Student nurses' experiences of workplace violence: A mixed methods systematic review and meta-analysis.

Autor: Hallett N; School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland. Electronic address: n.n.hallett@bham.ac.uk., Gayton A; School of Nursing and Midwifery, Institute of Clinical Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, United Kingdom of Great Britain and Northern Ireland. Electronic address: a.gayton@bham.ac.uk., Dickenson R; Birmingham and Solihull Mental Health NHS Foundation Trust, Saffron - BSMHFT, 100 Showell Green Lane, Birmingham B11 4HL, United Kingdom of Great Britain and Northern Ireland. Electronic address: rachel.dickenson4@nhs.net., Franckel M; Midland Partnership Foundation Trust, 7 Trent Valley Road, David Parry Suite, Lichfield WS13 6EE, United Kingdom of Great Britain and Northern Ireland. Electronic address: maria.franckel@mpft.nhs.uk., Dickens GL; Department of Nursing, Midwifery and Health, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne NE7 7YT, United Kingdom of Great Britain and Northern Ireland. Electronic address: geoffrey.dickens@northumbria.ac.uk.
Jazyk: angličtina
Zdroj: Nurse education today [Nurse Educ Today] 2023 Sep; Vol. 128, pp. 105845. Date of Electronic Publication: 2023 May 18.
DOI: 10.1016/j.nedt.2023.105845
Abstrakt: Objectives: To identify the prevalence of student-directed violence on clinical placement and description of their related experience during clinical placements.
Design: Mixed methods systematic review and meta-analysis conducted following Joanna Briggs Institute guidelines and reported according to Preferred Reporting of Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Data Sources: CINAHL, Embase, Medline, Proquest, PsycINFO and Google Scholar.
Review Methods: Included studies were peer reviewed, published primary studies where pre-registration nursing students were surveyed about their experiences of physical, verbal, or sexual aggression, bullying or racism during clinical placement. Studies were quality assessed but not excluded based on the result. A convergent segregated approach to synthesis and integration was undertaken. Prevalence data were extracted and pooled using both random and quality effects models; separate analyses were conducted by violence type, source, and region. Qualitative data were thematically analysed.
Results: 14,894 student nurses from 42 studies were included across the meta-analyses. There was substantial heterogeneity in the included data. Pooled prevalence rates ranged from racism 12.2 % to bullying 58.2 %. Bullying (38.8 %) and physical aggression (10.2 %) were most perpetrated by nurses whereas sexual aggression was perpetrated mostly by patients (64.2 %) and physicians (18.6 %). Qualitative findings identified students' descriptions of reasons for, effects of, strategies for dealing with and higher education establishments' responsibilities with regards to workplace violence.
Conclusions: Student nurses commonly experience violence during their clinical placements. Given the potential debilitating physical and psychological sequelae of all forms of violence then this study further emphasises the need to use multiple strategies to prevent violence and to better equip student nurses to manage potentially violent incidents, their responses to violence, and to whistle blow or report when they are subject to violence.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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