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Workplace Violence Prevention Training: A Cross-sectional Study of Home Healthcare Workers

Small, Tamara
http://orcid.org/0000-0001-7248-9093
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595850151324948

Abstract Details

2020, PhD, University of Cincinnati, Nursing: Nursing - Doctoral Program.
Introduction: HHCWs are at increased risk for WPV due to working alone in unsupervised, unpredictable, and potentially dangerous work environments. Similar to healthcare workers employed in institutionalized settings, HHCWs primarily experience Type II, verbal abuse from patients. Little is known about how HHCWs promote personal safety while at work. Guided by Haddon’s Matrix, the purpose of this manuscript option dissertation was to estimate WPV exposures and identify interventions and resources used by HHCWs to promote personal safety and mitigate and prevent WPV. For this manuscript option dissertation, there are three distinct projects, all related to HHCWs and exposure to WPV. Methods: For project one, Whittemore and Knafl’s (2005) methodology was used to conduct the integrative review. Project two used a cross-sectional design to describe the work environment of HHCWs and their WPV prevention training and resources. Data were analyzed using frequencies and percentages. Project three used a cross-sectional design to describe WPV incidents and the reporting behaviors of HHCWs. Data were analyzed using frequencies, percentages, means, and SD. Results: In project one, interventions and resources were identified for HHCWs. WPV prevention training was found to be an effective intervention for mitigating WPV incidents and increasing HHCWs confidence and knowledge about WPV. In project two, HHCWs identified WPV prevention training and resources promoting personal safety. A cell phone was primarily used but was infrequently provided by the agency. An escort or buddy system was rarely used by HHCWs. Not all HHCWs are provided WPV prevention training and resources, and training content is inadequate. In project three, the majority of WPV experienced by HHCWs was Type II, verbal abuse when the vector is the patient or the patient's family member and Type IV, iii physical assault when the vector is an intimate partner. HHCWs who experienced Type II and Type IV WPV tend to underreport incidents. Major reasons for not reporting WPV incidents include perceived beliefs of WPV is part of the job, the WPV incident was too minor, and no action would be taken against the vector. Conclusions: HHCWs experienced Type II, III, and IV WPV and underreported Type II and IV WPV incidents. WPV prevention training and resources promote the personal safety of HHCWs. There is a need to increase access to WPV prevention training and improve training content so that it is specific to HHCWs and their work environment. WPV prevention training should include content on intimate partner violence against HHCWs and a process for reporting WPV incidents. Future research includes examining the magnitude of Type I, II, III, and IV WPV incidents experienced by HHCWs, the decision-making process used to report WPV incidents, and the effectiveness of WPV prevention training and training content. Further investigation is needed into the coping methods used by HHCWs to deal with Type IV, worker safety, and effect on job duties.
Gordon Gillespie, Ph.D. (Committee Chair)
Kermit Davis, Ph.D. (Committee Member)
Scott Hutton, Ph.D. (Committee Member)
Carolyn Smith, Ph.D. (Committee Member)
173 p.
Nursing
Workplace violence; home healthcare workers; Haddon Matrix; Cross-sectional design

Recommended Citations

Citations

  • Small, T. (2020). Workplace Violence Prevention Training: A Cross-sectional Study of Home Healthcare Workers [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595850151324948

    APA Style (7th edition)

  • Small, Tamara. Workplace Violence Prevention Training: A Cross-sectional Study of Home Healthcare Workers. 2020. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595850151324948.

    MLA Style (8th edition)

  • Small, Tamara. "Workplace Violence Prevention Training: A Cross-sectional Study of Home Healthcare Workers." Doctoral dissertation, University of Cincinnati, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595850151324948

    Chicago Manual of Style (17th edition)

ucin1595850151324948
119
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This open access ETD is published by University of Cincinnati and OhioLINK.