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Nearly half of our nurses suffer abuse
Di Caelers 2005-11-10
More than half of all nurses polled report suffering at least one incident of physical or psychological violence in a single year, according to research by a health union grouping.
And 80 percent of nurses questioned blamed abuse - largely by male doctors - in
the private sector for nurses leaving the profession.
Almost half the respondents - 48 percent - of respondents cited abuse by
patients as a reason for nurses leaving the profession.
The study was conducted by Christine Zondagh, of the Health and Other Service
Personnel Trade Unions of South Africa (Hospersa), and published in the newly
released Health Annals 2005 of the Hospital Association of South Africa.
In an article, Sharon Slabbert, the Hospital
Association's client liaison executive officer, said that while nurses working
in accident and emergency units were commonly exposed to a disturbing
number of assault victims, violence against the nurses themselves was
neither widely discussed nor acknowledged.
Employers, Slabbert wrote, usually stated that incidents of violence against
nurses were rare, but the opposite was true.
The violence ranged from harassment and bullying to aggression and assault, both
physical and psychological.
The perpetrators were patients, patients' families and visitors, other nurses
and other healthcare professionals, such as doctors.
Racial and sexual harassment were also reported.
The Hospersa research was conducted in conjunction
with Dr Susan Steinman, founder of the Work Trauma Foundation.
Slabbert wrote that it had shown that staff in health services were 16 times
more likely to be the victims of violence than the average.
Psychological violence was the more likely kind, involving healthcare workers,
and physical violence was usually perpetrated by patients and their relatives.
Quoting Zondagh's study of why professional nurses leave the profession,
Slabbert said 80 percent of those surveyed suggested that abuse, largely by male
doctors towards female nurses in the private sector specially, could be the
reason.
Slabbert pointed out that the increase in violence against nurses in the British
National Health Service was also well documented.
In six months of 2003, more than 400 cases of violence and aggression against
healthcare workers at the Bradford Royal Infirmary were reported, and nearly 140
incidents by Airedale General Hospital staff.
The Massachusetts Nurses' Association in the United States reported that in 2002
more than 4 000 hospital employees were assaulted while working in accident and
emergency units.
Slabbert quoted the US Department of Justice as saying nurses experienced
violence and victimisation rates 72 percent higher than medical technicians, and
twice that suffered by other health workers.
Nurses who were regularly subjected to verbal abuse, she said, experienced more
stress, felt less job satisfaction and could take more days off work, so
providing substandard care.
The areas she pinpointed in which abuse occurred most often included general
wards, intensive care units and emergency departments - with emergency staff,
unsurprisingly, taking the brunt of it.
Although nurses are committed to caring for their patients and their
families, this does not include accepting abusive or violent behaviour,
Slabbert said.
In addition, unless an actual assault occurred, the violence was
often ignored, in spite of research having shown that a tolerance of less
aggressive violence often resulted in worse acts of violence.
The only way to eradicate this problem is through a policy of zero
tolerance, she said.
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