b'AWARENESS GUIDE| According to WHO, physical and psychological harm, including attacks, verbal abuse, bullying, and sexual and racial harassment, are workplace violence.ing the problem. Support from manage- healthcare, both superior to subordinate andHealthcare. https://allegralearning/ment is critical in creating a safe workplace.horizontally. Many healthcare employees doworkplace-violence-healthcareEnvironmental modifications such as avail- not feel that their WPV prevention programsAmerican Nurses Association (2019). able alarms, improved lighting, and markedeffectively address bullying in their facilities.Reporting Incidents of Workplace exits increase healthcare workers security.The perpetrators continue their bullyingViolence. https://www.nursingworld,org/Training programs for employees in recog- behavior without accountability. Employeesglobalassests/practiceandpolicy/work-en-nizing WPV and de-escalation strategies arewho complain are troublemakers despitevironment/endnurseabuse-issue-brief-fi-recommendations to reduce WPV. Creatingorganizational directives to the contrary. nal.pdfan electronic database where employeesProfit-driven management models signifi- Arnetz, J., Hamblin, L.E., Sudan, S. can anonymously report violent events andcantly influence the implementation of WPV& Arnetz, B. (2018). Organization processes for disclosing violence increasesprevention programs. Profit motives resultDeterminants of Workplace Violence reporting accuracy. in under-funded programs and resources.Against Hospital Workers. Journal The drive to generate profit creates a per- of Occupational Environmental BARRIERS TO IMPLEMENTATION OF WPVmissive culture. Managements awareness ofMedicine, 60(8), 638-699. Doi: 10.1097/PREVENTION PROGRAMS the financial impact of worker productivity,JOM0000000000001345Under-reporting is a well-recognized obstacleretention, and patient satisfaction is essen- Blando, J., Ridenour, M., Hartley, D. & to effective WPV program implementation.tial in recognizing the return on investmentCasteel, C. (2015). Barriers to Effective The lack of reporting hinders the identifi- for effective WPV prevention programs con- Implementation of Programs for cation of trends and issues within the facil- tributing to an institutions profitability. Prevention of Workplace Violence in ity. The many reasons for under-reportingCustomer services focus among health- Hospitals. Online Journal of Issues in include: care organizations significantly impactsNursing, 20(1). https://www.ncbi.nlm.nih.Accepting that violence isjust part ofWPV because the customer is alwaysgov/pmc/articles/PMC4719768the job.right mentality results in little to no actionMormon, R.N., Maher, D.P. & Hooten, Fear of retribution taken against abusive patients, visitors, andW.M. (2020). Workplace Violence in A belief that reporting will not changefamilies. Communication regarding thethe Setting of Pain Management. Mayo the system or decrease violent incidents expectation of acceptable behavior amongClinic Proceedings: Innovations, Quality Lack of awareness of the reportingemployees, patients, visitors, and family& Outcomes, 4(2), 211-215. Doi: 10.1016/j.system members can foster a sense of mutual respectmayopiqo.2019.001Lack of training related to managingwithout diminishing the quality of care. OccupationalSafety&Health WPVAdministration (2013). Workplace The person in power receiving the reportCONCLUSION Violence in Healthcare: Understanding is the perpetrator.Workplace violence is prevalent in all organi- the Challenge. https://www.osha.gov/Ambiguity on what constitutes WPV zations, and especially in the healthcare indus- Publiscations/OSHA3826.pdfOne study found that escalation, injury,try. WPV is a significant source of inequality,Stephen, W. (2019). Violence Against and repetition of incidents to be critical fac- discrimination, stigmatization, and conflictHealthcare Workers: A Rising Epidemic. tors increasing motivation to report WPV.resulting in diminished dignity. The conse- AmericanJournalofManaged To effectively implement WPV programs,quences both individually and to organizations management needs to validate employeeare astounding and involve devastating finan- Care. https://www.ajmc/view/vio-reports and take corrective actions. Ifcial, safety, and health-related outcomes.n lence-against-healthcare-workers-a-ris-employees do not feel valued or see the ben- ing-epidemicefits of reporting, they will be less likely toREFERENCES Taylor, R. (2016). Nurses Perceptions of report incidents of WPV. A l leg r aL ea r n i ngSolut ion sHorizontal Violence. Global Qualitative Bullying in all forms is commonplace in(2020). Workplace Violence inResearch. doi: 10.1177/2333393616640028 AWARENESS GUIDE|2020| www.elitecme.com'