User-friendly system (a smartphone app) for reporting violent incidents in the Emergency Department: an Italian multicenter study.

Main Article Content

Nicola Ramacciati
Andrea Guazzini
Roberto Caldelli
Laura Rasero

Keywords

Emergency Department; Emergency Nursing; Mobile Application; Under-reporting; Workplace Violence; Italy

Abstract

Abstract:


Background: Nurses, particularly emergency nurses, are among the health workers most exposed to workplace violence. Although the reporting systems are increasingly used, the under-reporting phenomenon remains high. Recent studies suggest that the use of easy registration systems could facilitate violence reporting.


Objectives: To verify if a friendly reporting system based on a Mobile-App can facilitate violence episode reporting and reduce the under-reporting phenomenon.


Methods: Twenty emergency departments of five Italian regions of the North and Central Italy participated in an observational, prospective, multicentric, study to verify if a user-friendly reporting system based on a mobile app can facilitate violence episode reporting and reduce the under-reporting phenomenon.


Results: 189 emergency nurses tested for 180 days a new reporting system based on a mobile app. The t-Test for Paired Samples, although with a low mean difference, shows a significant difference in the change in the violence reporting frequency. The correlational tests showed no significant differences in the subgroups divided by demographic and professional characteristics. The usability of the App was considered very high.


Conclusions: The simplification of the reporting system and the preliminary acquisition of data on the characteristics of the ED and each nurse, can save time and facilitate the reporting, but technology alone is not enough to solve the underreporting.

