Nurses' Perspectives of Factors Influencing Type II Workplace Violence in a Pediatric Healthcare Setting: A Qualitative Study
type: CreativeWork
description: Background: Healthcare-related workplace violence has steadily increased. According to the U.S. Bureau of Labor Statistics (2020), from 2011 to 2018, workplace violence within healthcare settings increased from 6.4 to 10.4 incidents for every 10,000 full-time employees. Since then, the prevalence of workplace violence only continues to rise, adversely affecting healthcare professionals. Of the four types of workplace violence, Type II is most frequently reported within healthcare settings and refers to aggression and violence exhibited by patients and their families. Despite the increasing prevalence, there remains a paucity of research in relation to Type II workplace violence in pediatrics. Purpose: The purpose of this study was to describe nurses’ perceptions of factors influencing patient and family aggressive and violent behaviors in a pediatric healthcare setting. Lines of Inquiry: The lines of inquiry were to describe patient and family aggressive and violent behaviors encountered by participants and their perception of factors influencing patient and family aggression and violence. Methods: This study employed a qualitative descriptive design to understand factors influencing Type II workplace violence within a free-standing pediatric healthcare setting. Purposive sampling was utilized to select participants meeting the established inclusion criteria. Semi-structured interviews and follow-up interviews were conducted along with a member-checking focus group. Thematic analysis was done to arrive at the findings. Findings: Thirteen pediatric nurses participated in this study. Participants reported encountering varying forms of physical and verbal aggression and violence from patients and families. The following six themes describe participants’ perception of factors influencing patient and family aggression and violence: (1) loss of control, (2) medical and mental health diagnoses and psychosocial histories, (3) ineffective communication, (4) spectrum of staff…
abstract: Background: Healthcare-related workplace violence has steadily increased. According to the U.S. Bureau of Labor Statistics (2020), from 2011 to 2018, workplace violence within healthcare settings increased from 6.4 to 10.4 incidents for every 10,000 full-time employees. Since then, the prevalence of workplace violence only continues to rise, adversely affecting healthcare professionals. Of the four types of workplace violence, Type II is most frequently reported within healthcare settings and refers to aggression and violence exhibited by patients and their families. Despite the increasing prevalence, there remains a paucity of research in relation to Type II workplace violence in pediatrics. Purpose: The purpose of this study was to describe nurses’ perceptions of factors influencing patient and family aggressive and violent behaviors in a pediatric healthcare setting. Lines of Inquiry: The lines of inquiry were to describe patient and family aggressive and violent behaviors encountered by participants and their perception of factors influencing patient and family aggression and violence. Methods: This study employed a qualitative descriptive design to understand factors influencing Type II workplace violence within a free-standing pediatric healthcare setting. Purposive sampling was utilized to select participants meeting the established inclusion criteria. Semi-structured interviews and follow-up interviews were conducted along with a member-checking focus group. Thematic analysis was done to arrive at the findings. Findings: Thirteen pediatric nurses participated in this study. Participants reported encountering varying forms of physical and verbal aggression and violence from patients and families. The following six themes describe participants’ perception of factors influencing patient and family aggression and violence: (1) loss of control, (2) medical and mental health diagnoses and psychosocial histories, (3) ineffective communication, (4) spectrum of staff…
author: Correia, Andrea M
keywords: Nursing, Pediatrics, Workplace Violence, Pediatric Nursing
date published: 2025-08-31T07:00:00Z
date modified: 2026-07-24T05:41:55Z
provider: University of San Diego
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: University of San Diego