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Workplace Violence in the Healthcare Setting: A Healthcare Security Directors Perspective Roger L. Sheets CHPA


The issue of workplace violence in healthcare continues to be a major concern for those working in the healthcare field. There have been several major studies and fact findings related to this issue over the last 15 years. Those include work done by the Emergency Nurses Association and the US Department of Health and Human Services in the United States. The College of Family Physicians in Canada, as well as studies performed in Great Britain by the National Health Service.


Workplace violence within healthcare isn't new. The Bureau of Labor Statistics found that 48% of all nonfatal injuries from occupa- tional assaults happened to nurses and their assistive personnel within a hospital setting. Approximately 22 of every 1,000 nurses have fallen victim to workplace violence.2 But even considering these alarming statistics, few healthcare organizations have developed and implemented a comprehensive workplace safety program.Experts believe that the risk of verbal and physical violence is increasing across diverse types of healthcare settings. For example the most assaulted US worker is the nurse aide, working in a nursing home and the perpetrator is most often an elderly patient, often with dementia. Fifty nine per cent of nurse aides report being assaulted once a week and 16% report that they are assaulted daily.3 The number of elderly in long term care and other healthcare settings will increase dramatically as the US population ages. In addition to nursing home employees, emergency department (ED) workers also voice increasing concern about violence from patients and visitors and many reported that they seldom or never feel safe at work.


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IAHSS: Do Your Part to Prevent Hospital Gun Violence Incorporating Crime Prevention Through Environmental Design (CPTED) concepts into new construction and renovation, develop- ing relationships with local first responders as well as training security and clinical staff are just some of the ways firearm attacks can be thwarted. Most hospital shootings involve gunmen who are determined and have specific targets, which makes gun violence at healthcare facilities very difficult to prevent, according to research released from Johns Hopkins. Despite these findings, hospitals should not give up on trying to prevent gun violence on their campuses. Some attacks where the motive is a grudge or revenge can be prevented with appropriate screening. Emergency department staff should ask victims of domestic violence if their attackers know that they came to the hospital and might follow them to campus. Staff can also be trained to look for signs of depression, which could lead to suicide – another motive for hospital gun violence.


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Want to Contribute an Article or Share Your Research or How You Handled a Situation? Contact Barry Nixon at Barry@wvp911.com


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