Effects of Verbal and Physical Violence by Patient Companions on Female Nurses and Their Health


avatar Masoumeh Shohan 1 , avatar Gholamreza Noori 2 , avatar Elham Mohammadyari 3 , avatar Aminollah Vasigh 4 , avatar Behrang Kazeminezhad 5 , avatar Hamed Tavan ORCID 6 , *

Department of Nursing, Faculty of Allied Medical, Ilam University of Medical Sciences, Ilam, Iran
Department of Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Department of Cardiology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Assistant Professor of Anesthesiology, Ilam University of Medical Sciences, Ilam, Iran
Clinical Research Development Center at Shahidmodarres Hospital, Department of Pathology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Nursing, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran

how to cite: Shohan M, Noori G, Mohammadyari E, Vasigh A, Kazeminezhad B, et al. Effects of Verbal and Physical Violence by Patient Companions on Female Nurses and Their Health. Shiraz E-Med J. 2017;18(12):e14431. doi: 10.5812/semj.14431.

Dear Editor,

Workplace violence refers to any nonverbal threatening behavior (including pointing finger, staring, and clenching fists) (1), verbal threat (including angry voice and tone, shouting, screaming, and swearing) (2), or physical assault (including inappropriate touching, pushing, kicking, kicking a knife, and shooting) (3).

A questionnaire was used for examining physical violence by patient companions towards female nurses at training hospitals of Ilam, Iran (4, 5), as women are more vulnerable to workplace violence and their population is high at hospitals. Moreover, considering their high sensitivity, violence has many effects on their personal life. Accordingly, we investigated workplace violence towards female nurses. A total of 120 female nurses working in hospitals were randomly selected from different working shifts and asked about exposure to physical violence for a month (January 2017).

In this study, nurses were assured that the information would remain confidential and would be only used for publication in scientific communities. Participation in the study was voluntary in a way that subjects could withdraw at any stage of the research. All the participants agreed to complete the questionnaires. The results showed that physical violence by patient companions against female nurses was 10.71%, and the vulnerable age group was 30 - 40 years (22.95%).

Based on the findings, 31.14% of nurses in the age group of 30 - 40 years were mostly threatened by cold weapons, while 68.9% of nurses declared no cases of violence. During interviews with nurses, 11.8% stated that physical violence had affected their health, and 44.2% claimed that their mental health had been disrupted by threats with melee weapons. Compromised physical or even mental health of nurses can result in a lower quality of task performance and reduce nurses’ efficiency in patient care.

Fear, anxiety, and depression decrease physical and mental strength, and acute stress disorders result from workplace violence (3-5). Accordingly, the causes of violence should be determined, and to reduce violence, a secure environment should be provided and different visiting hours should be scheduled in each ward. Moreover, nurses may become more motivated by increasing the number of personnel in working shifts and promoting their salary and benefits.

Besides establishing courses for the personnel on how to communicate with patients and their companions, proper reactions towards violence should be encouraged. Although it is not possible to completely eliminate violence, compliance with the mentioned suggestions can reduce the occurrence of violence (4, 5). Finally, study of the statistical significance of risk factors for mental diseases, physical assault, and nurses’ treatment are interesting topics for future investigations.



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