Date of Award

January 2025

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Elizabeth Molle

Abstract

Abstract

Developing a Standardized Workplace Violence Prevention Program for Healthcare Leaders to Enhance Safety

The increasing threat of Type 2 workplace violence (client on staff) in healthcare disproportionately impacts employees such as Nurses. Desensitization to this growing trend in healthcare has contributed to perceptions that WPV has become an unavoidable risk, especially for those delivering care in high-risk areas such as the emergency department (ED).

The critical need to reevaluate WPV prevention strategies in healthcare, while highlighting systemic failures such as underreporting, is integral to driving a culture of safety. This project aimed to provide a post-incident Type 2 WPV response framework for Nurse leaders in the ED, with the goal of fostering a collective commitment to safety and transforming cultural narratives that normalize WPV.

The project was implemented for two months between November and December in 2024. Unit data and information pertaining to submitted Type 2 WPV reports were reflected in a “safety scorecard” which promoted transparency across participating sites. Results also included safety self-efficacy scores, utilizing a modified Bandura assessment, which distinguished results between verbal and physical Type 2 WPV. Program evaluations were shared with results being analyzed descriptively, to assess feedback and consider for future improvement.

Comments

This is an Open Access Thesis.

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