Educational and managerial policy making to reduce workplace violence against nurses: An action research study

Maliheh Hemati-Esmaeili; Fatemeh Heshmati-Nabavi; Zohre Pouresmail; SeyedReza Mazlom; Hamidreza Reihani

doi:10.4103/ijnmr.IJNMR_77_17

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ORIGINAL ARTICLE

Year : 2018 | Volume : 23 | Issue : 6 | Page : 478-485

Educational and managerial policy making to reduce workplace violence against nurses: An action research study

Maliheh Hemati-Esmaeili¹, Fatemeh Heshmati-Nabavi², Zohre Pouresmail³, SeyedReza Mazlom⁴, Hamidreza Reihani⁵
¹ Department of Mental Health and Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
² Evidence Based Care Research Centre, Department of Public Health Nursing and Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
³ Student Research Committee, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
⁴ Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
⁵ Department of Emergency Medicine, Emam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Correspondence Address:
Dr. Fatemeh Heshmati-Nabavi
Department of Mental Health and Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad
Iran

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/ijnmr.IJNMR_77_17

Background: The level of occupational violence against nurses increases from 68.8 to 98.6 percent, which is a considerable rate among healthcare settings. To create a safe environment for patient care in the emergency department (ED), a comprehensive program for the prevention of violence is necessary. The aim of this study was to plan a workplace violence prevention program (WVPP) to reduce the level of patients' and their families' violence against nurses. Materials and Methods: The present study is a quantitative part of a participatory action research project conducted in an 18-month period from October 2012 to May 2014 in an ED of Iran. In the diagnosing phase, we used quantitative and qualitative approaches. The second and third phases were assigned to design and implementation of WVPP involving a combination of educational and managerial interventions. In the evaluation phase, frequencies of patients' and their families' violence against nurses and nurses' fear of violence were measured. Results: Mc-Nemar test showed that 85.70% (n = 42) frequencies of verbal violence before implementing WVPP significantly decreased to 57.10% (n = 28) after implementing WVPP (p = 0.007). Statistical-dependent t-test (p < 0.001) indicated a significant difference in the mean (SD) scores of nurses' fear of violence before 46.10 (8.3) and after intervention 34.30 (4.6). Conclusions: Applying educational and managerial interventions was effective in reduction of workplace violence. Thus, it is recommended to include a combined approach in designing WVPP in cultures similar to Iran and pay attention to effective interactions with patients' family.

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