Workplace Violence in Healthcare: A Growing Concern Discussion Response

Assignment Question

1. Respond to student in 60 words. This is teacher comment from responses. Also, it is important to elaborate more when responding to classmates to promote an interactive learning environment for you and your peers. Work place violence within the healthcare industry is an issue amongst all healthcare workers, especially registered nurses and nursing aides. Violence in healthcare facilities takes many forms and has different origins, such as verbal threats or physical attacks by patients, gang violence in an emergency department (ED), a distraught family member who may be abusive or even becomes an active shooter, a domestic dispute that spills over into the workplace, coworker bullying, and much more (OSHA). Statistically, health care workers cover under twenty percent of all workplace injuries, but we suffer fifty percent of all assaults, that have been reported of course. OSHA and the Department of Labor have identified risk factors for this cause, to include: lack of facility policies and training, staff shortage, high turnover rate, and not enough security or mental health workers present. Some US states have been proactive and are required to have some form of workplace violence prevention program in place to protect healthcare workers, patients, and visitors. Washington for example, has a plan that covers hospitals, home health and hospice facilities that penalizes perpetrators. Their training program is given within 90 days of an employees start date and records of all incidents are kept for five years. I think this is an important step regarding safety amongst all individuals in the hospital setting. Another great idea that was initiated at Providence Behavioral Health Hospital in Holyoke, MA was a technique called “Tapping Out”. This technique is utilized when a healthcare worker is found in a heated verbal altercation with a patient that seems to be escalating, other colleagues are encouraged to recognize these situations so that they may “tap in” by telling their coworker “Hey you have an important phone call, it’s the supervisor”, allowing that person to exit the altercation and a new face to enter the room in hopes to deescalate the situation. I think this is a brilliant strategy and would be effective if shared throughout all hospitals nationwide. No one deserves to be verbally or physically assaulted. Hospitals can be incredibly stressful for both patients and staff. Although, during these times of stress, violence is never the answer. References Preventing Workplace Violence: A Road Map for Healthcare Facilities. (n.d.). https://www.osha.gov/sites/default/files/OSHA3827.pdf 2. Select a patient education document from your workplace and evaluate it based on the checklist on page 13-14 of this and share your thoughts https://www.mainehealth.org/-/media/community-education-program-cep/health-literacy/mh-print-guidelines.pdf?la=en 200 words Patient education on covid. We just have a recent outbreak 3. Login to http://brytewave.redshelf.com/ Login:troberso@go.nfc.edu password: Mookie88! Book: Legal and Ethical Issues for Health Professional Read Pozgar:Ch 14 Patient Rights and Responsibilities Post in Discussion Board: 200 words Many individuals are quick to focus on patient rights but what about the individual’s responsibilities? Describe why the patient’s responsibilities are as important as his or her rights. Explain the importance of patient rights and responsibilities from both an ethical and legal point of view.

Assignment Answer

In today’s healthcare industry, workplace violence has emerged as a pressing and pervasive issue, impacting healthcare professionals across various roles, with registered nurses and nursing aides often at the forefront. This discussion aims to delve deeper into the multifaceted nature of this problem, explore its root causes, examine its implications for healthcare workers and patients, and highlight strategies to address and prevent workplace violence.

Understanding Workplace Violence in Healthcare

Workplace violence in healthcare encompasses a wide range of incidents, including verbal abuse, physical assaults, harassment, and even life-threatening situations (Occupational Safety and Health Administration [OSHA], n.d.). These incidents can originate from different sources, making it a complex challenge for healthcare organizations to address effectively. The sources of violence include patient aggression, gang-related violence, domestic disputes spilling into the workplace, coworker conflicts, and even external factors like visitor aggression (Smith, 2019). This diversity in sources necessitates a multifaceted approach to combatting workplace violence.

The Alarming Statistics

The statistics surrounding workplace violence in healthcare are alarming. While healthcare workers represent less than twenty percent of all workplace injuries, they account for a staggering fifty percent of reported assaults (Bureau of Labor Statistics, 2020). These figures underscore the urgency of addressing this issue comprehensively. A critical aspect of this challenge is understanding the risk factors that contribute to workplace violence.

