Worker-to-Worker Violence in Hospitals

TLDR

Worker‑to‑worker (Type III) violence is common in health care settings and can harm employees and organizations, yet little research has examined perpetrator characteristics. The study descriptively examines the demographic and work‑related characteristics of Type III workplace violence perpetrators among hospital workers. The analysis used documented Type III violence incidents from a large hospital system between 2010 and 2012. The study found that nurses and patient‑care associates were the most frequent perpetrators, with nurses also commonly involved as targets, and that these findings provide a basis for stakeholders to develop conflict‑reduction strategies.

Abstract

Worker-to-worker (Type III) violence is prevalent in health care settings and has potential adverse consequences for employees and organizations. Little research has examined perpetrator characteristics of this type of violence. The current study is a descriptive examination of the common demographic and work-related characteristics of perpetrators of Type III workplace violence among hospital workers. Analysis was based on documented incidents of Type III violence reported within a large hospital system from 2010 to 2012. Nurses were involved as either the perpetrator or target in the five most common perpetrator–target dyads. Incidence rate ratios revealed that patient care associates and nurses were significantly more likely to be perpetrators than other job titles. By examining characteristics of perpetrators and common worker dyads involved in Type III workplace violence, hospital stakeholders and unit supervisors have a starting point to develop strategies for reducing conflict between workers.