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Workplace assaults on nursing assistants in US nursing homes: a multilevel analysis.

Authors
Tak-S; Sweeney-MH; Alterman-T; Baron-S; Calvert-GM
Source
Am J Publ Health 2010 Oct; 100(10):1938-1945
NIOSHTIC No.
20037480
Abstract
Objectives. We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. Methods. We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Survey by use of multilevel modeling that accounted for the complex survey design effect. Results. Thirty-four percent of nursing assistants surveyed reported experiencing physical injuries from residents' aggression in the previous year. Mandatory overtime (odds ratio [OR]=1.65; 95% confidence interval [CI]=1.22, 2.24) and not having enough time to assist residents with their activities of daily living (OR=1.49; 95% CI=1.25, 1.78) were strongly associated with experiencing injuries from assaults. Nursing assistants employed in nursing homes with Alzheimer care units were more likely to experience such injuries, including being bitten by residents. Conclusions. Reducing mandatory overtime and having a less demanding workload may reduce the risk of workplace violence. In particular, prevention activities should be targeted at those nursing homes that care for cognitively impaired patients.
Keywords
Nurses; Nursing; Health-care-facilities; Health-care-personnel; Medical-facilities; Medical-personnel; Injuries; Health-surveys; Risk-factors; Injury-prevention; Work-practices; Mental-disorders; Mental-illness; Surveillance-programs
Contact
SangWoo Tak, ScD, MPH, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 4676 Columbia Parkway, R-17, Cincinnati, OH 45226
CODEN
AJHEAA
Publication Date
20101001
Document Type
Journal Article
Email Address
STak@cdc.gov
Fiscal Year
2011
NTIS Accession No.
NTIS Price
Issue of Publication
10
ISSN
0090-0036
NIOSH Division
DSHEFS
Priority Area
Services
Source Name
American Journal of Public Health
State
OH
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