Workplace violence: Examination of the tensions between duty of care, worker safety, and zero tolerance
| Autor: | Jill Beattie, Kelli Innes, Julia Morphet, Debra Griffiths |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Leadership and Management Zero tolerance Strategy and Management government.form_of_government media_common.quotation_subject Legislation Interviews as Topic 03 medical and health sciences 0302 clinical medicine Humans 030212 general & internal medicine Occupational Health Qualitative Research media_common Workplace violence business.industry 030503 health policy & services Health Policy Australia Public relations Awareness Organizational Culture government Duty of care Workplace Violence Female Psychological resilience Patient Care Descriptive research 0305 other medical science Psychology business Stress Psychological Incident report Qualitative research |
| Zdroj: | Health care management review. 45(3) |
| ISSN: | 1550-5030 |
| Popis: | Background Workplace violence (WPV) remains an international problem. This raises challenges for staff in meeting their duty of care to consumers while enforcing zero tolerance for violence directed toward them. Purpose The aim of the study was to expose the values and beliefs underpinning practice and reveal any flawed assumptions or evidence, upon which decisions related to WPV are made. By increasing staff awareness, the secondary aim is to decrease staff stress when confronted with conflicting policies and duty of care responsibilities. Methodology Explanatory research as part of a larger descriptive study was used. Semistructured interviews with a sample of managers and staff (n = 99) in Victorian Health Services (Australia) were performed. Initial descriptive analysis identified a tension between duty of care, worker safety, and zero tolerance. This article reports the secondary analysis to examine these relationships in depth. Findings Feeling obligated and providing care for aggressive patients was difficult while maintaining own safety: "You cannot do both." Although there were contrasting views about the merits of zero tolerance, policies were rarely enacted: "We cannot refuse to treat." Incongruency between legislative requirements creates confusion for decision-making: "Which Act trumps what?" Conclusion Despite policies supporting zero tolerance, staff do not enact these because they prioritize duty of care to consumers before duty of care to self. Zero tolerance, with incongruent legislation, compounds this tension and impairs decision-making. Practical implications This article exposes the underlying values, beliefs, and flawed assumptions underpinning practice related to WPV. Managers need to amend policies to reduce staff confusion, adopt a trauma-sensitive and resilience approach, and develop a clearly written framework to guide decision-making related to duty of care to consumers and staff safety. Incident reports and staff well-being/satisfaction surveys need to evaluate the effects of zero tolerance on staff and consumers. Regulators need to ensue legislative requirements are congruent with staff safety and well-being. |
| Databáze: | OpenAIRE |
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