Why Won’t It Stop: Workplace Violence in Emergency Care

Details

• Personal Author:
  Gillespie, Gordon L. ; Tamsukhin, Sara
• Description:
  Workplace violence by patients and visitors against emergency nurses has been ongoing for over 40 years. In 1981, Dubin reported on the conditions most associated with pa
  
  tient violence, including substance use, intoxication, and
  
  withdrawal; acute psychosis; paranoia; borderline personal
  
  ity; and organic brain disease. He further warned clinicians
  
  to watch for signs of escalation, such as aggressive body
  
  posture, speech, and motor activity. These patient condi
  
  tions and "warning signs" have not changed in the last 40
  
  years, although the catalog of conditions and signs has
  
  increased. Additional considerations are patients dissatisfied
  
  with care, diagnosed with cornoavirus disease-2019, with a
  
  chief complaint of injury, and over the age of 60 years, as
  
  well as environmental factors such as emergency department
  
  crowding and staffing shortages. Given that emergency
  
  nurses have had this knowledge for over 40 years, why is
  
  workplace violence still a problem? Why hasn't it stopped? [Description provided by NIOSH]
  
  
• Subjects:
  Communicable Diseases Emergency Responders Environment Health Personnel Mental Health Nervous System Occupational Health Safety Substance-Related Disorders Violence Workplace

  More +
• Keywords:
  Age Groups COVID-19 Emergency Care Environmental Factors Injuries Intoxication Mental Health Nurses Substance Abuse Workplace Violence
• ISSN:
  0099-1767
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  7 pdf pages
• Volume:
  49
• NIOSHTIC Number:
  nn:20067553
• Citation:
  J Emerg Nurs 2023 May; 49(3):310-316
• Contact Point Address:
  Gordon L. Gillespie, PhD, DNP, RN, CEN, CNE, CPEN, PHCNS-BC, ANEF, FAEN, FAAN, University of Cincinnati College of Nursing, Post Office 210038, Cincinnati, OH 45221-0038
• Email:
  gordon.gillespie@uc.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  University of Cincinnati
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Journal of Emergency Nursing
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fed1e2e6508a6b446160794f60c201e2a7565d9e2e041e0d99ba8873a576dfb3f12b97f4c3cbd91e641ea12efae1a43edd97952d135d5edb4d310d6eb366be0a
• Download URL:
  https://stacks.cdc.gov/view/cdc/230739/cdc_230739_DS1.pdf
• File Type:
  [PDF - 374.12 KB ]