Workplace Violence Toward Hospital Staff and Volunteers: A Survey of an Italian Sample

Interest in the phenomenon of workplace violence has increased in recent years because such violence is evident in the healthcare sector. The prevalence and consequences of victimization among healthcare professionals have been well-investigated but not in volunteers who have direct and prolonged contact with patients and visitors. The aim of this study was to investigate the prevalence of physical and psychological workplace violence, the psychological and emotional consequences for hospital staff and volunteers, and the coping strategies that they adopted. In the current study, both of these groups worked with patients suffering from chronic diseases in a hospital in northern Italy. The participants included 108 hospital staff and 96 volunteers in cardiology and oncology units. The results revealed that for the staff victims of physical or psychological violence, the increase in depressive and anxiety symptoms (both state and trait) corresponded to a greater use of coping strategies to avoid facing the event. For the volunteer victims of physical violence, an increase in state anxiety was associated with an attempt to cope with the discharge of emotion, whereas trait anxiety was associated with a coping strategy that represents a positive interpretation of life events. A worrisome finding was the number of staff and volunteer victims of physical and psychological violence who did not report these occurrences: only one third of staff and volunteers reported these events to management or to the police.     

Social Services Workers and Workplace Violence

Researchers and workplace violence experts have cited risk factors that theoretically increase the likelihood that individuals will experience workplace violence. Those include working alone, contact with the public, traveling to dangerous areas, as well as other factors. By the very nature of what social services workers do, many encounter these risk factors on a regular basis. Using national data, trends in workplace violence experienced by social services workers are examined, and comparisons are made between the rates of workplace violence among similar workgroups. Results suggest that social services workers are nearly six times more likely than other workers to experience workplace violence. In the discussion, attention is given to strategies to prevent violence against social services workers.     

The Prevalence and Consequences of Intimate Partner Violence Intrusion in the Workplace

This study examines the prevalence and consequences of intimate partner violence (IPV) in the workplace. Surveys were completed by 1,390 employees in 32 different companies representing different organization types. Over half of the women and almost a quarter of the males reported that they had been an IPV victim at some point in their lives with 16% reporting victimization in the previous 12 months. Younger workers and workers who witnessed IPV frequently as a child were more likely to be current IPV victims. Further, 41% of lifetime victims reported significant workplace consequences, such as missed days of work, tardiness, and perpetrator intrusion. Younger workers, a history of IPV physical injury, more frequent IPV events over longer periods of time, and a history of stalking were associated with a greater number of IPV work consequences. The cumulative effects of IPV as well as active victimization contribute to negative workplace consequences. With significant numbers of employees experiencing IPV and reporting workplace consequences, the present research underscores the need for employers to develop a more precise means of understanding cost and response.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences

Workplace violence is an important health and safety issue. Healthcare workers are particularly at risk of experiencing workplace violence. Despite the research that was conducted in this domain, little is known about the consequences of being a victim of workplace violence, specifically in the healthcare sector. Therefore, this article aims to review the literature regarding the consequences of exposure to workplace violence in the healthcare sector. Sixty-eight studies were included in the review and they were evaluated according to 12 criteria recommended for systematic reviews. The studies identified seven categories of consequences of workplace violence: (1) physical, (2) psychological, (3) emotional, (4) work functioning, (5) relationship with patients/quality of care, (6) social/general, and (7) financial. Psychological (e.g., posttraumatic stress, depression) and emotional (e.g., anger, fear) consequences and impact on work functioning (e.g., sick leave, job satisfaction) were the most frequent and important effects of workplace violence. In conclusion, this paper recommends further research, particularly longitudinal studies, in order to better grasp the direct and indirect effects of workplace violence.     

Social Workers and Battered Women: The Need to Study Client Violence in the Domestic Violence Field

Domestic violence is a significant issue for the United States and internationally. Although many social workers may desire to work in the domestic violence field, such work is far more difficult and challenging than many social workers would expect. In fact, many domestic violence workers are abused by their clients or their clients' family members in the course of their work. The purpose of this article is to clarify why examining client violence toward workers in the domestic violence field is critically important, describe the current state of the research, and discuss recommendations for future research in this area.     

