Antecedent factors in different types of workplace violence against nurses: A systematic review

Le but de cette revue systématique est d’identifier les facteurs antécédents dans différents types de violence au travail contre le personnel infirmier et de comprendre l’impact de cette violence, afin de promouvoir des conditions de travail sécuritaires dans le milieu des soins de santé. Cette revue systématique confirme la nécessité de politiques organisationnelles et gouvernementales fondées sur des données probantes afin d’atténuer ou de prévenir la violence au travail contre le personnel infirmier.

Aim The purpose of this systematic review is to identify the antecedent factors in different types of workplace violence (WPV) against nurses and understand its impact in order to promote safe working conditions in health care.
Background Currently, the evidence examining antecedent factors associated with workplace violence in nursing is restricted to cross-sectional studies and a somewhat heterogeneous subject matter, thus confining the inferences that are possible. In healthcare, workplace violence towards nurses is a growing and serious public health issue and occupational hazard.
Methods Primary papers on workplace violence in nursing were identified through a literature search in four health databases (Ovid Medline, Embase, PsychoINFO and CINAHL), using a systematic review protocol tailored to each database. After the finalization of all search strategies, another health librarian searched on November 29th, 2016, as well as an updated search on August 29th, 2017.The Critical Appraisal Skills Programme (CASP), and the Cochrane Collaboration ‘Risk of bias’ assessment tools were used to assess study quality.
Results The study identified a total of 3309 articles before the removal of duplicate records. The mean CASP score was 8.14(±1.29) out of a total score of 10. Antecedent factors of workplace were grouped into two categories of WPV: Type II (patient/client) and Type III (worker-on-worker).”
Discussion The antecedent factors identified the studies need to be developed and implemented into intervention studies. Furthermore such studies need to be rigorously evaluated through a meta-analytic approach to develop robust solutions and offer recommendations to nurses and workplaces.
Implications for nursing & health policy The identified antecedent factors build on the existing evidence related to workplace violence. This systematic review supports the need for intervention-based organizational and state level policies that are evidence-based to mitigate or prevent workplace violence among nurses.
NOWROUZI-KIA, Behdin, ISIDRO, Rachel, CHAI, Emily, USUBA, Koyo et CHEN, Amy. Antecedent factors in different types of workplace violence against nurses: A systematic review. Aggression and Violent Behavior. 1 janvier 2019. Vol. 44, pp. 1‑7. DOI 10.1016/j.avb.2018.11.002.

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