Date of Graduation

Spring 5-19-2017

Document Type

Project

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Nancy Selix

Second Advisor

Katherine Juranty

Abstract

The project is focused in a medical centers’ emergency department that serves a diverse population, varying in age, health, socio-economic status, and mentation; and at a given 24-hour period, the department will care for about 150 to 200 patients. The focus is on the Clinical Nurse Leader (CNL) essential to advocate a change in the culture of acceptance of workplace violence and the perception of the value of reporting violent behavior. To identify the factors that hindered reporting of workplace violence, a root and cause analysis was performed. The analysis revealed that the most common reason behind underreporting is the belief that workplace violence is simply “part of the job”; lack of institutional support; the reporting tool is cumbersome; and nothing would change if the incidence were reported.

Coincidently, the project aligned with the organizations’ proposed plan to role out a new more robust online workplace violence-reporting tool. The newly designed online reporting tool is clear, concise, user-friendly and easily accessible. The system is also designed to trigger an alert notification to the Safety Office, Security Director and Nursing Administration; thus allowing an immediate plan of action or intervention. Although, the process of creating a safe workplace environment is a continuous process; nevertheless in creating a more systematic online reporting tool and a subsequent follow up process or immediate feedback, the issues or concern about underreporting within the organization have been addressed. A post-intervention assessment survey will be conducted to determine if the perception from the initial assessment survey have changed. It is with hopes that respondents will use the reporting tool should any violent incident occur; and feel that workplace violence is not simply “part of the job.”

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