Workplace violence and workplace aggression: Evidence on their relative frequency and potential causes

Recent news reports have focused attention on dramatic instances of workplace violence—extreme acts of aggression in work settings. It is suggested here that such actions, while both tragic and frightening, are only a small part of a much larger problem of workplace aggression—efforts by individuals to harm others with whom they work or the organizations in which they are employed. The present study investigated two major hypotheses with respect to such aggression: 1) contrary to what media reports suggest, most aggression occurring in work settings is verbal, indirect, and passive rather than physical, direct, and active; 2) recent changes in many organizations (e.g., downsizing, increased workforce diversity) have generated conditions that may contribute to the occurrence of workplace aggression. A survey of 178 employed persons provided partial support for both predictions. Verbal and passive forms of aggression were rated as more frequent by participants than physical and active forms of aggression. In addition, the greater the extent to which several changes had occurred recently in participants' organizations, the greater the incidence of workplace aggression they reported. © 1996 Wiley-Liss, Inc.     

Prevalence and Predictors of Psychological Violence Against Male Victims in Intimate Relationships in Canada

Psychological violence involves expressive violence (i.e., the use of words to humiliate or psychologically harm a partner) and coercive violence (i.e., controlling behavior directed to dominate and manipulate a partner). From studies that collect data on both physical and psychological violence, it is apparent that psychological violence is the most prevalent form of intimate partner violence (IPV). However, psychological violence is one of the dimensions of IPV that has received relatively less attention. Furthermore, very little is known about the state of female-to-male psychological violence, as most studies on the subject have focused on female victims. This study seeks to understand recent trends and prevalence of psychological violence in male-to-female and female-to-male relationships in Canada. Using the 2014 General Social Survey (Victimization) data, the risk factors of female-to-male psychological violence were analyzed. The findings of the analysis revealed that there are significant differences in the prevalence of psychological violence among victims when gender is taken into consideration. The study also revealed that childhood victimization, childhood exposure to domestic violence, marijuana use, and educational attainment are predictors of female-to-male psychological violence. The study highlights the need for more studies to be conducted to attain a better understanding of the nature and context of psychological violence in heterosexual relationships.     

Dating Violence and African Immigrant Youth

Research documents a high prevalence of dating violence among U.S. youth. This violence is linked to a host of negative mental and physical health consequences and high-risk behaviors. African immigrants comprise about 3.9% of all immigrants in the United States and recent trends suggest this population is rapidly increasing. Despite this, limited research exists on dating violence among African immigrant youth. This article summarizes the literature on dating violence in Africa, then highlights the dearth of research on African immigrant youth. The literature suggests that African immigrant girls are in a uniquely vulnerable position that increases their risk for dating violence and other abuses, warranting our attention to the issue. Future research directions and service implications with this population are presented.     

Verbal violence in the workplace according to victims' sex—a systematic review of the literature

Verbal abuse is the most prevalent form of workplace violence. Its impacts on organizations as well as on victims' health are numerous. Several studies have emphasized the need to take into consideration victims' characteristics, in particular sex, to better understand rates of verbal violence in the workplace. Indeed, study results are contradictory, as some show women to be more at risk while others indicate that men would be more exposed. These variations could in part be explained by other factors that influence the prevalence of workplace violence, such as occupational domain and job characteristics. This review of literature thus aimed to describe the prevalence of verbal violence according to sex across occupational domains. Results showed that a majority of studies concluded to no significant sex differences. Among the studies with significant results, men tended to be more at risk than women. However, due to several limitations, it was not possible to draw conclusions as regards specific occupations. Conclusions of this review lead to specific recommendations for future research.     

