Violence driving nurses to leave aged care

Physical attacks against nurses in aged care is influencing their intention to leave the sector, RMIT University shows.

New research shows that physical attacks against nurses working in aged care is a factor behind their intention to leave the sector.

Conducted by RMIT University in Melbourne, researchers set out to discover the relationship between physical violence and the mental health of nurses and personal care assistants working in aged care.

Patricia Pariona-Cabrera

“We show that physical violence impacts negatively on nurses’ and personal care workers’ mental health across Victorian aged care facilities. We also demonstrate that psychological capital manages and mitigates the effects of physical violence,” lead author Patricia Pariona-Cabrera told Australian Ageing Agenda.

Psychological capital taps into the practice of positive psychology, which helps people overcome stress and anxiety by bolstering feelings of hope, efficacy, resilience and optimism.

Data for the RMIT research was collected from 254 nurses and PCAs of the Australian Nursing Midwifery Federation in Victoria. Results indicate that experiencing physical violence increased levels of stress, depression and anxiety. This in turn increased a desire to leave the industry, the research published in Health Care Management Review shows.

“There are clear implications for aged care home managers to create a supportive organisation that cultivates hope, self-efficacy and resilience,” thereby increasing psychological wellbeing among its workforce, write the authors.

This latest research follows the release of an ANMF-funded report in March that showed 93 per cent of nurses and PCAs who participated in a survey had experienced physical violence at work, with the majority reporting being attacked at least twice, and some, four or more times. 

Ms Pariona-Cabrera told AAA she would like to see providers implement psychological capital training interventions. “Psychological capital is a powerful resource to cope effectively with stressful work environments,” she said. “We would like to also see the implementation of a leadership development program to enhance supportive leadership skills to promote a supportive work environment across aged care facilities.”

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Tags: anmf, featured, nurses, Patricia Pariona-Cabrera, rmit, workplace violence,

1 thought on “Violence driving nurses to leave aged care

  1. You may not like to hearing this, but that’s what happens when you don’t have any behaviour management skills. People don’t just spontaneously start punching staff for no reason…they’ve obviously been pushed too far.
    Like many of my colleagues, I’ve have never had a situation escalate to physical violence in over twenty years on the floor. But then, we’re not task-oriented, we understand and respect the resident’s history, know their triggers and speak fluent English (Interpreting what the resident is trying to say, responding appropriately while redirecting them and de-escalating challenging situations are skills that require quite an advanced command of the language)
    We also know when to walk away.
    Unlike Mr Kelly’s article, the actual report identifies that the residential aged care sector lacks the knowledge and skills to prevent and reduce violence against staff. Just blaming it on ‘a resident with dementia’ is a cheap shot.
    And training staff in hope, self-efficacy, resilience and optimism (Pysch capital) is the type of solution that could only come from experts that have never spent a day on the floor

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