Experiences of violence against nurses by geriatric patients in a tertiary hospital : a qualitative study

Abstract

Violence against nurses is a growing concern, but there is limited understanding of the experiences of nursing staff working with geriatric patients, despite the unique challenges and dynamics in this setting. This study aims to explore the experiences of violence towards nursing staff in a tertiary hospital in Western Sydney. A qualitative descriptive approach, underpinned by naturalistic inquiry, was utilised to gain insight into the subjective experiences of participants. Participants were recruited using a purposive sampling technique, while data collection was through semi-structured digitally recorded interviews that lasted for 30-45 minutes. Thematic analysis was guided by Braun and Clarke framework. A total of 14 nurse participants took part in this study. One overarching theme ‘expect the unexpected’ and three subthemes ‘managing the violent workplace’, ‘exploring the jungle of emotions’ and ‘exploring sources of support’ emerged. The overarching theme ‘expect the unexpected’ talks about the unpredictability of the patient cohort that nurses are working with. In the section discussing ‘managing the violent workplace’, individuals shared their encounters with violence, along with coping strategies. Nurses recounted the multitude of emotions they must navigate, with fear and distress being particularly prominent in the sub theme ‘exploring the jungle of emotions’. Within the sub theme of ‘exploring sources of support’, participants emphasised both formal and informal networks they relied on to seek assistance when they experience violence at work. This study found that nurses work in unpredictable environments. By exploring the experiences of nurses, the study provided insights into the nature and contextual factors contributing to violence, the emotional and psychological impact on nursing staff, and potential coping mechanisms employed. The research also identifies systemic factors and organisational interventions that can help prevent and manage violence effectively. This study contributes to the existing literature by addressing the gap in knowledge regarding violence against nursing staff working with geriatric patients. The insights gained from this research have practical implications for healthcare organisations, policymakers, and educators. The findings could inform the development of targeted interventions, guidelines, and policies to ensure the safety and well-being of nursing staff.

Date of Award	2023
Original language	English
Awarding Institution	Western Sydney University
Supervisor	Olayide Ogunsiji (Supervisor)