Psychiatric nurses' experiences with inpatient aggression

Using a survey instrument, the experiences of psychiatric nurses with inpatient aggression were investigated in East London, U.K. On this “Perceptions of Prevalence Of Aggression Scale” (POPAS), annual experiences with 15 types of disruptive and aggressive behavior were rated anonymously. Staff members were also asked to disclose the number of days missed from work due to inpatient violence. On the basis of these POPAS forms, internal consistency of the instrument, mean reported aggression frequencies, and days missed from work due to violence were calculated. Internal consistency of the POPAS appeared to be reasonable. Verbal abuse and threats were experienced by most of the psychiatric nurses during a one‐year period (i.e., by about 80–90 percent of nurses). Sexual harassment or intimidation was also experienced relatively often on an annual basis (68 percent), particularly by female and young staff members. A minority of staff members (i.e., 16 percent) had experienced severe physical violence. Although not prevalent, this type of behavior was most strongly connected with reporting sick. In particular, staff members working with involuntarily admitted patients experienced much (severe) violence during their work. Although the validity of estimates of aggression prevalence with the POPAS instrument needs to be investigated further, such a survey may be helpful in gaining insight rather quickly into the level of day‐to‐day contact with aggressive behavior. Also, since information on verbal, physical, and sexual violence, and on days missed from work, can be provided anonymously, this rather delicate, but essential management information, may be accessed relatively easily with the POPAS. Aggr. Behav. 00:000–000, 2005. © 2005 Wiley‐Liss, Inc.     

Basque attitude towards political violence: Its correlation with personality variables,other sociopolitical attitudes,and political party vote

The Basque are a strongly nationalistic European people in northern Spain and southern France with an ancient ethnic tradition and a language unrelated to any other known. Their recent history has been overshadowed by a terrorist organization perpetrating political violence within the boundaries of the Basque Country and often beyond its borders within the Spanish state. Research on the Basque, with an emphasis on the comparison of psychological characteristics (studied by the use of an instrument developed for that purpose by the author of this article and another colleague, Jesús Guerra, of the University of the Basque Country), has provided an opportunity to review attitudes towards violence within the general population, analyze different groups constituted according to differences in attitude as well as political party vote, and to compare them with regards to differences in personality. The distribution of these attitudes within the sample population, as well as some hypotheses as to their origins, are presented, discussing their possible relationship to social and psychological variables at work within Basque society. Psychopathological indicators permit an estimation of the degree of abnormality associated with the attitude towards political violence. © 1993 Wiley-Liss, Inc.     

Domestic Violence and Women’s Employment: Fixed Effects Models of Three Waves of Women’s Employment Study Data

Domestic violence can interfere with women’s ability to work, and may result in loss of welfare benefits and poorer economic outcomes. Previous studies showing no effect of domestic violence on employment could be a result of the failure to control for some individual characteristics; therefore we use fixed-effects models with three waves of Women’s Employment Study (WES) data to control for unobservable time-invariant individual-specific characteristics. Included in our analyses were 598 women, from an urban county in Michigan who were on the welfare rolls in February of 1997, all of whom completed 3 waves of interviews. Our fixed effects regression results show that domestic violence significantly reduced the annual work hours of a respondent. Mental and physical health problems do not completely mediate this relationship. Our results support efforts to address domestic violence within the welfare system.     

Les violences et agressions physiques au travail : analyse de la littérature

"The whole of the personnel was put in strike… the reason… one of their colleagues was violently attacked by a user with a knife…". Far from being a news in brief, workplace violence is present within the media; privileged witnesses of an iceberg. Indeed, according to last figures of European investigations, close of an employee on one on ten (9%) known as to have been victim of intimidation on its workplace, and 6% were victims of physical violence. And, however, some advance the idea that the official figures are well far from reality from the company, the majority of the figures relates the violence with even morbid serious after-effects more (Eurogip, 1998). This article will thus stick to work out an inventory of workplace violence and more specifically of physical violence. With this intention, an analysis of 28 articles was carried out starting from various criteria in order to raise conceptual nebula around this phenomenon. Which are the definitions suggested, methodologies used and the results obtained by this research? Thus, this article will open a track of reflexion on the perception of violence at work like occupational hazard but also like a stake of health at the work and public safety.     

