Journal of Gerontological Nursing
Vol. 29 No. 3 March 2003
By Pamela F. Levin, PhD, RN; Jeanne Beauchamp Hewitt, PhD, RN; Susan Terry Misner, RN; Sheila Reynolds, MS, RN
ABSTRACT
The purpose of this study was to explore contributing factors, consequences, and solutions to assault of long-term care personnel. The study sample consisted of three focus groups composed of certified nursing assistants and administrators employed in longterm care facilities within a large Midwestern city. Using content analysis methodology, multiple themes emerged: worker attitude, vulnerability, work culture, job tasks, training, working short-staffed, financial concerns, changes in social values and health care, community crime, substance abuse, accepting assaults, coworker threats, issues of retaliation, professional withdrawal, and inability to share experiences. Preventive measures suggested by the participants are consistent with those recommended by the Occupational Safety and Health Administration. Implications for staff and administrators include both personal and workplace strategies. Recommendations include implementing more comprehensive violence prevention programs that includes conflict management and training tailored to the type of residents.
ABOUT THE AUTHORS
Dr. Levin was formerly with the University of Illinois at Chicago College of Nursing, Chicago, Illinois. Dr. Hewitt is Associate Professor, University of Wisconsin—Milwaukee School of Nursing, Milwaukee, Wisconsin. Ms. Misner is a doctoral candidate, University of Illinois at Chicago College of Nursing, Chicago, Illinois. Ms. Reynolds is Long Term Care Nurse Consultant/President, Nursing Solutions Consultants, LLC, Mequon, Wisconsin.
This study was supported by the University of Illinois at Chicago, College of Nursing Dean’s Fund.
Address correspondence to Pamela F. Levin, PhD, RN, 2748 W. Logan Blvd., Chicago, IL 60647.
