Understanding the factors related to workplace violence incidents among nurses in Aceh, Indonesia

Ardia Putra; Hajjul Kamil; Muhammad Adam

doi:10.69124/mh.v9i1-2.16423

Understanding the factors related to workplace violence incidents among nurses in Aceh, Indonesia

Authors

Ardia Putra Department of Nursing Management, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia https://orcid.org/0000-0002-5353-7907
Hajjul Kamil Department of Nursing Management, Faculty of Nursing, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia https://orcid.org/0000-0002-5842-2594
Muhammad Adam Department of Management, Faculty Economics and Business, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia https://orcid.org/0000-0002-0248-6820

Keywords:

nurse demography, organizational culture, preventing violence, safety climate, violence in hospital

Abstract

A hospital's organizational culture has a significant influence on how nurses fulfill their duties, affecting their job satisfaction and overall performance. Establishing a robust organizational culture can enhance job satisfaction and organizational performance, ultimately reducing workplace violence. Moreover, creating a supportive safety climate is essential in preventing workplace violence, particularly for nurses who have frequent direct contact with patients. This research initiative aims to examine the intricate relationships between organizational culture, safety climate, the demographic profile of nurses, and the prevalence of workplace violence experienced by nurses as healthcare professionals in Aceh Province, Indonesia. The research methodology is quantitative, utilizing a cross-sectional study design. The target demographic consists of nurses working in hospital environments. The survey is structured to encompass 422 respondents, reflecting a substantial sample size for the study. The study findings reveal a significant correlation between organizational culture (P-value = 0.024) and an insignificant relationship between safety climate (P-value = 0.398) and workplace violence among nurses in Aceh Province. Additionally, it is essential to note that among the analyzed respondent characteristics, concerns about workplace violence actions (P-value= 0.018), workplace violence reporting procedures (P-value= 0.000), and area of work (P-value= 0.002) exhibited a significant correlation with the incidence of workplace violence in the nursing population at hospitals in Aceh. The discoveries outlined here offer crucial insights for nursing professional associations, aid hospital administrators, promote incident documentation, and enhance the availability of occupational health and safety education to mitigate and prevent workplace violence against healthcare personnel.

References

1. Maran DA. Workplace violence : Prevalence, risk factors and preventive measures across the globe. J Heal Soc Sci 2020; 5(1):13–22.

2. Liu J, Gan Y, Jiang H, et al. Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occup Environ Med 2019; 76(12):927–37.

3. Davey K, Ravishankar V, Mehta N, et al. A qualitative study of workplace violence among healthcare providers in emergency departments in India. Int J Emerg Med 2020; 13(1):33.

4. Kharissa C, Putra A, Yuswardi Y, Yusuf M, Maurissa A. Work-related physical violence incidents among nurses in the Banda Aceh Region. Int J Adv Multidiscip Res Stud 2023; 3(2):353–5.

5. Sullivan EJ. Effective Leadership and Management in Nursing. New York: Pearson Education; 2012.

6. Tian Y, Yue Y, Wang J, Luo T, Li Y, Zhou J. Workplace violence against hospital healthcare workers in China: A national WeChat-based survey. BMC Public Health 2020; 20(1):582.

7. Gacki-Smith J, Juarez AM, Boyett L, Homeyer C, Robinson L, MacLean SL. Violence against nurses working in US Emergency Departments. JONA J Nurs Adm 2009; 39(7/8):340–9.

8. Esmaeilpour M, Salsali M, Ahmadi F. Workplace violence against Iranian nurses working in emergency departments. Int Nurs Rev 2011; 58(1):130–7.

9. Park M, Cho S-H, Hong H-J. Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. J Nurs Scholarsh 2015; 47(1):87–95.

10. Zahra AN, Feng J-Y. Workplace violence against nurses in Indonesian emergency departments. Enfermería Clínica 2018; 28(Suppl. 1):184–90.

11. Antão HS, Sacadura-Leite E, Manzano MJ, et al. Workplace violence in healthcare: a single-center study on causes, consequences and prevention strategies. Acta Med Port 2020; 33(1):31.

12. Gerberich SG. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses' Study. Occup Environ Med 2004; 61(6):495–503.

13. Gressia RGG, Usman S, Kamil H, Syarif H, Susanti SS. "Why do nurses do not report": A qualitative study of underreported workplace violence (WPV) in emergency department (ED). Enfermería Clínica 2022; 32:S1–5.

