Nursing and Workplace Violence

Criterion #1 – Although there are a number of patient-related and organizational/environmental risk factors for workplace violence, this criterion requires a discussion of POLITICAL, LEGAL and/or LEGISLATIVE FACTORS that CONTRIBUTE to WPV. So, describing organizational, staffing and patient factors aren’t applicable, nor are factors that help to prevent WPV. While there are a number of appropriate Political, Legal and/o9r Legislative Factors that CONTRIBUTE to WPV, it might be helpful for you to consider several questions. Are there any current federal regulations against WPV in the healthcare setting? If not, does the absence of such laws contribute to WPV? You may wish to check out https://www.congress.gov/bill/115th-congress/house-bill/5223/text for information on a bill that was introduced to congress two years ago. Note that this bill has NOT YET been passed into law. Another similar bill is HR 1309 introduced the following year. As with 5223, this bill passed the house but has been stalled in the Senate. Also think about the political/legal environment related to the availability of weapons. Guns are primary weapons used in violence against healthcare workers; are there federal laws that restrict gun ownership to protect the citizens? Also, think about the state in which you practice. Does your state have open-carry or concealed weapons laws that actually allow people to take guns into healthcare organizations? Some states have passed laws that criminalize taking any weapons into a healthcare facility, but many have not and continue to permit this practice. Also, research whether your state has any laws that criminalize violence against healthcare professionals. A number of states have passed laws from misdemeanor to felony for WPV in the healthcare setting, but many have not. Addressing these questions would be one way that you could meet the requirement of this criterion. A “Distinguished” score requires that you discuss real-world examples. Consider some of the following:

Fight Breaks Out in Silver Cross Hospital ER Over Infant’s Death

Doctor Shot in Head During Robbery at Fairview Southdale Hospital

https://abcnews.go.com/US/wireStory/bystanders-hurt-woman-arrested-hospital-shooting-75832646

https://www.medpagetoday.com/special-reports/exclusives/90923

Criterion #2 – Review several of the references about OSHA’s position on violence in the workplace. OSHA has a general workplace focus, not a healthcare focus. Think about how their position and guidelines would apply in a healthcare organization. See their PDF at https://www.osha.gov/sites/default/files/publications/osha3148.pdf. The specific OSHA guidelines begin on page 5 of this booklet. For a “Distinguished” score, discuss how OSHA’s position applies or would apply to organizational policies in a healthcare organization. Consider how their guidelines/recommendations in the above PDF could be integrated into policies and protocols.
Criterion #3 – Review the FULL ANA Position Statement on Incivility, Bullying and Workplace Violence listed under “Internet Resources.” What does it require as far as behaviors, organizational climate and the tolerance of violence in the workplace? It would also be helpful to introduce the 3 levels of ANA’s preventions strategies and relate the position to organizational safety policies. For a “Distinguished” score, consider how ANA’s position/prevention strategies could be incorporated into organizational policies on WPV.
Criterion #4 – There are multiple ways to explain safety policies and protocols. Consider suggesting ways in which both the OSHA guidelines and the ANA recommendations can be incorporated and applied to organizational policies. Remember to address P&Ps for BOTH preventing AND responding to violence against health care workers. You may wish to also provide an example of how your own employer’s policies address prevention and response. Also remember to discuss the effectiveness of these policies for a “Distinguished” level.
Examples:

Fight Breaks Out in Silver Cross Hospital ER Over Infant’s Death

https://www.campussafetymagazine.com/category/hospital/

https://www.startribune.com/1-dead-four-wounded-after-shooting-at-buffalo-health-clinic-67-year-old-gunman-jailed/600020966/

Doctor Shot in Head During Robbery at Fairview Southdale Hospital

https://abcnews.go.com/US/wireStory/bystanders-hurt-woman-arrested-hospital-shooting-75832646

https://www.medpagetoday.com/special-reports/exclusives/90923 A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence where you work. Write a 750–1,000-word article on workplace violence and prevention measures for the hospital employee newsletter.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

SHOW LESS
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings.
Competency 2: Explain the effect of regulatory environments and controls on health care delivery and patient outcomes.
Explain OSHA’s position on violence in the workplace.
Explain the American Nursing Association’s position on violence in the workplace.
Explain safety policies and protocols for preventing and responding to violence against health care workers.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
Competency Map
The Centers for Disease Control and Prevention’s National Institute for Occupational Safety and Health (NIOSH) (2002) defines workplace violence as any physical assault, threatening behavior, or verbal abuse occurring in the workplace. Violence includes overt and covert behaviors ranging in aggressiveness from verbal harassment to murder.

