PICOT-Workplace Violence Towards Healthcare Providers Discussion Response
PICOT-Workplace Violence Towards Healthcare Providers Discussion Response
Workplace Violence towards Healthcare Providers
Hell Gabrielle! its good we having this discussion on healthcare providers workplace violence, since this is a vice that has been on upward trend worldwide, perpetrated by patients, visitors and even co-workers, I would like to add on the types of workplace violence perpetrated towards healthcare providers, their impact and the use of evidence-based research to decrease workplace-related violence. Xiao, et al. (2020) demonstrate that the impact of workplace violence can be either explicit or implicit and impacts employee safety, well-being, and overall health characterized by physical and psychological consequences, such as the intent to quit jobs, burnout and decreased job satisfaction PICOT-Workplace Violence Towards Healthcare Providers Discussion Response.
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This ultimately leads to a high staff turnover rate, inability of self-defense, decreased productivity and generally affects the quality of care delivered to patients. This therefore demonstrates that, workplace violence in the health sector affects not only the health care professionals but also the wider environment, service delivery, and outcomes, hence should be adequately addressed through scientifically proven evidence-based strategies.
Workplace violence according to WHO is classified into two; physical violence where the assailant uses a physical force against the victim resulting in physical, sexual, or psychological harm and psychological violence which may include abusive language sexual harassment or racial discrimination (Vento, Cainelli & Vallone, 2020). Based on this definition, alternatively, you can also choose to identify if there is a given type of violence you would like to address in your PICOT to make it more specific with outcomes measures such as stress depression, increased leave days an overworked workforce, a decline in ethical values, increased practice of defensive medicine, reduced patient expectations, lower patient safety, deteriorative patient–staff and staff – staff relationships and more adverse events.
PICO(T): In nursing (P), how does workplace violence prevention programs (I) compared to no programs (C) affect a nurse’s perpective of violence in the workplace (O) within six months of implementation (T)?
The topic of clinical interest I chose is workplace violence towards healthcare providers. The American Nurses Association (2021) defines workplace violence as actions that occur while working that are physically or psychologically damaging to the worker. Workplace violence is growing concern. In 2018, healthcare workers accounted for 73% of non-fatal workplace injuries (U.S. Bureau of Labor, 2020). Unfortunately, little has been done to address to workplace violence and employers are not required to implement violence prevention programs. Many efforts have been made as far as legislation and regulations to create a safer environment for workers such as penalties. Many studies that I have read, found that highest incidence of workplace violence often happens to emergency staff and mental health providers PICOT-Workplace Violence Towards Healthcare Providers Discussion Response.
The databases I used included the Walden Library, Cumulative Index to Nursing & Allied Health Literature (CINAHL), Medline and ProQuest. In each database, I narrowed the dates from 2017-2021 and I also selected peer-reviewed articles only. This would allow me to have the most up to date and valid information. I used terms such as “workplace violenceâ€, “healthcareâ€, “nursing†or “healthcare providersâ€. The most sources I obtained was 843. Walden Library (2021) suggest using Boolean terms, such as “andâ€, “not†and “or†to generate more and precise results. This was an effective technique that did generate more results and allowed me to exclude resources not relevant to my topic. For example, many of my results were studies done in China or other countries when I am focusing on studies done in the United States. When I typed “not Chinaâ€, this generated less results but they were more relevant.
References
American Nurses Association. (2021, March). Workplace violence. ANA. https://www.nursingworld.org/practice-policy/advocacy/state/workplace-violence2/
U.S. Bureau of Labor. (2020, April). Workplace violence in healthcare, 2018. U.S. Bureau of Labor Statistics. https://www.bls.gov/iif/oshwc/cfoi/workplace-violence-healthcare-2018.htm
Walden Library. (2021). Academic guides: Keyword searching: Finding articles on your topic: Connect keywords. https://academicguides.waldenu.edu/library/keyword/boolean
References
Li, Y. L., Li, R. Q., Qiu, D., & Xiao, S. Y. (2020). Prevalence of Workplace Physical Violence against Health Care Professionals by Patients and Visitors: A Systematic Review and Meta-Analysis. International journal of environmental research and public health, 17(1), 299. https://doi.org/10.3390/ijerph17010299
Vento, S., Cainelli, F., & Vallone, A. (2020). Violence against healthcare workers: a worldwide phenomenon with serious consequences. Frontiers in public health, 8, 570459 PICOT-Workplace Violence Towards Healthcare Providers Discussion Response.