Workplace violence, especially in psychiatric settings, is a significant issue that impacts both patient and staff safety. It can lead to injuries, high turnover rates among staff, and other problems. Several strategies have been found to help reduce violence, such as conducting risk assessments, providing de-escalation training to staff, implementing rapid response teams, improving nurse-patient ratios, and making environmental design changes. While ensuring complete safety is impossible, healthcare organizations should treat violence prevention as a high priority through implementing evidence-based practices and recommendations.

1. 1. Make sure you’re providing realistic solutions to the issue
you are discussing, not that administration needs to fix it. The
purpose of this assignment is not just to present a problem in
detail. It’s also to provide realistic solutions.
2. There are some APA Guidelines to consider
a. Avoid excessive first-person language
b. Keep direct quotes to a minimum
c. All sections need headings to guide the reader
d. Make sure you have a purpose statement in the first
paragraph
e. Provide a formal conclusion section
f. Make sure if you use abbreviations you define what they
mean
3. Make sure to answer any questions the professor asked in the
feedback on your Week 2 assignment and explore topics he
suggested you address
The second assignment is a 5-page paper that builds on the first
paper. You may want to consolidate your first assignment to
make your argument more concise and allow space to answer all
the suggestions for this new paper, which include:
1. Review the feedback you received on the first assignment,
especially issues like:Add 2-3 additional references to support
your presentation. You always may add more scholarly
references to strengthen your argument.
a. Make sure you have a purpose statement and clearly labeled
conclusion section
b. Use paragraph headings to guide the reader and make it easy
for the professor to see where you have met the requirements
for the assignment
c. Spell check your document
d. Make sure to follow APA Guidelines including minimal use

2. of first-person language, direct quotes, and that everything is
properly referenced. For instance if you’re going to mention
your organization, put in the name of the organization: Acme
Hospital, rather than misusing first person language and
saying my organization.
e. This is not an editorial/opinion paper/assignment, thus all
points you make must be supported with a scholarly reference.
f. Read the information I posted in the Announcement section
with tips for writing an academic paper.
2. In terms of the specifics of this assignment, the new section
added to your previous assignment should include:
a. Identification and description of at least two competing needs
that impact the issue you addressed in your first assignment.
Please note I may have made some suggestions in your feedback
about what to make sure to address in this assignment.
b. Describe any relevant policies or practices in your
organization or nursing in general, such as from professional
organizations or regulatory bodies that may influence your
topic.
c. Explore the moral and ethical considerations, related to your
suggested solution to issue you selected. How does your
solution specifically promote ethics?
d. Recommend one or more policy or practice change designed
to balance the competing needs of resources, workers, and
patients, while addressing any ethical and financial
shortcomings of the existing policies. Be specific and provide
examples. Please make sure your solution is financially viable,
as an example you cannot just say Administration needs to hire
more nurses, unless you can show that your organization has an
excessive amount of unused money and no other place to spend
it.
e. Show scholarly evidence (references) that support your policy
or practice recommendations.
Objectives

3. By the end of this assignment students will be able to
· identify one interesting Internet-based video, slideshow, or
article, that adds to the class’s understanding of creativity
and/or innovation;
· gain a sense of the range and scope of the ideas and materials
available that speak to the topics of this course and how to
access them on the Internet; and
· evaluate the credulity, insightfulness, and value – conceptual
and/or practical – of one particular publicly-available
information source about creativity and/or innovation.
·
Instructions
This assignment asks you to browse the Internet, and choose
one particular video, slideshow, or article that you find
interesting and insightful about the topic of creativity and/or
innovation. You will provide the link and a 600-word evaluation
of the information source you choose, and this will be made
available to your CRIN110 classmates.
· Consider the content of the course, and search for a video,
slideshow, or article that both fits with what we have discussed,
but also extends what we have learned in some insightful and
interesting way. Try to choose something that is viscerally
appealing, and not too long – that is, something your classmates
will thank you for sharing with them!
· Write a 600-word evaluation of the content you have chosen;
your evaluation should try to lend context to the content,
describing strengths of the insights it gives (after all, it has
some reason to appeal to you) and possibly offering some
criticisms of it as well. If you find the content awesome,
say why you find it so; if you find parts of it fallacious, write
about that as well.
· While you will submit the short evaluation as a regular paper
for your professor to review independently, think of this as
information you are presenting to our CRIN110 classmates.
Your paper will be ‘published’ in the course by the professor
after he has graded it, in a specially created forum so others can

4. read it and comment on it.
· Your memo can include bullet points, but must include APA
citations if and when you cite sources (you will obviously have
to cite the video/slideshow/article at the least).
·
2
WORKPLACE VIOLENCE IN THE PSYCHIARTRIC SETTING
Workplace Violence in Psychiatric Setting
Interprofessional Organizational and Systems Leadership
March 2, 2020
1
Running head: ANALYSIS OF PERTINENT HEALTHCARE
ISSUES
Workplace Violence in Psychiatric Setting
Workplace violence (WPV) is an act of physical violence
or other threatening disruptive behavior that occurs at the
workplace (Wiley 2017). It can occur at or outside the work
environment and can extend from intimidation, boisterous

