ArticleBMJ open2019
Identification of processes that mediate the impact of workplace violence on emergency department healthcare workers in the USA: results from a qualitative study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 49 citations in OpenAlex.
- Workplace violence, legal knowledge, and support for nursing legislation among nurses in China: A multicenter cross-sectional study.International journal of nursing studies advances · 2026Article
- Perceived Effectiveness of Workplace Violence Prevention Strategies Among Bulgarian Healthcare Professionals: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Advancing healthcare worker safety in an academic hospital setting: a mixed methods quality improvement initiative protocol.Frontiers in health services · 2026Article
- Assessing workplace well-being in healthcare: The violence-prevention climate and its relationship with workplace happiness.International nursing review · 2025Article
- "Divergent Needs and the Empathy Gap": Exploring the Experience of Workplace Violence Against Nurses Employed in the Emergency Department.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Prevalence, risk factors and psychological consequences of workplace violence among health workers in the Greater Accra region, Ghana: a cross-sectional study.BMC public health · 2024Article
- A Qualitative Systematic Review of Healthcare Practitioners' Experience of Workplace Violence.The Malaysian journal of medical sciences : MJMS · 2024Review
- Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study.AIMS public health · 2024Article
- Effect of workplace violence on health workers injuries and workplace absenteeism in Bangladesh.Global health research and policy · 2023Article
- Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave.Healthcare (Basel, Switzerland) · 2023Article
- A Qualitative Study of Emergency Physicians' and Nurses' Experiences Caring for Patients With Psychiatric Conditions and/or Substance Use Disorders.Annals of emergency medicine · 2023Article
- Reducing Violence in Riyadh's Emergency Departments: The Critical Role of Healthcare Providers.Healthcare (Basel, Switzerland) · 2023Article
- Management staff's perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria: a qualitative study.Frontiers in public health · 2023Article
- Safe Spaces: Mitigating Potential Aggression in Acute Care Psychiatry.Focus (American Psychiatric Publishing) · 2023Article
- Emergency Psychiatry: Updates, Future Directions, and Core Concepts.Focus (American Psychiatric Publishing) · 2023Article
- Article
- Risk of Burnout among Emergency Department Staff as a Result of Violence and Aggression from Patients and Their Relatives.International journal of environmental research and public health · 2022Article
- Dilemmas and Repercussions of Workplace Violence against Emergency Nurses: A Qualitative Study.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesViolence towards emergency department healthcare workers is pervasive and directly linked to provider wellness, productivity and job satisfaction. This qualitative study aimed to identify the cognitive and behavioural processes impacted by workplace violence to further understand why workplace violence has a variable impact on individual healthcare workers.
designQualitative interview study using a phenomenological approach to initial content analysis and secondary thematic analysis.
settingThree different emergency departments.
participantsWe recruited 23 emergency department healthcare workers who experienced a workplace violence event to participate in an interview conducted within 24 hours of the event. Participants included nurses (n=9; 39%), medical assistants (n=5; 22%), security guards (n=5; 22%), attending physicians (n=2; 9%), advanced practitioners (n=1; 4%) and social workers (n=1; 4%).
resultsFive themes emerged from the data. The first two supported existing reports that workplace violence in healthcare is pervasive and contributes to burn-out in healthcare. Three novel themes emerged from the data related to the objectives of this study: (1) variability in primary cognitive appraisals of workplace violence, (2) variability in secondary cognitive appraisals of workplace violence and (3) reported use of both avoidant and approach coping mechanisms.
conclusionHealthcare workers identified workplace violence as pervasive. Variability in reported cognitive appraisal and coping strategies may partially explain why workplace violence negatively impacts some healthcare workers more than others. These cognitive and behavioural processes could serve as targets for decreasing the negative effect of workplace violence, thereby improving healthcare worker well-being. Further research is needed to develop interventions that mitigate the negative impact of workplace violence.
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