Barriers and facilitators to reporting workplace violence among healthcare workers: A mixed-methods systematic review

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-05-29 DOI:10.1016/j.outlook.2025.102443

Dan Xu MSN , Jing Zhou MB , Minli Yang MB , Liu Yang MB , Qi Li MB , Yanli Zeng PhD

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引用次数: 0

Abstract

Background

Workplace violence (WPV) threatens healthcare workers and patient safety, yet underreporting remains prevalent.

Purpose

To identify barriers and facilitators of WPV reporting among healthcare workers, with implications for management, leadership, and policy.

Methods

We searched 10 databases for studies from inception to September 1, 2024, with an update on November 30, 2024. Two reviewers assessed quality using Joanna Briggs Institute tools. A convergent integrated synthesis was conducted.

Discussion

Fifty-eight studies from 30 countries were included (16 qualitative, 37 quantitative, 5 mixed-methods). Barriers to reporting fell into three themes: (a) Organizational Challenges, (b) Cultural and Social Barriers, and (c) Personal and Emotional Barriers. Facilitators included (a) Supportive Organizational Environment, (b) Legal and Policy Supports, (c) Education and Awareness, and (d) Personal Motivations.

Conclusions

Promoting WPV reporting requires multilevel strategies, including leadership accountability, simplified systems, and legislative action. The findings support a global agenda to improve safety culture and organizational learning in healthcare.

查看原文本刊更多论文

卫生保健工作者报告工作场所暴力的障碍和促进因素：一项混合方法的系统评价

工作场所暴力威胁着医护人员和患者的安全，但仍普遍存在漏报现象。目的确定卫生保健工作者报告WPV的障碍和促进因素，对管理、领导和政策的影响。方法我们检索了10个数据库，检索了从成立到2024年9月1日的研究，并于2024年11月30日更新。两位审稿人使用乔安娜布里格斯研究所的工具评估质量。进行了收敛积分综合。纳入了来自30个国家的58项研究（16项定性研究，37项定量研究，5项混合方法研究）。报告的障碍分为三个主题：(a)组织挑战；(b)文化和社会障碍；(c)个人和情感障碍。促进因素包括(a)支持性组织环境，(b)法律和政策支持，(c)教育和认识，(d)个人动机。推广WPV报告需要多层战略，包括领导问责制、简化系统和立法行动。研究结果支持全球议程，以提高安全文化和组织学习在医疗保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.