Violence towards emergency nurses: an update of a narrative review of theories and frameworks

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2025-08-20 DOI:10.1016/j.ienj.2025.101661

Nicola Ramacciati, Sara Morales Palomares

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引用次数: 0

Abstract

Background

Workplace violence (WPV) in emergency departments (EDs) remains a growing concern worldwide, necessitating updated theoretical perspectives. A 2018 review identified 24 frameworks, but ongoing healthcare challenges, particularly the COVID-19 pandemic, warrant a re-examination and expansion of these models.

Methods

A narrative review was conducted using PubMed/Medline, CINAHL, Scopus, and ProQuest databases for studies published from 2017 onward, focusing on theoretical frameworks explaining WPV in EDs.

Results

The 18 included studies in this review introduce novel or refined theories addressing psychosocial, organizational, and environmental factors that trigger or mitigate WPV. Frameworks range from physiological deterioration and psychosocial moderation to architectural design and resilience-based models. These comprehensive approaches reflect a growing consensus on the need for integrated, multilevel interventions.

Conclusions

Contemporary theories underscore WPV as a multifactorial issue requiring solutions that go beyond single-factor models. By examining the broader interplay among patients, staff, organizational, and environmental determinants, these frameworks offer valuable insights for more effective, holistic WPV prevention and management strategies in EDs.

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对急诊护士的暴力：对理论和框架的叙述审查的更新

急诊科的工作场所暴力（WPV）在世界范围内日益受到关注，需要更新理论观点。2018年的审查确定了24个框架，但持续的医疗挑战，特别是COVID-19大流行，需要重新审查和扩展这些模型。方法使用PubMed/Medline、CINAHL、Scopus和ProQuest数据库对2017年以来发表的研究进行叙述性回顾，重点关注解释ed WPV的理论框架。结果本综述纳入的18项研究引入了新的或完善的理论，解决了触发或减轻脊髓灰质炎的社会心理、组织和环境因素。框架范围从生理恶化和社会心理调节到建筑设计和基于弹性的模型。这些综合方法反映了对需要采取综合、多层次干预措施的日益达成的共识。当代理论强调WPV是一个多因素问题，需要超越单因素模型的解决方案。通过检查患者、工作人员、组织和环境决定因素之间更广泛的相互作用，这些框架为急诊室更有效、更全面的脊髓灰质炎预防和管理策略提供了有价值的见解。

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

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.