Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures

Critical Care, Journal Year: 2024, Volume and Issue: 28(1)

Published: Feb. 26, 2024

Abstract Background To assess the frequency, risk factors, consequences, and prevention of violence against healthcare workers in intensive care units. Methods PubMed, Scopus, Google Scholar, EMBASE, Cochrane, Web Science were searched for studies on adult Risk patient characteristics, implications collected. Study quality, bias, level evidence assessed using established tools. Results Seventy-five with 139,533 from 32 countries included. The overall median frequency was 51% (IQR 37–75%). Up to 97% experienced verbal violence, up 82% victims physical violence. Meta-analysis revealed an average 31% (95% CI 22–41%) 57% 48–66%), 12% sexual 4–23%). Heterogeneity high according I 2 statistics. Patients most common perpetrators (median 56%), followed by visitors 22%). Twenty-two reported increased ratios 2.3 or odds 22.9 ICU compared other workers. factors experiencing included young age, less work experience, being a nurse. who exhibited violent behavior often male, older, physically impaired drugs. Violence underreported 80% cases associated higher burnout rates, anxiety, turnover intentions. Overall low. Conclusions Workplace is frequent units, potential serious consequences workers, calling heightened awareness, screening, preventive measures. should be further investigated. Systematic review registration : protocol this registered Prospero January 15, 2023 (ID CRD42023388449).

Language: Английский

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A gender-based review of workplace violence amongst the global health workforce—A scoping review of the literature

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(7), P. e0003336 - e0003336

Published: July 2, 2024

Workplace violence (WPV) impacts all levels of the health workforce, including individual provider, organization, and society. While there is a substantial body literature on various aspects WPV against gender-based (GB-WPV) has received less attention. Violence in both workplace broader society rooted gendered socio-economic, cultural, institutional factors. Developing robust understanding GB-WPV crucial to explore differing experiences, responses, outcomes with respect gender. We conducted scoping review report prevalence risk factors healthcare settings globally. The followed Preferred Reporting Items for Systematic Meta-Analyses extension Scoping Reviews (PRISMA-ScR). registered protocol Open Science Framework January 14, 2022, at https://osf.io/t4pfb/ . A systematic search was empirical five social science databases. Of 13667, 226 studies were included analysis. Across studies, more women than men experienced non-physical violence, verbal abuse, sexual harassment, bullying. Men physical compared women. Younger age, experience, shifting duties, specific clinical settings, lower professional status, organizational hierarchy, minority status found be sensitive gender, reflecting women’s structural disadvantages workplace. Given high impact women, we provided recommendations address systemic issues practice, academia, policy, research.

Language: Английский

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Intensive care units nurses' burnout, organizational commitment, turnover intention and hospital workplace violence: A cross‐sectional study

Nursing Open, Journal Year: 2022, Volume and Issue: 10(2), P. 1102 - 1115

Published: Sept. 20, 2022

This study aimed to (1) assess the relationship between intensive care unit (ICU) nurses' burnout, organizational commitment and turnover intention, (2) examine moderating effect of on ICU burnout (3) explore prevalence influencing factors hospital workplace violence among nurses.Cross-sectional design.Data were collected from August October 2020 a convenience sample registered nurses was recruited. To control common method biases, one-month temporal separation, Harman's single-factor analysis latent variables adopted. The tested by SPSS Hayes PROCESS Macro. Chi-square logistic regression used data.Organizational (β = -.23, 95% confidence interval -.45 -.03) continuance -.15, -.24 -.16) have negative moderation effects emotional exhaustion intention. 77.7% experienced violence, male staff nurses, with lower professional titles shorter working years greater odds experiencing this violence.

