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A Scoping Review of Workplace Violence Among Nurses in Indonesia: Implications for Educational and Reporting Models

Authors

Keywords:

Workplace violence, Nurse, Hospitals, Indonesia, Models

Abstract

Background: Workplace violence (WPV) is a critical issue in healthcare systems globally, disproportionately affecting nurses due to their frontline role in patient care. The International Council of Nurses recognizes WPV, including verbal abuse, threats, harassment, and physical assault, as a persistent threat to nurses’ safety and well-being. In Indonesia, the magnitude of WPV against nurses remains underexplored, and there is limited evidence supporting the development of culturally responsive educational models tailored to local healthcare settings. Methods: A scoping review was conducted to analyze current research on workplace violence affecting nurses in Indonesian hospitals. Various electronic databases and gray literature were thoroughly examined using relevant keyword combinations: “Workplace Violence,” “Nurse,” “Hospital in Indonesia,” and “Abuse.” Studies were included if they (i) constituted original research, (ii) investigated WPV incidents within hospital environments in Indonesia, (iii) specifically focused on nurses, and (iv) utilized either quantitative or qualitative methodologies. Results: The review identified recurring themes related to the high prevalence of WPV among nurses in Indonesian hospitals. Factors contributing to WPV included a lack of institutional support, the absence of standardized reporting systems, and limited awareness and training. While a few studies proposed interventions, none presented a comprehensive or context-specific educational model for WPV prevention and reporting tailored to Indonesia’s sociocultural setting. Conclusions: There is an urgent need for a structured, culturally adapted workplace violence educational model for nurses in Indonesia. Such a model should integrate reporting mechanisms and preventive strategies to ensure workplace safety and improve healthcare services delivered to the community.

References

1. Balsak H, Özel M. Workplace Violence in Tertiary Hospitals: Unraveling Its Detrimental Effects on Healthcare Workers’ Job Engagement. Med Lav. 2025;116(2):16271. Doi. 10.23749/mdl.v116i2.16271

2. Mitchell A, Ahmed A, Szabo C. Workplace violence among nurses, why are we still discussing this? Literature review. J Nurs Educ Pract. 2014;4(4). Doi: 10.5430/jnep.v4n4p147

3. International Council of Nurses. Prevention and management of workplace violence [Internet]. Geneva: ICN; 2017 [cited 2025 April 10]. Available from: https://www.icn.ch/sites/default/files/inline-files/PS_C_Prevention_mgmt_workplace_violence.pdf

4. 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

5. Gacki-Smith J, Juarez AM, Boyett L, Homeyer C, Robinson L, MacLean SL. Violence Against Nurses Working in US Emergency Departments. JONA J Nurs Adm. 2009;39(7/8):340-9. Doi: 10.1097/NNA.0b013e3181ae97db

6. Esmaeilpour M, Salsali M, Ahmadi F. Workplace violence against Iranian nurses working in emergency departments. Int Nurs Rev. 2011;58(1):130-7. Doi: 10.1111/j.1466-7657.2010.00834.x

7. Teymourzadeh E, Rashidian A, Arab M, Akbari-Sari A, Hakimzadeh SM. Nurses exposure to workplace violence in a large teaching hospital in Iran. Int J Heal Policy Manag. 2014;3(6):301-5. Doi: 10.15171/ijhpm.2014.98

8. Park M, Cho SH, Hong HJ. 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

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

10. Mahdarsari M, Maurissa A, Putra A. Exploring the Factors Related to Workplace Violence among Nurses in Two Districts of Aceh Province. J Liaquat Uni Med Heal Sci. 2025;Sp. Issue:57-63. Doi: 10.22442/jlumhs.2025.01321

11. 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

12. 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

13. 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

14. 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

15. Putra A, Kamil H, Adam M. Understanding the factors related to workplace violence incidents among nurses in Aceh, Indonesia. Med Hist. 2025;9(1-2):16423. Doi: 10.69124/mh.v9i1-2.16423

16. Occupational Safety and Health Administration. Workplace violence [Internet]. Washington, D.C.: OSHA; [cited 2025 April 10]. Available from: https://www.osha.gov/workplace-violence

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

18. Peek-Asa C, Casteel C, Allareddy V, et al. Workplace Violence Prevention Programs in Psychiatric Units and Facilities. Arch Psychiatr Nurs. 2009;23(2):166-76. Doi: 10.1016/j.apnu.2008.05.008

19. Guidelines for preventing workplace violence for health care and social service workers. Prairie Rose. 1997;66(1 Suppl):11a-18a.

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

21. Levac D, Colquhoun H, O’Brien KK. Scoping studies: Advancing the methodology. Implement Sci. 2010;5(1):69. Doi: 10.1186/1748-5908-5-69

22. Dini G, Rahmani A, Montecucco A, et al. Occupational Injuries and Their Determinants Among Healthcare Workers in Western Countries: A Scoping Review. Med Lav. 2025;116(1). Doi: 10.23749/mdl.v116i1.16664

23. Vu-Ngoc H, Elawady SS, Mehyar GM, et al. Quality of flow diagram in systematic review and/or meta-analysis. PLoS One. 2018;13(6):e0195955. Doi: 10.1371/journal.pone.0195955

24. Meelan T, Mogo ERI, Onyemaobi N, et al. Urban public space initiatives and health in Africa: A mixed-methods systematic review. PLOS Glob Public Health. 2024;4(10):e0003709. Doi: 10.1371/journal.pgph.0003709

25. Bintang A, Megawati M, Madamang I. Trauma Psikologis Perawat Instalasi Gawat Darurat dalam Menghadapi Kekerasan Verbal di Tempat Kerja: Penelitian Kualitatif. J Keperawatan Lapatau. 2022;2(1):78–87. Available from: https://journal.uniasman.ac.id/index.php/JKPL/article/view/25

26. Damopoli RF, Manampiring AE, Doda D V. Hubungan kekerasan dengan stres kerja pada perawat Unit Gawat Darurat dan Intensive Care Unit Rumah Sakit di Kota Bitung dan Kabupaten Minahasa Utara. J KESMAS. 2019;8(3):50-9. Available from: https://ejournal.unsrat.ac.id/index.php/kesmas/article/view/23942.

