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(62) Violence in Healthcare: Effecting Change Through Leadership and Education


Carlton J. Spotswood, BSN, RN-BC


PROBLEM STATEMENT: Violence in healthcare is a global issue that needs to be addressed through multifaceted, proactive, approaches. SUMMARY OF EVIDENCE: Evidence shows that early and timely recognition of predictive signs of violence, coupled with the subsequent implementation of de-escalation strategies can positively impact outcomes that could potentially be more dangerous. DESCRIPTION OF PRACTICE OR PROTOCOL: Current best practice includes; structural empowerment of staff by hospital (and nursing) leadership, transformational leadership, improved reporting rates of violent incidents, and staff education with active participation in changes set forth by management. VALIDATION OF EVIDENCE: Currently the rate of violence in healthcare is more than all other sectors of business. These rates are based on reported incidences only, there is a known underreporting of incidences throughout the healthcare industry. There are numerous published peer reviewed pieces of literature showing that multifaceted approaches are needed to effectively decrease the effects of violence as exhibited by decreased reported incidences, improved staff moral, decreased injuries of staff and patients, improved perceieved levels of safety, improved perceived support by senior leadership, and decreased rates of turnover by staff. RELEVANCE OF PMH NURSING: Most published research on violence in healthcare and ways to effectively manage violence is conducted in PMH settings. Violence in PMH has long been established as an issue, both real and perpetuated by stigmas associated with PMH. FUTURE IMPLICATIONS: Through effecting multifaceted changes and approaches on how we address violence we may be able to improve reporting rates, decrease violent incidents, and improve rates of safety throughout our practice and industry. Without active participation by all participants effective changes will be unsuccessful.

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