Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study

BackgroundViolence against healthcare workers in psychiatric settings is a concern in the literature. Violence effects for healthcare professionals and organizations include an absence from work due to injury or illness, a decreased job satisfaction, and a lower quality of work. The aim of this stud...

Full description

Saved in:
Bibliographic Details
Main Authors: Ilenia Piras, Igor Portoghese, Massimo Tusconi, Federica Minafra, Mariangela Lecca, Giampaolo Piras, Paolo Contu, Maura Galletta
Format: Article
Language:English
Published: AIMS Press 2024-12-01
Series:AIMS Public Health
Subjects:
Online Access:https://www.aimspress.com/article/doi/10.3934/publichealth.2024059
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832590291966623744
author Ilenia Piras
Igor Portoghese
Massimo Tusconi
Federica Minafra
Mariangela Lecca
Giampaolo Piras
Paolo Contu
Maura Galletta
author_facet Ilenia Piras
Igor Portoghese
Massimo Tusconi
Federica Minafra
Mariangela Lecca
Giampaolo Piras
Paolo Contu
Maura Galletta
author_sort Ilenia Piras
collection DOAJ
description BackgroundViolence against healthcare workers in psychiatric settings is a concern in the literature. Violence effects for healthcare professionals and organizations include an absence from work due to injury or illness, a decreased job satisfaction, and a lower quality of work. The aim of this study is to identify the consequences of violence on the health, work habits, and performance of nurses working with psychiatric patients.MethodsThe study was conducted using semi-structured interviews with 18 nurses from different hospitals and territorial psychiatric settings in Southern Italy. The interviews were conducted from July to December 2020 by telephone and were recorded with the consent of the participants. The collected data were transcribed and analyzed.ResultsThe narratives revealed five main themes: (1) Feelings about the violence experienced; (2) the effects of violent incidents on nurses; (3) features of the mental health setting related to the phenomenon of the assault; (4) the care and organizational aspects to prevent the assault; and (5) the care in psychiatric settings during the COVID-19 pandemic. The aggressions resulted in a change in the nurses' work habits and performances; they were more careful after the aggression and modified their approach to the patient. Additionally, the nurses discussed developing skills and strategies to protect themselves and avoid aggression.ConclusionsAggression has a negative impact on the health and work performance of nurses. Adopting personal and nursing strategies in place to prevent aggression allows them to improve the patient care and to protect themselves from such incidents. The creation of a safer work environment by healthcare organizations in which professionals work can improve their health, job performance, and the effectiveness of psychiatric nursing care.
format Article
id doaj-art-e2e5cef4464441ec9b1b0b3ffbd9410e
institution Kabale University
issn 2327-8994
language English
publishDate 2024-12-01
publisher AIMS Press
record_format Article
series AIMS Public Health
spelling doaj-art-e2e5cef4464441ec9b1b0b3ffbd9410e2025-01-24T01:32:41ZengAIMS PressAIMS Public Health2327-89942024-12-011141137115610.3934/publichealth.2024059Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative studyIlenia Piras0Igor Portoghese1Massimo Tusconi2Federica Minafra3Mariangela Lecca4Giampaolo Piras5Paolo Contu6Maura Galletta7Clinical Trials Sector, General Affairs, ‘A. Cao’ Microcythemic Hospital, ASL Cagliari, Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Monserrato, ItalyDepartment of Psychiatry, University of Cagliari, Cagliari, ItalyNursing Home Gersia, Selargius, ItalySurgical Department, SS. Trinità Hospital, ASL Cagliari, Cagliari, ItalySardinia Regional Health Emergency Service, Cagliari, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Monserrato, ItalyDepartment of Medical Sciences and Public Health, University of Cagliari, Monserrato, ItalyBackgroundViolence against healthcare workers in psychiatric settings is a concern in the literature. Violence effects for healthcare professionals and organizations include an absence from work due to injury or illness, a decreased job satisfaction, and a lower quality of work. The aim of this study is to identify the consequences of violence on the health, work habits, and performance of nurses working with psychiatric patients.MethodsThe study was conducted using semi-structured interviews with 18 nurses from different hospitals and territorial psychiatric settings in Southern Italy. The interviews were conducted from July to December 2020 by telephone and were recorded with the consent of the participants. The collected data were transcribed and analyzed.ResultsThe narratives revealed five main themes: (1) Feelings about the violence experienced; (2) the effects of violent incidents on nurses; (3) features of the mental health setting related to the phenomenon of the assault; (4) the care and organizational aspects to prevent the assault; and (5) the care in psychiatric settings during the COVID-19 pandemic. The aggressions resulted in a change in the nurses' work habits and performances; they were more careful after the aggression and modified their approach to the patient. Additionally, the nurses discussed developing skills and strategies to protect themselves and avoid aggression.ConclusionsAggression has a negative impact on the health and work performance of nurses. Adopting personal and nursing strategies in place to prevent aggression allows them to improve the patient care and to protect themselves from such incidents. The creation of a safer work environment by healthcare organizations in which professionals work can improve their health, job performance, and the effectiveness of psychiatric nursing care.https://www.aimspress.com/article/doi/10.3934/publichealth.2024059workplace violencenursesmental health carequalitative studyhealth consequences for workers
spellingShingle Ilenia Piras
Igor Portoghese
Massimo Tusconi
Federica Minafra
Mariangela Lecca
Giampaolo Piras
Paolo Contu
Maura Galletta
Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
AIMS Public Health
workplace violence
nurses
mental health care
qualitative study
health consequences for workers
title Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
title_full Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
title_fullStr Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
title_full_unstemmed Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
title_short Professional and personal experiences of workplace violence among Italian mental health nurses: A qualitative study
title_sort professional and personal experiences of workplace violence among italian mental health nurses a qualitative study
topic workplace violence
nurses
mental health care
qualitative study
health consequences for workers
url https://www.aimspress.com/article/doi/10.3934/publichealth.2024059
work_keys_str_mv AT ileniapiras professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT igorportoghese professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT massimotusconi professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT federicaminafra professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT mariangelalecca professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT giampaolopiras professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT paolocontu professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy
AT mauragalletta professionalandpersonalexperiencesofworkplaceviolenceamongitalianmentalhealthnursesaqualitativestudy