Sources, Reactions, and Tactics Used by RNs to Address Aggression in an Acute Care Hospital A Qualitative Analysis

OBJECTIVE: This research seeks to identify the sources of, reactions to, and tactics that nurses use to address aggression in the workplace. BACKGROUND: Models explaining aggression have limitations and do not address the tactics that victims use when confronted with aggression. METHODS: Personal interviews were conducted with 47 RNs at a large university hospital. Grounded theory techniques were used in the analysis. RESULTS: Tactics varied by the type of perpetrator being addressed. Coworkers were likely to be the aggressor, with patient care technicians being the most commonly identified aggressor toward RNs. CONCLUSIONS: Knowing the sources, reactions, and tactics used in response to aggression is necessary to support the development of preventive and responsive strategies from individual and organizational perspectives.