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Journal Article

Citation

Dafny HA, Muller A. J. Nurs. Manag. 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, John Wiley and Sons)

DOI

10.1111/jonm.13378

PMID

unavailable

Abstract

AIM(S): To ascertain nurses' perceptions about, and suggestions for, management solutions to workplace violence perpetrated by patients.

BACKGROUND: Violence towards nurses from patients in the workplace is high in Australia. There is a need for good management responses, and experienced nurses can provide logistical suggestions about effective strategies.

METHOD(S): This study uses an exploratory qualitative design. Focus group interviews were undertaken with 23 nurses working in a regional public hospital in Queensland, Australia. The COREQ research reporting checklist was followed, and the qualitative data were transcribed and thematically analysed manually and by NVivo.

RESULTS: Policy implementation, training, staff movement, seclusion, debriefing, and a full reporting cycle were identified as central themes. Workplace violence management happens before, during, and after a violent event.

CONCLUSION(S): Weak processes undermine management, staff training on de-escalation is needed. Affected staff need freedom to move from the ward. Better medical orders should be in place before an event. A full debriefing and feedback cycle is required, along with easier reporting processes. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing management can reduce violence by ensuring better institutional support, consistent follow-up, and complete feedback procedures. Legal support, follow-up mechanisms, and staff training in de-escalation are key points.


Language: en

Keywords

Australia; Nursing; Organization and Administration; Supervisory; Workplace Violence

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