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Objectives

Workplace Violence in the Hospital… Hazardous to your Health! Presented by: Vivian Clark, LCSW-S and Cheyne Day, Security Services. Objectives. To provide an overview of the increasing problem of violence directed toward health care workers in the hospital setting.

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Objectives

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  1. Workplace Violence in the Hospital…Hazardous to your Health!Presented by:Vivian Clark, LCSW-Sand Cheyne Day, Security Services

  2. Objectives • To provide an overview of the increasing problem of violence directed toward health care workers in the hospital setting. • To empower frontline medical staff with the knowledge to identify signs of aggression in patients and/or their family members. • To encourage staff to obtain practical skills to effectively manage aggressive behavior.

  3. Definition Workplace violence (WPV) is defined as any violent acts, including physical assaults and threats of assaults, directed toward persons at work or on duty. National Institute for Occupational Safety and Health (NIOSH)

  4. Statistics on violence against health care workers: • 75% of the nearly 25,000 workplace assaults reported annually occurred in health care and social service settings. (OSHA) • 1 in 4 nurses has been physically assaulted by a patient or a patient’s family member. (ANA) • The health-care and social assistance industry had the highest rate of nonfatal injury cases, resulting from the intentional injury by other people, of any industry. (U.S. Bureau of Labor Statistics, 2014)

  5. Joint Commission Calls for Action to Reduce Workplace Violence Against Healthcare Workers:

  6. Emergency Rooms, Psychiatric Facilities & Geriatric Long-Term Care Settings • In certain health-care settings, workers are more vulnerable to violence; still, no setting is completely safe.

  7. Meredith gets attacked by patient

  8. The Solution? • The OSHA “Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers”  • General Duty Clause • U.S. Occupational Safety and Health Act of 1970 • The clause states: “Each employer shall furnish to each of his employees, employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees.”

  9. Violence Prevention Plans • March 2018 • Health Care Workplace Violence Prevention Act • would direct the Secretary of Labor to issue an OSHA rule that requires certain health-care employers, including hospitals, outpatient settings or clinics, psychiatric clinics, rehabilitation hospitals, and long-term care hospitals, to adopt comprehensive violence-prevention plans. 

  10. Which Plan is the Most Effective? • De-escalation Training • De-escalation is a first-line response to potential violence and aggression in health care settings. (The Joint Commission) • NIOSH workplace violence prevention for nurses online course • Workplace Violence Prevention Training (CPI) • Aggression Management Training • Communication Skills Training

  11. What Does the Literature Say? • Discussion of studies on workplace violence training

  12. Where do we go from here? • Pilot of Safewards Model – A quality improvement project developed by the SW Research Committee • Joint Commission recommended • Adapted by members of the Social Work Department to fit TCH’s patient population in effort to better support nursing staff at TCH. • Uses three interventions that are easy to learn and implement

  13. Bottom Line • Staff training DOES NOT reduce the incidence of aggressive acts. • Staff training DOES increase confidence, skills, attitude and knowledge about risk factors.

  14. What is TCH doing to keep employees safe?Cheyne Day, Assistant DirectorSecurity Services

  15. Questions? Comments?

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