The ever-present problem of violence and abuse in health care settings

Abstract

Violence and abuse in society is both a pervasive and pertinent issue for nurses, nurse managers and citizens alike. In recent times, the world has witnessed large scale global events which have potentiated the conduct of violence and abuse at multiple yet interacting levels of society. The World Health Organisation defines violence as “The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation” (Krug et al. 2002, p.6). Whilst this definition is invaluable, I raise two relevant questions here. Firstly, is it possible that an individual can be causing harm unintentionally by their practices and behaviours? And secondly, is it always possible to recognise violence and abuse? In my years of experience of life and researching this highly emotive topic, it is my contention that these two aspects, especially considering the historical and present-day challenges within our largely female workforce often go unchecked.