Experience of Workplace Violence on Clinical Nurses in Taiwan

Tuesday, 13 July 2010

Hsiang-Chu Pai, MSN, RN
Departmentl of Nursing, Min-Hwei College of Health Care Management & Institute of Medicine of Chung Shan Medical University, Tainan, Taiwan
Sheuan Lee, RN, PhD
College of Nursing, Chung-Shan Medical University, Taichung, Taiwan

Learning Objective 1: understand the Experience of Workplace Violence on Clinical Nurses in Taiwan.

Learning Objective 2: understand the psychological impact of Workplace Violence on Clinical Nurses.

Purpose. Exploring that the workplace violence experienced by clinical nurses in Taiwan.
A cross-sectional survey was conducted across all geographical regions of Taiwan. Members of the Taiwan Nurses Association were randomly invited to complete a “Workplace Violence Questionnaire,” which addressed the types (physical violence, verbal abuse, bullying/mobbing, and sexual harassment) and the perpetrators of the violence, the victims’ reactions, and the disturbance experienced.
A total of 525 nurses completed the questionnaire. Of the participants, 103 (19.6%) indicated they had experienced some kinds of workplace physical violence, 271 (51.6%) had experienced verbal abuse, 156 (29.7%) had experienced bullying/mobbing, and 67 (12.8%) had experienced sexual harassment. The most frequent perpetrators of all types of violence were patients. Participants reported important findings of lateral violence. Multiple logistic analyses indicated that below 30 years of age (odds ratio [OR] = 3.9; 95% confidence interval [CI] = 1.25 to 12.21) and anxiety extremely high level (OR = 4.7; 95%CI = 1.24 to 18.10) increased the odds of verbal violence, bullying/mobbing was associated anxiety high level (OR = 2.7, 95%CI = 1.09 to 6.91). Work shift could increase odds of experiencing sexual harassment (OR = 2.4, 95%CI = 1.32 to 4.25). While physical violence was associated with bachelor’s degree (OR = 3.0, 95%CI = 1.25 to 7.01). The most serious psychological harm was post-traumatic stress disorder (PTSD).

Conclusions. For violence prevention, interventions need to be sensitive to personal factors.