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Whether
using this toolkit to implement an actual plan or to first review the steps
necessary to creating change in your emergency department, the ENA Workplace
Violence Toolkit explains the steps needed and provides you with tools for
project planning and implementation. The end result of using this toolkit
is a targeted quality improvement initiative that aims at improving the
safety of your staff, patients and visitors in the emergency department.
While we would all like to see the occurrence rate of violent behaviors
in the emergency department at zero, the reality is that the nature of the
patient population and the dynamics of critical, emergent care lend itself
to the reality that violent behaviors are going to occur. This toolkit emphasizes
prevention, but also addresses the important role of prepared response and
occurrence reporting in a comprehensive safety program. Change
can happen one emergency department at a time and initiation of a project
that protects the safety of patients and staff, enforces a change in attitudes
and beliefs surrounding what is acceptable behavior and resets the standard,
contributes to the advancement of the nursing profession and the specialty
of emergency nursing. Acknowledgements ENA
Emergency Department Violence Work Team 2009-2010 Karen
Wiley, MSN, RN, CEN, chairperson Board
Liaison Staff
Liaisons Suling
Li, PhD, RN, director, IENR Special
Recognition Special
recognition is extended to Diane L. Muench, MBA, RN, OCN, ENA consulting
editor, for her extensive contributions to the development of the toolkit. Additionally,
ENA would like to recognize the many staff who comprise multiples departments
within ENA who contributed to the development of this toolkit, which include
the departments of Communication; Education Course and Product Development;
Education Program and Product Delivery; the Institute for Quality, Safety,
and Injury Prevention; Marketing; and Online Services. Feedback This
toolkit is designed to provide emergency nurses with the resources needed
to make a violence prevention initiative an ongoing reality in every emergency
department. It was created by ENA through the collaborative effort of your
emergency nursing peers. Share your knowledge and experiences with us! We
welcome your feedback and encourage you to forward your comments and suggestions
to: IENR@ena.org or call us at (800) 900-9659
extension 4119. Disclaimer
Diane Hochstetler, BSN, RN, CEN
Tracy Jenkins, BS, RN
Jessica Taylor, BSN, RN, CEN
Altair Juarez, MPH, senior research associate
Leslie Gates, senior administrative assistant, IENR
The Emergency Nurses Association’s Emergency Department Workplace
Violence Toolkit was developed by ENA members to provide emergency nurses
with information and strategies they can use in connection with the development
of a comprehensive plan addressing workplace violence in the emergency department.
The information and recommendations contained in the toolkit reflect current
knowledge at the time of publication, are only current as of their publication
date, and are subject to change without notice as advances emerge. Additionally,
variations in practice, which take into account the needs of individual
emergency departments, institutions, patients and the resources and limitations
unique to the health care setting, may warrant approaches that differ from
the recommendations outlined in this toolkit. Therefore, these recommendations
should not be interpreted as an exclusive course of workplace violence management,
nor does the use of such recommendations guarantee a particular outcome.
This toolkit has been published by ENA for educational and informational
purposes only, and ENA does not “approve” or “endorse”
any specific methods, practices or sources of information. ENA assumes no
liability for any injury and/or damage to persons or property arising out
of or related to the use of this toolkit or the implementation of any of
the strategies or plans discussed in the toolkit in a health care setting.
Library of Tools
