Leadership Forum| Volume 49, ISSUE 3, P326-329, May 2023

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Addressing a Key Leadership Challenge: Workplace Violence


      Workplace violence is a growing concern among health care workers, especially staff working in emergency departments. Emergency department leaders have oversight accountability that includes mitigation of workplace violence risks and staff education related to workplace violence prevention. Challenges associated with workplace violence events include disruption of safe patient care, decreased staff job satisfaction, and increased turnover. Improving safety for staff, patients, and visitors requires a culture focused on safety. A summary of current regulations, standards, and resources available to date is provided, including a list of mitigation strategies that can be easily translated into practice by emergency nurse leaders.

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        • American Organization for Nursing Leadership, Emergency Nurses Association
        Toolkit for mitigating violence in the workplace.
        (Accessed January 30, 2023)
      1. Workplace violence prevention resources. The Joint Commission.
        (Published 2022. Accessed January 30, 2023)
      2. Workplace violence in healthcare, 2018, April 2020. U.S. Bureau of Labor Statistics.
        (Published 2020. Accessed January 30, 2023)
      3. Worker safety in hospitals: caring for our caregivers. Occupational Safety and Health Administration.
        (Published 2019. Accessed January 30, 2023)
        • Arnetz J.
        • Hamblin L.
        • Ager J.
        • et al.
        Underreporting of workplace violence: comparison of self-report and actual documentation of hospital incidents.
        Workplace Health Saf. 2015; 63: 200-210
        • Cannavo M.
        • LaTorre F.
        • Sestili C.
        • LaTorre G.
        • Fioravantii M.
        Work related violence as a predictor of stress and correlated disorders in emergency department healthcare professionals.
        Clin Ter. 2019; 170: e110-e123
      4. Guidelines for preventing workplace violence for healthcare and social service workers. Occupational Safety and Health Administration.
        (Published 2016. Accessed January 30, 2023)
      5. Preventing workplace violence in healthcare: a road map for healthcare facilities. Occupational Safety and Health Administration.
        (Published 2015. Accessed January 30, 2023)
      6. Preventing workplace violence in healthcare. Occupational Safety and Health Administration.
        (Published 2017. Accessed January 30, 2023)
        • Memorandum summary
        Centers for Medicare & Medicaid Services.
        (Published 2022. Accessed January 30, 2023.)
      7. Workplace violence prevention standards. R3 Report: Requirement, Rationale, Reference. The Joint Commission.
        (Published 2021. Accessed January 30, 2023.)
      8. Making a difference: a government relations toolkit for ENA advocates. Emergency Nurses Association.
        (Published 2022. Accessed January 30, 2023)
        • Simons S.
        Same team, people! Same team.
        Emergency Medicine News. 2017; 39 (33, P. 1.)


      Patricia Kunz Howard is Enterprise Director, Emergency Services, University of Kentucky HealthCare, Lexington, KY. Twitter: @pkunzhoward. ORCID identifier:


      Kathy Robinson is ENA Past President and Senior Program Advisor, American Trauma Society, Falls Church, VA.