Assessing the efficacy of a workplace violence educational model for nursing professionals: A prototype model
Keywords:
educational, hospitals, models, reporting system, surveys and questionnaires, workplace violence, self-efficacyAbstract
Background and aim of the work: Violence directed towards nurses resembles the iceberg phenomenon, wherein numerous incidents remain unreported. A predominant factor contributing to this underreporting is that the victims are required to report such incidents and often lack familiarity with their organization's internal reporting protocols. The study aims to assess the efficacy of the STOP Workplace Violence Educational Model during the preliminary testing and implementation stages among nurses working in healthcare facilities within Aceh Province in Indonesia.
Materials and methods: The researcher used a research-and-development design to create the STOP Workplace Violence Educational Model for nurses in Aceh Province. Its efficacy was assessed via a questionnaire evaluating content, media eligibility, ease of use, and user expectations. In the preliminary testing phase, 11 evaluators participated. During implementation, small-scale socialization (n=90) and nurse evaluations occurred. Data analysis focused on central tendency measures: mean, standard deviation, and min-max values.
Results: The STOP Workplace Violence Educational Model underwent rigorous evaluation, yielding highly favorable outcomes across key dimensions. Preliminary testing by the evaluator team achieved “Excellent” ratings (Min-Max: 3-4; M=3.84±0.21), while assessments of user expectations and implementation also received “Excellent” scores (Min-Max: 3-4; M=3.67±0.34). Content/Material was rated highly (M=3.69±0.40) for relevance and comprehensiveness, Media Eligibility scored well for technical quality and accessibility (M=3.60± 0.38), and Ease of Use excelled (M=3.72±0.35) due to intuitive design. User expectations (M=3.74±0.32) further affirmed the model’s effectiveness in addressing workplace violence in healthcare settings.
Conclusions: The web-based STOP Workplace Violence Educational Model application successfully provided valuable information to nurses, enhancing their understanding of workplace violence incidents in hospital settings. This application demonstrated its potential to positively influence nurses’ self-efficacy, improving their competencies, including knowledge, psychomotor skills, and attitudes. (www.actabiomedica.it).
References
1. Huber DL. Leadership and nursing care management. Elsevier; 2010.
2. Putra A, Kamil H, Adam M, Usman S. Socio‑demographic and workplace violence among nurses in Aceh, Indonesia: a correlational study. J Liaquat Univ Med Heal Sci. 2024:65–71. doi: 10.22442/jlumhs.2024.01127
3. Perazzi S. Violence against people in hospitals. Int Hosp Fed. 2019;(April).
4. Bernardes MLG, Karino ME, Martins JT, et al. Workplace violence among nursing professionals. Rev Bras Med Trab. 2020;18(3):250–7.
5. Kamil H, Yuswardi Y, Putra A, Maurissa A, Mayasari P. Nursing process documentation among nursing students. J Liaquat Univ Med Heal Sci. 2024:89–93. doi: 10.22442/jlumhs.2024.01131
6. ILO ICN WHO P. Framework guidelines for addressing workplace violence in the health sector. International Labour Organization; 2002.
7. Gressia RGG, Usman S, Kamil H, et al. Why do nurses do not report: a qualitative study of underreported workplace violence in emergency department. Enferm Clin. 2022;32:S1–5. doi: 10.1016/j.enfcli.2022.03.007
8. 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. doi: 10.20344/amp.11465
9. Zahra AN, Feng JY. Workplace violence against nurses in Indonesian emergency departments. Enferm Clin. 2018;28(Suppl 1):184–90. doi: 10.1016/S1130-8621(18)30064-0
10. 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. doi: 10.23750/abm.v95i1.15430
11. Kharissa C, Putra A, Yuswardi Y, et al. Work‑related physical violence incidents among nurses in the Banda Aceh region. Int J Adv Multidiscip Res Stud. 2023;3(2):353–5.
12. AlBashtawy M. Workplace violence against nurses in emergency departments in Jordan. Int Nurs Rev. 2013;60(4):550–5. doi: 10.1111/inr.12059
13. Pai HC, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs. 2011;20(9–10):1405–12. doi: 10.1111/j.1365-2702.2010.03650.x
14. May DD, Grubbs LM. The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. J Emerg Nurs. 2002;28(1):11–7. doi: 10.1067/men.2002.121835
15. OSHA. Guidelines for preventing workplace violence for health care and social service workers. Prairie Rose. 2016;66(1 Suppl).
