{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:52:22Z","timestamp":1787500342617,"version":"build-2736575974"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T00:00:00Z","timestamp":1613952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Workplace violence is a significant problem in healthcare. It was believed that in the context of patient violence nurses faced a moral dilemma regarding conflicting duties to self and patients. A qualitative study was conducted with nurses who experienced physical violence perpetrated by a patient. The aim was to examine the ethical decision\u2010making process nurses used to determine the \u201cright\u201d course of action. Nurses did not perceive the conflict between these two duties as the primary dilemma they faced. They appreciated their patients\u2019 vulnerability and the power differential inherent in the RN\u2013patient relationship and maintained that their primary responsibility was patient safety. Interpretation of the event was the primary dilemma they described. Patient violence was framed as a dichotomous experience: an expected part of the job or a crime. The middle space between these two choices was bounded by a fuzzy, porous, extremely difficult to interpret line. The dichotomous interpretation resulted in a perception of dichotomous responses: do nothing or file criminal charges. Violence in the context of the RN\u2013patient relationship is a complex phenomenon involving a host of factors. We need to direct more attention to this complexity, to individualized responses to workplace violence, and to depolarizing this issue.<\/jats:p>","DOI":"10.1111\/nin.12406","type":"journal-article","created":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T06:50:07Z","timestamp":1613976607000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The moral dilemma of interpreting workplace violence"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3705-0920","authenticated-orcid":false,"given":"Darcy","family":"Copeland","sequence":"first","affiliation":[{"name":"University of Northern Colorado Greeley CO USA"},{"name":"St Anthony Hospital \u2013 Centura Health Lakewood CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Arnold","sequence":"additional","affiliation":[{"name":"Penrose St. Francis Health Services \u2013 Centura Health Colorado Springs CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,22]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Results of a survey on workplace violence, best practices, and safety tips","author":"American College of Emergency Physicians","year":"2017"},{"key":"e_1_2_7_3_1","volume-title":"Code of ethics for nurses with interpretive statements","author":"American Nurses Association","year":"2015"},{"key":"e_1_2_7_4_1","volume-title":"The practical, moral, and personal sense of nursing: A phenomenological philosophy of practice","author":"Bishop A.","year":"1990"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985833"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2004.00736.x"},{"issue":"27","key":"e_1_2_7_7_1","first-page":"1","article-title":"Violent events, ward climate and ideas for violence prevention among nurses in psychiatric wards: A focus group study","volume":"10","author":"Lantta T.","year":"2016","journal-title":"International Journal of Mental Health Systems"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733009351951"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1191\/0969733006ne837oa"},{"key":"e_1_2_7_10_1","volume-title":"The Stanford encyclopedia of philosophy","author":"McConnell T.","year":"2014"},{"key":"e_1_2_7_11_1","volume-title":"Guidelines for preventing workplace violence for healthcare and social service workers","author":"Occupational Safety and Health Administration","year":"2016"},{"key":"e_1_2_7_12_1","volume-title":"Moral development: Advances in research and theory","author":"Rest J.","year":"1986"},{"issue":"35","key":"e_1_2_7_13_1","first-page":"1","article-title":"Registered nurses\u2019 experiences of patient violence on acute care psychiatric inpatient units: An interpretive descriptive study","volume":"14","author":"Stevenson K.","year":"2015","journal-title":"BMC Nursing"},{"key":"e_1_2_7_14_1","volume-title":"Injuries, illnesses, and fatalities. Fact sheet: Workplace violence in healthcare, 2018","author":"U.S. Bureau of Labor Statistics","year":"2020"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12749"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13315"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jen.2013.11.006"}],"container-title":["Nursing Inquiry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nin.12406","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nin.12406","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nin.12406","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T06:58:25Z","timestamp":1693292305000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nin.12406"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,22]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/nin.12406"],"URL":"https:\/\/doi.org\/10.1111\/nin.12406","archive":["Portico"],"relation":{},"ISSN":["1320-7881","1440-1800"],"issn-type":[{"value":"1320-7881","type":"print"},{"value":"1440-1800","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,22]]},"assertion":[{"value":"2020-12-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-23","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12406"}}