Language: Английский

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Impact of transformational leadership on the person–organization fit of Chinese nurses: The moderating effect of emotional intelligence

Nursing Open, Journal Year: 2023, Volume and Issue: 10(7), P. 4586 - 4596

Published: March 25, 2023

To explore the relationships between transformational leadership and person-organization fit, as well to test moderating effects of emotional intelligence.A descriptive cross-sectional study design was used conduct an online questionnaire survey among 326 nurses in Chinese hospitals March June 2022.Transformational leadership, fit intelligence were measured using Person-Organization Fit Scale, Transformational Leadership Questionnaire Emotional Intelligence Scale. Hierarchical multiple linear regression models simple slope analyses used.Transformational had a significant positive impact on fit. Furthermore, conditional effect relationship nurses' Under high level intelligence, stronger while under low two not significant.Transformational has predictive but this is driven by effect. The plays role them.

Language: Английский

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Threat or prospect? Exploring the impact of digital entrepreneurs’ artificial intelligence perception and intention to adopt blockchain technology on the achievement of SDGs

Heliyon, Journal Year: 2024, Volume and Issue: 10(13), P. e33853 - e33853

Published: June 28, 2024

This paper explores how digital entrepreneurs' intention toward blockchain technology adoption, perception of reduced costs, and knowledge Artificial Intelligence impact achieving UN's Sustainable Development Goals (SDGs), drawing attention from various sectors. Present study applies explanatory sequential mixed method for data collection. Moreover, to work with the dual face patterned data, PLS-SEM is used perform quantitative analysis collected 389 entrepreneurs who are chosen through purposive sampling then content performed qualitative according method's rule thumb. The study's phase shows that factors such as perceived ease use usefulness Industry 4.0 technologies, artificial intelligence (KAI), cost positively influence adopt (BCT). Notably, KAI has strongest impact. In phase, it's found willingness BCT strongly align several UN suggesting adoption's potential sustainable outcomes. outcomes this set a new benchmark in domain SDGs achievement careful integration 4.0, AI BCT. results undoubtedly instigate doing their start-up convince policymakers regulatory landscape convenient environment utilization which ultimately accelerates SDGs.

Language: Английский

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Toxic Leadership in Emergency Nurses: Assessing Abusive Supervision and Its Team-Level Impacts on Conflict Management and Organizational Commitment

Journal of Nursing Management, Journal Year: 2024, Volume and Issue: 2024, P. 1 - 11

Published: Feb. 27, 2024

Emergency departments suffer from authoritarian and manipulative leadership styles that affect team dynamics, emotional exhaustion, quality patient care. However, little research specifically explores these toxic effects on conflict management nurses' organizational commitment. This cross-sectional study aimed to assess the correlations between perceived leadership, resolution strategies, commitment dimensions among emergency nurses while evaluating tendencies as a mediating mechanism. A design included multiple regression mediation analyses was utilized. The sample consisted of 387 five major Saudi hospitals surveyed using validated scales measure styles, High prevalence rates for (77%), narcissistic (75%), unpredictable (63%) were reported. Increased toxicity positively related dominating avoiding but negatively integrating compromising strategies. Toxic is also associated with lower affective/normative higher continuance Conflict partially mediated leadership-commitment relationship, which explained 29% total effect. Finally, experience education predicted greater toxicity. significant destructive adverse conflict, reduced in underscore need context-specific training. Fostering supportive environments through multifaceted interventions can counteract impacts, impart constructive communication techniques, improve nurse well-being, ensure high-quality As characteristics influence susceptibility detrimental tailored programs addressing levels are vital.

Language: Английский

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The relationship between professional autonomy and job performance among Iranian ICU nurses: the mediating effect of job satisfaction and organizational commitment