14. Putra A, Kamil H, Adam M, Usman S. Prevalence of workplace violence in Aceh, Indonesia: A survey study on hospital nurses. Acta Biomed 2024; 95(1):e2024062.

15. Apriyatmoko R, Susilo E. Organizational culture and professionalism of nurses in private hospitals in Temanggung [in Indonesian]. J Manaj Keperawatan 2014; 2(2):116–25.

16. Sari MT. Nurses' perceptions of organizational culture [in Indonesian]. J Ilm Univ Batanghari Jambi 2019;19(1):94.

17. Wu JC, Tung TH, Chen PY, Chen YL, Lin YW, Chen FL. Determinants of workplace violence against clinical physicians in hospitals. J Occup Health 2015 57(6):540–7.

18. Isaak V, Vashdi D, Bar-Noy D, Kostisky H, Hirschmann S, Grinshpoon A. Enhancing the safety climate and reducing violence against staff in closed hospital wards. Work Heal Saf 2017; 65(9):409–16.

19. Arnetz J, Hamblin LE, Sudan S, Arnetz B. Organizational determinants of workplace violence against hospital workers. J Occup Environ Med 2018; 60(8):693–9.

20. Rajabi F, Mokarami H, Cousins R, Jahangiri M. Structural equation modeling of safety performance based on personality traits, job and organizational-related factors. Int J Occup Saf Ergon 2022; 28(1):644–58.

21. Arikunto S. Research procedures: a practical approach [in Indonesian]. Rev Edistion. Jakarta: Rineka cipta; 2013.

22. Sugiyono P. Quantitative, qualitative, and R&D research methodologies [in Indonesian]. Alpabeta, Bandung; 2017.

23. Robbins SP, Judge TA. Essentials of organization behavior. Fourthtent. Boston: Pearson Education; 2016.

24. American Nursing Association. Issue brief: Reporting incidents of workplace violence. Am nurses Assoc 2019;1–7.

25. Lim MC, Jeffree MS, Saupin SS, Giloi N, Lukman KA. Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Ann Med Surg 2022; 78(May):103727.

26. Saleem Z, Shenbei Z, Hanif AM. Workplace violence and employee engagement: The mediating role of work environment and organizational culture. SAGE Open 2020; 10(2).

27. Kundu SC, Lata K. Effects of supportive work environment on employee retention. Int J Organ Anal 2017; 25(4):703–22.

28. Rajakrishnan S, Abdullah VHCW, Aghamohammadi N. Organizational safety climate and workplace violence among primary healthcare workers in Malaysia. Int J Public Heal Sci 2022; 11(1):88.

29. Babalola S, Gill-Bailey A, Dodo M. Prevalence and correlates of experience of physical and sexual intimate partner violence among men and women in eastern drc. Univers J Public Heal 2014; 2(1):25–33.

30. Janatolmakan M, Abdi A, Rezaeian S, Framarzi Nasab N, Khatony A. Violence against emergency nurses in Kermanshah-Iran: Prevalence and Associated Factors. Nurs Res Pract 2023; 2023:9362977.

31. Camerino D, Sandri M, Sartori S, Conway PM, Campanini P, Costa G. Shiftwork, work-family conflict among italian nurses, and prevention efficacy. Chronobiol Int 2010; 27(5):1105–23.

32. Putra A, Kamil H, Yuswardi Y, Satria B. Knowledge and practice among public health nurses in disaster response phase. J Liaquat Univ Med Heal Sci 2022; 21(02):89–96.

33. Agbornu FMK, Boafo IM, Ofei AMA. Effects of workplace violence on the quality of care by nurses: A study of the volta region of Ghana. Int J Africa Nurs Sci 2022; 16:100421.

34. Birks M, Cant RP, Budden LM, Russell-Westhead M, Sinem Üzar Özçetin Y, Tee S. Uncovering degrees of workplace bullying: A comparison of baccalaureate nursing students' experiences during clinical placement in Australia and the UK. Nurse Educ Pract 2017; 25:14–21.

35. Jia C, Han Y, Lu W, Li R, Liu W, Jiang J. Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020. J Occup Health 2022; 64(1):1–11.

