Wild Health

How to deal and heal from violence in healthcare

Written by Amelie Drouin | 31/01/2023 2:00:00 PM

As a healthcare professional did you know your job category is regularly subjected to some form of violence in the workplace? Sadly 61.9% of healthcare workers globally have been exposed to either physical or verbal workplace violence, coming from patients or visitors (from a 2019 statistic).

 

Let me share some real examples with you. As a triage nurse, I have been yelled at and threatened on countless occasions when the waiting room was full. As a ward nurse, I have been scratched and hit by patients combating care. Last year, I was assaulted one morning, punched repeatedly by a delusional patient during an intervention with other colleagues. It shook me to the core. None of it is acceptable; every worker is entitled to be safe in the practice of their duties.

 

Should I just push through?

The short answer is No. 

You are allowed to express emotions, process your own trauma, and obtain time and space to regulate and rest.

Sadly, workplace violence affects workers’ psychological health, the quality of patient care, and overall job satisfaction. Here are some symptoms you may encounter after an incident if you refuse to ignore the healing part:

  • Fear of returning to work
  • Spiraling thoughts
  • Insomnia
  • Feeling on edge, frustration, anger
  • Feelings of powerlessness
  • Loss of compassion for patients
  • Loss of interest in the work you normally enjoy.

 

How-to: what MUST happen if violence occurs in the workplace

Verbal abuse is inappropriate, full stop. Assault is criminal.

1- REPORT: There should be an incident report completed; you may need to give the police a statement and decide if you want to press charges. And yes, if handled correctly, security and/or police will be involved to protect you.

2- REMOVE: You should be removed from the situation. In most cases, especially if there was assault involved, the employee needs to be assessed by a physician. This way, if you sustain a physical or psychological injury, you will be able to access the required care under Work Cover Laws.

3- SUPPORT: This includes an initial debriefing session (as a team or 1:1 with a manager/peer), access to counseling sessions, and a plan to return to work. We encourage you to become familiar with the policies relating to health and safety in your own workplace; this way you can support colleagues (and yourself) when an incident occurs.

 

Trauma-release self-care practices

Do you need to find out more about looking after yourself in your wild workplace? If you are feeling overwhelmed, you can try this grounding exercise for an on-the-spot calming effect. It combines breathing, sensory, your body and it's free. 

Grounding exercise with the 5 senses.

 

Science knows that the Broca area of the brain shuts down during overwhelming and traumatizing events (Van der Kolk), which is the area responsible for language. Thus, talk therapy is not always the most effective tool to release and clear trauma, as people are often "lost for words". Instead, therapists now promote mind-body strategies, such as:

- Gentle movement (yoga/dance/Qigong etc.), meditation, and deep breathing that slows down the overwhelmed nervous system and allows a tension release. 

- Acupuncture or the use of pressure points to release tension accumulated in certain areas or energy channels around the body.

- EMDR, exercises involving eye movements and the cranial nerve, also to regulate the nervous system.

Trauma-aware practitioners value compassion during the healing process, this applies to a great deal of self-compassion. We encourage you to try something different and gauge how you feel overall. 

Find more tools to manage overwhelm, stress and regulate your nervous system, here on the blog and on Instagram @amelied_wildhealthcare

 

 

Sources you might like to read

Liu J, Gan Y, Jiang H, et al Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis Occupational and Environmental Medicine 2019;76:927-937.

https://oem.bmj.com/content/76/12/927

Frequency and Impacts of Verbal Abuse on Healthcare Workers in a Secondary Healthcare Structure in Greece (2023). Cureus. doi: 10.7759/cureus.35406

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10040172/

 

 

This blog is managed by individuals to open conversations about the wellbeing of healthcare workers, and is not monitored 24/7. We are not a psychology service nor urgent care for mental health emergencies. The information is only suggestive, it does not constitute formal expert advice. Please contact your general physician or your emergency department if you require immediate assistance. If you experience feelings or emotional distress you cannot manage alone, please seek help immediately, either call 000 or LifeLine 13 11 14 (in Australia). 

 

 

 

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