Violence in the workplace is one of the important emerging issues in healthcare. Its prevalence is especially high in the emergency department (ED) than in all other sections of a healthcare facility. Solving the problem of workplace violence requires the implementation of practices that are purposeful in every healthcare setting. Implementation of the change is only possible by educating employees on the seriousness of the matter and the different ways of avoiding or settling violence in the ED. The ED is a very critical department of every medical setting. Therefore, ensuring a clean flow of activities and interaction between the working teams and the patients is very important.
Workplace violence is a great source of negative physical and psychological effects such as insomnia and headaches. Providing efficient medical attendance to victims in the emergency departments is not possible when workers are violent towards one another. In addition, aggressiveness in the ED leads to the emergence of long waiting times, unwelcoming nurses, as well as an irregularity in shifts. Regardless of the form of violence, the impact it makes is not good since is felt and realized by both the patients and the nursing staff. This description is the problem statement that needs to be settled once and for all. Due to the seriousness of this vice, a properly-designed curriculum elaborating ways of dealing with this issue is necessary in its study.
Project Description and Setting
The project is driven by the need to implement an ED nursing curriculum that comprises of modules that can be instrumental in handling both passive and active violence and aggressiveness from patients or even fellow workmates. Violence being a matter of workplace safety can persist for a long period and have detrimental effects on the overall progress of every medical setting. The project is designed to enhance the ability to meet different requirements of maintaining safety in the working environment. In addition to that, the project is designed to investigate and make recommendations for necessary interventions that can be employed on a large-scale basis to prevent and eradicate ED violence. The inclusions of the project will be randomized experiments to generate informative results that will aid in developing the new practicum.
The project is centered on a public medical setting. Accordingly, this center is the setting of the practicum experience. Most of the practicum will be in the emergency department that comprises of the receiving end and the intense care unit that receives patients with acute conditions. These units have a high number of staff members comprising mainly of of unit technicians and registered nurses. The activities in these units have higher cases of violence as they involve aggression. In addition to this, the remaining portion of the practicum will occur in other parts of the hospital that attend to emergency cases.
Goals and Objectives
Considering the negative effects of violence and aggression in the ED, it is important to find a permanent solution for these practices that are not ethical. Improving coherence and harmony among the servants in the ED can bear good fruits. As a result, creating coherence and harmony is the main aim of this project. One of the major goals of the project is creating a healthy working environment that is free from physical and psychological harm. With these safe surroundings, all the nurses and the supporting staff will have the opportunity to maximize their skills and abilities to save the lives of many individuals who have varying conditions. Better still, reducing violence in the ED will create a conducive working environment for nurses (American College of Emergency Physicians 27).
In addition to the above, one of the objectives of the project is to instill skills of reducing violence in the ED through training. The ED is the most basic unit of the hospital that a patient has to go through. The project will be instrumental in the identification of the learning needs of the target population followed by the provision of a curriculum that can ensure that these requirements are fixed. In addition, these learning objectives will give an account of all the aims and objectives of the workplace violence in the ED practicum project.
To improve the likelihood and odds of making the project a success, it is important to have two categories of preceptors that can assist in running the program. To begin with, it is important to have one nursing educator who has an experience of not less than 7 years in this position. Her main role will be to bring in the insight of teaching while still improving my personal capability to teach, lead, and influence change. Secondly, it is important to have the insight of a nurse who understands the ED properly based on his/her experience. The two preceptors will be recruited according to their knowledge, skills, and the desire to positively influence nursing and delivery of healthcare services.
The practicum will occur in two fields, which are the hospital and the university during the 2017 Fall Semester. The semester will run from 28th August to 10th December. All the activities necessary to make the practicum complete will be spread throughout the timeline.
The project of the ED practicum for the workplace violence has to be evaluated critically. The evaluation will provide information for making decisions on improving, assessing, or developing the new curriculum. In simple terms, it will assist in the examination of the cost, the implementation, and the usefulness of the new curriculum in the prevention of workplace violence. Among the factors that will be addressed in the evaluation are the impacts, the processes, and the formality of the project or the new implementation.
The implementation and the planning phases will be evaluated based on the formative design of evaluation. Feasibility will be evaluated with the help of the existing programs and a thorough survey. The aim of the evaluation of the program is pinpointing the problems that might arise in future. It will as well allow for a keen assessment of the target populations with the goal of understanding their perceptions. Every healthcare project requires short-term changes and improvements that can only be met with effective evaluation plans (ASIS Healthcare Security Council 14).
In summary, the practicum project is a demonstration of the need to block the gap that affects the safety of nurses in the emergency department. The new curriculum will create a social change that is positive for nurses, the community, and all healthcare employees. The project has both strengths and limitations. The limitations will be settled through evaluation and improvement. Importantly, the project will be instrumental in enhancing the improvement of my skills as a practitioner, a project developer, a scholar, and a leader. Better still, alleviation of violence in the ED opens doors for effective service provision while preventing issues that challenge the ability to attend to patients with different critical needs.
American College of Emergency Physicians. Protection from physical violence in the ED
Environment. Retrieved from http://www.acp.org/content.aspx?id=29654 (October, 15,
ASIS Healthcare Security Council. (2010). Managing disruptive behavior and workplace
Violence in healthcare. Retrieved from http://www.g4s.us /~/media/Files
lence.ashx (November, 20, 2010)