Assessment of Workplace Violence and Its Consequences among Emergency Department Nurses: A Cross-Sectional Study

Authors

DOI:

https://doi.org/10.23917/bik.v18i2.10702

Keywords:

Workplace, emergency nurses, Cross Sectional Study, violence, verbal abuse

Abstract

Workplace violence against nurses in Emergency Departments (ED) is a universal problem that impacts the well-being of staff and quality of care, specifically in Mosul City, Iraq, where healthcare workers continuously report aggression. The present study assesses experiences of workplace violence against ED nurses in Mosul, its characteristics and types, along with effective interventions by targeting factors contributing to the underlying reasons. A quantitative, cross-sectional study with 111 nurses from four large public hospitals in Ninevah, Mosul. Demographic data, experience of violence, causes, and perceptions concerning the attitude of nurses relating to reporting and retaliation were determined from the demographic questionnaire and a structured questionnaire based on the Workplace Violence in Healthcare Scale (WVHS), which had been previously validated. Primary data analysis used descriptive and inferential statistics. Verbal abuse and physical assault (78%) were the most common types of violence, followed by sexual harassment, bullying, and racial/ethnic harassment. Emergency department overcrowding was associated with an increased likelihood of staff reporting being cut, stabbed, or shot, with at least one contributing factor in all eight categories. More than half of nurses (53.2%) reported experiencing moderate workplace violence, which caused difficulties with physical health, caregiver functioning, and relationships. Workplace violence in Mosul Emergency Departments is a widespread and multi-faceted issue that will require whole-system approaches, such as improved staffing, targeted training, and legal protection, to improve the safety of work areas 

Downloads

Download data is not yet available.

References

Arnetz J. E. (2022). The Joint Commission's New and Revised Workplace Violence Prevention Standards for Hospitals: A Major Step Forward Toward Improved Quality and Safety. Joint Commission journal on quality and patient safety, 48(4), 241–245. https://doi.org/10.1016/j.jcjq.2022.02.001

American College of Surgeons. (2024). Workplace violence prevention strategies for healthcare settings. https://www.facs.org/workplace-violence-prevention/

Denieffe, S., Denny, M., & White, M. (2022). Embracing and sustaining telehealth progress: The role of the nurse manager. Journal of nursing management, 30(7), 2457–2460. https://doi.org/10.1111/jonm.13789

Duchesne, E., Nathoo, A., Walker, M., & Bartels, S. A. (2023). Patient and Provider Emergency Care Experiences Related to Intimate Partner Violence: A Systematic Review of the Existing Evidence. Trauma, Violence & Abuse, 24(5), 2901–2921. https://doi.org/10.1177/15248380221118962

Kiymaz, D., & Koç, Z. (2023). Workplace violence, occupational commitment and intention among emergency room nurses: A mixed-methods study. Journal of Clinical Nursing, 32(5–6), 764–779. https://doi.org/10.1111/jocn.16331

Kuhlmann, E., Brînzac, M. G., Czabanowska, K., Falkenbach, M., Ungureanu, M.-I., Valiotis, G., Zapata, T., & Martin-Moreno, J. M. (2023). Violence against healthcare workers is a political problem and a public health issue: a call to action. European Journal of Public Health, 33(1), 4–5. https://doi.org/10.1093/eurpub/ckac180

Kumari, A., Kaur, T., Ranjan, P., Chopra, S., Sarkar, S., & Baitha, U. (2020). Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies. Journal of Postgraduate Medicine, 66(3), 149–154. https://doi.org/10.4103/jpgm.JPGM_96_20

Mento, C., Silvestri, M. C., Bruno, A., Muscatello, M. R. A., Cedro, C., Pandolfo, G., & Zoccali, R. A. (2020). Workplace violence against healthcare professionals: A systematic review. Aggression and Violent Behavior, 51, 101381. https://doi.org/https://doi.org/10.1016/j.avb.2020.101381

Recsky, C., Moynihan, M., Maranghi, G., Smith, O. M., PausJenssen, E., Sanon, P.-N., Provost, S. M., & Hamilton, C. B. (2023). Evidence-Based Approaches to Mitigate Workplace Violence From Patients and Visitors in Emergency Departments: A Rapid Review. Journal of Emergency Nursing, 49(4), 586–610. https://doi.org/10.1016/j.jen.2023.03.002

Sari, D., Yildirim, D., & Büyükavci, G. (2023). Prevalence and risk factors of workplace violence against healthcare workers: A cross-sectional study. Journal of Nursing Management, 31(2), 345–354. https://doi.org/10.1111/jonm.13789

Spector, P. E., Zhou, Z. E., & Che, X. X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. International Journal of Nursing Studies, 51(1), 72–84. https://doi.org/10.1016/j.ijnurstu.2013.01.010

Spelten, E., Thomas, B., O’Meara, P., van Vuuren, J., & McGillion, A. (2020). Violence against Emergency Department nurses: Can we identify the perpetrators? PloS One, 15(4), e0230793. https://doi.org/10.1371/journal.pone.0230793

Wei, C. Y., Chiou, S. T., Chien, L. Y., & Huang, N. (2016). Workplace violence against nurses--prevalence and association with hospital organizational characteristics and health-promotion efforts: Cross-sectional study. International journal of nursing studies, 56, 63–70. https://doi.org/10.1016/j.ijnurstu.2015.12.012

Zhao, S. H., Shi, Y., Sun, Z. N., Xie, F. Z., Wang, J. H., Zhang, S. E., Gou, T. Y., Han, X. Y., Sun, T., & Fan, L. H. (2018). Impact of workplace violence against nurses' thriving at work, job satisfaction and turnover intention: A cross-sectional study. Journal of clinical nursing, 27(13-14), 2620–2632. https://doi.org/10.1111/jocn.14311

Zhao, Shihong, Xie, F., Wang, J., Shi, Y., Zhang, S., Han, X., Sun, Z., Shi, L., Li, Z., Mu, H., Liu, X., Liu, W., Gao, L., Sun, T., & Fan, L. (2018). Prevalence of Workplace Violence Against Chinese Nurses and Its Association with Mental Health: A Cross-sectional Survey. Archives of Psychiatric Nursing, 32(2), 242–247. https://doi.org/https://doi.org/10.1016/j.apnu.2017.11.009

Downloads

Submitted

2025-05-29

Accepted

2025-07-28

Published

2025-07-23

How to Cite

Jasim, M. S. (2025). Assessment of Workplace Violence and Its Consequences among Emergency Department Nurses: A Cross-Sectional Study. Jurnal Berita Ilmu Keperawatan, 18(2), 300–307. https://doi.org/10.23917/bik.v18i2.10702

Issue

Section

Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.