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. 2022 Sep;30(6):1852-1860.
doi: 10.1111/jonm.13728. Epub 2022 Jul 3.

What is the impact of patient violence in the emergency department on emergency nurses' intention to leave?

Sarah Stafford  1 , Pinar Avsar  1 , Linda Nugent  1   2 , Tom O'Connor  2   3   4   5   6 , Zena Moore  2   3   4   5   6   7   8   9   10 , Declan Patton  2   3   4   5   11 , Chanel Watson  4
Affiliations

What is the impact of patient violence in the emergency department on emergency nurses' intention to leave?

Sarah Stafford et al. J Nurs Manag. 2022 Sep.

Abstract

Aim: To examine the impact that patient violence, experienced in the emergency department, has on emergency nurses' intention to leave their job.

Background: Emergency departments have become known for their overcrowding, chaos, unpredictability and violence. Emergency nurses are at high risk of experiencing workplace violence, which is cited in the literature as having a direct effect on general nurses' intention to leave. A high rate of nursing turnover may lead to short staffing, jeopardize the quality of patient care and increase overcrowding and wait times.

Evaluation: A systematic review was undertaken in CINAHL, Medline and Psych INFO databases using published data until November 2021. Six articles were included, and PRISMA guidelines were adhered it.

Key issues: Workplace violence in the emergency department had a direct impact on emergency nurses' intention to leave and decreased their job satisfaction. Verbal abuse is the most experienced form of workplace violence.

Conclusions: Workplace violence experienced by emergency nurses in the emergency department had a direct positive impact on their intention to leave and subsequently negative impact on their job satisfaction.

Implications for nursing management: This review may inform clinical decision-making and aid in the development of clinical practice guidelines for a workplace violence prevention programme, specific to the emergency department.

Keywords: emergency department; intention to leave; job satisfaction; types of workplace violence; violence.

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Conflict of interest statement

The authors declare that no conflicts of interest exist with regards to this study.

Figures

FIGURE 1
FIGURE 1
Overall PRISMA 2020 flow diagram
FIGURE 2
FIGURE 2
Evidenced‐based librarianship results
See this image and copyright information in PMC

References

    1. Abualrub, R. F. , & Al‐Asmar, A. H. (2011). Physical violence in the workplace among Jordanian hospital nurses. Journal of Transcultural Nursing, 22, 157–165. 10.1177/1043659610395769 - DOI - PubMed
    1. ALBashtawy, M. (2013). Workplace violence against nurses in emergency departments in Jordan. International Council of Nurses, 60(4), 550–555. 10.1111/inr.12059 - DOI - PubMed
    1. Angland, S. , Dowling, M. , & Casey, D. (2013). Nurses perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study. International Emergency Nursing, 22, 134–139. - PubMed
    1. Arnetz, J. E. , Hamblin, L. , Essenmacher, L. , Upfal, M. J. , Ager, J. , & Luborsky, M. (2015). Understanding patient‐to‐worker violence in hospitals: A qualitative analysis of documented incident reports. Journal of Advanced Nursing, 71, 338–348. 10.1111/jan.12494 - DOI - PMC - PubMed
    1. Ashton, R. A. , Morris, L. , & Smith, I. (2018). A qualitative meta‐synthesis of emergency department staff experiences of violence and aggression. International Emergency Nursing, 39, 13–19. 10.1016/j.ienj.2017.12.004 - DOI - PubMed

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