Rabia KAHVECİ, İlknur YASAR, Duygu Ayhan BAŞER

Comparison of Quality And Content of Violence Guidelines For The Health Care Sector

More than 50% of the employees in health sector are exposed to violence at any time. This study investigated international workplace violence guidelines for the health care sector to compare their quality and content and explore whether these guidelines could be used in different settings. We ran a broad review to identify international guidelines for violence in health care. After identification of the guidelines, the quality of the guidelines was assessed by personal experience and views of the authors, also taking AGREE domains into consideration as a guidance. The identified guidelines were later qualitatively analyzed for the content by two researchers and compared to each other. Canada, New Zealand, USA, UK and Turkey’s guidelines were involved in the study. Definitions of workplace violence, risk factors, objectives of the guideline, legal requirements, responsible stakeholders, target population, strategies recommended, physical environment, training and staffing were assessed in the content of the violence guidelines. It was found that current guidelines need improvement in both quality and content, but it is possible to have an international guidance that could be applicable in different settings. The development of violence guidelines should be the first and most strategic step for better protection of the health care workers. We expect our results to be useful in preparation of new guidelines for different settings.

Keywords:

Health care sector violence, guidelines, quality,

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1. Saines JC. Violence and aggression in A&E: recommendations for action. Accid Emerg Nurs. 1999;7:8-12.
2. Nau J, Halfens R, Needham I, Dassen T. The de-escalating aggressive behaviour scale: development and psychometric testing. J Adv Nurs. 2009;65:1956-64.
3. Chen WC, Hwu HG, Kung SM, Chiu HJ, Wang JD. Prevalence and determinants of workplace violence of health care workers in a psychiatric hospital in Taiwan. J Occup Health. 2008;50:288-93.
4. Elliott PP. Violence in health care. What nurse managers need to know. Nurs Manage. 1997;28:38-41.
5. Abbas MA, Fiala LA, Abdel Rahman AG, Fahim AE; J Egypt Public Health Assoc. 2010;85:29-43.
6. Marziale M. Violence in the health sector. Rev Latino-am Enfermagem. 2004;12:149–150.
7. Hahn S. Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: a cross-sectional survey. J Adv Nurs. 2012;68:2685–99.
8. Khoshknab MF, Oskouie F, Najafi F, Ghazanfari N, Tamizi Z, Ahmadvand H. Psychological violence in the health care settings in Iran: a cross-sectional study. Nurs Midwifery Stud. 2015;4:e24320.
9. Ayrancı U, Yenilmez C, Gunay Y, Kaptanoglu C. The frequency of violence in various health institutions and health professions. Anatolian Journal of Psychiatry. 2002;3:147-154. (Ayrancı Ü, Yenilmez Ç, Günay Y, Kaptanoğlu C. Çeşitli sağlık kurumlarında ve sağlık meslek gruplarında şiddete uğrama sıklığı. Anadolu Psikiyatri Dergisi.2002;3:147-154. in Turkish.)
10. Camci O, Kutlu Y. Determination of workplace violence against health workers in Kocaeli. Journal of Psychiatric Nursing 2011; 2: 9-16. (Çamcı O, Kutlu Y. Kocaeli’nde sağlık çalışanlarına yönelik işyeri şiddetinin belirlenmesi. Psikiyatri Hemşireliği Dergisi 2011;2:9-16.in Turkish)
11. Erkol H, Gökdogan MR, Erkol Z, Boz B. Aggression and violence towards health care providers--a problem in Turkey? J Forensic Leg Med. 2007;14:423-8.
12. Gokce T, Dundar C. The freuency of exposure to violence and its effects on anxiety levels in the physicians and nurses working in Samsun Mental and Neurological Diseases Hospital. Inonu University Journal of the Faculty of Medicine. 2008;15:25-8. (Gökçe T, Dündar C. Samsun Ruh ve Sinir Hastalıkları Hastanesinde çalışan hekim ve hemşirelerde şiddete maruziyet sıklığı ve kaygı düzeylerine etkisi. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15:25-8. in Turkish)
13. Gulalp B, Karcioglu O, Koseoglu Z, Sari A. Dangers faced by emergency staff: experience in urban centers in southern Turkey. Ulus Travma Acil Cerrahi Derg. 2009;15:239-42.
14. Leather P. Workplace violence: Scope, definition and global context. In: Cooper CL, Swanson N, eds. State of the Art. Geneva: ILO/ICN/WHO/PSI joint programme on workplace violence in the health sector: 2001:35-48.
15. Guide to Violence Preventionin the Work Place. Human Resources and Skills Development. Canada: 2010.
16. Managing the risk of workplace violence to healthcare and community service providers. Good practice guide. Depertmant of Labour, Australian Faculty of Occupational Medicine, the Australasian Society of Occupational Medicine, Counties- Manukau District Health Board. Newzealand: 2009.
17. Guidelines for Preventing Workplace Violence for Health Care & Social Service Workers. Department of Labor Occupational Safety and Health Administration. US: 2004.
18. Violence and aggression to staff in health services. Guidance on assessment and management. Health and Safety Executive. UK: 1997.
19. Guide to Employee Rights and Security. Republic of Turkey Ministry of Health Health Services General Directorate of Quality and Accreditation Department White Code Unit.(Çalışan Hakları ve Güvenliği Rehberi. T.C. Sağlık Bakanlığı Sağlık Hizmetleri Genel Müdürlüğü Kalite ve Akreditasyon Daire Başkanlığı Beyaz Kod Birimi.)
(www.asm.gov.tr/UploadGenelDosyalar/Dosyalar/143/MEVZUAT (access date 19.08.2014)Turkish.
20. AGREE Collaboration. Development and validation of an international appraisal instrument for assessing the quality of clinical practice guidelines: the AGREE project. Qual Saf Health Care. 2003;12:18-23.
21. Siering U, et al. Appraisal tools for clinical practice guidelines: a systematic review. PLoS One. 2013;8:e82915.