The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework

AIM: To examine the relationships between workload factors at different systems levels (unit level, job level and task level), patients/family complaints and nurse reports of patient violence towards them using a human factors framework. DESIGN: This is a secondary analysis of cross‐sectional data....

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Detalles Bibliográficos
Autores principales: Havaei, Farinaz, MacPhee, Maura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113506/
https://www.ncbi.nlm.nih.gov/pubmed/32257260
http://dx.doi.org/10.1002/nop2.444
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author Havaei, Farinaz
MacPhee, Maura
author_facet Havaei, Farinaz
MacPhee, Maura
author_sort Havaei, Farinaz
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description AIM: To examine the relationships between workload factors at different systems levels (unit level, job level and task level), patients/family complaints and nurse reports of patient violence towards them using a human factors framework. DESIGN: This is a secondary analysis of cross‐sectional data. METHODS: Data from 528 nurses working in medical–surgical settings in British Columbia, Canada, were analysed. At the unit‐level workload factors included patient‐RN ratios, patient acuity and dependency; at the job‐level perceptions of heavy workload, undone nursing tasks and compromised professional standards due to workload; and at the task‐level interruptions to workflow. RESULTS: Workload factors at multiple levels were directly related to workplace violence. Nurses' increased reports of compromised standards (job level) and interruptions (task level) were related to increased reports of physical and emotional violence, and higher patient acuity (unit level) was related to increased reports of emotional violence. Patient/family complaints mediated the relationship between almost all the workload factors and workplace violence.
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spelling pubmed-71135062020-04-02 The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework Havaei, Farinaz MacPhee, Maura Nurs Open Research Articles AIM: To examine the relationships between workload factors at different systems levels (unit level, job level and task level), patients/family complaints and nurse reports of patient violence towards them using a human factors framework. DESIGN: This is a secondary analysis of cross‐sectional data. METHODS: Data from 528 nurses working in medical–surgical settings in British Columbia, Canada, were analysed. At the unit‐level workload factors included patient‐RN ratios, patient acuity and dependency; at the job‐level perceptions of heavy workload, undone nursing tasks and compromised professional standards due to workload; and at the task‐level interruptions to workflow. RESULTS: Workload factors at multiple levels were directly related to workplace violence. Nurses' increased reports of compromised standards (job level) and interruptions (task level) were related to increased reports of physical and emotional violence, and higher patient acuity (unit level) was related to increased reports of emotional violence. Patient/family complaints mediated the relationship between almost all the workload factors and workplace violence. John Wiley and Sons Inc. 2020-01-15 /pmc/articles/PMC7113506/ /pubmed/32257260 http://dx.doi.org/10.1002/nop2.444 Text en © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Havaei, Farinaz
MacPhee, Maura
The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title_full The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title_fullStr The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title_full_unstemmed The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title_short The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework
title_sort impact of heavy nurse workload and patient/family complaints on workplace violence: an application of human factors framework
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113506/
https://www.ncbi.nlm.nih.gov/pubmed/32257260
http://dx.doi.org/10.1002/nop2.444
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