Dear community of the Chilean Journal of Nursing, we inform you that we continue to receive articles for publication this 2024,
with a continuous publication system on Nursing and Health Sciences topics;
and an average publication time of nine weeks from article submission to publication. (GUIDELINES FOR THE AUTOR)
Objective: To reflect on the impact that violence from users and/or their families has on the mental health of nursing professionals. Development: Violence against nursing staff in emergency departments is a persistent and normalized issue, with direct consequences on emotional wellbeing, professional performance, and quality of care. Various studies report that more than 60% of staff have been victims of aggression, mainly verbal, resulting in stress, anxiety, exhaustion, and burnout. This negatively affects empathy, concentration, and clinical responsiveness, compromising patient safety. Factors such as service collapse, long waiting times, and work overload are cited as possible triggers of aggressive behaviour by users and relatives. However, the absence of clear institutional protocols, lack of psychological support, and weak selfcare culture worsen the situation, leaving staff exposed and unsupported. Conclusion: Violence in emergency services must be addressed as a systemic threat that requires comprehensive responses. It is urgent to establish prevention policies, action protocols, psychoemotional support systems, and educational interventions starting at the undergraduate level. Recognizing and confronting this issue is key to protecting staff wellbeing and ensuring a safe and humanized clinical environment.
Occupational Safety and Health Administration (OSHA). Guidelines for preventing workplace violence for healthcare and social service workers. Washington (DC): OSHA; 2016. https://www.osha.gov/sites/default/files/publications/osha3148.pdf
Enríquez-Hernández CB, Ortiz-Vargas I, Petrovich IS, Martínez-Jiménez L, Méndez-Cordero E, Fernández-Sánchez H, et al. Violencia hacia el profesional de enfermería: una etnografía focalizada. Ciencia y enfermería. 2021;27. http://dx.doi.org/10.29393/ce27-18vhch60018
Fricke J, Siddique SM, Douma C, Ladak A, Burchill CN, Greysen R, et al. Workplace Violence in Healthcare Settings: A Scoping Review of Guidelines and Systematic Reviews. Trauma, Violence, & Abuse. 2023;24(5):3363-83. https://doi.org/10.1177/15248380221126476
Jiménez RE, Bachelet VC, Gomolán P, Lefio LÁ, Goyenechea M. Violence and burnout in health care emergency workers in Santiago, Chile: A survey-based cross-sectional study. Int Emerg Nurs. 2019;47:100792. https://doi.org/10.1016/j.ienj.2019.100792
Ahluwalia T, Singh S, Gandhi N, Toy S, Douglass K, Blanchard J, et al. Violence in the emergency department: a quantitative survey study of healthcare providers in India. Int J Emerg Med. 2024;17(1):83. https://doi.org/10.1186/s12245-024-00653-x
Subsecretaría de Redes Asistenciales (CL). Cuarto informe de violencia externa en redes asistenciales, periodo 2023. Santiago: Ministerio de Salud; 2024. https://saludablementessm.cl/wp-content/uploads/2024/06/Cuarto-Informe-de-Violencia-Externa-en-Redes-Asistenciales-Periodo-2023.pdf
Schablon A, Kersten JF, Nienhaus A, Kottkamp HW, Schnieder W, Ullrich G, et al. Risk of Burnout among Emergency Department Staff as a Result of Violence and Aggression from Patients and Their Relatives. International Journal of Environmental Research and Public Health. 2022;19(9):4945. https://doi.org/10.3390/ijerph19094945
Squire M, Hessler K. Original Research: Patient-to-Nurse Violence During One-to-One Assignments: A Silent Epidemic. AJN The American Journal of Nursing. 2023;123(2):28. https://doi.org/10.1097/01.NAJ.0000918672.80373.ae
Howlett M, Doody K, Murray J, LeBlanc-Duchin D, Fraser J, Atkinson PR. Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey. Emerg Med J. 2015;32(9):722-7. https://doi.org/10.1136/emermed-2014-203750
National Academies of Sciences, Engineering, and Medicine. The future of nursing 2020–2030: charting a path to achieve health equity. Washington (DC): The National Academies Press; 2021. https://www.ncbi.nlm.nih.gov/books/NBK573902/
Udoudo DA, Agu CF, Lawrence ES, Woolcock AMM, Emanuel-Frith M, Kahwa E. Factors Influencing Nurses’ Self Care Practices. J Holist Nurs. 2023;41(3):285-93. https://doi.org/10.1177/08980101221119776
Ministerio de Salud. Registro agresiones a funcionarios de salud. 2019.
