| Learning Objective #1: Apply the principles of restorative justice to the theoretical model of the intersecting continuum and spiral of violence | |||
| Learning Objective #2: Identify at least five strategies which are critical to the success of an integrated, theory- based, systemwide plan to address workplace violence |
Worldwide, violence and terrorism have new, personalized meaning for everyone’s core human need to feel safe. Healthcare personnel experience personal vulnerability to violence from patients, patient families, co-workers, visitors/intruders, and personal relationships. Patients are also victims of violence. The Advanced Practice Psychiatric CNS of a multisite hospital system is responsible for addressing issues of violence system-wide.
Workplace violence is conceptualized as an extensive continuum of violence intersecting with a multi-level spiral of violence. Interventional strategies are focused through the lens of restorative justice principles and Caplan’s concepts of Primary, Secondary and Tertiary Prevention. Addressing systematic issues of exclusion, harassment, misuse of power imbalance, disparity between corporate culture “speak” and action are as critically important to reducing workplace violence as developing weapons policies, redesigning Emergency Rooms and providing violence prevention/intervention training for all personnel based on their risk factors. Achieving congruence with actions and intent requires interrupting the spiral of violence with nonviolent alternatives rather than punishing the offender. Development and implementation of a theory-based, system-wide plan to ensure both patient and personnel safety requires; engaging top-level administrative commitments, tying the plan into the corporate culture, examining cost-benefit ratios, meeting regulatory standards and integrating quality initiatives into the plan. Partnerships cultivated include: Risk Management, Security, Human Resources, Administration, Communities served, College of Nursing, Physicians, Clinical and Non-clinical personnel and Chaplains. This allows everyone to own a part of the problem and become a part of the solution.
Outcomes include: improving patient and personnel safety, maximizing the contributions of the Advanced Practice Clinical Nurse Specialist and meeting regulatory standards of safety.
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