Establishing a ZERO Tolerance for Abuse: An Organization's Rx for Trust by Beth Boynton, RN, MS
The Problem With Workplace Violence in the Healthcare Setting: article by Rae Stonehouse RN, 1996
Leave When It's Unsafe: Worksafe BC Videos Many healthcare workers work alone in the community. Learn what to do if you feel threatened or unsafe. (3 min 19 s)
The Risk Assessment: Putting Pen to Paper City of Vancouver
Preventing Violence in Healthcare: Five Steps to an Effective Program
B.C WCB Regulations addressing violence in the workplace by Worksafe B.C.
Identification of Risk & Prevention of Aggression in Residential Care by Worksafe B.C. & Fraser Health
Violence & Aggressive Behaviour in Healthcare & Social Assistance by Worksafe B.C.
Guidelines: Code White Response ( a Component of Prevention & Management of Aggressive Behaviour in Healthcare) 2002 by OHSAH, WCB BC, HABC
Safety & Health Topics: Workplace Violence by US Department of Labor Occupational Health & Safety Administration
Standards: Hospital-based Psychiatric Emergency Services - Observation Unit: March 2000 B.C. Ministry of Health and Ministry Responsible for Seniors
Violence in the emergency department: a survey of health care workers by CMAJ. Violence in the workplace is an ill-defined and underreported concern for health care workers. The objectives of this study were to examine perceived levels of violence in the emergency department, to obtain health care workers' definitions of violence, to determine the effect of violence on health care workers and to determine coping mechanisms and potential preventive strategies.
Guidelines for Safety & Security of Healthcare and Community Service Workers by California Department of Industrial Relations
Position Statement: Violence in the Workplace Nurses Association of New Brunswick
Developing Usable and Effective Violence Prevention Interventions for the Healthcare Industry: A Participatory Approach by Occupational Health & Safety Agency for Healthcare in B.C
Nurses the Violent Story a BCNU video - show notes
Position Statement on Violence in the Workplace: College of Registered Nurses of Nova Scotia
Violence in the Workplace: A new challenge. JoAnne D. Leck University of Ottawa
Healthcare Facilities and Workplace Violence Prevention by Texas Department of Insurance
Workplace Violence in Healthcare: Recognizable but not regulated by the Online Journal of Issues in Nursing
Workplace violence is one of the most complex and dangerous occupational hazards facing nurses working in today's health care environment. This article includes critiques of the conceptual, empirical, and policy progress of the past decade, a discussion of the need for methodologically rigorous intervention effectiveness research, and a description of a joint-labor management research effort aimed at documenting a process to reduce violence in a state mental health system.
The Safety Net: A plethora of OH&S resources
Workplace Violence Risk Assessment for Langley Memorial Hospital
Take Care: Worksafe B.C. How to develop and implement a workplace violence program
Violence in the Workplace Canadian Nurses Association
Nurses in the Workplace at Risk Board of Directors of the Nurses Association of New Brunswick, in The Brunswickan
OSHA Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers Occupational Safety and Health Administration, US Dept of Labor, OSHA pub#3148.
Guidelines For Security and Safety Of Health Care And Community Service Workers CAL/OSHA, California Occupational Safety and Health, Department of Industrial Relations
"Even the notion of powerlessness implies a consideration of power, for one cannot declare himself powerless without at the same time implying that something or someone else is more powerful."
Jo Ann Ashley, About power in nursing. Nursing Outlook, 21(10), 1973.
Workplace Violence: Can You Close the Door On It? The American Nurses Association, 1997
Responding to Violence from the Legal Handbook, Nursing 97 archives
A Nurse's Bill of Rights The Ontario Nurses' Association
Workplace Bullying The Queensland Nurses Union (Australian Nursing Federation)
Workplace violence affects one-third of nurses American Nurse News 30(5), September/October 1998
National Center for Victims of Crime: Workplace Violence -- Employee Information Especially informative is Victim Impact and Emotional Consequences including secondary victimization from management/coworker responses
World Health Organization
"Health care workers must now challenge the all too common assumption that violence is inevitable, that it is inherent to human behavior and a natural consequence of insecurity and stress."
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Emergency Nurses Association Position Statement: Violence in the Emergency Care Setting
Nurses and Human Rights Amnesty International report exposing numerous international incidents in which nurses have been beaten, tortured, raped, and murdered during clinical practice or for legitimate social or political activities, or as a result of their relationship to those out of favor with a government
Escalating violence in the healthcare workplace International Council of Nurses Newsletter
Disarming the Threat of Workplace Violence by Vicki Carroll,RN, MSN; Ms. Carroll was director of the Colorado Task Force on Workplace Violence sponsored by the Colorado Nurses Association
Workplace violence: One nurse's night of fear The American Nurses Association publishes the story of an OB nurse's experience with workplace violence
Toxic Management and the Toxic Manager Tm Field, Bully Online
Picking Up the Pieces After a Violent Encounter Nursing Spectrum reports assault on oncology nurse; Florida issue, 12/13/99
Workplace bullying in NHS community trust: staff questionnaire survey BMJ 1999; 318:228-232 (23 January)
Violence Stalks the Healthcare Field Puget Sound Business Journal
"Nurses and other caregiving professionals at special risk for workplace harm, researchers find."
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The Illusion of Inclusion: Myths & Misconceptions Every Working Woman Needs to Know Online book by Sarah Banda Purvis
Bid to Curb Violence Against UK Nurses BBC News Online
"... nursing has become the country's most dangerous job...It is now considered more risky than policing or working as a security guard."
