Exploring the workplace violence risk profile for remote area nurses and the impact of organisational culture and risk management strategy

Background: Workplace violence affects health professionals globally, with up to eighty percent of nurses experiencing at least one violent incident through out their careers. The impact of this exposure can be felt at an individual, professional and organisational level. Nurses who work in geographically isolated parts of Australia have a reduced ability to access assistance during incidences of workplace violence, meaning that robust risk assessment systems are critical. Aim: This study aimed to identify the workplace violence risk profile for this cohort using industry tested tools to assess risk across the workplace characteristics of occupational, environmental and client. As well as identifying the workplace violence risk profile, the role of organisational culture and risk management practices in addressing workplace violence was also explored. Methodology: Using a quantitative descriptive exploratory approach, we surveyed ninety-nine Remote Area Nurses from across Australia. Findings: A comprehensive risk profile for Remote Area Nurses was developed, with significant exposure identified across all three workplace characteristics. Significant links were also identified between organisational culture and risk management practices and the Remote Area Nurse's ability to feel safe in the workplace. Conclusion: Identification of a risk profile is an important first step in developing a comprehensive risk mitigation plan and risk assessment system. When developing a comprehensive risk assessment system the role of organisational culture and systems cannot be understated in creating a safe working space.