Engl J Med. 2016;374(17):1661–9. doi: 10.1056/NEJMra1501998.

Nikathil S, Olaussen A, Gocentas RA, Symons E, Mitra B. Review article: Workplace violence in the emergency department: A systematic review and meta analysis. Emerg Med Australas. 2017;29(3):265–75. doi: 10.1111/1742-6723.12761.

Gressia RGG, Usman S, Kamil H, Syarif H, Susanti SS. “Why do nurses do not report”: A qualitative study of underreported workplace violence (WPV) in emergency department (ED). Enfermería Clínica. 2022;32:S1–5. doi: 10.1016/j.enfcli.2022.03.007.

Kowalenko T, Cunningham R, Sachs CJ, et al. Workplace violence in emergency medicine: Current knowledge and future directions. J Emerg Med. 2012;43(3):523–31. doi: 10.1016/j.jemermed.2012.02.056.

Downloads

Published

26-02-2025

Issue

Section

HEALTH PROFESSIONS

How to Cite

1.
Putra A, Kamil H, Adam M, Usman S, Rauzatul Jannah S, Abdurrahman A. Workplace violence in healthcare: Insights into incidents, types, and reporting mechanisms for hospital nurses. Acta Biomed. 2025;96(1):16356. doi:10.23750/abm.v96i1.16356