5. attack, to physical aggression and murder (Reference?).
However, it manifests itself; WPV is a viable concern for
managers and representatives (representatives? What do you
mean by that term?) across the nation. The rate of violence at
my INSERT NAME OF workplace is frequently examined and
minimized by the nurse managers. However, it remains an
ongoing problem as staff and patients often get severely injured,
especially in the process of de-escalating combative patients.
This issue attributes to the number of injuries accounted for, a
factor that adds to the number of high turnover rates of
employees, thereby creating staff shortage. According to my
organizational data collected in 2018, the rate of WPV is
highest among workers, 8.3 per 10,000 workers, and nurses are
the most at risk (Mental health facility 2018).
Violence is not always propagated by patients towards staff, but
also from staff towards patients as a result of a negligent and
unethical reaction in containing a mentally ill patient. Agitation
can rapidly heighten to animosity and rough conduct, and hence
intense unsettling is viewed as a social crisis that requires a
prompt response (Volavka, & Citrome 2012). Agitation is a
highly sensitive situation. Thus, a rapid response by
organizational administrators in planning vital interventions and
protocols that will address the issue of WPV is considered
crucial. The focus of this paper aims to analyze the issues of
WPV and its impact on my organization. A literature review
will focus on strategies for addressing the issue of workplace
violence.
Articles were selected based on the content and their relevance
to the selected healthcare issue. Reviewed articles were selected
based on their content, peer-reviewed publication year, full text,
evidence-based practice, and their relatedness to the healthcare
issue in question. Good introduction
Review of Literature
Workplace violence is an extreme issue in health care and one
of the enormous burdens to psychiatric-mental health nurses
(Wiley 2017). Morphet, Griffiths, Beattie, & Innes (2019)

6. explains that the prevalence of WPV in Colorado is as high as
62% (62% of what workers? Days worked?). Some triggers are
variable and include patients' cognitive impairment such as
confusion and dementia, drug and alcohol intoxication, physical
discomfort and pain during treatment, and restricting movement
such as applying restraint, redirecting, and transfer within the
hospital (Morphet et al., 2019). Six trials involved a total
number of 14 participants who were all nurses. Data collection
was through electronic chart reviews, and interviews conducted
were individuals and groups.
The result showed strategies and interventions for reducing
WPV comprise risk assessment, safe assessment rooms, staff
education particularly in de‐escalation, environmental design
changes such as increasing visibility with lighting, toughened
glass, and closed‐circuit cameras (Morphet et al., 2019). How
much did they reduce violence?
McKenna, Smith, Poole, & Coverdale (2019) explains that WPV
is a violent act that includes physical and verbal assaults
directed at persons in the workplace. A study by McKenna et
al., 2019 consisted of 68 nurses randomly selected representing
various healthcare settings. A survey conducted, and results
analyzed found that the most frequent verbal and physical
assaults directed at the nurse were by the patient. A typical
finding in the research emphasized the training on violence
prevention, training on legal rights, improved nurse to patient
ratios, and adequate time to evaluate and intervene resulted in a
__% reduction (McKenna et al., 2019).
The articles were reviewed for evidence of the current practices
in violent management and compared to my organizational
statistical data of violence and injuries sustained by patients
and employees. After careful review of the articles, I agree with
(avoid first person language) the research results that
implementation of a de-escalation rapid response team approach
called "code white" (who are you quoting here? All quotes need
a reference with page number) might be a solution to the
problem. How does a code white team work?

7. Conclusion
Workplace violence remains a critical issue in the mental
healthcare environment (Volavka, & Citrome 2012). Promoting
safety among patients and staff should be treated with high
importance. Nothing can ensure that an employee or patient will
not become a casualty of WPV; however, suggestions and
recommendations to diminish the rate of WPV is essential.
These include assessing the situation, implementing the de-
escalation rapid response team. This process is adequate to be
implemented to provide the ideal care in guaranteeing security
among nurses and mental health patients during the
intervention, hence diminishing the possibility of danger of
injury and even death among healthcare workers and
patients. Good summary
Reference
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and
management functions in nursing:
Theory and Application (8th ed.). Philadelphia,
PA: Lippincott, Williams & Wilkins.
McKenna. B. G., Smith, N. A., Poole, S. J., & Coverdale, J. H.,
(2019). Horizontal violence: an experience of registered nurses
in their first year of practice. Journal of Advanced Nursing 42
(I), 90-9
Morphet, J., Griffiths, D., Beattie, J., & Innes, K. (2019).

8. Managers' experiences of prevention and management of
workplace violence against health care staff: A descriptive
exploratory study. Journal of Nursing Management (John Wiley
& Sons, Inc.), 27(4), 781–791.
https://doi.org/10.1111/jonm.12761
Muralidharan, S. (2012). Containment strategies for people with
serious mental illness. Cochrane Database of Systematic
Reviews, (2), doi: 10.1002/14651858.CD002084.pub2
Volavka, J., & Citrome, L. L. (2012). Psychopharmacology of
Aggression and Violence in
Mental Illness: A Review of Evidence-Based Treatments.
Psychiatric Times, 29(4), 26-32.
Wiley KK. (2017). Nebraska Nurses Survey results. Making a
world of difference: workplace violence and nursing. Nebraska
Nurse, 40(4), 14–19.