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Environmental evaluation for workplace violence in healthcare and social services.

Authors
McPhaul-KM; London-M; Murrett-K; Flannery-K; Rosen-J; Lipscomb-J
Source
J Saf Res 2008 Apr; 39(2):237-250
NIOSHTIC No.
20042121
Abstract
Problem: Federal policy recommends environmental strategies as part of a comprehensive workplace violence program in healthcare and social services. The purpose of this project was to contribute specific, evidence-based guidance to the healthcare and social services employer communities regarding the use of environmental design to prevent violence. Method: A retrospective record review was conducted of environmental evaluations that were performed by an architect in two Participatory Action Research (PAR) projects for workplace violence prevention in 2000 and, in the second project in 2005. Ten facility environmental evaluation reports along with staff focus group reports from these facilities were analyzed to categorize environmental risk factors for Type II workplace violence. Results: Findings were grouped according to their impact on access control, the ability to observe patients (natural surveillance), patient and worker safety (territoriality), and activity support. Discussion: The environmental assessment findings reveal design and security issues that, if corrected, would improve safety and security of staff, patients, and visitors and reduce fear and unpredictability. Impact on industry: Healthcare and social assistance employers can improve the effectiveness of violence prevention efforts by including an environmental assessment with complementary hazard controls.
Keywords
Workers; Work-environment; Force; Health-care; Environmental-exposure; Environmental-factors; Environmental-hazards; Humans; Men; Women; Preventive-medicine; Hazards; Injuries; Traumatic-injuries; Author Keywords: Workplace violence prevention; Participatory action research; Environmental assessment; Healthcare workers; Occupational injury
CODEN
JSFRAV
Publication Date
20080401
Document Type
Journal Article
Email Address
mcphaul@son.umaryland.edu
Funding Type
Grant
Fiscal Year
2008
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-007948
Issue of Publication
2
ISSN
0022-4375
Source Name
Journal of Safety Research
State
MD
Performing Organization
University of Maryland - School of Nursing - Baltimore
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