Australian nursing students' experiences of workplace violence during clinical placement: A cross‐sectional study

Author:

Johnston Sandra1ORCID,Fox Amanda12ORCID,Patterson Susan1,Jones Rikki3ORCID,Dafny Hila45ORCID,Pich Jacqueline6ORCID,Duff Jed12ORCID

Affiliation:

1. School of Nursing Queensland University of Technology Brisbane Queensland Australia

2. Centre for Healthcare Transformation Queensland University of Technology Brisbane Queensland Australia

3. School of Health, Faculty of Medicine and Health University of New England Armidale New South Wales Australia

4. College of Nursing and Health Sciences Flinders University Bedford Park South Australia Australia

5. Caring Futures Institute Flinders University Bedford Park South Australia Australia

6. School of Nursing and Midwifery, Faculty of Health University of Technology Sydney New South Wales Australia

Abstract

AbstractAimTo identify the nature, degree and contributing factors of workplace violence (WPV) incidents experienced by Australian nursing students during clinical placement.DesignDescriptive cross‐sectional study.MethodsData were collected from 13 September to 25 November 2022. Eligible participants included all nursing students enrolled in nursing degrees at any Australian university who had completed at least one clinical placement. An adapted version of the WPV in the Health Sector Country Case Study survey was used.ResultsA total of 381 nursing students across eight states of Australia completed the survey. More than half of the students had experienced an episode of WPV; patients were the most frequent perpetrators. Personal factors of patients, staff and students, organizational factors and cultural norms within the workplace supported acts of WPV.ConclusionStudent nurses (SNs) most often experience violence from patients during direct care. Patient encounters are the core component of clinical placement. Education providers have a responsibility to effectively prepare students to be able to identify escalating situations and manage potentially violent situations. Registered nurses who supervise students during clinical placement require support to balance their clinical role with student supervision.Implications for The ProfessionExperiencing WPV can negatively impact relationships between students, healthcare professionals and care recipients. This results in personal distress, decreased job satisfaction and potentially the decision to leave the nursing profession.ImpactWhat already is known: SNs are exposed to WPV during clinical placement.What this paper adds: More than half the SNs in this study experienced violence inclusive of physical, verbal, racial and sexual harassment. Patients were the predominant perpetrators.Implications for practice/policy: Interventions at individual and systemic levels are required to mitigate WPV.Reporting MethodThis study is reported using the STROBE guidelines.

Funder

Australian College of Nursing

Queensland University of Technology

Publisher

Wiley

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