The following represents the research and resulting doctoral dissertation (Feb. 2016) of KATHLEEN CLARK, Ph.D. She may be contacted at the University of Pennsylvania Hospital, Philadelphia, PA.
Abstract
Despite the high incidence of violence directed at registered nurses
while on duty, there is limited qualitative data that explores the lived
experience of returning to the workplace after an assaultive incident. This
phenomenological study sought to explore and analyze the phenomena of
registered nurses who are employed in high-risk settings. The research
questions considered the detailed descriptions of the experiences of nurses
returning to the workplace. The conceptual framework was resiliency, as these
participants continued to survive and thrive after the adverse assaultive
events. Data were collected using in-depth interviews from purposeful sampling.
Nine registered nurses working in the high risk areas of inpatient psychiatry
and emergency departments provided detailed descriptions about the phenomena.
Data management was an inductive, iterative analysis completed and facilitated
by the use of NVivo 10 software program. The study found that participants had
a brief emotional response post assault mitigated by the community of nursing
personnel from their immediate surroundings and felt that assault was “part of
the job.” Providing a true culture of safety would include enhancements to the
internal community of bedside nursing practice. In addition, research is needed
on interventions that can effectively enhance the internal community after
assault by patients. This study contributes to positive social change by
providing registered nurses, an oppressed group, a voice to mitigate negative
consequences associated with assault in the hospital setting.
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