Fuentes-Olavarría D, Rodríguez-Rivas ME, Romo-Neira J. Workload and psychosocial risks among nurses in mental health and psychiatry in Chile. Int J Ment Health Nurs. 2024;33(4):869-84. https://doi.org/10.1111/inm.13286
Al Yahyaei A, Hewison A, Efstathiou N, Carrick-Sen D. Nurses’ intention to stay in the work environment in acute healthcare: a systematic review. Journal of Research in Nursing. 2022;27(4):374-97. https://doi.org/10.1111/inm.13286
de Vries N, Boone A, Godderis L, Bouman J, Szemik S, Matranga D, et al. The Race to Retain Healthcare Workers: A Systematic Review on Factors that Impact Retention of Nurses and Physicians in Hospitals. INQUIRY. 2023;60:00469580231159318. https://doi.org/10.1177/00469580231159318
Alzahrani M. Impact of Work Environment on Nurse’s Retention at Hospital: Scoping Review. Evidence-Based Nursing Research. 2022;4(2):39-53. https://doi.org/10.47104/ebnrojs3.v4i2.239
Corro KDI, Córdova DMM, Albán GVG, Cáceres JNV, Guanopatin MSH. Estrategias para mejorar la retención y el bienestar del personal de enfermería: Revisión de la literatura. Reincisol. 2024;3(6):1304-26. https://doi.org/10.59282/reincisol.V3(6)1304-1326
Martins Irvine A, Moloney W, Jacobs S, Anderson NE. Support mechanisms that enable emergency nurses to cope with aggression and violence: Perspectives from New Zealand nurses. Australasian Emergency Care. 2024;27(2):97-101. https://doi.org/10.1016/j.auec.2023.09.003
Schablon A, Wendeler D, Kozak A, Nienhaus A, Steinke S. Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany-A Survey. Int J Environ Res Public Health. 2018;15(6):1274. https://doi.org/10.3390/ijerph15061274
Aksoy F, Bıyık Bayram S, Özsaban A. Nursing students’ exposure to violence in clinical practice and violence management competence levels. Nurse Educ Today. 2024;139:106237. https://doi.org/10.1016/j.nedt.2024.106237
Richardson SK, Ardagh MW, Morrison R, Grainger PC. Management of the aggressive emergency department patient: non-pharmacological perspectives and evidence base. Open Access Emerg Med. 2019;11:271-90. https://doi.org/10.2147/OAEM.S192884
d’Aubarede C, Sarnin P, Cornut PL, Touzet S, Duclos A, Burillon C, et al. Impacts of users’ antisocial behaviors in an ophthalmologic emergency department—a qualitative study. Journal of Occupational Health. 2016;58(1):96-106. https://doi.org/10.1539/joh.15-0184-FS
Efrat-Treister D, Moriah H, Rafaeli A. The effect of waiting on aggressive tendencies toward emergency department staff: Providing information can help but may also backfire. PLoS One. 2020;15(1):e0227729. https://doi.org/10.1371/journal.pone.0227729
Angland S, Dowling M, Casey D. Nurses’ perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study. International Emergency Nursing. 2014;22(3):134-9. https://doi.org/10.1016/j.ienj.2013.09.005
Al‐Qadi MM. Workplace violence in nursing: A concept analysis. J Occup Health. 2021;63(1):e12226. https://doi.org/10.1002/1348-9585.12226
Subsecretaria de Previsión Social. Guía práctica para la prevención y control de la violencia y acoso en los lugares de trabajo. 2024.