Management staff’s perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria: a qualitative study

Frontiers in Public Health · 11 authors, 4 centres

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TL;DR

This qualitative study used focus group discussions with 38 hospital management staff in Nigeria to explore strategies for preventing workplace violence.

Full summary

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The study employed a qualitative design with six focus group discussions involving 38 purposively selected management staff from a tertiary hospital in Nigeria.

STUDY TYPE

other

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public health

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10462867

Management staff’s perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria: a qualitative study

Frontiers in Public Health

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ABSTRACT

Introduction Health workers have increasingly become victims of workplace violence. However, negligible action has been given to developing workplace violence (WPV) prevention programs in hospital settings in low-middle-income countries. An effective workplace violence prevention program is crucial for preventing violence and managing the consequences of incidents. This study assessed management staff perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria. Methods A qualitative study design was employed to explore the intervention strategies for preventing and managing workplace violence at a tertiary health facility in southeast Nigeria. Six focus group discussions were conducted with thirty-eight management-level staff. The interview transcripts were manually coded according to six predefined constructs of workplace violence: creating interdisciplinary harmony and WPV experiences, causes, prevention, program/policy contents, and implementation strategies. A manual thematic analysis approach was adopted, and the results were presented as narratives. Results The findings revealed recognition, welfare, administrative control, and security as vital strategies for the WPV prevention program. The participants agreed that unanimity among staff could be promoted through respect for all cadres of staff and for people’s perspectives (creating interdisciplinary harmony). Assaults and staff intimidation/victimization (experiences), attributed to unethical/poor health workers’ behaviour and ethnic discrimination (causes), were viewed as preventable by ensuring patients’/caregivers’ welfare through respectful and timely care and staff’s welfare through incentives/remunerations and discouraging intimidation (prevention strategies). Furthermore, the staff expressed that the WPV program should employ administrative controls, including instituting WPV policy/unit, codes of ethics, and standard operating procedures across all workplace facets (program/policy contents), which should be implemented through awareness creation, enforcement of sanctions, and provision of appropriate and adequate security presence in the hospital (policy implementation strategies). Conclusion Respect, patient/staff welfare, administrative control, and security are strong mechanisms to prevent workplace violence in tertiary hospitals. Hospital management should institutionalize workplace violence prevention programs/policies and ensure compliance.

CITATION EXPORT

Adaoha Pearl Agu, Benedict Ndubueze Azuogu, Alfred F. Una et al.. Management staff’s perspectives on intervention strategies for workplace violence prevention in a tertiary health facility in Nigeria: a qualitative study. Frontiers in Public Health. (2023). https://doi.org/10.3389/fpubh.2023.1210571

AUTHORS

11 · 4 CENTRES

Adaoha Pearl Agu, Benedict Ndubueze Azuogu, Alfred F. Una, Benard Ituma, Irene Ifeyinwa Eze, Francis I. Onwe, Onyinyechukwu Uzoamaka Oka, Dorathy O. Igwe-Okomiso, Urudinachi N. Agbo, Richard Ewah, Jesse C. Uneke

1Community Medicine Department, Ebonyi State University Abakaliki, Abakaliki, Nigeria
2Community Medicine Department, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Abakaliki, Nigeria
3African Institute for Health Policy and Health Systems Ebonyi State University Abakaliki, Abakaliki, Nigeria
4Anaesthesia Department, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria