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Aim: to investigate prevalence and management of violence experienced by nurses in emergency department. Tasks: 1) to identify types and frequency of violence experienced by nurses in emergency department, and categorize it according to work shifts; 2) to define main sources of violence experienced by nurses in emergency department; 3) to evaluate impact of violence to emotional health emergency department nurses; 4) to identify methods management of violence according to emergency department nurses. Methods. Anonymous questionnairing was performed during Jan 14 – Feb 28, 2013. Nurses of emergency department from eight biggest hospitals of Vilnius, Kaunas, Panevėžys and Šiauliai, participated the survey (n=213, response rate was 88 %). Answers of three male and rest female respondents were included into study. The questionnaire “Workplace violence in the health sector. Country case studies research instruments” was used. The Committee on Bioethics at Lithuanian University of Health Sciences approved the study. Results: Results of the study indicate that 20.2 percent of respondents affirmed their experience of physical violence. 46.5 percent of nurses questioned witnessed physical violence in ED. Respondents experienced appearances of psychological violence like abuse (81.2 percent), threats (67.1 percent), bullying (45.1 percent), sexual harassment (6.6 percent) and racial harassment (1.4 percent). Conclusions: Nurses of ED do experience physical and psychological violence. Main indications of violence arise from mail subjects. Nurses experience violence most frequently from insober or emotionally unstable patients. Violence experienced by nurses impacts their emotional health. The majority of nurses are not satisfied with methods of resolving violent incidents in ED as far as usually no efforts are applied to investigate these episodes. Development and establishing of security methods along with improving the working environment is most common approach when struggling to prevalence of violence in ED. Majority of nurses foresee great benefits to manage violence in their workplace in such factors as improved security measures, improved workplace surroundings, restricted public access, patient screening, restricted exchange of money at the workplace, increased staff numbers, special equipment or clothing, training, investment in human resource development. |