27. Pakaya V, Palendeng OEL, Kristanto E. Emergency Respond Time, Waktu Tunggu, Waktu Tunggu Rawat Jalan dan Kekerasan pada Perawat Rumah Sakit. Indones J Public Heal Community Med. 2020;1(3):78–86. Available from: https://ejournal.unsrat.ac.id/index.php/ijphcm/article/view/29867

28. Qamal L, Usman S, Wardani E. Factors Associated with Workplace Bullying Incidents on Nurses at the Banda Aceh City General Hospital. EAS J Nurs Midwifery. 2021;3(4):170–5. Available from: https://www.easpublisher.com/article/articleID=2228

29. Zulfan M, Syarif H, Wardani E. Determinants of Verbal Abuse among Nurses at Aceh Hospital. EAS J Nurs Midwifery. 2021;0966(6):285-90. Available from: https://www.easpublisher.com/article/articleID=2471

30. Meri D, Mayenti F. Analysis of Workplace Violance at Accredited Hospitals in Riau Province. Journal Keperawatan Komprehensif, 2022;8(1):1-10. Available from: https://journal.stikep-ppnijabar.ac.id/jkk/article/view/221

31. Faidhil F, Syarif H, Husna C. Analysis of the correlation between overtime and workplace violence on nurses at Aceh Provincial Government Hospital. International Journal of Community Medicine and Public Health. 2022;9(10):3627. Doi: 10.18203/2394-6040.ijcmph20222349

32. Yosep I, Hikmat R, Chintya M, Amilia N, Nurwulan W, Mardhiyah A. Experiences of Violence and Treatment Of Aggression That Nurses Experience and See by Nurses in The Workplace: Literature Review. Science Midwifery. 2022;10(4):2767-76. Doi: 10.35335/midwifery.v10i4.697

33. 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

34. 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 Health Sci. 2024;65-71. Doi. 10.22442/jlumhs.2024.01127

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

36. Pai HC, 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

37. Zhao S, Shi Y, Sun Z, et al. Impact of workplace violence against nurses’ thriving at work, job satisfaction and turnover intention: A cross‐sectional study. J Clin Nurs. 2018;27(13-14):2620-32. Doi: 10.1111/jocn.14311

38. Kadir A, Syahrul S, Erika KA. Prevalensi Kekerasan Terhadap Perawat di Tempat Kerja Di Rumah Sakit Ditinjau Dari Berbagi Negara Di Dunia: A Literature Review. J Keperawatan Muhammadiyah. 2019;(Special Issue):260-4. Doi. 10.30651/jkm.v4i2.2314

39. Zhang SE, Liu W, Wang J, et al. Impact of workplace violence and compassionate behaviour in hospitals on stress, sleep quality and subjective health status among Chinese nurses: A cross-sectional survey. BMJ Open. 2018;8(10). Doi: 10.1136/bmjopen-2017-019373

40. Al‐Omari H. Physical and verbal workplace violence against nurses in Jordan. Int Nurs Rev. 2015;62(1):111–8. Doi: 10.1111/inr.12170

41. Lin WQ, Wu J, Yuan LX, et al. Workplace violence and job performance among community healthcare workers in China: The mediator role of quality of life. Int J Environ Res Public Health. 2015;12(11):14872-86. Doi: 10.3390/ijerph121114872

42. Ziari N, Keyvanara M, Kordi A, Maracy M, Shokri A. Prevalence of violence and its perpetrators in support-administrative departments of Alzahra Hospital: 2013. Int J Health Syst Disaster Manag. 2013;1(4):204. Doi: 10.4103/2347-9019.130732

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

44. Yosep I, Mediani HS, Lindayani L. Mental Health Nurses in Indonesia: A Cross-sectional Survey of Workplace Violence and its Associated Factors. Pacific Rim Int J Nurs Res. 2021;25(4):614-25. Doi: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/248805

45. Magnavita N, Larese Filon F, Giorgi G, Meraglia I, Chirico F. Assessing Workplace Violence: Methodological Considerations. Med Lav. 2024;115(1):e2024003. Doi. 10.23749/mdl.v115i1.15186

46. Putra A, Kamil H, Adam M, Usman S, Rauzatul Jannah S, Abdurrahman A. Assessing the efficacy of a workplace violence educational model for nursing professionals: A prototype model. Acta Biomed. 2025;96(4):16583. Available from: 10.23750/abm.v96i4.16583

47. NIOSH. Violence Occupational Hazards in Hospital. Vol. 49, Department of Health & Human Service- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. Cincinati: NIOSH—Publications Dissemination; 2022. 219–221 p. Available from: https://www.cdc.gov/niosh/docs/2002-101/

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1.
Putra A, Yuswardi Y, Mahdarsari M, Maurissa A, Kamil H. A Scoping Review of Workplace Violence Among Nurses in Indonesia: Implications for Educational and Reporting Models. Med Lav. 117(4):17087. doi:10.23749/mdl.2026.17087