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Injury Prevention| Volume 49, ISSUE 3, P345-351, May 2023

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Workplace Violence in the Hospital: Strategies for Meaningful Change

      Abstract

      Background

      Workplace violence is not a unique problem to organizations. Evidence-based toolkits and strategies are available to help provide a guiding framework for the reduction of workplace violence events. As times and stressors (both personal and environmental) change, hospitals must keep constant attention on how to address and implement initiatives to keep staff safe. This manuscript addresses steps taken at 1 hospital to meet this challenge.

      Process

      Although a workplace violence committee had been in place for some time, it was identified that not all of the key players were included. Membership was evaluated, and executive-level support was provided. A review of literature was conducted and identified top priorities upon which to focus efforts. Subcommittees were formed to be responsible for these categories of work and to report back to the committee.

      Evaluation

      Data points and a dashboard were created to monitor trends and effectiveness, especially regarding combating the culture of underreporting. Processes and resources were formalized and made easily accessible to staff. Case studies and direct feedback from staff have been impactful and helped identify additional barriers. Evaluation will continue to occur using process-improvement methodology along with technological assistance.

      Conclusions

      Workplace violence is not part of the job. Ongoing work is needed to continue to move the needle and make hospitals a safer place to work. Engagement from all levels of the organization is necessary to have a successful program.

      Key words

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      References

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      Biography

      Tamera Dunseth-Rosenbaum is Chief Nursing Officer, University of Colorado Health Southern Region, Colorado Springs, CO.

      Biography

      Kyra Krueger is Clinical Nurse Specialist, Member of the Colorado Emergency Nurses Association, University of Colorado Health Southern Region Emergency Services, Colorado Springs, CO.

      Biography

      Elizabeth Spradlin is Nursing Program Manager, University of Colorado Health Southern Region, Colorado Springs, CO.

      Biography

      Courtney Hoffbauer is Associate Chief Nursing Officer, University of Colorado Health Southern Region, Colorado Springs, CO.

      Biography

      Patricia Loper is Patient Safety Specialist RN Lead, University of Colorado Health Southern Region, Colorado Springs, CO.