Document Type

Capstone

Associated Faculty

Colleen Marzilli, PhD, DNP, MBA, APRN, FNP-BC, CNE, NEA-BC, PHNA-BC, CCM, MedSurg-BC, FNAP

Sponsoring Academic Department

School of Nursing

Publication Date

Spring 4-24-2025

Abstract/ Summary

Workplace violence (WPV) in healthcare is a growing concern globally, with healthcare workers at the highest risk of verbal and physical aggression. Primary care settings play a critical role in healthcare but remain underrepresented in WPV research. This study evaluates the effectiveness of WPV programs in primary care with a focus on de-escalation training as an intervention. A comprehensive literature review was conducted, incorporating studies from PubMed, CINAHL, ScienceDirect, Medline, Cochrane, and PsycINFO. The study findings show WPV in primary care is principally verbal aggression, but has profound psychological and professional consequences, including burnout, absenteeism, and decreased job satisfaction. Although de-escalation training has shown promise in improving staff confidence and situational awareness short term, evidence is inconclusive regarding its effectiveness in reducing the incidence of WPV events. A multicomponent approach that integrates training, environmental modifications, and robust institutional policies was found to be the most effective strategy. Leadership commitment is essential in fostering a culture of safety and ensuring the effective implementation of WPV mitigation strategies. The findings emphasize the need for further research to determine the extent of WPV in primary care. Additional research should assess the long-term effects of de-escalation training, standardizing WPV definitions, improving reporting mechanisms, and assessing the sustainability of intervention strategies. It is essential to address WPV through evidence-based interventions to safeguard healthcare workers and maintain high-quality patient care.

Version

other

Additional Files
Spaulding- Poster.pdf (269 kB)
Poster
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