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References

[1] McPhaul K, Lipscomb J. Workplace violence in health care: recognized but not regulated. Online J Issues Nurs 2004;9:7
[2] Escribano R, Beneit J, Luis Garcia J. Violence in the workplace: some critical issues looking at the health sector. Heliyon 2019;5:e01283
[3] Firenze A, Santangelo OE, Gianfredi V, Alagna E, Cedrone F, Provenzano S, La Torre G. Violence on doctors. An observational study in Northern Italy. Med Lav. 2020 Feb 24;111(1):46-53
[4] Pich J, Kable A, Hazelton M. Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage). Australas Emerg Nurs J 2017;20:107-113
[5] Zhang L, Wang A, Xie X, Zhou Y, Li J, Yang L, Zhang J. Workplace violence against nurses: A cross-sectional study. Int J Nurs Stud 2017;72:8-14
[6] Luciani M, Spedale V, Romanenghi M, Villa CE, Ausili D, Di Mauro S. Violence towards nurses and factors affecting violence in hospital settings: an Italian cross-sectional study. Med Lav. 2016 May 26;107(3):191-204
[7] Arnetz JE, Aranyos D, Ager J, Upfal M. Development and application of a population-based system for workplace violence surveillance in hospitals. Am J Ind Med 2011;54:925–934
[8] Ferns T. Recording violent incidents in the emergency department. Nurs Stand 2012;26:40-48
[9] Kowalenko T, Hauff S, Morder P, Smith B. Development of Data Collection Instrument for Violent Patient Encounters against Healthcare Workers. West J Emerg Med, 2012;13:429-433
[10] Stene J, Larson E, Levy M, Dohlman M. Workplace violence in the emergency department: giving staff the tools and support to report. Perm J 2015;19:e113-117
[11] Gillespie GL, Leming-Lee T. Chart It to Stop It: Failure Modes and Effect Analysis for the Reporting of Workplace Aggression. Nurs Clin North Am. 2019; 54:21-32
[12] Kenned, M. Violence in emergency department: under reported, unconstrained and unconscionable.Med J Aust 2005;183:362-365
[13] Marte M, Cappellano E, Sestili C, Mannocci A, La Torre G. Workplace violence towards healthcare workers: an observational study in the College of Physicians and Surgeons of Rome. Med Lav. 2019 Apr 19;110(2):130-141
[14] Morphet J, Griffiths D, Innes K. The trouble with reporting and utilization of workplace violence data in health care. J Nurs Manag 2019;27:592-598
[15] Gillespie GL, Leming-Lee TS, Crutcher T, Mattei J. Chart It to Stop It: A Quality Improvement Study to Increase the Reporting of Workplace Aggression. J Nurs Care Qual. 2016;31:254-261
[16] Sato K, Wakabayashi T, Kiyoshi-Teo H, Fukahori H. Factors associated with nurses' reporting of patients' aggressive behavior: a cross-sectional survey. Int J Nurs Stud 2013;50:1368-1376
[17] Arnetz JE, Hamblin L, Ager J, Aranyos D, Essenmacher L, Upfal MJ, Luborsky M. Using database reports to reduce workplace violence: Perceptions of hospital stakeholders. Work 2015;51:51-59
[18] Arnetz JE, Hamblin L, Essenmacher L, Upfal MJ, Ager J, Luborsky M. Understanding patient-to-worker violence in hospitals: a qualitative analysis of documented incident reports. J Adv Nurs 2015;71:338-348
[19] Firenze A, Santangelo OE, Gianfredi V, Alagna E, Cedrone F, Provenzano S, La Torre G. Violence on doctors. An observational study in Northern Italy. Med Lav. 2020 Feb 24;111(1):46-53
[20] Wassell J. Workplace violence intervention effectiveness: A systematic literature review. Safety Sci 2009;47:1049-1055
[21] Pich J, Hazelton M, Sundin D, Kable A. Patient-related violence at triage: A qualitative descriptive study. Int Emerg Nurs 2011;19:12-19
[22] Terzoni S, Ferrara P, Cornelli R, et al: Violence and unsafety in a major Italian hospital: experience and perceptions of health care workers. La Medicina del Lavoro 2015; 106 (6): 403-411
[23] Erikson L, Williams-Evans S. Attitudes of emergency nurses regarding patient assaults. J Emerg Nurs 200;26:210-215
[24] Luck L, Jackson D, Usher K. Innocent or culpable: meanings that emergency department nurses ascribe to individual acts of violence. J Clin Nurs 2008;17:1071-1078
[25] Copeland D, Henry M. Workplace Violence and Perception of Safety Among Emergency Department Staff Members: Experiences, Expectations, Tolerance, Reporting, and Recomandations. J Trauma Nur, 2017;24:65-77
[26] Ramacciati N, Ceccagnoli A,Addey B.Violence against nurses in the Triage Area: an Italian qualitative study. Int Emerg Nurs 2015;23:274-280
[27] Blando JD, O'Hagan E, Casteel C, Nocera MA, Peek-Asa C. Impact of hospital security programmes and workplace aggression on nurse perceptions of safety. J Nurs Manag 2013;21:491-498
[28] Wolf L, Delao A, Perhats C. Nothing changes, nobody cares: understanding the experience of emergency nurses physically or verbally assaulted while providing care. J Emerg Nurs 2014;40:305-310
[29] Hogarth K, Beattie J, Morphet J. Nurses' attitudes towards the reporting of violence in the emergency department. Australas Emerg Nurs J 2016;19:75-81
[30] Hyland S, Watts J, Fry M. Rates of workplace aggression in the emergency department and nurses' perceptions of this challenging behaviour: A multimethod study. Australas Emerg Nurs J 2016;19:143-148
[31] Brophy T, Keith M, Hurley M. Assaulted and Unheard: Violence Against Healthcare Staff. New Solut 2018;27:581-606
[32] Needham I, McKenna K, Frank O, Oud N. Fift International Conference on Violence in the Health Sector. Broadening our view – responding together. Dwingeloo: Kavanah, 2016
[33] Aniarti (Italian National Association of Critical Care Nurses). The 35th National Congress. We care, il lavoro di assistere. Bologna: Scenario, 2016: 40
[34] Needham I, McKenna K, Frank O, Oud N. Sixth International Conference on Violence in the Health Sector. Advancing the delivery of positive practice. Dwingeloo: Kavanah, 2018: 414-417.
[35] Campbell C, Burg M, Gammonley D. Measures for incident reporting of patient violence and aggression towards healthcare providers: A systematic review. Aggress Violent Behav 2015;25:314–322
[36] Ramacciati N, Ceccagnoli A, Addey B, Lumini E, Rasero L. Interventions to reduce the risk of violence toward emergency department staff: current approaches. Open Access Emer Med 2016;8:17-27
[37] Taylor J;Rew L. A systematic review of the literature: workplace violence in the emergency department. J Clin Nurs 2011;20:1072-1085
[38] University of Iowa Injury Prevention Research Center (UIIPRC). Workplace violence – A report to the nation. Iowa City, IA: University of Iowa; 2001
[39] National Institute of Occupational Safety and Health. Violence: Occupational hazards in hospitals. Department of Health and Human Services, 2002–2101, https://www.cdc.gov/niosh/docs/2002-101/pdfs/2002-101.pdf?xml:id=10.26616/NIOSHPUB2002101 ; 2002 [last accessed 09.09.19]
[40] Ramacciati N Gili A, Mezzetti A, Ceccagnoli A, Addey B, Rasero, L. Violence towards Emergency Nurses: The 2016 Italian National Survey-A cross-sectional study. J Nurs Manag 2019;27:792-805
[41] Ramacciati N, Ceccagnoli A, Addey B, Rasero L. Violence towards Emergency Nurses. The Italian National Survey 2016: A qualitative study. Int J Nurs Stud 2018;81:21-29
[42] Bambi S, Guazzini A, Piredda M, Lucchini A, De Marinis MG, Rasero L. Negative interactions among nurses: An explorative study on lateral violence and bullying in nursing work settings. J Nurs Manag 2019;27:749-757
[43] Ramacciati N, Ceccagnoli A, Addey B, Lumini E, Rasero L. Violence towards emergency nurses: A narrative review of theories and frameworks. Int Emerg Nurs 2018;39:2-12
[44] Morphet J, Griffiths D, Beattie J, Innes K. Managers' experiences of prevention and management of workplace violence against health care staff: A descriptive exploratory study. J Nurs Manag 2019;27:781-791
[45] Richardson S, Grainger P, Ardagh M, Morrison R. Violence and aggression in the emergency department is under-reported and under-appreciated. N Z Med J 2018;131:50-58