KNOWLEDGE AND ATTITUDE TOWARDS WORKPLACE VIOLENCE AMONG NURSES
DOI:
https://doi.org/10.71000/b99vq696Keywords:
Attitude of Health Personnel, Cross-Sectional Studies, Hospitals, Nurses, Occupational Violence, Patient Care, Workplace SafetyAbstract
Background: Workplace violence in healthcare is a persistent global concern that severely impacts nurses’ well-being, professional integrity, and quality of patient care. Nurses are frequently exposed to verbal, physical, and psychological abuse due to high workloads, patient interactions, and emotionally charged environments. Factors such as understaffing, night shifts, and lack of institutional policies further intensify the risk. Understanding nurses’ knowledge and attitudes toward workplace violence is crucial for developing responsive policies and ensuring safer work environments.
Objective: To assess the knowledge and attitudes of nurses regarding workplace violence in a tertiary care hospital in Lahore.
Methods: A descriptive cross-sectional study was conducted over three months among 133 registered nurses in a tertiary hospital in Lahore. Nurses with over two years of clinical experience were included. Data were collected using a structured, modified questionnaire comprising demographic data, knowledge, and attitude components. SPSS version 26 was used for analysis, applying descriptive statistics and chi-square tests to explore associations between demographic variables and workplace violence experiences. Ethical approval was obtained, and informed consent was secured from all participants.
Results: Out of 133 nurses, 93.2% were female and 63.2% were aged between 31–35 years. A total of 61.7% had witnessed workplace violence, and 48.1% had experienced it more than once. Psychological violence was reported by 60.9%, physical by 26.3%, and sexual violence by 12.8%. Verbal abuse was the most common form (46.6%). The main sources were patients’ relatives (47.4%) and patients (27.8%). Violence was seen to impact nurse dignity (82.7%), care quality (68.4%), and staff turnover (60.9%).
Conclusion: Workplace violence significantly affects nurses' professional and emotional well-being. Interventions such as policy enforcement, training, and support mechanisms are essential to foster a safer clinical environment.
References
Adedokun M. Workplace Violence in the Healthcare Sector. A review of the Literature. 2020.
Prokopenko M. Violence and harassment at the work in the light of the new ILO Convention No. 190. 2020.
Yahia Mohammed S, Farouk OA, Samir N, Morsy A. Nurses Attitudes and Reactions Regarding Workplace Violence in Obstetrics and Gynecological Departments. Egyptian Journal of Health Care. 2022;13(4):323-36.
MATIAS RBB, BUNGATO Jr GC. The Effects of Business Management Practices on Financial Performance: Evidence from Freight Forwarders in the Philippines. The Journal of Asian Finance, Economics and Business. 2021;8(12):169-81.
Alzoubi FA, Jaradat D, Juda AA. Verbal abuse among newly hired registered Jordanian nurses and its correlate with self-esteem and job outcomes. Heliyon. 2021;7(4).
Bernardes MLG, Karino ME, Martins JT, Okubo CVC, Galdino MJQ, Moreira AAO. Workplace violence among nursing professionals. Revista brasileira de medicina do trabalho. 2020;18(3):250.
Mohd Hatta FH, Samsudin EZ, Aimran N, Ismail Z. Development and validation of Questionnaires to Assess Workplace Violence Risk Factors (QAWRF): a tripartite perspective of worksite-specific determinants in healthcare settings. Risk Management and Healthcare Policy. 2023:1229-40.
Somani R, Muntaner C, Hillan E, Velonis AJ, Smith P. A systematic review: effectiveness of interventions to de-escalate workplace violence against nurses in healthcare settings. Safety and health at work. 2021;12(3):289-95.
Mobaraki A, Aladah R, Alahmadi R, Almuzini T, Sharif L. Prevalence of workplace violence against nurses working in hospitals: a literature review. Am J Nurs. 2020;9(2):84-90.
Hamzah ZR, Al-Ameri MHI. Impact of Physical Violence on the Mental Health of the Nurses Working in the Teaching Hospitals of Al-Dewaniya City, Iraq. International Journal of Psychosocial Rehabilitation. 2020;24(07).
Babiarczyk B, Turbiarz A, Tomagová M, Zeleníková R, Önler E, Sancho Cantus D. Reporting of workplace violence towards nurses in 5 European countries–a cross-sectional study. International journal of occupational medicine and environmental health. 2020;33(3):325-38.
Hossain MM, Sharma R, Tasnim S, Al Kibria GM, Sultana A, Saxena T. Prevalence, characteristics, and associated factors of workplace violence against healthcare professionals in India: a systematic review and meta-analysis. MedRxiv. 2020:2020.01. 01.20016295.
Soomro BA, Zehri AW, Anwar S, Abdelwahed NAA, Shah N. Developing the relationship between corporate cultural factors and employees' organizational commitment via self-efficacy. South Asian Journal of Business Studies. 2023.
Santos Jd, Meira KC, Coelho JC, Dantas ESO, Oliveira LV, Oliveira JSAd, et al. Violências relacionadas ao trabalho e variáveis associadas em profissionais de enfermagem que atuam em oncologia. Ciência & Saúde Coletiva. 2021;26:5955-66.
Silva LRM. Conhecimento e acesso às tecnologias de cuidado à saúde para as pessoas com Doença Falciforme. 2021.
Oliveira CDS, Galdino MJQ, Barreto MFC, Scholze AR, Gomes JRDM, Martins JT. Violência no trabalho: vivências e estratégias de enfrentamento por enfermeiros de unidades de pronto atendimento. Ciencia y enfermería. 2022;28.
Rahmatika N, Nadjib M, editors. Violence on Health Workers at The Workplace and Its Management Strategy: A Systematic Review. The International Conference on Public Health Proceeding; 2023.
Chakraborty S, Mashreky SR, Dalal K. Violence against physicians and nurses: a systematic literature review. Journal of Public Health. 2022;30(8):1837-55.
Zheng W, Li Q, Zou X-b, Wang J-w, Han F, Li F, et al. Evaluation of contrast-enhanced US LI-RADS version 2017: application on 2020 liver nodules in patients with hepatitis B infection. Radiology. 2020;294(2):299-307.
Pratiwi RS, Salim U, Sunaryo S. The effect of brand experience and perceived value on brand loyalty mediated by brand trust. Jurnal Aplikasi Manajemen. 2021;19(2):310-8.
Al‐Maskari S, Al‐Busaidi I, Al‐Maskari M. Workplace violence against emergency department nurses in Oman: a cross‐sectional multi‐institutional study. International nursing review. 2020;67(2):249-57.
Agbornu FMK, Boafo IM, Ofei AMA. Effects of workplace violence on the quality of care by nurses: A study of the Volta Region of Ghana. International Journal of Africa Nursing Sciences. 2022;16:100421.
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Copyright (c) 2025 Fouzia Noreen , Hafiza saima Riaz , Ramzana kousar , Ishrat Perveen , Nadia Bibi, Ayesha siddiqa (Author)
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