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Workplace violence: job-related consequences for nursing personnel.

Agnew-J; Fitzgerald-ST; Messing-JT; Kub-J; Fowler-B; Bolyard-R; Campbell-J
APHA 136th Annual Meeting and Exposition, San Diego, California, October 25-29, 2008. Washington, DC: American Public Health Association, 2008 Oct; :182930
The effects of workplace violence (WPV) are multidimensional, affecting not only employees' mental and physical health, but also social interactions at work and ability to function on the job. For healthcare workers, these consequences may jeopardize job retention and the teamwork that is required to deliver quality patient care. In times of a nursing shortage, there are also implications for healthcare institutions in maintaining an adequate workforce and a safe work environment. We are conducting a longitudinal study of WPV in nursing personnel from three hospitals to examine the outcomes sustained by those who have experienced any form of violence at work, whether psychological or physical. The baseline cohort consisted of 2,168 registered nurses and others in nursing service. Samples of those reporting WPV experiences in the recent year (n=657) and during the first six months of follow-up are compared to a control group of participants who have not experienced WPV over the same time period (n=1,511) to examine sequelae such as job satisfaction, intent to stay on the job, absenteeism and the relatively new concept of presenteeism. These relationships are explained by markedly different statistical models that demonstrate the influence of separate sets of covariates for outcomes experienced by registered nurses compared to others in nursing service jobs. Institutional policies and other interventions must take these differences into account to fairly and effectively protect workers from adverse consequences of WPV.
Force; Workers; Work-environment; Injuries; Mental-health; Mental-stress; Physical-stress; Physiological-effects; Physiological-stress; Psychological-factors; Psychological-reactions; Psychological-stress; Psychology; Health-care-personnel; Medical-personnel; Humans; Men; Women; Nurses; Nursing; Statistical-analysis; Author Keywords: Violence; Health Care Workers
Jacqueline Agnew, RN, MPH, PhD, Johns Hopkins Bloomberg School of Public Health, Department of Environmental Health Sciences, 615 N. Wolfe St., Room 7503 D, Baltimore MD, 21205
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APHA 136th Annual Meeting and Exposition, San Diego, California, October 25-29, 2008
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Johns Hopkins University