Michels Susan L, Brasic Nancy T, Fencl Jennifer L, Spangler Erica B, Norman Lisa S
Susan L. Michels, MSN, RN, PMH-BC, Nursing Professional Development Specialist II, Cone Health, Greensboro, NC, USA.
Nancy T. Brasic, MSN, APRN, FNP-BC, AGCNS-BC, Clinical Nurse Specialist, Cone Health, Greensboro, NC, USA.
J Am Psychiatr Nurses Assoc. 2025 Sep-Oct;31(5):535-542. doi: 10.1177/10783903251346837. Epub 2025 Jun 20.
Health care workers are sustaining significant numbers of workplace violence events, and health care organizations are called to respond. Through critical evaluation, comprehensive planning, and thoughtful steps into action, organizational leaders and direct care staff must work collaboratively to meet the demands of the dynamic health care landscape. Our objective is to identify multidisciplinary, evidence-based practice strategies through the use of tools, innovation, and education to equip health care teams in building a culture of personal and organizational safety.
A subject-focused review of international research, government, professional, and regulatory guidelines dated 2015 to 2024 was used to identify evidence-based practices and current barriers in workplace violence mitigation. The global nature of workplace violence suggests a need to explore human-centric solutions, and a multidisciplinary framework is ideal to examine the current climate, identify gaps in education and practice, and explore the impact of environmental conditions contributing to workplace violence. Through layered primary, secondary, and tertiary violence prevention strategies, health care systems may engage in continuous quality improvement, elevate interpersonal safety, and mitigate risks associated with workplace violence.
Deepening conversations and establishing multi-team engagement around workplace violence expands an organization's capacity to break work silos and build processes that can effectively activate organizational change.
With amplified attention to workplace violence, organizations must be committed to addressing the problem from all sides. Through identifying risk factors and mitigation strategies, targeting education, and empowering health care teams, organizations can navigate a strong path toward a safer future for patients, staff, and communities.
医护人员正遭受大量工作场所暴力事件，医疗保健机构被要求做出应对。通过批判性评估、全面规划并采取深思熟虑的行动步骤，机构领导者和直接护理人员必须协同合作，以满足动态医疗保健环境的需求。我们的目标是通过使用工具、创新和教育来确定多学科、基于证据的实践策略，以使医疗团队能够营造个人和机构安全的文化。
对2015年至2024年的国际研究、政府、专业和监管指南进行主题聚焦审查，以确定工作场所暴力缓解方面的循证实践和当前障碍。工作场所暴力的全球性表明需要探索以人为本的解决方案，多学科框架非常适合审视当前状况、找出教育和实践中的差距，并探讨导致工作场所暴力的环境条件的影响。通过分层的一级、二级和三级暴力预防策略，医疗保健系统可以持续改进质量、提升人际安全并降低与工作场所暴力相关的风险。
围绕工作场所暴力深化对话并建立多团队参与，可扩大组织打破工作壁垒并建立能有效推动组织变革的流程的能力。
随着对工作场所暴力的关注度提高，各组织必须致力于从各个方面解决这一问题。通过识别风险因素和缓解策略、针对性教育以及赋能医疗团队，各组织能够为患者、员工和社区迈向更安全的未来开辟一条坚实的道路。
