Topic C - Forensic Nursing > Section C.5.0. Forensic Populations > Unit.C.5.2. Nurse Abuse
Readings
Required Readings | Recommended Readings | Forensic References | Resources Video | Resources (Web) | Forensic Websites

 

The required readings for this unit are:

Australia
Required Reading(s)

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Canada
Required Reading(s)

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International
Required Reading(s)

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United Kingdom
Required Reading(s)
Gough, P., Goss, R. M., & Jordan, S..(2001). Violence in the workplace. British Medical Journal 323(7325), 1362-1364. Retrieved December 28, 2002, from Academic Search Premier database: practitioner
http://search.epnet.com/direct.asp?an=5739067&db=aph
  • Presents a nurse practitioner's experience of being assaulted in the workplace and the responses of a nurse, a patient, and a lecturer from the school of health to violence against medical personnel. Thoughts on the nurse's suggestion that a registry be set up to identify potentially violent patients; Recommendation that medical staff be trained in how to deal with angry people; Suggestion that the attacker may have been less likely to attack a doctor than a nurse.

 

United States
Required Reading(s)

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  • Note in this article

Databases
For the full text article online, sleuth the 'University of Calgary/ Library/ Article Indexes':

Directions:

  • Select - Indexes and abstracts with links to full text articles
  • Select - Academic Search Premier or Expanded Academic ASAP
  • Select - Connect
  • Fill in User ID and Pin
  • Fill in search words:
    • abuse and nurse
    • abuse and doctor

 

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The 'recommended only' readings for this unit are the following:

Australia
Recommended Reading(s)
Iliffe, J. (2002). Violence against nurses is unacceptable. Australian Nursing Journal, 9(9), 1. Retrieved December 28, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=6463545&db=aph
  • Discusses violence against nurses. Types of violence experienced by nurses from patients; Increase in premeditated violence; Responsibility of the government and employers to keep the workplace safe for nurses.

 

Canada
Recommended Reading(s)

Insert article/book/chapter here

  • This reading notes
International
Recommended Reading(s)

Insert article/book/chapter here

  • This reading notes
United Kingdom
Recommended Reading(s)

Gulland, A. (1998). Safety first. Nursing Times, 93 (50), 18.

  • Note that a nurses could be more than twice as likely to face violence at work as other workers and the guidelines for prevention.

Rose, M. (1997). A survey of violence toward nursing staff in one large Irish Accident and Emergency Department. Journal of Emergency Nursing, 23(3), 214-219.

  • Nurses in Ireland are increasingly concerned about the escalating incidence of verbal and physical abuse, particularly in Accident and Emergency (A&E) Departments. This first detailed survey of violence in A&E departments in Ireland was conducted at St. James's Hospital, Dublin, the largest hospital in the Republic of Ireland. The aims of the survey included determining the following factors: (1) what proportion of staff had experienced physical or verbal violence while on duty in the hospital, (2) the frequency of such attacks, (3) whether the violence was officially reported and sick leave taken, (4) whether age and experience changed attitudes to violence, or the reporting of it, and (5) the level of staff training, if any, in dealing with violence.
  • The results of this study mirrored those of similar surveys in Britain and the United States. Nonreporting was revealed as a major problem, whereas reporting violence was often seen as an empty gesture because of a lack of institutional support for the nurse/attendant victims. Staff reported feeling vulnerable to abuse and there was a general desire for training in self-protection. Since the survey was first presented to hospital managers, St James's Hospital has made a number of changes to improve staff security. These include teaching staff breakaway techniques, increasing the number of security officers on duty, issuing personal alarms, and encouraging staff to officially report all incidents. (J Emerg Nurs 1997;23:214-19)

Till, U. (1998). The prosecution of psychiatric inpatients for assault: Benefits and ethics. Psychiatric Care, 5 (6), 219-224.

  • Note there has always been the option of prosecuting patients for violence or antisocial behavior, but within the "culture of care" this option often conflicts with what are perceived as our ethical and professional responsibilities (Till, 1998, p. 219).

