Nursing Advocacy Letter Assignment

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Advocacy Letter Assignment: One page

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Decreasing Workplace Violence, One Policy Brief at a Time

Statement of the Problem

Workplace violence in medical facilities has turned out to be a significant occupational and health issue that endangers the security of nurses and other medical practitioners. Physical assault, verbal abuse, threats, harassment, or psychological intimidation can all be considered types of workplace violence (Mento et al., 2020). Nurses in emergency rooms, psychiatric units, and other community facilities are at an especially high risk, as patients in these facilities can be experiencing mental illness, emotional distress or substance intoxication. Studies show that when nurses are exposed to violence repeatedly, the intention to leave the job becomes high, further intensifying the nursing shortage situation and affecting patient care quality (Luo et al., 2024).

Root Causes of the Issue

The absence of a standardized reporting system and organizational policies related to the violent incidents is one of the major causes (Spencer et al., 2023). According to Spencer et al. (2023), most healthcare employees fail to report violent incidents as they think that the act is within the job description or they are afraid that the administration will not take any action. In the absence of regular reporting systems, healthcare organizations will be unable to affordably quantify the extent of the issue and devise a successful prevention approach.

Another cause is inadequate staffing and lack of knowledge on handling aggressive behavior (Jackson et al., 2025). When high risk units are understaffed, it increases the risk of violence and decreases the ability to handle violent situations safely. Workplace violence increase the risk of stress in employees, burnout and mental health issues (He et al., 2026). Also, healthcare facilities may not be environmentally safe as they might not have alarm systems, safe points of entry or even well-designed rooms to minimize the risk of violent occurrences (Jacob et al., 2025).

Recommendations

First, the legislature must mandate healthcare institutions to implement effective and elaborate workplace violence prevention programs. These programs are expected to contain standardized reporting mechanisms, frequent risk evaluations and well-laid-down guidelines on how to act in response to violent acts. It has been shown that policies and reporting systems structured along violence prevention can lessen the psychological effects of the violent incident on medical staff (Solorzano Martinez & De Oliveira, 2021).

Second, the policymakers are supposed to fund the staff training and environmental safety measures. The healthcare workers can learn de-escalation methods, crisis intervention and trauma-informed care which should allow them to cope with potentially violent situations more efficiently (Jackson et al., 2025). Those organizations that invest in workplace violence prevention programs and staff support programs have better employee safety and reduced turnover rates (He et al., 2026).

Conclusion

As violence in healthcare rises it interrupts the healing of other patients on the unit and decreases the quality of care delivered to patients by staff members. When nurses consistently feel unsafe in their workplace they are unable to deliver good quality care. Ultimately, putting safety training in effect and educating staff on policies will have a positive effect on staff mental health and patient outcomes.

References

He, J., Yang, J., Yuan, J., Yu, Q., E. Stephano, E., Zhang, W., Li, Y., & Tian, Y. (2026, January). Workplace violence against nurses and Its Association with mental health and turnover intention: A national cross‐sectional study (Y. Oh, Ed.). Journal of Nursing Management, 2026(1), Article 2818047. https://doi.org/10.1155/jonm/2818047

Jackson, D. I., Maa, T., Luna, J., Huang, Y., Fristad, M. A., & Sezgin, E. (2025). Challenges and opportunities in healthcare workplace violence training: A qualitative study of staff experiences. Journal of Workplace Behavioral Health, 40(4), 641–654. https://doi.org/10.1080/15555240.2025.2474055

Jacob, D., Jacob, B., Jacob, E., & Jacob, A. (2025). Effectiveness of Environmental Design interventions to reduce aggression and violence in emergency Departments: A scoping review. HERD: Health Environments Research & Design Journal, 18(4), 26–42. https://doi.org/10.1177/19375867251351027

Luo, Y., Zhang, M., Yu, S., Guan, X., Zhong, T., Wu, Q., & Li, Y. (2024, November 18). The impact of psychological violence in the workplace on turnover intention of clinical nurses: The mediating role of job satisfaction. BMC Nursing, 23(1), Article 844. https://doi.org/10.1186/s12912-024-02477-9

Mento, C., Silvestri, M. C., Bruno, A., Muscatello, M. R. A., Cedro, C., Pandolfo, G., & Zoccali, R. A. (2020). Workplace violence against healthcare professionals: A systematic review. Aggression and Violent Behavior, 51, Article 101381. https://doi.org/10.1016/j.avb.2020.101381

Solorzano Martinez, A. J., & De Oliveira, G. C. (2021, September). Workplace violence training programs for nursing students: A literature review. Journal of the American Psychiatric Nurses Association, 27(5), 361–372. https://doi.org/10.1177/1078390321994665

Spencer, C., Sitarz, J., Fouse, J., & DeSanto, K. (2023). Nurses' rationale for underreporting of patient and visitor perpetrated workplace violence: A systematic review. BMC Nursing, 22(1), Article 134. https://doi.org/10.1186/s12912-023-01226-8