What Is Workplace Violence Prevention? (Page 35)

By Jackie Russell, RN JD

Jackie Russell RN, JD
MNA Nursing Practice and Regulatory Affairs Specialist

Nursing Practice and Regulatory Affairs Specialist

 

On the CDC website there is a Workplace Violence Prevention for Nurses Course (CDC Course No. WB2908–NIOSH Pub. No. 2013-155). It’s free. It’s interactive. (here’s the link to attend:  https://www.cdc.gov/niosh/topics/violence/training_nurses.html) It’s designed to “help healthcare workers better understand the scope and nature of violence in the workplace.” And it hasn’t been updated since 2016 (last reviewed, 2017).

If you take the course, you will learn the definition, types, and prevalence of violence; workplace violence consequences; risk factors for type II and III violence; prevention strategies for organizations; prevention strategies for nurses; and a post event response.

I took the course. Here’s a bit of what I’ve learned:

The course provides two definitions of workplace violence:

  1. The National Institute for Occupational Safety and Health (NIOSH) defines workplace violence as “…any physical assault, threatening behavior, or verbal abuse occurring in the work setting,” and
  2. The World Health Organization (WHO) and the International Council of Nurses (ICN) defines workplace violence as “… incidents where staff are abused, threatened or assaulted in circumstances related to their work, including commuting to and from work, involving an explicit or implicit challenge to their safety, well-being, or health.”

According to the CDC, occupational health researchers classify workplace violence by type, and they are:

Type I- Criminal Intent

Type II- Customer/Client

Type III- Worker-on-Worker

Type IV- Personal Relationship

According to the CDC (2002 and 2015 stats):

  • 80% of nurses don’t feel safe at work.
  • 82% of ED nurses had been physically assaulted at work in one year (2002). And that’s 17-years ago!
  • 25% of psychiatric nurses experienced disabling injuries from patient assaults (2006).
  • And 35-80% of hospital staff had been physically assaulted at least once during their career (2005).

These statistics are outdated but I list them here because even then, workplace violence against nurses was a significant issue, and we feel certain the issue has sharply increased with the opioid epidemic. And what has been done about it? Largely, nothing. If a significant number of auto workers get injured on the job, production stops and the problem gets resolved. But not in our hospitals.

Decades ago, workplace violence experts believed that the statistics were only the tip of the iceberg because many incidents didn’t get reported because:

  • Workplace violence is “part of the job”,
  • Poor or non-existent institutional policies, procedures, staff training or supports,
  • Complex reporting procedures,
  • Violence happens so frequently, it would be too time-consuming to report every incident,
  • Some patients can’t be accountable for their violent actions. Yes, as nurses, we understand this better than most. Recent MNA testimony in support of Workplace Violence legislation got derailed this session by legislators and opponents over (in part) their concern mentally ill persons who have assaulted a nurse would face felony charges. No nurse would ever knowingly file charges against a mentally ill patient! Not to mention, there are stop gaps in the law. Legislators can and have created exceptions in criminal law that protect mentally ill persons. Also, law enforcement and prosecutors determine probable cause, the evidence, etc. before any allegation of assault becomes a formal criminal charge.

This is still true today. But today, there are other forces at work that keep some nurses from reporting, intimidation by law enforcement with the mere suggestion that “you know, this isn’t going to go anywhere.”

So, while it may be interesting that workplace violence has more than one definition and has several classifications, it doesn’t matter because in the state of Minnesota, assault and battery is a crime. If you have been verbally or physically assaulted, you are a victim of a crime. It is unacceptable that when nurses are assaulted their complaints go largely unacknowledged by hospital management and often by law enforcement. As a victim of a crime, you have a right to report. It’s not the officer’s ultimate decision whether a case “goes anywhere”. No officer should ever suggest to the victim of a crime their complaint isn’t going to go anywhere. In fact, if this happens to you, report the officer to your local law enforcement agency and/or to the Union.

Violent crime is like a disease rotting our society, and our hospitals. To stop or prevent the spread of this disease, workplace violence must be taken seriously by law enforcement, hospital administrators, and our legislators. And if you are the victim of a crime, you have rights. Report and get the help you need and rightfully deserve.

 

 

nurse workplace violence

By Jackie Russell, RN JD

Nursing Practice and Regulatory Affairs Specialist

 

On the CDC website there is a Workplace Violence Prevention for Nurses Course (CDC Course No. WB2908–NIOSH Pub. No. 2013-155). It’s free. It’s interactive. (here’s the link to attend:  https://www.cdc.gov/niosh/topics/violence/training_nurses.html) It’s designed to “help healthcare workers better understand the scope and nature of violence in the workplace.” And it hasn’t been updated since 2016 (last reviewed, 2017).

If you take the course, you will learn the definition, types, and prevalence of violence; workplace violence consequences; risk factors for type II and III violence; prevention strategies for organizations; prevention strategies for nurses; and a post event response.
… Read more about: What Is Workplace Violence Prevention?  »

By Barbara Brady

MNA Communications Specialist

 

There’s one MNA nurse who walks the extra mile to provide care… literally.

In spite of heavy snowstorms, MNA Hennepin Healthcare Visiting Nurse Amy Edelstein still finds ways to get to her clients – even on foot.

Following a heavy storm last February, Edelstein strapped on snowshoes to travel the 2.5 miles to her client’s home.

“I thought it was nice outside and I still get to see the client without worrying about driving conditions and parking,” she says. “I had my MVNA backpack with what I needed.”

It’s not the first time Edelstein has braved the elements to see clients.
… Read more about: This is Why There’s a Nurse’s Week  »

For Immediate Release

Contact:  Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

(St. Paul) – April 24, 2019 – The Board of Directors of the Minnesota Nurses Association has voted to endorse Emily Larson for a second term as mayor of Duluth at their April meeting.

