Exploring Barriers and Facilitators in Nurses' Reporting of Patient and Visitor Violence: A Cross-sectional Survey

Author:

Cai Jianzheng1,Ying Yajie1,Wang Haifang1,Yu Weixia1,Wu Sisi2,Zhang Yingying1,Wang Yalan1

Affiliation:

1. Department of Nursing, the First Affiliated Hospital of Soochow University

2. Medical Branch, Shanghai Jiao Tong University Press

Abstract

Abstract

Background: Patient and visitor violence (PVV) among nurses has emerged as a critical issue, posing a significant threat to nurses’ occupational safety. The primary measures employed to understand and respond to PVV is nurses’ reporting. However, the current status of PVV reporting among nurses have proven inadequate. Therefore, it is essential to explore the barriers and facilitators in nurses' reporting of PVV. Methods: A random sample of 3,363nurses in Jiangsu Province, China, was collected between January and July 2023. The binary logistic regression was utilized to ascertain the factors influencing the study parameters. Results: Out of the 3,363 surveyed nurses, 1,813 (53.9%) reported experiencing PVV withinthe past year. Notably, only16.1% of these nurses proactively reported PVV incidents after encountering them. Factors that facilitatedreporting of PVV comprised being male, working in specialized hospitals, serving in departments with a high prevalence of PVV, possessing lively personalities, prior awareness of PVV, and having hospitals that actively encouraged reporting while safeguarding staff interests. Conversely, factors impeding nurses from reporting PVV included having night shifts 5-9 times per month and selectively reporting based on the severity of the violence. Conclusion: The reporting rate of PVV among nurses was notably low. Nursing managers should consider implementingcomprehensive measures that address both the facilitating and blocking factors identified in the study. This strategic approach aims to enhance the reporting rate of PVV incidents among nurses, fostering a safer and more supportive environment within healthcare settings.

Publisher

Research Square Platform LLC

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