Workplace violence in healthcare: strategies for advocacy.

The Occupational Safety and Health Administration (OSHA) reports that over 2 million American workers are victims of workplace violence each year. Violence can strike any workplace; no area is immune. But who may be more at risk? Commonly, violence occurs at work and refers to a broad spectrum of behaviors (e.g., violent acts by patients, visitors, and/or coworkers) that result in a concern for personal safety. This article provides a brief overview of workplace violence, and discusses the settings where it often occurs. The authors consider the direct and indirect financial impact of violent acts, such as jury awards for injuries; higher than average turnover; increased requests for medical leaves; unusually high time and attendance issues; and stress related illnesses. Advocacy strategies for nurses are offered to address workplace violence on several levels, such as legislative advocacy, workplace policy, and education.