How nurse managers in Japanese hospital wards manage patient violence toward their staff

Kana Sato, Yoshie Yumoto, Hiroki Fukahori

Research output: Contribution to journalArticle

Abstract

Aim: This study explores nurse managers' experiences in dealing with patient/family violence toward their staff. Background: Studies and guidelines have emphasised the responsibility of nurse managers to manage violence directed at their staff. Although studies on nursing staff have highlighted the ineffectiveness of strategies used by nurse managers, few have explored their perspectives on dealing with violence. Methods: This qualitative study adopted a grounded theory approach to explore the experiences of 26 Japanese nurse managers. Results: The nurse managers made decisions using internalised ethical values, which included maintaining organisational functioning, keeping staff safe, advocating for the patient/family and avoiding moral transgressions. They resolved internal conflicts among their ethical values by repeating a holistic assessment and simultaneous approach consisting of damage control and dialogue. They facilitated the involved persons' understanding, acceptance and sensemaking of the incident, which contributed to a resolution of the internal conflicts among their ethical values. Conclusions: Nurse managers adhere to their ethical values when dealing with patient violence toward nurses. Their ethical decision-making process should be acknowledged as an effective strategy to manage violence. Implications for nursing management: Organisational strategies that support and incorporate managers' ethical decision-making are needed to prevent and manage violence toward nurses.

Original languageEnglish
Pages (from-to)164-173
Number of pages10
JournalJournal of Nursing Management
Volume24
Issue number2
DOIs
Publication statusPublished - 2016 Mar 1
Externally publishedYes

Fingerprint

Nurse Administrators
Violence
Decision Making
Nurses
Domestic Violence
Nursing Staff
Negotiating
Nursing
Guidelines

Keywords

  • Decision-making process
  • Ethical value
  • Nurse managers
  • Risk management
  • Workplace violence

ASJC Scopus subject areas

  • Leadership and Management

Cite this

How nurse managers in Japanese hospital wards manage patient violence toward their staff. / Sato, Kana; Yumoto, Yoshie; Fukahori, Hiroki.

In: Journal of Nursing Management, Vol. 24, No. 2, 01.03.2016, p. 164-173.

Research output: Contribution to journalArticle

@article{c667ee72e671473790944af34769a8bc,
title = "How nurse managers in Japanese hospital wards manage patient violence toward their staff",
abstract = "Aim: This study explores nurse managers' experiences in dealing with patient/family violence toward their staff. Background: Studies and guidelines have emphasised the responsibility of nurse managers to manage violence directed at their staff. Although studies on nursing staff have highlighted the ineffectiveness of strategies used by nurse managers, few have explored their perspectives on dealing with violence. Methods: This qualitative study adopted a grounded theory approach to explore the experiences of 26 Japanese nurse managers. Results: The nurse managers made decisions using internalised ethical values, which included maintaining organisational functioning, keeping staff safe, advocating for the patient/family and avoiding moral transgressions. They resolved internal conflicts among their ethical values by repeating a holistic assessment and simultaneous approach consisting of damage control and dialogue. They facilitated the involved persons' understanding, acceptance and sensemaking of the incident, which contributed to a resolution of the internal conflicts among their ethical values. Conclusions: Nurse managers adhere to their ethical values when dealing with patient violence toward nurses. Their ethical decision-making process should be acknowledged as an effective strategy to manage violence. Implications for nursing management: Organisational strategies that support and incorporate managers' ethical decision-making are needed to prevent and manage violence toward nurses.",
keywords = "Decision-making process, Ethical value, Nurse managers, Risk management, Workplace violence",
author = "Kana Sato and Yoshie Yumoto and Hiroki Fukahori",
year = "2016",
month = "3",
day = "1",
doi = "10.1111/jonm.12281",
language = "English",
volume = "24",
pages = "164--173",
journal = "Journal of Nursing Management",
issn = "0966-0429",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - How nurse managers in Japanese hospital wards manage patient violence toward their staff

AU - Sato, Kana

AU - Yumoto, Yoshie

AU - Fukahori, Hiroki

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Aim: This study explores nurse managers' experiences in dealing with patient/family violence toward their staff. Background: Studies and guidelines have emphasised the responsibility of nurse managers to manage violence directed at their staff. Although studies on nursing staff have highlighted the ineffectiveness of strategies used by nurse managers, few have explored their perspectives on dealing with violence. Methods: This qualitative study adopted a grounded theory approach to explore the experiences of 26 Japanese nurse managers. Results: The nurse managers made decisions using internalised ethical values, which included maintaining organisational functioning, keeping staff safe, advocating for the patient/family and avoiding moral transgressions. They resolved internal conflicts among their ethical values by repeating a holistic assessment and simultaneous approach consisting of damage control and dialogue. They facilitated the involved persons' understanding, acceptance and sensemaking of the incident, which contributed to a resolution of the internal conflicts among their ethical values. Conclusions: Nurse managers adhere to their ethical values when dealing with patient violence toward nurses. Their ethical decision-making process should be acknowledged as an effective strategy to manage violence. Implications for nursing management: Organisational strategies that support and incorporate managers' ethical decision-making are needed to prevent and manage violence toward nurses.

AB - Aim: This study explores nurse managers' experiences in dealing with patient/family violence toward their staff. Background: Studies and guidelines have emphasised the responsibility of nurse managers to manage violence directed at their staff. Although studies on nursing staff have highlighted the ineffectiveness of strategies used by nurse managers, few have explored their perspectives on dealing with violence. Methods: This qualitative study adopted a grounded theory approach to explore the experiences of 26 Japanese nurse managers. Results: The nurse managers made decisions using internalised ethical values, which included maintaining organisational functioning, keeping staff safe, advocating for the patient/family and avoiding moral transgressions. They resolved internal conflicts among their ethical values by repeating a holistic assessment and simultaneous approach consisting of damage control and dialogue. They facilitated the involved persons' understanding, acceptance and sensemaking of the incident, which contributed to a resolution of the internal conflicts among their ethical values. Conclusions: Nurse managers adhere to their ethical values when dealing with patient violence toward nurses. Their ethical decision-making process should be acknowledged as an effective strategy to manage violence. Implications for nursing management: Organisational strategies that support and incorporate managers' ethical decision-making are needed to prevent and manage violence toward nurses.

KW - Decision-making process

KW - Ethical value

KW - Nurse managers

KW - Risk management

KW - Workplace violence

UR - http://www.scopus.com/inward/record.url?scp=84959574640&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959574640&partnerID=8YFLogxK

U2 - 10.1111/jonm.12281

DO - 10.1111/jonm.12281

M3 - Article

VL - 24

SP - 164

EP - 173

JO - Journal of Nursing Management

JF - Journal of Nursing Management

SN - 0966-0429

IS - 2

ER -