SHOW LESS
Specific to hospital workers, studies by the Institute for Occupational safety and Health (NIOSH) show that:

Violence often takes place during times of high activity and interaction with patients, such as at meal times and during visiting hours and patient transportation. Assaults may occur when service is denied, when a patient is involuntarily admitted, or when a health care worker attempts to set limits on eating, drinking, or tobacco or alcohol use. (2002, para. 4)

Reference
Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (2002). Violence: Occupational hazards in hospitals. Retrieved from http://www.cdc.gov/niosh/docs/2002-101
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

What are the more common reasons for workplace violence?
What clinical risk factors can lead to workplace violence?
What obligation does a health care facility have to protect workers from violence?
What personal safety strategies do you have to protect yourself from violence at work?
Toggle Drawer
Resources
Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Resources
Click the links provided to view the following resources:

APA Citation: Citing a Journal Article.
APA Citation: Citing a Book.
APA Citation: Citing a Website.
APA Paper Template.
APA Paper Tutorial.
Library Resources
The following e-books or articles from the Capella University Library are linked directly in this course:

Doby, V. (2015). Leadership’s role in eliminating workplace violence and changing perceptions in the emergency department. Journal of Emergency Nursing, 41(1), 7.
Blando, J., Ridenour, M., Hartley, D., & Casteel, C. (2015). Barriers to effective implementation of programs for the prevention of workplace violence in hospitals. Online Journal of Issues in Nursing, 20(1), 1–11.
Bruce, M. D., & Nowlin, W. A. (2011). Workplace violence: Awareness, prevention, and response. Public Personnel Management, 40(4), 293–308.
Saltzberg, C. W., & Clark, C. M. (2015). A bold call to action: Mobilizing nurses and employers to prevent and address incivility, bullying, and workplace violence. (2015). American Nurse Today, 10(8), 1.
Gillespie, G. L., Gates, D. M., Miller, M., & Howard, P. K. (2010). Workplace violence in healthcare settings: Risk factors and protective strategies. Rehabilitation Nursing, 35(5), 177–184.
Magnavita, N. (2014). Workplace violence and occupational stress in healthcare workers: A chicken-and-egg situation-results of a 6-year follow-up study. Journal of Nursing Scholarship, 46(5), 366–376.
Speegle-Clark, K. (2013). Violence in the workplace: A prevention program for healthcare workers. (Doctoral dissertation). Available from ProQuest Dissertations and Theses database. (UMI No. 1539707).
Papa, A., & Venella, J. (2013). Workplace violence in healthcare: Strategies for advocacy. Online Journal of Issues in Nursing, 18(1), 1.
Course Library Guide Professional Issues Panel on Incivility, Bullying, and Workplace Violence. (2015). Incivility, bullying, and workplace violence [Position paper]. Retrieved from https://www.nursingworld.org/~49d6e3/globalassets/practiceandpolicy/nursing-excellence/incivility-bullying-and-workplace-violence–ana-position-statement.pdf
United States Department of Labor, Occupational Health & Safety Administration. (n.d.). Workplace violence. Retrieved from https://www.osha.gov/SLTC/healthcarefacilities/violence.html
United States Department of Labor, Occupational Health and Safety Administration. (n.d.). Workplace violence prevention – Health care and social service workers. Retrieved from https://www.osha.gov/dte/library/wp-violence/healthcare/
AACN. (n.d.). Position statement: Workplace violence prevention. Retrieved from https://www.aacn.org/policy-and-advocacy/aacn-position-statement-preventing-violence
Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. (n.d.). Occupational violence. Retrieved from http://www.cdc.gov/niosh/topics/violence/training_nurses.html
Liss, G. M. (2000). Violence in the health care workplace. CMAJ, 162(4). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1231158/
Assessment Instructions
Your workplace has experienced some serious problems with workplace violence that occurred between patients and caregivers. A new initiative has been introduced to educate nurses, health care workers, and social services workers on how to prevent workplace violence. You have been asked to write an article on workplace violence and prevention measures for the hospital employee newsletter.

Preparation
Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on workplace violence. You will need at least five articles to use as support for your work on this assessment.

Directions
Write a 750–1,000 word article (3–4 pages) on workplace violence and prevention measures for the hospital employee newsletter. Address the following in your article:

Identify the political, legal, and/or legislative factors that may contribute to violence in health care settings. Consider the types of patients that may be treated within a clinical or hospital setting.
Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
Explain safety policies and protocols for preventing and responding to violence against health care workers.
Additional Requirements
Your presentation should meet the following requirements:

Written communication: Written communication should be free of errors that detract from the overall message.
References: Cite a minimum of five resources, with the majority being peer-reviewed sources. Your reference list should be appropriate to the body of literature available on this topic that has been published in the past 5 years.
APA format: Resources and citations should be formatted according to current APA style and formatting.
Length: 750– 1,000 words or 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
Font and font size: Times New Roman, 12-point.
Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment, once your work has been evaluated.

Nursing and Workplace Violence
Title Page Nursing Workplace Violence
Sharon McGovern
School of Nursing and Health Sciences, Capella University
BSN-FP4006 Policy, Law, Ethics, and Regulations
Kevin George
September, 2021