Webster, C. (1998). Nurse abuse: One of nursing's best kept secrets. Partners in Psychiatric Health Care, 1 (1), 13-19

  • Note that nurse abuse touches almost every nurse's career.
United States
Recommended Reading(s)
Diaz, A. L.., & McMillin, J. D. (1991). A definition and description of nurse abuse. Western Journal of Nursing Research, 13(1), 97-109. Retrieved December 28, 2002, from Academic Search Premier database:
http://search.epnet.com/direct.asp?an=4854511&db=aph
  • Deals with a study which investigated the incidence of abuse of nurses by physicians. How the experience of abuse was operationalized; Relationship between social characteristics and the incidence of abuse; Consequences of abusive behavior

Erickson, L., Williams-Evans, S.A. (2000). Attitudes of emergency nurses regarding patient assaults. Journal of Emergency Nursing, 26(3), 210-215.

  • Note: The purpose of this study was to investigate the frequency of patient assaults on emergency nurses and to explore nurses' attitudes about patient assaults.

May, D., & Grubbs, L. M. (2002). The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. Journal of Emergency Nursing, 28(1), 11-17.

  • Introduction: This study investigated nurse perceptions of the incidence and nature of verbal and physical assault or abuse by patients and their family members or visitors.
  • Discussion: Nurses were confused about what legally constitutes "assault" and "abuse"; nurse rights versus patient rights; and policies and procedures for reporting assault or abuse incidences. Our results indicate that nurses are experiencing abusive and assaultive behavior from family members and visitors just as often as they are from patients, and ED nurses are at higher risk. Nurses perceive a lack of institutional support and an institutional emphasis on patient rights and satisfaction and do not feel
    safe in the workplace.


Mayer, B. W., Smith, F. B., & King. C. A. (1999). Factors associated with victimization of personnel in emergency departments. Journal of Emergency Nursing, 25(5), 361-366.

  • Note The purpose of this study was to identify the incidence of ED personnel victimization in Central Florida and examine its relationship to victims' reports of 3 factors: characteristics of the patient/perpetrator, characteristics of the personnel victimized, and characteristics of the ED environment.
  • Discussion Respondents reported avoiding identification on duty, underreporting, postvictimization staff turnover, dissatisfaction with security, and the desire for every security provision listed. The goals of reducing the fears and victimization of ED personnel should become a priority within the health care system. (J Emerg Nurs
    1999; 25:361-6)

Peek-Asa, C., Cubbin, C., & Hubbell, K. (2002). Violent events and security programs in California emergency departments before and after the 1993 hospital security act. Journal of Emergency Nursing, 28(5), 420-426.

  • Introduction: Health care workers have long been recognized as having a high risk of work-related assault. In response to a growing threat of violence in hospitals, California implemented the Hospital Security Act (AB508) in 1993. This study compares surveys of emergency nurses before and after implementation of AB508.
  • Results: Most hospitals reported fewer violent episodes after the implementation of AB508. However, 32% of hospitals reported that 5 or more verbal threats occurred monthly, and 5% reported that 5 or more violent injuries occurred monthly. Overall, hospitals reported improvements in security programs. The most notable increase was
    in employee training, which rose from 34% to 95.6% of reporting hospitals. However, almost a quarter of hospitals reported not having general violence prevention policies, and many believed that security personnel were inadequate.

 

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Additional references for this unit can be found in 'forensic references' of the forensic sourcebooks.

  • Sleuth 'forensic reference' database for:

    nurse - abuse

Kent-Wilkinson, A. (2002). Forensic Sourcebooks: Forensic References.

Retrieved May 28, 2002, from the Forensic Education Website: http://www.forensiceducation.com/sourcebooks/experts/Experts_database.html/refs

 

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Video's recommended for this unit are:

Resources (Video)

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The required websites to sleuth for this unit are the following:


Australia
Resources (Web)

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  • Note in this website
Canada
Resources (Web)

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  • Note in this website
International
Resources (Web)

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  • Note in this website
United Kingdom
Resources (Web)

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  • Note in this website
United States
Resources (Web)

Insert article here

  • Note in this article

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For additional websites on this unit, sleuth 'forensic websites' in the forensic sourcebooks.

  • professional abuse
  • nurse abuse

Kent-Wilkinson, A. (2002). Forensic Sourcebooks: Forensic Websites.

Retrieved May 28, 2002, from the Forensic Education Website: http://www.forensiceducation.com/sourcebooks/experts/Experts_database.html/websites

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Readings