Other Titles
Rising Star Poster/Presentation - Rapid Presentation Round
Abstract
Patient Violence against nurses is a widespread problem resulting in both emotional and physical injury to the nurse. Emergency Department (ED) nurses are at an increased risk due to the volume and variety of the patients they serve, and the general chaotic environment of the ED; however, little research has been done examining the characteristics of patients who offend and the physical environment of the ED where the event happened. The aim of this three-article dissertation was to develop a more thorough understanding of the personal attributes (endogenous) of the individual patient and external (exogenous) factors of the ED setting and how they potentially influence violence against nurses in the ED. The first manuscript was a scoping literature review that aimed to gain a deeper understanding of potential precipitating factors for patient violence in the ED. The second manuscript applied Juarez’s Public Health Exposome Conceptual Model (Juarez et al., 2014) to the concept of patient violence against nurses, proposing the novel investigator developed Patient Violence Public Health Exposome (PVPHE) Conceptual Model. This model examined endogenous factors of individuals and how these factors affect the potential for violence. The third manuscript was a descriptive qualitative study guided by Florence Nightingale’s Environmental theory that sought to develop a deeper understanding of the lived experience of ED nurses in Alabama that had been the victim of or witnessed patient violence against nurses and the role the physical environment potentially played in these acts. The findings from all three of these articles helped develop the novel Patient Violence Framework which can be applied to further research and interventions to hopefully mitigate the risk of violence against nurses.
Notes
References:
Juarez, P. D., Hood, D. B., Song, M.-A., & Ramesh, A. (2020). Use of an exposome approach to understand the effects of exposures From the natural, built, and social environments on cardio-vascular disease onset, progression, and outcomes. Frontiers in Public Health, 8, 379. https://doi.org/10.3389/fpubh.2020.00379
Juarez, P. D., Matthews-Juarez, P., Hood, D. B., Im, W., Levine, R. S., Kilbourne, B. J., Langston, M. A., Al-Hamdan, M. Z., Crosson, W. L., Estes, M. G., Estes, S. M., Agboto, V. K., Robinson, P., Wilson, S., & Lichtveld, M. Y. (2014). The public health exposome: A population-based, exposure science approach to health disparities research. International Journal of Environmental Research and Public Health, 11(12), Article 12. https://doi.org/10.3390/ijerph111212866
Nightingale, F. (1898). Notes on nursing what it is, and what it is not. D. Appleton and Company.
Speroni, K. G., Fitch, T., Dawson, E., Dugan, L., & Atherton, M. (2014).Incidence and Cost of Nurse Workplace Violence Perpetrated by Hospital Patients or Patient Visitors. Journal of Emergency Nursing, 40(3), 218–228.https://doi.org/10.1016/j.jen.2013.05.014
Sigma Membership
Beta Phi at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Mixed/Multi Method Research
Keywords:
Nurse-Sensitive Indicators, Workplace Violence, Patient Violence Against Nurses, Violence Against Nurses, Emergency Department
Recommended Citation
Graham, Laura and Bail, Jennifer, "The Patient Violence Framework" (2025). Biennial Convention (CONV). 226.
https://www.sigmarepository.org/convention/2025/presentations_2025/226
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Invited Presentation
Acquisition
Proxy-submission
Date of Issue
2025-12-09
The Patient Violence Framework
Indianapolis, Indiana, USA
Patient Violence against nurses is a widespread problem resulting in both emotional and physical injury to the nurse. Emergency Department (ED) nurses are at an increased risk due to the volume and variety of the patients they serve, and the general chaotic environment of the ED; however, little research has been done examining the characteristics of patients who offend and the physical environment of the ED where the event happened. The aim of this three-article dissertation was to develop a more thorough understanding of the personal attributes (endogenous) of the individual patient and external (exogenous) factors of the ED setting and how they potentially influence violence against nurses in the ED. The first manuscript was a scoping literature review that aimed to gain a deeper understanding of potential precipitating factors for patient violence in the ED. The second manuscript applied Juarez’s Public Health Exposome Conceptual Model (Juarez et al., 2014) to the concept of patient violence against nurses, proposing the novel investigator developed Patient Violence Public Health Exposome (PVPHE) Conceptual Model. This model examined endogenous factors of individuals and how these factors affect the potential for violence. The third manuscript was a descriptive qualitative study guided by Florence Nightingale’s Environmental theory that sought to develop a deeper understanding of the lived experience of ED nurses in Alabama that had been the victim of or witnessed patient violence against nurses and the role the physical environment potentially played in these acts. The findings from all three of these articles helped develop the novel Patient Violence Framework which can be applied to further research and interventions to hopefully mitigate the risk of violence against nurses.
Description
Patient Violence against nurses is a widespread problem. Emergency Department nurses are at an increased risk due to the volume and variety of the patients they serve, and the general chaotic environment of the ED. This three-article dissertation found that both endogenous and exogenous factors influence the potential for patient violence and that by implementing the novel Patient Violence Framework both system wide and bedside nursing interventions could potentially mitigate this risk.