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Difference in work-related violence by nurse license type.

Authors
Nachreiner-NM; Hansen-HE; Okano-A; Gerberich-SG; Ryan-AD; McGovern-PM; Church-TR; Watt-GD
Source
J Prof Nurs 2007 Sep-Oct; 23(5):290-300
NIOSHTIC No.
20033014
Abstract
Nurses are at considerable risk for work-related violence. This study compared the experiences of work-related violence among registered nurses (RNs) and licensed practical nurses (LPNs) to quantify differences in risks and exposures and to gain insight into possible interventions. A random sample (n = 6,300) of licensed Minnesota nurses was surveyed regarding the previous 12-month period. Nurses self-reported violent events and demographic information. After adjustment for potential confounders and nonresponse, LPNs had an increased risk for both physical assault (odds ratio = 1.4; 95% confidence interval = 1.1-1.9) and nonphysical violence (odds ratio = 1.2; 95% confidence interval = 1.0-1.5) compared to RNs. Some exposures resulted in increased risks for both types of violence for RNs and LPNs: working primarily in psychiatric departments and long-term care facilities. In contrast, working in clinics resulted in decreased risks for both license types. Some risks varied by license type. Risk of physical assault was increased for LPNs working with neonatal/pediatric patients, whereas RNs' risk was decreased. RNs' risk of physical violence increased while providing care, whereas LPNs' risk increased while supervising care. A better understanding of how this problem varies by license type and work setting will assist in designing efficacious interventions.
Keywords
Worker-health; Work-environment; Occupational-hazards; Training; Safety-measures; Injuries; Injury-prevention; Case-studies; Traumatic-injuries; Nurses; Nursing; Health-care-personnel; Risk-factors; Risk-analysis; Physical-stress; Physiological-factors; Physiological-stress; Psychological-effects; Psychological-reactions; Psychological-stress
Contact
Dr. Nancy M. Nachreiner, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, 420 Delaware Street SE, MMC 807, Minneapolis, MN 55455
CODEN
JPNUET
Publication Date
20070901
Document Type
Journal Article
Email Address
nachr001@umn.edu
Funding Amount
650949
Funding Type
Grant
Fiscal Year
2007
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003438; Grant-Number-T42-OH-008434
Issue of Publication
5
ISSN
8755-7223
Priority Area
Disease and Injury: Traumatic Injuries
Source Name
Journal of Professional Nursing
State
MN
Performing Organization
University of Minnesota, School of Public Health, Division of Environmental and Occupational Health, Minneapolis, Minnesota
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