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Workplace Violence Among Nurses: The Minnesota Nurse’s Study. Epidemiology Nursing 702 Maria-Idalia O. Lens, RN, PHN, MSN, FNP-C. Work Setting. Inpt Setting 534 physicians, 341 beds, 14-bed perioperative, 60 critical care beds Medical/telemetry floor (32 beds)
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Workplace Violence Among Nurses: The Minnesota Nurse’s Study Epidemiology Nursing 702 Maria-Idalia O. Lens, RN, PHN, MSN, FNP-C
Work Setting • Inpt Setting • 534 physicians, 341 beds, 14-bed perioperative, 60 critical care beds • Medical/telemetry floor (32 beds) • Every week there are encounters between patients, staff, family members. • Mostly are verbal, however, few become physical.
One bad episode: Pt had physical contact with another pt, 3 staff, and ANM. • This has led to closure of the room, PTSD for staff and other pt involved. • Currently defense classes being taught to staff as well as how to deescalate possible violent situations.
Minnesota Nurses’ Study • To identify magnitude and potential risk factors for violence among an occupational population (nurses). • Collection of data done through surveys among RNs, and LVNs. • Collect data on physical and non physical violence in a 12 month period. • Results: Most violence is instigated by patients or clients; certain factors found to contribute to violence.
Work Violence • Violent acts including physical assault, threats of assault directed to persons who are on duty. • In 2001, 639 work related homicides (3rd leading work related cause of death in workers, 2nd among women). • Most research is based from public policy.
In California, 82.5/100,000 (0.08%) related occupational injuries. • Occupational homicide 1.3/100,000 (0.0013%). • In California, (hospital workers) non-fatal assault 465/100,000 (.46%). • Work violence among nurse known, but risk factors unknown.
Methods • RNs: n=57,388, LVNs: n= 21,740 • Gathered from state database • Random sample of 6300 chosen to participate with 78% return rate. • Violence included: physical assault, non-physical threats,
Data Collection • Done in 2 phases: • Phase 1: Estimate frequency and consequences of work related violence and identify risk factors. • Phase 2: Use case-control approach to identify specific risk factors for the assault outcomes.