Cannizzaro Domenico, Saguatti Ilaria, Caleffi Dalia, Rovesti Sergio, Ferri Paola
Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia Faculty of Medicine and Surgery, Modena, Emilia-Romagna, Italy
Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia Faculty of Medicine and Surgery, Modena, Emilia-Romagna, Italy.
BMJ Open. 2025 Jul 30;15(7):e105171. doi: 10.1136/bmjopen-2025-105171.
Healthcare settings are experiencing profound changes that make them increasingly complex and demanding environments, particularly for nurses. Against this backdrop are the numerous phenomena of violence in healthcare settings, which are a worrying reflection of the growing problem of aggression in society. Institutions maintain a constant focus on the phenomenon while trying to counter it; however, workplace aggression is still on the rise.Workplace violence (WPV) potentially leads to lower quality of care and increased costs; it also exposes nurses to burnout, turnover and intention to leave the profession.The purpose of this scoping review is to explore the physical and psychological consequences on nurses who are victims of WPV and to identify possible correlations with burnout, turnover and intention to leave the workforce.
This scoping review will follow the methodology proposed by Arksey and O'Malley, also incorporating recommendations from the Joanna Briggs Institute Handbook for Scoping Review. A literature search will be conducted in PubMed, CINAHL, PsycInfo, Web of Science and Scopus. Grey literature sources including Google Scholar and ProQuest Dissertations & Theses will also be consulted. Data will be summarised in descriptive form and categorised according to the identified outcome variables, following an inductive approach. The results will be presented following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines.The review will include studies published from January 2020 to March 2025.
This scoping review represents the preliminary phase of a larger project aimed at developing support strategies for nurses who are victims of violence.This scoping review protocol has been registered in the Open Science Framework (https://osf.io/785qd/?view_only=21952c15efd14b34a9931f07121bf935). No ethical opinion is required, as the review does not involve direct involvement of human subjects.The findings will be disseminated through peer-reviewed publications and presentations at national and international conferences and workshops dedicated to workplace safety and nursing. In addition, the results will be shared with healthcare managers and stakeholders to inform context-specific strategies and support interventions within care settings.
医疗环境正在经历深刻变革，使其变得日益复杂且要求苛刻，对护士而言尤其如此。在此背景下，医疗环境中存在众多暴力现象，这令人担忧地反映出社会中攻击行为这一日益严重的问题。各机构持续关注这一现象并试图加以应对；然而，工作场所暴力仍在增加。工作场所暴力（WPV）可能导致护理质量下降和成本增加；它还会使护士面临职业倦怠、人员流动以及离职意愿等问题。本范围综述的目的是探讨遭受工作场所暴力的护士所面临的身体和心理后果，并确定与职业倦怠、人员流动和离职意愿之间可能存在的关联。
本范围综述将遵循阿克西和奥马利提出的方法，并纳入乔安娜·布里格斯研究所范围综述手册中的建议。将在PubMed、CINAHL、PsycInfo、科学引文索引和Scopus中进行文献检索。还将查阅包括谷歌学术和ProQuest学位论文在内的灰色文献来源。数据将以描述性形式进行总结，并按照归纳法根据确定的结果变量进行分类。结果将按照系统评价和Meta分析的首选报告项目扩展版范围综述指南进行呈现。该综述将纳入2020年1月至2025年3月发表的研究。
本范围综述是一个更大项目的初步阶段，该项目旨在为遭受暴力的护士制定支持策略。本范围综述方案已在开放科学框架（https://osf.io/785qd/?view_only=21952c15efd14b34a9931f07121bf935）中注册。无需伦理意见，因为该综述不涉及直接涉及人类受试者。研究结果将通过同行评审出版物以及在致力于工作场所安全和护理的国内和国际会议及研讨会上发表演讲进行传播。此外，研究结果将与医疗管理人员和利益相关者分享，以为医疗机构内针对具体情况的策略和支持干预提供参考。
