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Minnesota nurses' study: relation between nurse license type and violence.

Nachreiner-NM; Hansen-HE; Okano-A; Gerberich-SG; Ryan-AD; McGovern-PM; Church-TR
APHA 133rd Annual Meeting and Exposition, Philadelphia, Pennsylvania, December 10-14, 2005. Washington, DC: American Public Health Association, 2005 Dec; :107931
Purpose: Assess the relation of nurse license type and work-related violence. Methods: Data were collected from a random sample of licensed Minnesota nurses for a 12-month period. Nurses self-reported violent events through comprehensive written surveys. Results: The adjusted annual rates of physical violence were 12.0 and 16.4 per 100 persons for Registered Nurses (RNs) and Licensed Practical Nurses (LPNs), respectively; non-physical violence rates were 38.5 and 39.7. Some exposures were consistent, and resulted in increased risks for both RNs and LPNs; respective ORs and 95% CIs are presented: working in primarily psychiatric/behavioral departments (physical violence: RNs: 2.3, 1.6-3.5; LPNs: 1.8, 1.1-3.0; non-physical: RNs: 3.1, 2.2-4.4; LPNs: 2.2, 1.4-3.4), and working in long-term care facilities (physical: RNs: 2.1, 1.6-2.8; LPNs: 3.8, 2.3-6.4; non-physical: RNs: 1.4, 1.1-1.8; LPNs: 1.5, 1.0-2.1). Risk of physical violence increased for LPNs supervising care (OR: 2.8, 95% CI: 1.2-6.6); while risk increased for RNs providing care (OR: 1.8, 95% CI: 1.2-2.6). Risk of physical assault decreased for RNs working primarily with children (OR: 0.3, 95% CI: 0.2-0.6), while LPNs' risk increased (OR: 2.9, 95% CI: 1.1-7.8). Recent RN graduates had an increased risk of physical assault (OR: 2.5, 95% CI: 1.4-4.3), while the risk for recent LPN graduates appeared to decrease (OR: 0.8, 95% CI: 0.4-1.6). Conclusions: Work-related violence is an important problem for nurses. Some risks appear to vary by license type. Further study of specific risk and protective factors may lead to more efficacious interventions targeting factors specific to license type.
Education; Injuries; Injury-prevention; Medical-personnel; Nurses; Nursing; Occupational-hazards; Quantitative-analysis; Questionnaires; Risk-analysis; Safety-measures; Safety-practices; Statistical-analysis; Training; Work-analysis; Work-environment; Worker-health; Work-operations; Work-organization; Work-performance; Workplace-monitoring; Workplace-studies; Work-practices; Author Keywords: Violence; Nurses
Nancy M. Nachreiner, PhD, MPH, BSN, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, MMC 807, 420 Delaware Street SE, Minneapolis, MN 55455
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APHA 133rd Annual Meeting and Exposition, Philadelphia, Pennsylvania, December 10-14, 2005
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University of Minnesota Twin Cities