Workplace Assaults on Nursing Assistants in US Nursing Homes: A Multilevel Analysis

Details

• Personal Author:
  Alterman, Toni ; Baron, Sherry L. ; Calvert, Geoffrey M. ; Sweeney, Marie H. ; Tak S
• Description:
  Objectives. We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. Methods. We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Survey by use of multilevel modeling that accounted for the complex survey design effect. Results. Thirty-four percent of nursing assistants surveyed reported experiencing physical injuries from residents' aggression in the previous year. Mandatory overtime (odds ratio [OR]=1.65; 95% confidence interval [CI]=1.22, 2.24) and not having enough time to assist residents with their activities of daily living (OR=1.49; 95% CI=1.25, 1.78) were strongly associated with experiencing injuries from assaults. Nursing assistants employed in nursing homes with Alzheimer care units were more likely to experience such injuries, including being bitten by residents. Conclusions. Reducing mandatory overtime and having a less demanding workload may reduce the risk of workplace violence. In particular, prevention activities should be targeted at those nursing homes that care for cognitively impaired patients. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Mental Disorders Mental Health Occupational Health Risk Assessment Risk Factors Safety Surveys And Questionnaires
• Keywords:
  Health-care-facilities Health-care-personnel Health-surveys Injuries Injury-prevention Medical-facilities Medical-personnel Mental-disorders Mental-illness Nurses Nursing Risk-factors Surveillance-programs Work-practices

  More +
• ISSN:
  0090-0036
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSHEFS - Division of Surveillance, Hazard Evaluations, and Field Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  100
• Issue:
  10
• NIOSHTIC Number:
  nn:20037480
• Citation:
  Am J Public Health 2010 Oct; 100(10):1938-1945
• Contact Point Address:
  SangWoo Tak, ScD, MPH, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 4676 Columbia Parkway, R-17, Cincinnati, OH 45226
• Email:
  STak@cdc.gov
• Federal Fiscal Year:
  2011
• NORA Priority Area:
  Services
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Public Health
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7b36fc0d7e9ea9426a3c62937e7ee482a9ffb00b9a95b58dc09a7572c96ff4125994ea2779307fbd1dba16c881719a8bac70f49c4151b993f3a31f3b202e322b
• Download URL:
  https://stacks.cdc.gov/view/cdc/188572/cdc_188572_DS1.pdf
• File Type:
  [PDF - 520.84 KB ]