“Nurses are proud to support Emily Larson again,” said Mary C. Turner, president of MNA.  “Nurse leaders have witnessed Larson’s continued dedication in ensuring workers are treated with dignity and respect by their employers, including advocating for labor rights, the right of people to organize, and good faith negotiations.”

Mayor Emily Larson participated in a meet and greet with Duluth nurses on April 16 to show her support for those who are entering into contract negotiations with Essentia and St.
… Read more about: Press Release: Minnesota Nurses Endorse Emily Larson for Another Term as Duluth Mayor  »

By Chidinma Nwanekpe, RN, BSN, MPH

GAC Commissioner, Mental Health Nurse at St. Joseph’s

 

Working on my unit has exposed me to a lot of issues our mental health patients go through, but the most prominent one is homelessness.

For example, here’s a patient we’ll call “Mr. J.” Mr. J had been in the hospital for seven days when I arrived at work one day. In a mental unit, it’s not uncommon for patients to be reported as loud, upset, disrupting unit activity, and not heeding re-direction. Mr. J said he had been in the hospital for quite a while, didn’t know where to go after he was discharged because he was homeless.
… Read more about: Mental Illness and Homelessness: A Cry for Help  »

By Carrie Mortrud, RN

MNA Project Specialist

 

Ok, by now, you’ve probably heard the ignorant and irresponsible comments of Washington state Senator Maureen Walsh who attacked all nurses by opposing a bill aimed at guaranteeing breaks and stopping mandatory overtime.

Walsh unwisely said this while the Washington state Senate considered SHB 1155, which would provide nurses with uninterrupted meal and rest breaks.

“I would submit to you that those nurses probably do get breaks,” Walsh said on the Senate floor. “They probably play cards for a considerable amount of the day.”

Despite the ridiculousness of her comments, that doesn’t mean that every MNA member shouldn’t take something away from this ignorant comment, even though the Senator has said she regrets the remark (ironically, she claimed she was “tired” from no breaks at the Capitol.
… Read more about: Nurses Can Still Learn Something from Know-Nothing Politician  »

FOR IMMEDIATE RELEASE


Contact:  Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

Contact:  Barb Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org

(St. Paul) – April 4, 2019 – Attorney General Keith Ellison has appointed the Minnesota Nurses Association’s Executive Director, Rose Roach, to the task force charged with lowering the price of pharmaceutical drugs for Minnesota patients. Roach is one of 15 patient advocates who include leaders from medical providers, labor and industry, state legislators, and the executive director of the Board of Pharmacy.

“I am honored to be appointed by Attorney General Ellison and am confident we will be able to make recommendations that will improve the lives of Minnesotans when it comes to affording the medications they need,” Roach said.
… Read more about: Press Release: MNA leader joins the fight to lower drug prices  »

 FOR IMMEDIATE RELEASE
 

Contact:  Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

 Barb Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org


(St. Paul) –   March 26, 2019 –  Members of the Minnesota Nurses Association in the Metro area begin negotiations today with Twin Cities hospitals to reach agreement on new contracts that will ensure quality patient care.  Nurses will approach negotiations optimistic that a cooperative approach with Metro hospitals will lead to a settlement while still firmly believing in contract proposals that value nurses and patients.

“Nurses are united in putting forth proposals that recognize the value of their care and their professional judgment to protect patients,” said Jordan Foerster, a negotiations team member and a Registered Nurse at Fairview.
… Read more about: Press Release: Twin Cities Nurses Enter Negotiations Optimistic and Steadfast  »

By Diane McLaughlin, RN

Commission of Active Retired Nurses & Government Affairs Commissioner

 

It is so inspiring to see about 100 MNA nurses from all over Minnesota come together and speak up for patients with our legislators at the Capitol during the annual Day on the Hill this year.

The Feb. 11-12 event was as rewarding and inspiring as ever.

After an evening of socializing and training, we met with our own representatives and senators to use our voices as citizen lobbyists to talk about the issues impacting our patients and our profession.

I met with Rep.
… Read more about: One Word for MNA’s Nurses Day on the Hill: Phenomenal  »

FOR IMMEDIATE RELEASE

Contact:  Rick Fuentes
(o) 651-414-2863
(c) 612-741-0662
rick.fuentes@mnnurses.org

Contact:  Barb Brady
(o) 651-414-2849
(c) 651-202-0845
barbara.brady@mnnurses.org

 

(St. Paul) – March 25, 2019 – The budget targets unveiled by Minnesota House DFL leaders today make wise investments in Minnesota’s future, according to the Minnesota Nurses Association.

“Nurses applaud proposals to invest in healthcare, education, infrastructure and tax fairness,” said MNA President Mary C. Turner, RN. “This plan put Minnesota on the right path.”

Turner said proposals to implement health insurance discounts for individuals  and continue the provider tax that funds MinnesotaCare will help nurses provide patients with the care they need and deserve.
… Read more about: Press Release: House budget targets make the right investments in Minnesota’s future  »

By Tara Fugate

MNA Strategic Researcher

 

According to a new report, hospital prices went up even though usage of healthcare actually went down.  Sadly, the takeaway shows that what a patient pays for healthcare determines how much they’re able to seek care and actually be healthy.  The Health Care Cost Institute (HCCI) report, “Healthy Marketplace Index,” analyzed more than 1.8 billion commercial claims from 2012 to 2016, HCCI’s report shows commercial healthcare prices increased by 13 percent (almost 3 times faster than inflation) while utilization of services dropped 17 percent nationwide.

 

It’s not just what healthcare costs that matters either. 
… Read more about: Hospital Prices Rise But Hospital Admits Drop  »