L’effet médiateur de l’épuisement professionnel et des violences psychologiques dans le processus d’auto-objectification au travail

This study aims to highlight the mediating role of burnout and psychological violence between objectification and its consequences on the perception of oneself as an object. In total, 180 professionals responded to an online questionnaire to measure these constructs. The results reveal a direct effect of objectification on self-objectification, this effect being mediated by both burnout and the level of psychological violence. This study invites to question dehumanizing relationships at work and their conditions of emergence as a framework for interpreting risks at the workplace.     

How controllable is occupational violence?

Occupational violence may be an issue in a number of workplaces, and be of two main sources—those sites where cash is handled, and sites with aggressive clients. Legal requirements make it mandatory for an employer to provide a safe workplace, but just how controllable is occupational violence? A risk management equation is developed to assist the manager to ascertain the level of risk for violence in the workplace.     

Area-Based Socioeconomic Characteristics of Industries at High Risk for Violence in the Workplace

This study examined socioeconomic factors associated with the presence of workplaces belonging to industries reported to be at high risk for worker homicide. The proportion of 2004 North Carolina workplaces in high-risk industries was computed following spatial linkage of individual workplaces to 2000 United States Census Block Groups (n = 3,925). Thirty census-derived socioeconomic variables (selected a priori as potentially predictive of violence) were summarized using exploratory factor analysis into poverty/deprivation, human/economic capital, and transience/instability. Multinomial logistic regression models indicate associations between higher proportion of workplaces belonging to high-risk industries and Block Groups with more poverty/deprivation or transience/instability and less human/economic capital. The relationship between human/economic capital and Block Groups proportion of high-risk industry workplaces was modified by levels of transience/instability. Community characteristics therefore contribute to the potential for workplace violence, and future research should continue to understand the relationship between social context and workplace violence risk.     

Practitioners’ Views on the Role of Spirituality in Working With Women Victims and Survivors of Domestic Violence

Based on a study of 1,481 domestic violence workers or practitioners from 180 organizations across 12 countries, this article studies their views on spirituality for domestic violence women victims and survivors. Results showed that spirituality is favored by domestic violence workers, and more so by Christians and those with higher spiritual self-inclination. Subtle variations exist between views of practitioners from European countries, United Kingdom, United States, Canada, and Australia vis-à-vis those from Asian and African countries. Whereas practitioners from the former attested mindfulness, peace, and letting go as spiritual techniques for domestic violence work, Asian and African practitioners were more in favor of practiced distance detachment. In terms of goals of spiritually sensitive interventions, Asian and African practitioners favored letting go and empowered reconciliation, whereas their counterparts favored moving on and detachment. Practitioners from European countries, United Kingdom, United States, Canada, and Australia endorsed ‘letting go’ as a technique of living in the present, with a sense of positive orientation. Spirituality creates spaces in the psychic domains for women to exert their free will and address hegemonic masculinity. Asian and African practitioners saw the potential of spirituality in engendering systems and structures. This calls for a culturally alert approach in deploying spirituality in violence against women work.     

Workplace Violence and Worker Injury in Elderly Care Settings

Abstract

Many incidents of injury, assault, and abuse occur in health care settings. To better examine the situational context of the workplace, this paper examines whether workers providing care to elderly persons experience injuries that are consistent with the “for-profit” and “interpersonal conflict” explanations of elder abuse or neglect. Using data from the Bureau of Labor Statistics, results indicate that nursing home workers and home health care workers have higher rates of workplace injuries resulting from assaults and overexertion than do other workers. The data suggest that there are unique structural and situational factors present in the nursing home, which create a work setting vulnerable to conflict, violence, and elder abuse.