36. Wang M, Wang H, Wei Z, Wang Y, Sun L. Association between Workplace violence and depressive symptoms among primary healthcare professionals in Shandong, China: Meaning in life as a moderator. Int J Environ Res Public Health 2022; 19(22):15184.

37. Cheung T, Yip PSF. Workplace violence towards nurses in Hong Kong: prevalence and correlates. BMC Public Health 2017; 17(1):196.

38. Munta K, Harde Y, Kumar NS, Kumar JR, Rao SM, Dnyaneshwar M. A Survey on workplace violence experienced by critical care physicians. Indian J Crit Care Med 2019; 23(7):295–301.

39. Ratnasari. Relationship between negative patient and family behavior [in Indonesian]. J Heal Med Res 2022; 2(3):212–7.

40. Beattie J, Innes K, Griffiths D, Morphet J. Workplace violence: Examination of the tensions between duty of care, worker safety, and zero tolerance. Health Care Manage Rev 2020; 45(3): E13–22.

41. Parent JD, Lovelace KJ. Employee engagement, positive organizational culture and individual adaptability. Horiz. 2018; 26(3):206–14.

42. García-Pérez MD, Rivera-Sequeiros A, Sánchez-Elías TM, Lima-Serrano M. Workplace violence on healthcare professionals and underreporting: Characterization and knowledge gaps for prevention. Enfermería Clínica (English Ed) 2021; 31(6):390–5.

43. Kibunja BK, Musembi HM, Kimani RW, Gatimu SM. Prevalence and effect of workplace violence against emergency nurses at a tertiary hospital in Kenya: A cross-sectional study. Saf Health Work 2021; 12(2):249–54.

44. Bingöl S, İnce S. Factors influencing violence at emergency departments: Patients' relatives perspectives. Int Emerg Nurs 2021; 54:100942.

45. Havaei F, MacPhee M. The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework. Nurs Open 2020; 7(3):731–41.

46. National Institute for Occupational Safety and Health (NIOSH). Violence : Occupational Hazards in Hospitals. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2002.

47. Shi L, Li G, Hao J, et al. Psychological depletion in physicians and nurses exposed to workplace violence: A cross-sectional study using propensity score analysis. Int J Nurs Stud 2020; 103:103493.

48. Boafo IM, Hancock P, Gringart E. Sources, incidence and effects of non‐physical workplace violence against nurses in Ghana. Nurs Open 2016; 3(2):99–109.

49. Alsharari AF, Abu-Snieneh HM, Abuadas FH, et al. Workplace violence towards emergency nurses: A cross-sectional multicenter study. Australas Emerg Care 2022; (25):1–7.

50. Damopoli RF, Manampiring AE, Doda D V. The relationship between violence and work stress in nurses in emergency units and intensive care units of hospitals in Bitung city and North Minahasa regency [in Indonesian]. J KESMAS 2019; 8(3):50–9.

51. Albrecht SL, Bakker AB, Gruman JA, Macey WH, Saks AM. Employee engagement, human resource management practices and competitive advantage. J Organ Eff People Perform 2015; 2(1):7–35.

52. Pilch I, Turska E. Relationships between machiavellianism, organizational culture, and workplace bullying: Emotional abuse from the target's and the perpetrator's perspective. J Bus Ethics 2015; 128(1):83–93.

53. Putra A, Kamil H, Maurissa A, Sari MW, Rachmah R, Mahdarsari M. Do nurses implement the occupational safety and health standards? A survey study in public health centers. Univers J Public Heal 2023; 11(4):455–62.

54. Alghalban Y, Badr S, Salem E, Kasemy Z, Khooder S, El-Bahnasy R E. Epidemiology of needlesticks and sharps injuries among healthcare workers and organizational safety climate. Egypt J Occup Med 2020; 44(2):679–96.

55. Chen FL, Hou WH, Chen JH, Tung TH, Wu JC. Organizational factors are key predictors of physicians' confidence in handling workplace violence. Healthc 2022; 10(4):1–11.

56. Moda HM, Dama FM, Nwadike C, et al. Assessment of workplace safety climate among healthcare workers during the covid-19 pandemic in low and middle income countries: A case study of Nigeria. Healthc 2021; 9(6):1–11.