Submission ID 118187
| Issue/Objective | Workplace violence (WPV) is a serious global health issue. WPV poses a significant threat to global health security by disrupting essential care provision by healthcare workers. Nurses face a heightened risk of WPV due to their frontline care position. However, implementing interventions to reduce WPV remains challenging due to the persistent under-reporting. This study assesses the feasibility of implementing a WPV reporting system for nurses in Pakistan. |
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| Methodology/Approach | The study utilized a qualitative descriptive design and implementation science approach to assess key stakeholders' perceptions about the feasibility of implementing a WPV reporting system in the context of Pakistan. The exploration phase of the Active Implementation Framework was used in this study. The Violence Incident Form, a one-pager evidence-based checklist, was introduced to the study settings. Altogether, 17 online In-depth Interviews were conducted with nurses, nursing supervisors, and nursing administrators from one private and one public hospital in Pakistan. 08 Key Informant Interviews were conducted with nurses from Pakistan who work in Canadian healthcare settings. Moreover, meetings were conducted with individuals from the Human Resources department at each hospital. Braun and Clarke's thematic analysis process was utilized for data analysis. |
| Results | Five overarching themes emerged: (1) inconsistency in existing mechanisms for reporting (2) the need for a structured workplace violence reporting system in the selected hospitals (3) Violent Incident Form (VIF) as a tool for reporting incidents of WPV (4) barriers to implementing a WPV reporting system (5) facilitators of a workplace violence reporting system. The barriers and facilitators are integrated around the six domains of the implementation hexagon tool, including implementation site indicators (need, capacity, fitness) and implementation program indicators (evidence, supports, useability). |
| Discussion/Conclusion | Strong collaboration is needed among all relevant stakeholders to develop strategies for overcoming obstacles to a sustainable WPV reporting system. Most importantly, the reporting process should be nonthreatening, and nurses should have confidence that reporting will lead to change. Moreover, nurses need to learn that accepting violence and not reporting creates hindrances in determining the severity of the issue. A safe work environment encourages nurses to remain in nursing and provide quality patient care, positively impacting health outcomes in society. |
| Presenters and affiliations | Rozina Somani University of Toronto Carles Muntaner University of Toronto Edith Hillan University of Toronto Peter Smith Institute for Work and Health Alisa Velonis School of Public Health, Division of Community Health Sciences, Chicago, USA Rozina Somani University of Toronto |
