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ADVANCE Perspective: Nurses

What Can Be Done to Protect Nurses from Workplace Violence?

Published March 10, 2010 12:19 PM by Stacey Miller
Last week, a patient pulled out a gun on a hospital unit and shot a nurse at least three times.

It happened March 2 at Danbury Hospital, Danbury, CT. The nurse shot was Andrew Hull, BSN, RN, (click on page 4 to read a short bio). He was wounded, after allegedly protecting one of his co-workers from the gunfire.

It seems whenever you read news stories about random acts of violence, people often are quoted as saying they could never have imagined something like that happening there or happening to them. But looking at this incident at Danbury, I was wondering whether nurses have that same luxury. Can they truly say they never imagined experiencing an act of violence in their careers?

According to a 2009 report by the National Institute for Occupational Safety and Health titled "State of the Sector/Healthcare and Social Assistance," healthcare workers are more than three times as likely as workers in other industries to be injured by acts of violence.

The Emergency Nurses Association found 50 percent of nurses have experienced physical violence while working. The study, "Violence Against Nurses Working in U.S. Emergency Departments," found one in four has experienced such violence more than 20 times.

What can be done to keep nurses safe? OSHA recommends, among other measures, to install metal detectors and enclose nurses' stations in bullet-proof glass.

Stanley Lupienski, 85, the man charged in the shooting, was being admitted to the crisis intervention unit at the hospital. Apparently, he decided to bring the gun with him, the News-Times in Danbury reported.

Lupienski is charged with first-degree assault, first-degree reckless endangerment, illegal discharge of a firearm and carrying a pistol without a permit. A first-degree assault felony conviction could carry up to a 20-year prison term. But few convicted felons serve that long especially when the victim did not die.

Fortunately, the shooting at Danbury is uncommon. It does, however, raise awareness that something needs to be done to protect nurses and other healthcare professionals in the workplace. Like the police who are trying to protect us on the streets, nurses are trying to help patients get well at the hospital. Individuals who interfere with that noble goal should be held to a higher standard and punished accordingly.

In the meantime, what can be done today to protect nurses and other healthcare workers from being victims in the first place? Let's start the discussion publicly and perhaps together we can develop new solutions to workplace violence.

4 comments

It is no longer OK to say, "that's just what happens" inside healthcare. For too long helathcare organizations and their staff have turned the other cheek when it comes to violence inside their facilities. Continuing to wait for violence to happen rather than preparing staff to proactively recognize, understand and manage their work environment is a critical mistake. In order to fix the problem someone has to own it and at present our nurses are looking to healthcare administration and security for the answers. Who can blame them, because in most cases we haven't given them the tools to become an active participant in the solution. Eventually organizations will learn that there can be a balance between patient focused care and personal safety. Then and only then will staff begin to prepare according to their training; unfortunately in most cases we haven't begun the training.

March 14, 2010 8:48 PM

I'm sorry to hear what happened to that nurse in CT. I wish him well and hope he fully recovers from this horrible incident.

Although I've never worked in the ED, I admire those nurses (and other staff as well) who put themselves at risk and provide care in ED's, which have become increasingly risky areas to practice nursing and save lives. It's pretty scary when we have to equip our emergency departments with bulletproof glass and metal detectors. People are there to receive care--staff shouldn't have to worry about someone coming in off the street and injuring them while they are trying to save lives.

March 12, 2010 4:27 PM

If we hold patients and their family members responsible for their actions when appropriate instead of sweeping inappropriate behavior under the rug then maybe things will change.  It is a federal offense to assault a flight attendent but I have been bit, kicked, hit, spit on and cursed at and its suppose to be ok because the person is "sick".  If you are in your right mind then you should be punished.  We have to let people know this behavior is unacceptable.

March 11, 2010 3:28 PM

I work for a company that offers a solution to help deter violence against nurses. Of course, we would never claim to prevent violence, but we can allow nurses to call from assistance from anywhere within the facility by pressing a button on their location ID badge. This transmits the need for assistance to the right people, while also identifying the nurse and the nurse's location. While it may not have helped in the above situation where a gun was involved, we have several clients who utilize it for nurses and housekeepers in behavioral health units, nursing homes/assisted living units and EDs.

March 10, 2010 3:00 PM

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