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A Realist Review of Violence Prevention Education in Healthcare Provost, Sharon; MacPhee, Maura; Daniels, Michael A.; Naimi, Michelle; McLeod, Chris B.

Abstract

Violence from patients and visitors towards healthcare workers is an international concern affecting the safety and health of workers, quality of care, and healthcare system sustainability. Although the predominant intervention has been violence prevention (VP) education for healthcare workers, evaluating its effectiveness is challenging due to underreporting of violence and the inherent complexity of both violence and the health care environment. This review utilized a theory-driven, realist approach to synthesize and analyze a wide range of academic and grey literature to identify explanations of how and why VP education makes a difference in preventing violence and associated physical and psychological injury to workers. The review confirmed the importance of positioning VP education as part of a VP strategy, and consideration of the contexts that influence successful application of VP knowledge and skills. Synthesis and analysis of patterns of evidence across 64 documents resulted in 11 realist explanations of VP education effectiveness. Examples include education specific to clinical settings, unit-level modeling and mentoring support, and support of peers and supervisors during violent incidents. This review informs practical program and policy decisions to enhance VP education effectiveness in healthcare settings.

Item Metadata

Title
A Realist Review of Violence Prevention Education in Healthcare
Creator
Provost, Sharon; MacPhee, Maura; Daniels, Michael A.; Naimi, Michelle; McLeod, Chris B.
Publisher
Multidisciplinary Digital Publishing Institute
Date Issued
2021-03-17
Description
Violence from patients and visitors towards healthcare workers is an international concern affecting the safety and health of workers, quality of care, and healthcare system sustainability. Although the predominant intervention has been violence prevention (VP) education for healthcare workers, evaluating its effectiveness is challenging due to underreporting of violence and the inherent complexity of both violence and the health care environment. This review utilized a theory-driven, realist approach to synthesize and analyze a wide range of academic and grey literature to identify explanations of how and why VP education makes a difference in preventing violence and associated physical and psychological injury to workers. The review confirmed the importance of positioning VP education as part of a VP strategy, and consideration of the contexts that influence successful application of VP knowledge and skills. Synthesis and analysis of patterns of evidence across 64 documents resulted in 11 realist explanations of VP education effectiveness. Examples include education specific to clinical settings, unit-level modeling and mentoring support, and support of peers and supervisors during violent incidents. This review informs practical program and policy decisions to enhance VP education effectiveness in healthcare settings.
Subject
healthcare; patient violence; violence prevention education effectiveness; realist review
Genre
Article
Type
Text
Language
eng
Date Available
2021-03-26
Provider
Vancouver : University of British Columbia Library
Rights
CC BY 4.0
DOI
10.14288/1.0396401
URI
http://hdl.handle.net/2429/77647
Affiliation
Applied Science, Faculty of; Business, Sauder School of; Graduate and Postdoctoral Studies; Medicine, Faculty of; Nursing, School of; Population and Public Health (SPPH), School of
Citation
Healthcare 9 (3): 339 (2021)
Publisher DOI
10.3390/healthcare9030339
Peer Review Status
Reviewed
Scholarly Level
Faculty
Rights URI
https://creativecommons.org/licenses/by/4.0/
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CC BY 4.0