Professional Documents
Culture Documents
-Type II Violence
-Committed by clients /customers of the org
-aka “client-perpetrated violence”
-ex. patient assaults a health care worker
-Type IV Violence
-Committed by spouse or partner of the victim
-happens to occur in the workplace
Prevalence by Source
-Research suggests workplace violence is perpetrated by members of the public
-Respondents to Canadian public service employment survey reported that:
-71% reported workplace violence from clients, residents/other members of the public
(type I/II violence)
-34% reported workplace violence from coworkers (type III violence)
-an indiv is 4X more likely to be assaulted by member of the public than by coworker
-All 4 forms of physical violence more likely frm members of the public
Risk Factors for Workplace Aggression
-Robbery is the primary risk factor for occupational homicide, but it is not the primary risk factor
for nonfatal assaults
-employees in retail, service (ex. restaurants), security, + transportation at highest risk
-Industries reporting high rates of nonfatal assaults:
-Health care
-Education
-Social services
-Law enforcement
Imminent Risk
Short-term risk of violence occurring in the current situation
-assessment of imminent risk is grounded in the assault cycle
-Assault Cycle:
-Model suggesting that violence occurs only after a period of escalation
-point to escalation of violence interactions frm a triggering event through an
escalation phase to a crisis/assault
-tells us:
-1) aggression can escalate into violence
-2) violence doesn't come out of nowhere
-there are clear signs that indivs are increasingly likely to become
Violent
-By recognizing these signs, employees may be alerted to
the increased risk.
Assault Cycle
-SAV-T acronym (Swearing, Agitation, Volume, Threat) been used to identify imminent risk of
workplace violence based on the assault cycle
-During escalation phase, indivs more likely to
-use profane/obscene language
-show physical signs of agitation (ex. Red face, fidgeting/ pacing, clenching fists, unable
to keep still)
-shouting
-Employees advised to recognize these signs + respond by establishing boundaries
-ex. pointing out that profane language /shouting is unacceptable
-asking indivs to calm themselves
-engaging in defusing
-alerting supervisors/ coworkers to the situation
-The more critical behaviours (swearing, agitation, shouting) present, the more employees
should be concerned about potential for violence
-Almost all violent acts are preceded by direct threat
-articulation of that threat calls for immediate cessation of the interaction
-Employees should immediately escape from situation and/or alert security
-Employees should not try to defuse/ reason w/ indiv who uttered a threat
-at this point, time for managing interaction has passed + employees
should immediately protect themselves
-every threat should be interpreted as onset of violent interaction
Prevention
-Type I Violence
-Actions aimed at preventing robberies will likely reduce number of workplace homicides
-since most workplace homicides occur during robbery
-prevention strategies must be customized to worksites
-3 principles underlie robbery reduction strategies:
-1) increasing visibility
-2) reducing rewards
-3) hardening targets
-Increasing Visibility
-to increase perceived risks for potential criminals, thereby deterring crime
-ex. taxi drivers may have:
-External emergency lights
-Global positioning system (GPS) that allows location of driver in distress to be
Pinpointed
-In-car surveillance cameras that make it possible to identify perpetrators
-crime against taxi drivers reduced by 50% in Toronto due to cameras + GPS
bylaw
-ex. In retail, increasing visibility=increasing chances of someone witnessing a crime
-keeping windows clear to allow passerby see inside
-placing cash register where it can be see frm outside
-closed circuit tvs + vid cameras
-clerk behaviours (ex. Greeting, Eye contact w/customers)
-recommendation for retail: employ 2 clerks for evening + night shifts to reduce robberies
-BUT there’s limited empirical evidence supporting utility of two 2 clerks,
-increases # of workers exposed to robbery-related violence
Target Hardening
-Focus on physical designs that make it difficult to assault employees
-Protective screens reduce assaults experienced by taxi drivers
-Employee training, typically focusing on general safety precautions and on behaviour
during a robbery or threatened assault
-In retail, strategies that make flight difficult may deter robbers
-blocking off laneways + using speed bumps in parking lots
-Revolving doors
-longer distances between cash register + the exit
-target-hardening strategies may reduce likelihood employees getting hurt during robbery:
-ex. Installing high + wide counters, w/ raised floors on employee side, to prevent
robbers jumping over
-ex. installing bullet-resistant barrier.
-Employee training:
-focus on safety precautions + behaviour during robbery / threatened assault
-instructions on how to behave give employees sense of control of the situation
-lessen possibility that they will be injured
-stress cooperation w/ robbers (employees who cooperate sustain fewer injuries)
-not to make sudden moves during robbery, keep hands in plain sight, + nform robbers
of what they are doing when they are doing it
-activate silent alarm only when it is safe to do so
-be aware that it is not constructive to confront shoplifters
Type II Violence
-Common victims of nonfatal workplace violence are service providers:
-Health care workers
-Teachers
-Social service workers
-Prison guards
-Police officers
-factors that increase risk for care/service providers:
- Setting limits on behaviour (ex. tobacco use) esp if actions are perceived as unfair
-long waits for service result in frustration
-when client is involuntarily admitted to hospital/confined
Environmental Strategies
-security devices that reduce employee risk:
-Metal detectors
-Surveillance cameras
-Bullet-proof glass in reception and nursing stations
-Effective lighting inside and outside hospitals
-Curved mirrors at hallway intersections
-Presence of security personnel
-Card-controlled entrances + security checks to limit public access to restricted areas
Organizational/Administrative Strategies
-establish policies + practices to prevent aggression.
