Purpose statement: The purpose of this paper is to examine the causes and effects of violence towards nurses in the Emergency Department (ED).

Purpose statement: The purpose of this paper is to examine the causes and effects of violence towards nurses in the Emergency Department (ED).

ARTICLE #1:
Angland, S., Dowling, M., & Casey, D. (2014). Nurses’ perceptions of the factors which cause violence and aggression in the emergency department: A qualitative study.

International Emergency Nursing, 22(3), 134-139. doi:10.1016/j.ienj.2013.09.005

This article examines an Emergency Department (ED) in an Irish urban ED. This qualitative study determined that barriers to communication and environmental factors led

to violence toward ED nurses. In addition, long wait times, substance abuse and the stress of an overcrowded ED contribute to violence and aggression from patients.
Environmental factors include wait times, overcrowding, security issues and triage related issues. Communication factors included interpersonal relationships, attitude

of staff, fear, and vulnerability. However, participants in this study believed that long wait times contributed the most to acts of aggression from patients.

ARTICLE #2
Crilly, J., Chaboyer, W., & Creedy, D. (2004). Violence towards emergency department nurses by patients. Accident & Emergency Nursing, 12(2), 67-73.

This article examines two different emergency departments in which the nurses were asked to fill out a survey. The majority of nurses concluded that most violent acts

occurred during the night shift and were perpetrated by patients who were under the influence of drugs and/or alcohol. In addition, patients with a mental illness were

more likely to commit a violent act.
This article also investigated the types of abuse that nurses endured which included being sworn at, pushed, hit and kicked. Most violent acts occurred at the triage

desk and within 1 hour of presentation to the emergency department. Certain patient characteristics such as demanding behavior or requesting attention were precursors

to aggression, however, ED nurses did not suspect that these behaviors would lead to violence.

SIMILARITIES AND DIFFERE

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