Jane Mattila

Date of Award


Document Type

Independent Study

Degree Name

Master of Science in Nursing (MSN)


Workplace violence is increasing in the healthcare and emergency department (ED) violence is escalating to the point where nurses experience violent assaults at 12 times the national average (U. S. Department of Labor, Bureau of Labor Statistics, 2008). The Emergency Nurses Association (ENA) conducted a survey of over 3,000 emergency nurses and found 86% of those surveyed had encountered physical violence within the last three years (Emergency Nurses Association [ENA], 2008) Occupational Safety and Health Administration (OSHA) (2011) and the Joint Commission (2010) require healthcare facilities to organize a plan to provide for the safety and security of employees and patients

Today, most healthcare facilities provide some form of violence prevention program for staff to help diffuse potentially violent situations but these programs can be costly, inconvenient to organize, and not facility specific, resulting in inconsistent and infrequent training. A comprehensive literature review will provide evidence to support the development of a constructivist based violence prevention competency for emergency department nurses to increase confidence and encourage a safe environment for patients and staff when dealing with potentially violent situations, while c~mplying with the recommendations of the Joint Commission and OSHA