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. 2023 Nov 27;18(11):e0284758.
doi: 10.1371/journal.pone.0284758. eCollection 2023.

Improvement of violence management among nurses in Iran: The best practice implementation project in a health promoting hospital

Ghasem Abedi  1 , Elaheh Haghgoshayie  2 , Edris Hasanpoor  2 , Jalil Etemadi  3 , Morteza Nazari  4 , Razieh Vejdani  5
Affiliations

Improvement of violence management among nurses in Iran: The best practice implementation project in a health promoting hospital

Ghasem Abedi et al. PLoS One. .

Abstract

Background: This project aimed to assess compliance with evidence-based criteria' for the prevention and management of workplace violence against nursing staff in Shahid-Beheshti hospital, Maragheh, Iran. Workplace violence is a managerial and workplace occupational health and safety issue that can affect the performance of an institution. Further, it might turn the work environment into an insecure and hostile one which can influence the performance of employees and their professional relationships negatively. Nevertheless, staff have their own legal rights, and their organizations are legally and ethically in charge of providing them with safe work environments.

Methods: Following the JBI Practical Application of Clinical Evidence System and Getting Research into Practice audit and feedback tool with three phases of activities, this project utilized an implementation framework incorporating quality improvement. Furthermore, the audit tool was used to establish the project and set up the measurement and evaluation of three evidence-based criteria.

Results: The post-implementation audit results indicated a significant improvement in violence management and prevention. The compliance rate on the first criterion, i.e. aggression management training, increased from 49% at baseline to 81% at the end. The second criterion, i.e. timely support and assistance following an incident, exhibited greater increase from eight to 73%. Finally, an increased compliance was noted on the third criterion, i.e. policy for risk management and safe environment, from 22 to 77%.

Conclusions: The current project successfully implements evidence-based violence management in Shahid-Beheshti hospital. It reveals significant results on compliance and the increasing knowledge of nurses on evidence-based stress management, communication skills and self-companion.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. The project steps.
Fig 2
Fig 2. Baseline compliance with the best practice for audit criteria (%).
1. Healthcare staff receives aggression management training (42 of 86 samples taken). 2. Healthcare staff who experienced violence or aggression receives timely support and assistance following the incident (7 of 86 samples taken). 3. The health organization has a policy for risk management and ensuring a safe environment for all staff and consumers (19 of 86 samples taken).
Fig 3
Fig 3. Compliance with the best practice criteria in follow-up audit compared to baseline audit (%).
1. Healthcare staff receives aggression management training. (50 of 62 samples taken). 2. Healthcare staff who experienced violence or aggression receive timely support and assistance following the incident. (45 of 62 samples taken). 3. The health organization has a policy for risk management and ensuring a safe environment for all staff and consumers. (48 of 62 samples taken).
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References

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