What is the Impact of Patient Violence in the Emergency Department on Emergency Nurses' Intention to Leave?
Overview
Affiliations
Aim: To examine the impact that patient violence, experienced in the emergency department, has on emergency nurses' intention to leave their job.
Background: Emergency departments have become known for their overcrowding, chaos, unpredictability and violence. Emergency nurses are at high risk of experiencing workplace violence, which is cited in the literature as having a direct effect on general nurses' intention to leave. A high rate of nursing turnover may lead to short staffing, jeopardize the quality of patient care and increase overcrowding and wait times.
Evaluation: A systematic review was undertaken in CINAHL, Medline and Psych INFO databases using published data until November 2021. Six articles were included, and PRISMA guidelines were adhered it.
Key Issues: Workplace violence in the emergency department had a direct impact on emergency nurses' intention to leave and decreased their job satisfaction. Verbal abuse is the most experienced form of workplace violence.
Conclusions: Workplace violence experienced by emergency nurses in the emergency department had a direct positive impact on their intention to leave and subsequently negative impact on their job satisfaction.
Implications For Nursing Management: This review may inform clinical decision-making and aid in the development of clinical practice guidelines for a workplace violence prevention programme, specific to the emergency department.
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PMID: 40011890 PMC: 11863944. DOI: 10.1186/s12912-025-02788-5.
Doedens P, Kiel-Clayton L, Daams J, de Haan L Int J Ment Health Nurs. 2025; 34(1):e70016.
PMID: 39994945 PMC: 11850961. DOI: 10.1111/inm.70016.
The Risk for Violence Screening Tool: a psychometric validation and reliability study.
Mallett-Smith S, Olmedo A, Canamar C Int J Nurs Stud Adv. 2025; 8():100280.
PMID: 39807205 PMC: 11726790. DOI: 10.1016/j.ijnsa.2024.100280.
Measuring the Risk of Violence Through Health Surveillance.
Magnavita N, Meraglia I, Viti G, Gasbarri M Int J Environ Res Public Health. 2025; 21(12.
PMID: 39767547 PMC: 11728037. DOI: 10.3390/ijerph21121708.
Benning L, Teepe G, Kleinekort J, Thoma J, Rottger M, Prunotto A Scand J Trauma Resusc Emerg Med. 2024; 32(1):88.
PMID: 39285387 PMC: 11403778. DOI: 10.1186/s13049-024-01250-w.