Abstract
Introduction
Emergency nurses experience a myriad of negative consequences associated with workplace
assault. The purpose of this study was to explore the experiences of emergency nurses
using the Ecological Occupational Health Model of Workplace Assault.
Methods
A descriptive qualitative design was used for this study. Data from 167 emergency
nurse participants who described an episode of workplace assault were analyzed using
a conventional content analysis method.
Results
Fourteen codes emerged from the qualitative data that related to 4 categories for
the theme, Outcomes of Workplace Assault. The category “Consequences of Assault to
Patients and Visitors” was supported by the following codes: use of limit setting;
being evicted or removed from the emergency department; having charges pressed or
being arrested; use of restraints; and retaliation against aggressor. “Effects on
the Worker” was supported by the following codes: physical outcomes and response;
psychological outcomes and response; physical support from peers; apologies; and debriefing/supportive
care. “Effects on the Workplace” was supported by the following codes: calling for
and response by police or security; and visitor response, support, or assistance.
“Effects on Patient Care” was supported by the following codes: impact to treatment
and work productivity.
Discussion
Workplace assault in the ED setting is associated with consequences of workplace assault
to patients and visitors as well as negative effects to emergency nurses, the workplace,
and patient care. Emergency nurses need to seek and also offer emotional support after
workplace assault. Providing support could serve as a deterrent to retaliation while
minimizing potential adverse impacts to nurses’ psychological health and work productivity.
Graphical abstract
Graphical Abstract
Key words
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Biography
Gordon Lee Gillespie, Member, Greater Cincinnati Chapter, is a Professor, University of Cincinnati College of Nursing, Cincinnati, OH. Twitter: @glgillespie2. ORCID identifier: https://orcid.org/0000-0002-0231-1123.
Biography
Peggy Berry is Owner, Thrive at Life, Dayton, OH. Twitter: @PberryRN. ORCID identifier: https://orcid.org/0000-0002-0231-1123.
Article info
Publication history
Published online: October 20, 2022
Identification
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© 2022 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.