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: Jan. 7, 2025

Although previous studies have linked professional autonomy to nurses' job performance, research lacks how satisfaction and organizational commitment mediate this relationship. Addressing gap is essential for improving nursing practice outcomes. This study aims determine the mediating effect of in relationship among Iranian nurses. descriptive-correlational was conducted Urmia teaching hospitals from October 2022 June 2023. Four hundred twenty nurses were recruited using quota sampling. Eligible participants selected non-randomly predetermined numbers at four hospitals, recruitment continued until required sample size achieved. Data collected demographic questionnaires, Varjus Professional Autonomy Scale, Porter Organizational Commitment Questionnaire, Minnesota Satisfaction Paterson Job Performance Questionnaire. analyzed SPSS ver. 23 SmartPLS 3. had a positive, direct, strong on performance (β = 0.708, t-value 9.867, p < 0.001). impact 0.854, 39.736, 0.001) minor, direct 0.199, 3.150, 0.000). positively affects through 0.4016, 95% CI: 0.3280, 0.4736) 0.7582, 0.6088, 0.9086). Healthcare managers should promote enhance their performance. They can improve working conditions by offering competitive salaries, simplifying promotion processes, involving decisions related patient care. Additionally, steps consider are supporting autonomy, organizing educational classes, implementing strategies such as stress reduction programs, reducing workloads, addressing shortages, decreasing hours.

Language: Английский

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Toxic workplaces, tarnished outcomes: understanding the effects of bullying on job outcomes

Evidence-based HRM a Global Forum for Empirical Scholarship, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 22, 2025

Purpose This study examines the impact of workplace bullying on workers’ innovative behavior, organizational citizenship behavior (OCB) and affective commitment while taking burnout into account as a potential mediator. Design/methodology/approach We hypothesize that will have detrimental effect employees’ capacity for OCB, well impair their to company, based Conservation Resource theory. used cluster sampling gather data from 249 bank employees, using structural equation modeling evaluate our assumptions. Findings According research, there is strong negative correlation between OCB reduction in commitment. Additionally, was found be key mediator these outcomes bullying, indicating critical role spreading impacts attitudes behaviors. Originality/value The results this show how at work harms commitment, which might eventually lower productivity performance. It important develop culture creativity, increase employee engagement strengthen by building friendly courteous environment. Collectively addressing well-being, job happiness overall success.

Language: Английский

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Risk stratification for violent behavior in critically ill patients: Current assessment tools

Intensive and Critical Care Nursing, Journal Year: 2025, Volume and Issue: 89, P. 103957 - 103957

Published: Jan. 25, 2025

Workplace violence (WPV) presents challenges in intensive care units (ICUs) calling for reliable prediction of violence. This narrative review aimed to identify and evaluate risk assessment tools from acute settings which are or might be used predict violent behavior adult ICU patients focusing on their performance clinical utility. A screening PubMed, Scopus Google Scholar was conducted scores the setting such as emergency departments, hospitals ICUs. Risk factors, predictive validity relevance were evaluated. 24 studies included. Two reported use general populations, while eight psychiatric ICUs 14 implemented departments wards. Ten identified using 30 different variables. Those could categorized into patient demographics, behavior, history violence, mental status other items sleep disturbances. The Broset Violence Checklist (BVC) most commonly score. It showed moderate accuracy including ICUs, but limited validation overall evidence level low with serious bias. Other demonstrated varying sensitivity specificity lacked nurses physicians often subjected There is little patients' behavior. Most assessments come outside ICU, may promising critical care. underscores need development tailored differ populations. New models must developed factors associated compiled this review.

Language: Английский

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Decent work perception among PICU nurses: current status and influencing factors

BMC Nursing, Journal Year: 2025, Volume and Issue: 24(1)

Published: Feb. 14, 2025

Decent work perception significantly influences an individual's professional decisions and choices. This survey aimed to evaluate the current status influencing factors of decent among pediatric intensive care unit (PICU) nurses, provide insights for clinical nurse management care. The PICU nurses in a university hospital at Nanjing, China were surveyed during May 1st 31st, 2024. Nurse Work Perception Scale with good validity reliability was used level nurses. SPSS 23.0 software package data analysis. A total 176 included. score included 51.46 ± 8.22, indicating that have relatively low work. Age(r = 0.506), title(r 0.464) average monthly income(r 0.539) positively correlated educational level(r=-0.526) been personally assaulted(r=-0.512) negatively (all P < 0.05). Multiple linear regression analysis indicated age, level, title, income assaulted independently p is low, highlighting need prioritize improvement their salary, levels, career development opportunities. Besides, hospitals should organizational support ensure secure working environment.

Language: Английский

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