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By: Brittney Fisher

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(Nurseslabs, 2016)

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(Lippincott Nursing Center, 2016)

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(NursingLicensure, n.d.)

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(Medscape, 2015)

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Uploaded by Brittney Fisher on 2017-04-26.

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Relevant curricular concepts:
1. Use the nursing process to administer safe, holistic, client- centered care to the client and family.
2. Maintain own professional nursing practice to provide optimal care to the client and family.

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-Promote a reporting culture
-Provide educational classes for handling violent situations (appropriate behaviors for the nurse to use, signs of impending violent situations)
-Make efforts to improve relationships between nurses and security guards

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Analysis #3: What are the challenges or barriers for nurse involvement?

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Analysis #3: What are the challenges or barriers for nurse involvement?

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-Most issues with involvment are of personal or social nature
-Nurses personally choose not to notify security officers or report violent incidences
-Reasons for not reporting violence include: “a perception that assaults are part of the job, a belief among employees that reporting will not benefit them, a concern that assaults may be viewed as evidence of poor job performance, and a lack of institutional policies” (ENA, 2011, p. 8).

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Analysis #2: How could the nurse help this issue?

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Analysis #2: How could the nurse help this issue?

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-Nurses have the most immediate contact with patients
-Nurses need to make changes to how they react physically and verbally during escalating situations, how they manage the situation as it is occurring, and how they report the situation after it has occurred.

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Analysis #2 How can the nurse help the issue

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Analysis #1: What is the role of the nurse?

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Analysis #1: What is the role of the nurse?

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-Nurses are the frontline of the medical field
-Nurses handle WPV individually, so their role depends on how they choose to manage WPV
-Examples of roles that nurses can play during instances of WPV include: notifying or not notifying incidences to security, not reporting violence to authorities, and how the nurse chooses to respond verbally and physically during a violent situation.

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Analysis #1 What is the role of the nurse

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"About one-fourth of emergency nurses experienced frequent physical violence (more than 20 times) during the past three years...about one-fifth of emergency nurses reported being the victim of verbal abuse at the workplace more than 200 times during the past three years" (ENA, 2011).
-Factors that contribute to workplace violence (WPV): lack of consequences, consistency, and collaboration (Renker, Scribner, & Huff, 2013).
-WPV in emergency departments is grossly underreported (ENA, 2011).

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"The ED is one of the most dangerous work settings in health care for nurses because of violence from patients and/or visitors” (ENA, 2011).