Evidence map›Paper›PMID 40200356›Full record

ArticleBMC nursing2025

Barriers to reporting workplace violence: a qualitative study of nurses' perceptions in tertiary care settings.

Nadia Bassuoni Elsharkawy, Abeer Nuwayfi Alruwaili, Osama Mohamed Elsayed Ramadan, Majed Mowanes Alruwaili, Ali Alhaiti, Enas Mahrous Abdelaziz

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nadia Bassuoni ElsharkawyDepartment of Maternity and Pediatric Health Nursing, College of Nursing, Jouf University, Sakaka, 72388, Saudi Arabia.ORCID http://orcid.org/0000-0002-3316-7312
Abeer Nuwayfi AlruwailiDepartment of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka, 72388, Saudi Arabia. analrwili@ju.edu.sa.ORCID http://orcid.org/0000-0003-3345-4300
Osama Mohamed Elsayed RamadanDepartment of Maternity and Pediatric Health Nursing, College of Nursing, Jouf University, Sakaka, 72388, Saudi Arabia. omramadan@ju.edu.sa.ORCID http://orcid.org/0000-0002-9616-8590
Majed Mowanes AlruwailiDepartment of Nursing Administration and Education, College of Nursing, Jouf University, Sakaka, 72388, Saudi Arabia.ORCID http://orcid.org/0000-0001-8491-8190
Ali AlhaitiDepartment of Nursing, College of Applied Sciences, Almaarefa University, Diriyah, Riyadh, 13713, Saudi Arabia.
Enas Mahrous AbdelazizDepartment of Psychiatric Mental Health Nursing, College of Nursing, Jouf University, Sakaka, Jouf, 72388, Saudi Arabia.ORCID http://orcid.org/0000-0002-5748-6887

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace violence (WPV) remains a formidable concern among nurses worldwide, with up to 60% in Saudi Arabia reportedly experiencing some form of aggression. In tertiary care hospitals, robust hierarchies and cultural norms intensify underreporting, thwarting evidence-based prevention and obscuring vital data.

aimThis qualitative study investigated the perceived barriers to WPV reporting among nurses in tertiary care settings in the Aljouf region of Saudi Arabia, specifically addressing how organizational and cultural factors converge to discourage formal incident reporting.

methodsA qualitative descriptive design was employed, guided by Ajzen's Theory of Planned Behavior and the Social Ecological Model. Thirty-six registered nurses, purposively sampled from three tertiary hospitals, participated in six semi-structured focus groups conducted in Arabic or English, depending on participant preference. Data were thematically analyzed in NVivo, with methodological rigor ensured through triangulation and inter-coder reliability.

resultsThree principal themes emerged: (1) Emotional and Psychological Barriers (78%), encompassing distress, anxiety, and fears of professional blame; (2) Organizational Ineffectiveness (65%), marked by convoluted reporting processes and perceived managerial indifference; and (3) Cultural and Hierarchical Influences (57%), reflecting deference to authority and normalization of violence. These themes illustrate how attitudes, subjective norms, and perceived behavioral control shaped by socio-cultural dynamics collectively contribute to persistent underreporting.

conclusionsMitigating WPV underreporting in Saudi tertiary care hospitals requires streamlined, user-friendly reporting channels, leadership accountability, and holistic psychosocial support. Implementing interprofessional education aimed at dismantling hierarchical imbalances can foster a zero-tolerance ethos toward violence. Longitudinal and comparative research should further examine evolving reporting behaviors to refine context-specific, culturally attuned strategies for addressing WPV. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Hierarchical influencesNursingQualitative descriptiveSaudi ArabiaSocial ecological modelTertiary careTheory of planned behaviorUnderreportingWorkplace violence

Identifiers

PMID40200356
PMCPMC11980070

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.