Posts Tagged ‘workplace violence’

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AJN’s Top 10 Blog Posts for the Last Quarter

August 2, 2011

At this blog we’re not always devoted practitioners of the art of the list. Used too often and too cynically (some of the more mysterious nursing blogs consist entirely of lists of articles and excerpts from other blogs), lists can be just another form of journalistic cannibalism.

But it sometimes occurs to me, as I publish a new post that takes its place at the top of the home page and pushes all those below down another notch (until, after a few such nudges, they gradually fall off the page, entering the purgatory of the blog archives), that this isn’t entirely fair.

While blogs allow for quick reaction to a news story, a public health emergency or controversy, a new bit of published research, they are also places for writing that isn’t so narrowly tied to a specific date and event. Many thoughtful posts by excellent writers have been published here in the past couple of years. With this in mind, here’s a list of the 10 most read blog posts for the past 90 days. It doesn’t mean that these are necessarily the very best posts we published in that time, or that they were even published in the last 90 days . . . but it’s one way of measuring relevance.—Jacob Molyneux, senior editor/blog editor 

1. Dispatches from the Alabama Tornado Zone
This one is actually a page with links to a series of powerful and thought-provoking posts by Susan Hassmiller, the Robert Wood Johnson Foundation Senior Adviser for Nursing, who volunteered with the Red Cross after the devastating Alabama tornadoes in late April of this year.

2. Notes of a Student Nurse: A Dose of Reality
This honest account of a first semester of nursing school is by Jennifer-Clare Williams, a student at Cox College of Nursing and Health Sciences in Springfield, Missouri. We hope to have more of her posts in the future.

3. Bullying Wars: Theresa Brown vs. ‘the entire physician profession’
AJN‘s editor-in-chief Shawn Kennedy comes to the defense of nurse and author Theresa Brown, who dared to write about physicians who bully nurses.

4. New Nurses Face Reality Shock in Hospital Settings – So What Else is New?
We ran this one two years ago, but it’s as relevant as ever for nurses who’ve just graduated from school and are starting out in a new job—and for the nurses who work with them.

5. Don’t Cling to Tradition: A Nursing Student’s Call for Realism, Respect
By Medora McGinnis, a student at Bon Secours Memorial College of Nursing in Richmond, Virginia, this post got a lot of attention with its assertion that “nontraditional” nursing students may be the new normal.

6. What Is Meaningful Use? One Savvy Nurse’s Take
By Jared Sinclair, an ICU nurse in Nashville who has a blog about health care and technology, this post demystifies for nurses some of the issues associated with electronic health records.

7. Workplace Violence Against Nurses — Neither Inevitable Nor Acceptable
A look at some helpful articles that have addressed aspects of this perennially troubling issue. Read the rest of this entry ?

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Workplace Violence: Whose Problem Is It?

February 28, 2011

By Julianna Paradisi, RN

By allyaubry/via Flickr

Once upon a time, I was the assured quality (AQ) representative for a nursing unit. I attended monthly AQ committee meetings with members from medicine, pharmacy, laboratory, and respiratory therapy to review incident reports. We developed processes for improving patient safety and work flow. Agenda items changed monthly, except for the paper towel dispenser problem.

The unit had a paper towel dispenser, which operated by a lever. It was noisy, disturbing the patients. It did not hold enough paper towels for 24 hours. Since housekeeping did not staff to fill paper towel holders on night shift, physicians and nurses entering the room found them empty after washing their hands in the morning. This angered everyone, so it went on the AQ committee’s agenda.

The unit needed new towel dispensers. However, the committee could not determine whose job it was to research replacements. No one knew which department was responsible for ordering new dispensers, or whose budget would pay for them. Since there were other agenda items to discuss, every month the towel dispenser problem was “parked” for the next meeting. This continued for the entire time I served on AQ. The problem remained unresolved when I moved on.

Workplace violence toward nurses feels like the “irresolvable dilemma” of the paper towel dispenser. Over the years, statistics have consistently shown that social workers and health care workers, particularly nurses, are several times more likely to experience workplace assault than other types of workers. At the same time, it’s often been reported that nurses are afraid to report workplace violence because of lack of institutional support.  

Whose problem is it? The U.S. Occupational Safety and Health Administration (OSHA) has guidelines for preventing such violence,  and the U.S. Health Resources and Services Administration’s National Advisory Council on Nurse Education and Practice makes recommendations as well, but neither makes concrete a requirement that employers take action.

So whose job is it to protect nurses from workplace assault? Read the rest of this entry ?

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Nursing Is Hazardous to Our Health

June 4, 2010

By Shawn Kennedy, AJN interim editor-in-chief

Courtesy of the American Journal of Nursing archives

We all know that our nursing jobs expose us to various hazards—back and joint problems, needlesticks and other means of exposure to infectious diseases, traumatic injuries from encounters with violent patients or their family members, just to name some common ones. And as if that’s not enough, the psychological toll taken can result in burnout and even PTSD, which wreak havoc on retention. Heart disease and depression should probably also be on the list.

You may have seen news reports about a study with Danish nurses, published in the May issue of Occupational and Environmental Medicine. The researchers found that nurses younger than 51 years at baseline who perceived their workplaces as highly stressful were significantly more likely to have ischemic heart disease during the 15-year follow-up. Now, as the Journal of Clinical Psychiatry reports, a Finnish study has found that nurses and physicians who work in overcrowded acute care units have “twice the risk of sickness absence due to depressive disorders” compared with colleagues working in less crowded areas. And Health Policy reports on a study revealing that, among Canadian nurses, “Depression is a significant determinant of absenteeism for both RNs and LPNs.”

Is anyone surprised? Not nurses, for sure, and probably no one who’s worked at or been a patient in a hospital recently. With few exceptions, hospitals are generally terrible places to work. Yes, the Magnet Recognition Program and initiatives like Transforming Care at the Bedside (TCAB) and others are gradually improving this. (You can read more about TCAB in AJN’s special report and 12-part series.) But is it enough? Are nurses who experience job-related injury or illness the proverbial canaries in the coal mines, harbingers of an increasingly common and serious problem? What will it take for hospitals to revamp their environments to make them less stressful and more life-sustaining for nurses?

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Workplace Violence Against Nurses — Neither Inevitable Nor Acceptable

March 17, 2010

I’ve read about hospital nurses dealing with violence at work, but I always told myself that was something that happened in the emergency room or the psych ward. In oncology, I reasoned, we have relationships with our patients, and I have always felt safe with them.

So begins a harrowing—and remarkably nonjudgmental— story of a really bad day at work, written by Theresa Brown, a nurse who blogs regularly for the NY Times. (AJN will be featuring a profile of Brown in the May issue.)

Unhappy coincidence: It so happens that AJN published a Viewpoint essay on workplace violence in the March issue. Here’s how it starts:

I was working in the ED one day when a patient looked up and threatened to kill me. Grabbing my hand, he squeezed it until I thought it would break. It took several staff members to restrain him and force him to let go. I’ll never forget how he looked into my eyes and smiled as I screamed in pain.

Some of my colleagues said I should file a police report; others told me to get used to this type of behavior and toughen up. I called the police, and although they took my statement, they wouldn’t arrest the patient because he hadn’t inflicted “serious bodily injury.”

Marco Musso/via Flickr

The author, Jessica Leigh, offers advice to those who have faced workplace violence as nurses, and makes several recommendations for influencing policies at your hospital or facility, as well as for pushing for legislation to make such violence against health care workers a serious crime.—Jacob Molyneux, senior editor

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