Observational studyJournal of clinical nursing2026
Prevalence and Determinants of Workplace Violence Against Nurses in the Italian Home Care Settings: A Cross-Sectional Multicentre Study.
Observational study in Journal of clinical nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- 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
- Prevalence and Determinants of Workplace Violence Against Nurses in the Italian Home Care Settings: A Cross-Sectional Multicentre Study.Journal of clinical nursing · 2026Observational
- The Shift in Delivery of Care from Hospital to Community Care Settings: What Changes in Terms of Healthcare Workers' Exposure to Violence.Healthcare (Basel, Switzerland) · 2026Article
- Scoping Review of Communication Assessment Tools for Family Caregivers: Current Status, Clinical Translation Gaps, and Future Directions.Journal of multidisciplinary healthcare · 2026Review
- Machine Learning Models for Identifying Factors Associated With Workplace Violence Among Emergency Nurses: A Comparative Study.Emergency medicine international · 2026Article
- The Association Between Healthy Work Environment and Work Engagement Among Intensive Care Unit Nurses: The Mediating Roles of Self-Efficacy and Compassion Fatigue.Journal of nursing management · 2026Observational
- Verbal Workplace Violence and Burnout Among Italian Nurses: The Role of Self-Efficacy and Coping.SAGE open nursingArticle
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Authors and funding
19 authors.
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Abstract
aimsTo describe the prevalence and determinants of workplace violence against nurses in the Italian home care setting.
designSecondary cross-sectional analysis of data from the multicentre study AIDOMUS-IT.
methodsNurses employed in home care services provided by Italian Local Health Authorities were interviewed using a variety of instruments. A multivariable binary logistic regression model was performed to model the risk of workplace violence against nurses in the last 12 months. Variables related to violence were selected among sociodemographic characteristics (such as age and gender), work-related factors (including years of experience, team composition, overtime working, previous experience in mental health care, burnout) and organisational elements (including leadership and support, workload, staffing and resources adequacy, and time to reach the patients' homes). Adjusted odds ratios (aOR) were used to present the results.
resultsA total of 3949 nurses participated in the study and 20.49% of them reported to have experienced an episode of violence in the last 12 months. Determinants of higher risk of violence episodes were younger age (aOR = 1.02, p = 0.002), higher workload (aOR = 1.01, p = 0.002), working in a multiprofessional team (aOR = 1.24, p = 0.018), perception of inadequate managerial leadership and support (aOR = 1.38, p = 0.003), and higher burnout levels (aOR = 1.01, p < 0.001).
conclusionThe prevalence of workplace violence against Italian home care nurses is high. Several modifiable determinants were found to be associated with a higher risk of violence, which can potentially be mitigated with tailored interventions. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Effective preventive strategies must be developed to lessen workplace violence against nurses in the home care setting. These strategies should focus on strengthening nursing managers' leadership and support skills, enhancing team-building strategies, avoiding inadequate workload, monitoring nurses' burnout, estimating optimum staffing levels, and assigning advanced-career nurses to home care services. These measures are imperative to guarantee the quality and safety of home care organisations and to attain favourable outcomes in the provision of care. IMPACT: This study aimed to explore the prevalence and determinants of workplace violence against nurses in the Italian home care settings. We found that out of the 3949 nurses surveyed, 20% of the sample reported one episode of violence during the last 12 months. Determinants of this violence included younger age, higher workload and burnout, being in a multiprofessional team, and perception of lack of leadership and support by the nurse manager. The results of this study can be used to tailor interventions aimed at mitigating the risk factors of violence, particularly those that can be modified (e.g., workload, burnout, and leadership). REPORTING
methodThe study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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