16. OSHA. Occupational Safety and Health Administration. Workplace violence. 2019.
17. Peek‑Asa C, Casteel C, Allareddy V, et al. Workplace violence prevention programs in psychiatric units and facilities. Arch Psychiatr Nurs. 2009;23(2):166–76. doi: 10.1016/j.apnu.2008.05.008
18. Kemenaker RI. Law No. 2022 concerning criminal acts of sexual violence [in Indonesian]. Jakarta; 2022. p.12.
19. Putra A, Yuswardi Y, Nurhasanah N. How do they feel at the first line during the Covid outbreak: a survey among Indonesian nurses. Open Access Maced J Med Sci. 2022;10(G):160–5. doi: 10.3889/oamjms.2022.8445
20. Sugiyono P. Quantitative, qualitative and R&D research methodologies [in Indonesian]. Bandung: Alpabeta; 2017.
21. Susanto R. Development of a web‑based pedagogical competency profile assessment application based on a self‑mapping matrix [in Indonesian]. JPPI (Jurnal Penelit Pendidik Indones). 2021;7(2):172–80. doi: 10.29210/020211168
22. Asiyah, Sapri J, Novitasari N, et al. Construction ethnoscience‑based learning environment material in scientific knowledge. J Phys Conf Ser. 2021;1796(1):012034. doi: 10.1088/1742-6596/1796/1/012034
23. Pennington CG. Concepts in occupational socialization theory. Curric Teach Methodol. 2021;4(1):1–3. doi: 10.23977/curtm.2021.040101
24. Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharm Stat. 2005;4(4):287–91. doi: 10.1002/pst.185
25. Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(2):180–91. doi: 10.1002/nur.20247
26. Arain M, Campbell MJ, Cooper CL, Lancaster GA. What is a pilot or feasibility study? a review of current practice and editorial policy. BMC Med Res Methodol. 2010;10(1):67. doi: 10.1186/1471-2288-10-67
27. Karadag M, Huzmeli I, Dogru Huzmeli E. Validity and reliability of Turkish version of short questionnaire to assess healthcare professionals’ perceptions of asynchronous telemedicine services. Prog Nutr. 2022;24(S1):e2022065. doi: 10.23751/pn.v24iS1.12964
28. Ramacciati N, Guazzini A, Caldelli R, et al. User‑friendly system (a smartphone app) for reporting violent incidents in the emergency department: an Italian multicenter study. La Med del Lav. 2021;112(S1):68–81. doi: 10.23749/mdl.v112i1.9984
29. Bambi S, Foà C, De Felippis C, et al. Workplace incivility, lateral violence and bullying among nurses: a review about their prevalence and related factors. Acta Biomed Atenei Parm. 2018;89(6‑S):51–79. doi: 10.23750/abm.v89i6‑S.7461
30. Ciliberti R, Baldelli I, Gallo F, et al. Physicians’ perception of the importance of ethical and deontological issues in a major Italian province: pilot questionnaire and its validation. Acta Biomed Atenei Parm. 2019;90(S1):56–67. doi: 10.23750/abm.v90i1.7647
31. Cristóvão HLG, Cristóvão PHG, Cristóvão ABG, et al. Balancing assessment load and effectiveness in medical education during the pandemic: students’ insights. Acta Biomed Atenei Parm. 2024;95(5 S):e2024164. doi: 10.23750/abm.v95i5.16280
32. Dağ A, Özören A, Baran Ö. Evaluation of relationship of intuitive eating and eating awareness with body mass index and anthropometric measurements in adults. Prog Nutr. 2023;25(S1):e2023023. doi: 10.23751/pn.v25i1.13897
33. Smith RM, Gray JE, Homer CSE. Common content, delivery modes and outcome measures for faculty development programs in nursing and midwifery: a scoping review. Nurse Educ Pract. 2023;70:103648. doi: 10.1016/j.nepr.2023.103648
34. Brown E. A case study of nurses perceptions regarding learning transfer from online classrooms to the workplace. Northcentral University; 2021.
35. Mayer RE. Incorporating motivation into multimedia learning. Learn Instr. 2014;29:171–3. doi: 10.1016/j.learninstruc.2013.04.003
36. Bandura A. Self‑efficacy: the exercise of control. Macmillan; 1997.
37. Thabane L, Ma J, Chu R, et al. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010;10(1):1. doi: 10.1186/1471-2288-10-1
38. Thompson R. Coaching and mentoring with metaphor. Int J Evid Based Coach Mentor. 2021;(S15):212–28.
39. Safwan M, Ariffin AA. Educational training intervention on workplace violence among healthcare workers. Int J Public Heal Clin Sci. 2019;6(5):56–69.
40. Misra S, Iobst WF, Hauer KE, Holmboe ES. The importance of competency‑based programmatic assessment in graduate medical education. J Grad Med Educ. 2021;13(2 S):113–9. doi: 10.4300/JGME‑D‑20‑00856.1
41. Gagnon MP, Desmartis M, Labrecque M, et al. Systematic review of factors influencing the adoption of information and communication technologies by healthcare professionals. J Med Syst. 2012;36(1):241–77. doi: 10.1007/s10916-010-9473-4
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