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Work-related assault: impact of violence prevention policy.

Nachreiner-NM; Gerberich-SG; McGovern-PM; Church-TR; Hansen-HE; Geisser-MS; Ryan-AD; Watt-GD
APHA 130th Annual Meeting and Exposition, Philadelphia, Pennsylvania, November 9-13, 2002. Washington, DC: American Public Health Association, 2002 Nov; :49307
Violence prevention policies are often recommended as part of a comprehensive approach to deal with occupational violence; however, little empirical literature exists to support these recommendations. Phase-one of the Minnesota Nurses' Study, a population-based survey of 6,300 Minnesota nurses (response 79%), found that 14% experienced work-related physical assault in the past year. Phase-two, a case-control (3:1) study, surveyed 1,900 nurses (response 75%) about exposures relevant to violence, including work-related violence prevention policies. In preliminary analyses, nurse respondents reported institutional written policies that, among others, addressed: prohibited types of violent behaviors (cases: 37%, controls: 53%); and zero tolerance for violence (cases: 66%, controls: 73%). A comprehensive causal model, using a directed acyclic graph served as a basis for survey design, analyses, and interpretation. Results of preliminary multivariate logistic regression analyses, controlling for the type of facility, administration attitude toward violence, department/unit, and types of patients, indicated that the odds of physical assault decreased for: having a zero tolerance policy (OR=0.5, 95% C.I. 0.3, 0.8) and having policies regarding types of prohibited violent behaviors (OR=0.5, 95% CI: 0.3, 0.9). Thus, it appears that some work-related violence policies may be protective. This study is an important first step in determining the impact of violence prevention policies.
Injuries; Injury-prevention; Medical-facilities; Medical-personnel; Medical-services; Occupational-safety-programs; Physiological-factors; Physiological-response; Physiological-stress; Safety-education; Safety-measures; Safety-practices; Safety-programs; Safety-research; Statistical-analysis; Workplace-studies; Author Keywords: Violence; Occupational Injury and Death
Nancy M. Nachreiner, MPH, Division of Environmental and Occupational Health, School of Public Health, University of Minnesota, Mayo Mail Code 807, 420 Delaware St. SE, Minneapolis, MN 55455
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APHA 130th Annual Meeting and Exposition, Philadelphia, Pennsylvania, November 9-13, 2002
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University of Minnesota Twin Cities