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Workplace Violence American Federation of State, County and Municipal Employees, AFL-CIO (AFSCME)
Workplace Solutions
The Employee Bill of Rights
Mediation of Workplace Disputes
Diagram: Equality and Dignity at Work Scott Barrella, MS, CPIM, MFCC, and Craig Chalquist, MS. Slow download but worth it.
Threat Assessment: An Approach To Prevent Targeted Violence by Robert A. Fein, Ph.D., Bryan Vossekuil, and Gwen A. Holden
Violence Saskatchewan Labor Health & Safety
A Guide to Developing a Violence Policy Statement Saskatchewan Labor Health & Safety
Coping with critical incident stress at work Description: This document explains how critical incidents -- such as a violent, armed robbery; a "near miss" that almost costs workers their lives; or an on-the-job accident that injures, maims or kills a worker -- can affect the emotional well being of workers and their job performance. In a question-and-answer format, the document explains what a critical incident is, and how employers can help workers suffering from critical incident stress.
Answers to three most asked questions about workplace violence Larry J. Chavez, M.P.A., knows about violence first hand. He has 28 years of experience in local law enforcement with the Sacramento, CA Police Department, spending 15 of those years in crisis negotiation as the senior hostage negotiator.
Ten Tips on Recognizing and Minimizing Violence: What to do if you're faced with aggressive behavior. SOURCE: Corpedia.com, Mesa, AZ, August 4, 1999.
Five tips for preventing workplace violence by Dr. James Madero is founder and president of Violence Prevention International, a developer of workplace violence prevention programs for companies and organizations.
An Allegation of Malicious Prosecution (1995) Incident: Psychiatric patient who had threatened her therapist was involuntarily hospitalized after she was found with a loaded gun.
What is the Relationship between Violence and Mental Disorder? By Dr. Grant Harris, Research Psychologist
American Industrial Hygiene Association Position Statement on Prevention of Workplace Violence: Adopted December 13, 2000
Occupational Health Nurse's Role in Preventing and Reducing Workplace Violence: AAOHN Position Statement
A Cry for Health: Poor working conditions driving nurses out of hospitals, 2001
Occupational hazard: Nurses are susceptible to workplace violence at the hands of strangers and co-workers by Anne Federwisch, OTR April 23, 2001
Man Stabs nurse, 52, in "horrific, tragic act" article by Greg Middleton. Staff reporter. July 14, 2001 in Vancouver British Columbia
The war against nurses: Assaults on R.N.s are at an all-time high, but many who complain or seek help lose their jobs as hospitals blame the victims. By Diana Reiss-Koncar
Taking Action:
HOW TO MAINTAIN YOUR SELF ESTEEM, YOUR SELF CONFIDENCE, AND YOUR SANITY AFTER AN EPISODE OF WORKPLACE VIOLENCE Written by Laurie Romano, RN, CEN on June 13, 2001.
If You Have Experienced Workplace Violence A must read!! Some sage advice from nurses who have been assaulted at work. Excellent resource for providing support for an injured colleague.
Personal/Ethical Dilemmas in Reporting Assaultive Incidents to Authorities
Does the client's right to privacy supersede your right to an abuse free working environment?
If the client is "not responsible" for their actions does that excuse them legally?
Does your employer pressure you not to report incidents of this nature?
Is your employer providing a safe working environment?
Have you or a fellow worker been injured in a similar situation?
Are the local police supportive of laying charges of this nature?
Harrassment:
"Studies have found that 50-75% of employed women will experience sexual harassment on the job." Issue Report: Sexual Harassment. National Organization for Women, March 1997.
Employer Liability for Unlawful Harassment by Supervisors The US Equal Employment Opportunity Commission rules on all forms of workplace harassment
Sexual Harassment in the Workplace: A Primer From the Akron Law Review
Horizontal Violence, Bullying, & Mobbing:
"Horizontal Violence is harmful behavior, via attitudes, actions, words, and other behaviors, that is directed towards us by another colleague. Horizontal violence controls, humiliates, denigrates or injures the dignity of another. Horizontal violence indicates a lack of mutual respect and value for the worth of the individual and denies another's fundamental human rights." A position statement on Horizontal Violence.
Dying for the Cause An Australian nurse commits suicide following long-term verbal abuse from colleagues. Originally published in the Australian College of Midwives Incorporated Journal, 1996
"Another way that you love your enemy is this: When the opportunity presents itself for you to defeat your enemy, that is the time which you must not do it. There will come a time, in many instances, when the person who hates you most, the person who has misused you most, the person who has gossiped about you most, the person who has spread false rumors about you most, there will come a time when you will have an opportunity to defeat that person...That’s the time you must not do it. That is the meaning of love...It is the refusal to defeat any individual. When you rise to the level of love, of its great beauty and power, you seek only to defeat evil systems. Individuals who happen to be caught up in that system, you love, but you seek to defeat the system."
Loving Your Enemies. Dr. Martin Luther King, Jr. November 17, 1957
Critical Incident Stress:
Coping with critical incident stress at work Description: This document explains how critical incidents -- such as a violent, armed robbery; a "near miss" that almost costs workers their lives; or an on-the-job accident that injures, maims or kills a worker -- can affect the emotional well being of workers and their job performance. In a question-and-answer format, the document explains what a critical incident is, and how employers can help workers suffering from critical incident stress. Workers' Compensation Board of British Columbia (1996)
Post Traumatic Stress
The Post Traumatic Stress Alliance: is a group of professional and advocacy organizations that have joined forces to provide educational resources to individuals diagnosed with PTSD and their loved ones; those at risk for developing PTSD; and medical, healthcare and other frontline professionals.
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