Client history and violence on direct care workers in the home care setting

Details

• Personal Author:
  Byon HD ; Edwards L ; Lipscomb, Jane A. ; Storr C
• Description:
  Background: Health care workers providing home care are frequently unaware of their client's history of violence or mental illness/substance abuse disorder, recognized risk factors for workplace violence. This study estimated the associations between these factors and experiencing client violence among direct care workers in the home settings (DCWHs). Methods: Acts and threats of violence were estimated using data from an anonymous survey among DCWHs (n = 876) working at two large home care agencies. Logistic regressions were performed to produce odds ratios. Results: Physical acts and physical or verbal threats of client violence were associated with providing homecare to clients with a violence history (adjusted ORs = 6.60 and 10.78, respectively), whereas threats of client violence (adjusted OR = 5.80) were associated with caring for clients with a mental illness/substance abuse disorder. Conclusions: Policy and practices that support the communication of appropriate client risk information may reduce the likelihood of workplace violence among DCWHs. [Description provided by NIOSH]
• Subjects:
  Health Personnel Home Care Services Mental Disorders Mental Health Occupational Health Risk Assessment Risk Factors Safety Substance-Related Disorders Surveys And Questionnaires Violence Workplace

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• Keywords:
  Author Keywords: Direct Care Worker Drug Abuse Health Care Health Care Personnel Health Surveys Home Care Home Health Care Humans Mental Disorders Mental Illness Physical Reactions Policy Psychological Disorders Regression Analysis Risk Factors Statistical Analysis Substance Abuse Substance Abuse Disorder Workplace Violence Work Practices

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3 ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  12
• NIOSHTIC Number:
  nn:20048711
• Citation:
  Am J Ind Med 2016 Dec; 59(12):1130-1135
• Contact Point Address:
  Ha Do Byon, PhD, MS, MPH, RN, School of Nursing, University of Virginia, 202 Jeanette Lancaster Way, McLeod Hall Room 5039, Charlottesville, VA 22903
• Email:
  hb7ze@virginia.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Maryland, Baltimore
• Peer Reviewed:
  True
• Start Date:
  20040801
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20090731
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d1678c59651e06f1af4d8f259cdc5921c45c8eb3eff3a35785724f8475fc5af1f87e0f64c7d37873397fd857a3f4d70ff73c7f41468e28d355c0ac4079a9551a
• Download URL:
  https://stacks.cdc.gov/view/cdc/203399/cdc_203399_DS1.pdf
• File Type:
  [PDF - 89.09 KB ]