Key Takeaways
- 82% of nurses reported exposure to verbal abuse from patients or visitors in a 2023 survey
- In 2022, 44% of emergency department nurses experienced physical violence
- 75% of nurses in long-term care facilities faced workplace violence in the last year per OSHA data
- Physical assaults make up 25% of all workplace violence incidents against nurses
- Verbal abuse constitutes 68% of reported violence cases
- Sexual harassment reported in 12% of nurse violence incidents
- 85% of assaults perpetrated by patients
- Family/visitors cause 30% of verbal abuse
- 15% of violence from coworkers
- 35% of assaulted nurses required medical treatment
- 52% reported PTSD symptoms post-assault
- 28% job turnover due to violence exposure
- Only 30% of workplace violence incidents are formally reported by nurses
- 49% fear retaliation for reporting
- 70% of hospitals lack violence prevention programs
Workplace violence against nurses is a frequent, widespread, and damaging crisis.
Perpetrator Profiles
- 85% of assaults perpetrated by patients
- Family/visitors cause 30% of verbal abuse
- 15% of violence from coworkers
- Patients under substance influence 40% of physical
- Male patients 70% of physical assailants
- Psychiatric patients 25% higher likelihood
- Elderly patients 20% verbal aggressors
- Intoxicated individuals 35% in ED
- Supervisors 5% bullying sources
- Delirious patients 28%
- Repeat offenders 12% patients
- Males aged 30-50 45% physical
- Family in distress 22%
- Staff with burnout 8%
- Homeless patients 18% aggressors
- Patients with dementia 15%
- Young adults 25-34 32%
- Criminal backgrounds 10%
- Nurses as perps in 7% lateral violence
- Male staff 60% physical perps
- Substance abusers 42%
- Visitors under stress 27%
- Peers in high-stress units 11%
- Patients with pain 19%
- Gang-affiliated 3%
- Caregivers 16%
- Mental illness diagnosed 33%
- Night visitors 14%
- Overweight patients less aggressive 5% less
Perpetrator Profiles Interpretation
Prevalence Rates
- 82% of nurses reported exposure to verbal abuse from patients or visitors in a 2023 survey
- In 2022, 44% of emergency department nurses experienced physical violence
- 75% of nurses in long-term care facilities faced workplace violence in the last year per OSHA data
- A 2021 study found 56% lifetime prevalence of workplace violence among nurses
- 13.1 assaults per 100 nurses annually in psychiatric settings
- 48% of nurses reported non-physical violence weekly
- 28% of U.S. nurses experienced physical assault in past 12 months
- Verbal abuse reported by 60% of nurses daily in hospitals
- 37% of nurses in acute care faced violence from patients
- 65% prevalence in ICU nurses for workplace aggression
- 52% of pediatric nurses reported violence incidents yearly
- 41% of nurses experienced threats of violence
- 70% of night-shift nurses faced verbal abuse
- 33% physical violence rate in ED nurses per year
- 59% of nurses reported stalking behaviors from patients
- 46% incidence in rural hospital nurses
- 67% verbal aggression in oncology units
- 25% physical assaults leading to injury among nurses
- 54% of new graduate nurses experienced violence in first year
- 62% prevalence in public hospitals vs 38% private
- 49% of male nurses reported higher physical violence
- 71% lifetime exposure for veteran nurses
- 39% weekly incidents in COVID wards
- 55% of nurses in Australia reported violence
- 63% verbal abuse from families
- 42% physical violence in mental health units
- 58% overall in Canadian nurses
- 50% increase post-pandemic
- 66% in teaching hospitals
- 45% among travel nurses
Prevalence Rates Interpretation
Prevention and Policy
- Only 30% of workplace violence incidents are formally reported by nurses
- 49% fear retaliation for reporting
- 70% of hospitals lack violence prevention programs
- Training reduces incidents by 34%
- De-escalation training adopted in 45% facilities
- Panic buttons used in 25% hospitals reduce response time 50%
- Zero-tolerance policies in 60% but enforced 20%
- Post-incident support offered to 35%
- Legislation mandates reporting in 15 states
- CCTV in high-risk areas 55% effective deterrent
- Risk assessments annual in 40%
- Employee assistance programs reduce turnover 22%
- Metal detectors in ED 18% facilities
- Mandatory reporting laws cover 50% healthcare workers
- Simulation training cuts assaults 28%
- Visitor screening 32%
- OSHA guidelines followed by 65%
- Anonymous reporting boosts by 40%
- Multi-disciplinary committees in 50%
- Federal funding for prevention $10M annually
- Weapons bans enforced 75%
- Peer support post-assault 27%
- Environmental designs reduce 19%
- Annual audits in 38%
- EAP utilization 18% post-incident
- State laws vary, 20 states require programs
- Tech alerts reduce response 45s avg
- Policy updates post-2020 in 55%
- Compliance training 80% staff yearly
- Benchmarking reduces rates 15%
Prevention and Policy Interpretation
Types of Assaults
- Physical assaults make up 25% of all workplace violence incidents against nurses
- Verbal abuse constitutes 68% of reported violence cases
- Sexual harassment reported in 12% of nurse violence incidents
- Intimidation/threats account for 22% of aggressions
- Bullying by colleagues in 15% of cases among nurses
- Patient-related physical violence 40%, staff-related 10%
- Needle sticks from assaults 5% of injuries
- Racial harassment 8% in diverse settings
- Visitor assaults 18% of total
- Cyberbullying via work comms 7%
- Hitting/punching 30% of physical types
- Spitting incidents 14%
- Sexual assault 3-5%
- Property damage linked violence 9%
- Yelling/screaming 55% verbal
- Grabbing/pushing 35% physical
- Stalking 6%
- Lateral violence 20% from peers
- Biting 12% in peds/psych
- Discrimination-based 11%
- Kicking 18%
- Humiliation 45% verbal subtype
- Weapon use 2%
- Throwing objects 16%
- Insults 60% verbal
- Choking/strangling 1%
- Gossip/sabotage 13% horizontal
- Scratching 10%
- Threats with weapons 4%
Types of Assaults Interpretation
Victim Impacts
- 35% of assaulted nurses required medical treatment
- 52% reported PTSD symptoms post-assault
- 28% job turnover due to violence exposure
- 41% increased anxiety levels
- 22% chronic pain from injuries
- 60% fear of future violence
- 15% disability claims filed
- 47% burnout increase
- 33% reduced patient care quality self-reported
- 19% depression diagnoses post-incident
- 55% sleep disturbances
- 26% absenteeism rise
- 38% loss of confidence
- 12% permanent injuries
- 64% emotional exhaustion
- 44% hypervigilance ongoing
- 21% fractures/concussions
- 50% compassion fatigue
- 17% lawsuits filed by victims
- 62% decreased job satisfaction
- 24% substance use coping
- 36% trust issues with patients
- 48% somatic symptoms
- 14% early retirement
- 57% moral injury
- 31% family strain
- 40% reduced productivity
- 23% therapy sought
- 49% cynicism development
- 27% medication for anxiety
- 20% hospital readmissions due to injuries
Victim Impacts Interpretation
Sources & References
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