- Health care professionals experience higher rates of workplace violence than workers in other occupations, and workplace violence is a growing problem, especially in high risk areas such as long-term care, emergency departments, mental health care facilities, and acute care wards.
- Verbal insults or threats, physical assaults, and inappropriate touching can lead to stress, lost productivity, sick time, and injury. Staff recruitment/retention and quality of patient care can suffer as a result.
- Our work in BC found that violence-related incidents lead to poorer RTW outcomes, compared to non-violence-related incidents, in workers with psychological injuries; and among health care counselors and social workers, and workers in long-term care and residential social services.
- We developed a systems framework identifying potential leading and lagging indicators from a review of qualitative and quantitative research literature and information from focus groups and key informant interviews with managers and frontline staff. We then developed priority indicators in consultation with an employer/labour advisory panel.
- Indicators were identified across socio-political, organizational, environmental, patient and caregiver domains. The research literature tended to emphasize patient and caregiver factors, while manager and staff interviews emphasized organizational and environmental factors. Priority indicators were identified in areas of hazard identification and management, staffing and staff mix, communications, and education and training.
Learn more about our other work with leading indicators: Occupational Health and Safety Practices Survey
An evaluation of violence prevention education in healthcare
Provost S, MacPhee M, Daniels M, Naimi M, McLeod CB.
Safety Science. 2023 Mar;159(106011).
Realist evaluation of violence prevention education in British Columbia healthcare: How does it make a difference?
Vancouver: The University of British Columbia; 2021.
A realist review of violence prevention education in healthcare
Provost S, MacPhee M, Daniels MA, Naimi M, McLeod C.
Healthcare. 2021; 9(3):339.
Does it make a difference? Evaluating violence prevention education in BC healthcare
Based on: Provost S, MacPhee M, Daniels M, McLeod C. Realist Evaluation of Violence Prevention Education in BC Healthcare. Final Report to WorkSafeBC. Vancouver, BC: Partnership for Work, Health and Safety; Dec. 2020.
Realist evaluation of violence prevention in BC healthcare
Provost S, MacPhee M, Daniels M, McLeod C.
Vancouver, BC: Partnership for Work, Health and Safety; Dec. 2020.
Time to return to work following workplace violence among direct healthcare and social workers
Choi K, Maas ET, Koehoorn M, McLeod CB.
Occupational and Environmental Medicine. 2020 Mar;77(3):160-167.
Risk of violence among healthcare staff and return-to-work outcomes
Vancouver: The University of British Columbia; 2018.