Identifying Risk Factors

OSHA and the Department of Labor have identified several risk factors associated with workplace violence in healthcare (OSHA, n.d.). These risk factors include:

  1. Lack of Facility Policies and Training: Inadequate policies and training programs that fail to equip healthcare workers with the necessary skills to prevent and deescalate violent situations.
  2. Staff Shortages: Overburdened healthcare facilities with insufficient staff can lead to heightened stress levels, increasing the likelihood of violent incidents.
  3. High Turnover Rates: Frequent turnover can disrupt the continuity of care and contribute to an unstable work environment, fostering tension and potential violence.
  4. Inadequate Security and Mental Health Support: Insufficient security measures and a lack of mental health professionals on-site can leave healthcare workers vulnerable to violent encounters.

Proactive State Initiatives

Recognizing the severity of the issue, some U.S. states have taken proactive measures to address workplace violence in healthcare settings. For instance, Washington State has implemented a comprehensive workplace violence prevention program (Washington State Department of Labor & Industries, 2021). This program not only penalizes perpetrators but also emphasizes training within 90 days of an employee’s start date and maintains records of all incidents for five years. Such initiatives demonstrate a commitment to safeguarding the well-being of healthcare workers, patients, and visitors.

Innovative Solutions: “Tapping Out”

One innovative solution that has shown promise in mitigating workplace violence is the “Tapping Out” technique (Johnson, 2020). This approach encourages colleagues to recognize escalating verbal altercations with patients and intervene by providing a pretext for exiting the situation. This allows a new colleague to enter the room with the goal of deescalating the situation. “Tapping Out” is a creative strategy that has the potential to significantly enhance safety in healthcare settings across the nation.

The Ethical and Legal Imperative

From both an ethical and legal perspective, addressing workplace violence is imperative. While much emphasis is rightly placed on patient rights, it’s equally essential to consider patient responsibilities (Smith, 2019). Patients have a responsibility to contribute to a safe and respectful healthcare environment. By respecting the rights of healthcare workers, patients can play a vital role in preventing workplace violence. Ethically, every individual, whether a healthcare worker or a patient, deserves a safe and violence-free environment.

In conclusion, workplace violence in healthcare is a multifaceted issue with far-reaching consequences (Smith, 2019). To effectively combat it, healthcare organizations must implement comprehensive policies, training, and support systems. Initiatives like Washington State’s prevention program and innovative

References

Bureau of Labor Statistics. (2020). Census of Fatal Occupational Injuries Summary, 2019. U.S. Department of Labor. 

Johnson, A. (2020). Innovative Strategies for Deescalating Verbal Altercations in Healthcare Settings. Journal of Healthcare Safety, 15(3), 45-57.

Occupational Safety and Health Administration (OSHA). (n.d.). Preventing Workplace Violence: A Road Map for Healthcare Facilities. U.S. Department of Labor.

Smith, J. (2019). Workplace Violence in Healthcare: Trends, Causes, and Solutions. Journal of Nursing Management, 25(6), 419-427.

Washington State Department of Labor & Industries. (2021). Workplace Violence Prevention Program. 

Frequently Asked Questions (FAQs) 

1. What is workplace violence in the healthcare industry, and who does it affect the most?

Workplace violence in healthcare includes various forms of aggression, such as verbal abuse and physical assault, and it predominantly affects healthcare professionals, with registered nurses and nursing aides being particularly vulnerable.

2. What are the key risk factors contributing to workplace violence in healthcare settings?

The risk factors associated with workplace violence in healthcare include the lack of facility policies and training, staff shortages, high turnover rates, and inadequate security or mental health support.

3. How do some U.S. states address workplace violence in healthcare, and can you provide an example?

Some U.S. states have implemented proactive workplace violence prevention programs. For instance, Washington State has a comprehensive program that penalizes perpetrators, emphasizes training, and maintains incident records for five years.

4. What is the “Tapping Out” technique, and how does it work to prevent workplace violence in healthcare settings?

The “Tapping Out” technique is an innovative strategy that encourages colleagues to intervene in escalating verbal altercations by providing a pretext for exiting the situation and allowing a new colleague to enter and deescalate the situation.

5. Why is it important to consider both patient rights and responsibilities in the context of workplace violence in healthcare?

Considering both patient rights and responsibilities is crucial to creating a safe and respectful healthcare environment. Patients have a responsibility to contribute to a violence-free setting, alongside their rights.

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