-policy should:
- outline unacceptable behaviour
-clients, visitors, + employees should be aware of the document
-encourage reporting of violence
-mgmt should:
-stress importance of reporting acts of aggression
-take all reports seriously
-ensure employees are aware of org’s commitment to safety
-employees fear employers assume they provoked violence
-incl detailed plans for dealing w/ violent attacks when they occur
-incl procedures to ensure sharing of info about violent / potentially violent clients
Policies and practices should be in place to restrict public movement in hospitals
-When service providers work inside patients’ homes, access to protections is delayed/ limited
-thus orgs need to establish policies + procedures for home health care providers
-ex. home care workers required to keep a colleague informed of their
whereabouts throughout their work shift
-ex. Workers should be accompanied to patient’s home by coworker /police
escort if personal safety may be threatened
-ex. employees should be prohibited from working alone in emergency areas or
walk-in clinics, esp during late-night + early-morning shifts
Behavioural/Interpersonal Strategies
-Training may give employees confidence to deal w/potentially dangerous situations.
-Hospital workers who received training reported higher levels of perceived control
compared w/workers who did not receive training.
-Perceptions of control are positively correlated w/employee emotional well-being and
negatively associated w/ employee fear of future violence.
-teach customer service skills, how to resolve conflicts, how to recognize escalating agitation,
and how to manage + respond to aggressive behaviour
-Since violence related to wait times, staff should provide patients+ families w/sufficient info
when there will be long delays for service
-ex. how long delay will be + why
-Employees w/ direct patient contact should be trained how + when to physically restrain
patients
OH&S Today 8.1: Caregiving as a Risk Factor
-A nurse was assaulted by patient’s husband who was upset his wife was being moved.
-assault lasted for 11 mins before security arrived
-resulted in concussion, broken nose, black eyes.
-Health care professionals, particularly nurses, face significant risks.
-NB nurses association: 63% of nurses experienced workplace violence
Type IV Violence
-Intimate partner violence almost always is perpetrated by someone (e.g., spouse) outside the
organization
-some not overt + falls into “grey area” (ex. Waiting outside workplace)
-Managers and organizational decision makers must:
-Be educated about forms of intimate partner violence
-Be aware of the resources that are available to employees
-ex. Employee Assistance Program
-Allow for temporary accommodation during a crisis
-ex. Additional security/escorts in parking lot
-ex. Allow employee to work offsite/take period leave
Respectful Workplaces
-Respectful workplace/anti-bullying programs:
-have positive effect by reducing uncivil + increasing civil behaviour
-Civility, respect, and engagement (CREW) process
-objectives:
-become more sensitive to impact of their social behavior on others
-develop strategies for responding to incivility + disrespect at work
-develop deeper repertoire of supportive interactions w/colleagues
-involving employees in creating definitions of respectful + disrespectful
behaviour + establishing norms for how employees would treat each other
-6 month intervention did reduce invility
-positively affected reports of burnout, job attitudes, management trust, and
absences
-potential to create long-lasting results
-time + resource intensive
-Respect in the Workplace intervention program
-Developed in partnership with Canadian Red Cross and the RespectED
Organization
-a 90-minute interactive program + delivered via computer
-training consists of instructional slides, animated scenarios, expert clips, and
interactive questions + answers
-do not have to complete training in 1 sitting
- inexpensive + does not require a lot of resources
-a small increase in workplace civility
Sexual Harassment
-a workplace stressor
-Intentional, persistent, + unwelcome sexual conduct / remarks that occur despite
resistance
-in cases of severe misconduct (ex. sexual assault), a single incident meets definition
and constitutes sexual harassment
-act/conduct must be intentional (offender must be aware that behaviour is offensive)
-To alleviate loophole of offenders claiming they were unaware their behaviour was
offensive, tribunals use the “reasonable person” test
-determines whether a reasonable person would be aware that behaviour is
offensive
-56% of working women reported experiencing sexual harassment in previous yr (e.g.,
insulting jokes and staring)
-Physically violent actions (ex. rape) do occur in workplace, but rarely
-Labour Code prohibits sexual harassment
-defines sexual harassment as conduct, comment, gesture, /contact of sexual
Nature:
-a) that’s likely to cause offence/humiliation to employee
-b) or that might, on reasonable grounds, be perceived by employee as
placing a condition of sexual nature on employment or on opportunity for
training/ promotion
-outlines 2 types of sexual harassment:
-1) Sexual Coercion (“quid pro quo” harassment)
- to extort sexual cooperation
-Subtle or explicit job threats (e.g., job loss, loss of promotion)
-Promise of job-related rewards (e.g., promotions, raises)
-prohibited by Ontario Human Rights Code
-2) Hostile Environment
-Sexual harassment without coercion/ extortion
-Behaviours range from insulting, misplaced comments to
pervasive sex-related verbal/physical conduct to life threats or
physical attacks
-most prevalent type