{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T18:01:21Z","timestamp":1781546481389,"version":"3.54.5"},"reference-count":29,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:00:00Z","timestamp":1766534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ostfold University College","award":["300635-16"],"award-info":[{"award-number":["300635-16"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background\/Objectives: Workplace violence in the healthcare sector is a growing global concern. Defined as incidents where staff are abused, threatened, or assaulted in work-related contexts, this issue affects over half of healthcare personnel worldwide, with nurses being particularly vulnerable. The consequences are far-reaching, leading to diminished service quality, workforce turnover, reduced healthcare access, and increased costs. Despite its physical and psychological impact, workplace violence remains underreported, especially in its psychological forms, which have historically been underestimated. Methods: This study applies Per Isdal\u2019s typology of violence to analyze incident reports from a hospital setting. By doing so, it offers a structured framework for understanding the multifaceted nature of workplace violence. By categorizing and examining how different forms of violence co-occur and manifest in daily professional interactions, the study aims to contribute to more systematic documentation and theoretical understanding of the field. Results: In total, 247 incidents were analyzed. Physical violence was the most frequently reported type with 167 incidents, followed by psychological violence with 125 cases. Material violence accounted for 28 reports, sexual violence for 10, and latent violence for 4, indicating that physical and psychological aggression dominates the spectrum of workplace violence in this context. Conclusions: The prevalence and complexity of violent incidents targeting healthcare personnel highlight the pressing need for actionable policies and evidence-based interventions that prioritize staff safety and psychological well-being. Establishing clear definitions of violence, alongside fostering a culture of reporting, is essential to create safer and more resilient healthcare environments.<\/jats:p>","DOI":"10.3390\/nursrep16010005","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T11:22:14Z","timestamp":1766575334000},"page":"5","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["When Care Turns Hostile\u2014Threats and Violence Toward Staff in Somatic Healthcare"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1263-8143","authenticated-orcid":false,"given":"Anne Karine \u00d8stbye","family":"Roos","sequence":"first","affiliation":[{"name":"Intensive Care Department, Ostfold Hospital Trust, 1714 Gr\u00e5lum, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1699-0291","authenticated-orcid":false,"given":"Stine Eileen Torp","family":"L\u00f8kkeberg","sequence":"additional","affiliation":[{"name":"Faculty of Health, Welfare and Organization, Ostfold University College, 1757 Halden, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-7682","authenticated-orcid":false,"given":"Vigdis Abrahamsen","family":"Gr\u00f8ndahl","sequence":"additional","affiliation":[{"name":"Faculty of Health, Welfare and Organization, Ostfold University College, 1757 Halden, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4572-9439","authenticated-orcid":false,"given":"Ann Karin","family":"Helgesen","sequence":"additional","affiliation":[{"name":"Faculty of Health, Welfare and Organization, Ostfold University College, 1757 Halden, Norway"},{"name":"Department of Health and Care Sciences, Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Troms\u00f8, Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,24]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2002). Framework Guidelines for Addressing Workplace Violence in the Health Sector, World Health Organization. ILO, WHO, PSI Joint Programme on Workplace Violence in the Health Sector."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"516","DOI":"10.3390\/psych4030039","article-title":"Workplace Violence in Healthcare Settings: Work-Related Predictors of Violence Behaviours","volume":"4","author":"Barros","year":"2022","journal-title":"Psych"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1186\/s13643-024-02721-y","article-title":"A study on the workplace cultural violence against nurses: A systematic review and meta-analysis","volume":"13","author":"Shohani","year":"2024","journal-title":"Syst. Rev."},{"key":"ref_4","first-page":"1","article-title":"Fear in Nursing: The Heroes Perspective","volume":"29","author":"Pesata","year":"2024","journal-title":"OJIN Online J. Issues Nurs."},{"key":"ref_5","first-page":"1607","article-title":"Aggression Against Health Care Professionals, a Systematic Review","volume":"7","author":"Boon","year":"2024","journal-title":"Int. J. Nurs. Health Care Res."},{"key":"ref_6","unstructured":"Kim, B. (2023). Violence and Harassment in the Workplace: Umbrella Reviews, Sam Houston State University Institute for Homeland Security. (Report No. IHS\/CR-2023-1030)."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Diez-Canseco, F., Toyama, M., Hidalgo-Padilla, L., and Bird, V.J. (2022). Systematic Review of Policies and Interventions to Prevent Sexual Harassment in the Workplace in Order to Prevent Depression. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192013278"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"263","DOI":"10.2147\/PRBM.S114870","article-title":"Workplace Violence in Different Settings and Among Various Health Professionals in an Italian General Hospital: A Cross-Sectional Study","volume":"9","author":"Ferri","year":"2016","journal-title":"Psychol. Res. Behav. Manag."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"051","DOI":"10.30574\/ijsra.2022.5.1.0203","article-title":"The Impact of Workplace Violence on Nurses and Nursing Practice: A Literature Review","volume":"5","author":"Adebayo","year":"2022","journal-title":"Int. J. Sci. Res. Arch."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/s13049-024-01311-0","article-title":"The extent of physical and psychological workplace violence experienced by prehospital personnel in Denmark: A survey","volume":"32","author":"Bang","year":"2024","journal-title":"Scand. J. Trauma Resusc. Emerg. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"45","DOI":"10.4103\/ipj.ipj_375_24","article-title":"Workplace violence in the healthcare setting and its psychological impact on healthcare workers","volume":"34","author":"Kumar","year":"2025","journal-title":"Indian Psychiatry J."},{"key":"ref_12","first-page":"1854387","article-title":"The Face of Workplace Violence: Experiences of Healthcare Professionals in Surgical Hospital Wards","volume":"2020","author":"Jakobsson","year":"2020","journal-title":"Nurs. Res. Pract."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Spencer, C., Sitarz, J., Fouse, J., and DeSanto, K. (2023). Nurses\u2019 Rationale for Underreporting of Patient and Visitor Perpetrated Workplace Violence: A Systematic Review. BMC Nurs., 22.","DOI":"10.1186\/s12912-023-01226-8"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"102641","DOI":"10.1016\/j.eclinm.2024.102641","article-title":"The Growing Burden of Workplace Violence Against Healthcare Workers: Trends in Prevalence, Risk Factors, Consequences, and Prevention\u2014A Narrative Review","volume":"72","author":"Barach","year":"2024","journal-title":"EClinicalMedicine"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Ose, S.O., Lohmann-Lafrenz, S., Kaspersen, S.L., Berthelsen, H., and Marchand, G.H. (2023). Registered Nurses\u2019 Exposure to Workplace Aggression in Norway: 12-Month Prevalence Rates, Perpetrators, and Current Turnover Intention. BMC Health Serv. Res., 23.","DOI":"10.1186\/s12913-023-10306-z"},{"key":"ref_16","unstructured":"Isdal, P. (2000). Meningen Med Volden, Kommuneforlaget."},{"key":"ref_17","unstructured":"Braun, V., and Clarke, V. (2021). Thematic Analysis: A Practical Guide, SAGE Publications."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1177\/01939459231222449","article-title":"The prevalence of Type II workplace violence in U.S. nurses, 2000 to 2022: A meta-analysis","volume":"46","author":"McLaughlin","year":"2024","journal-title":"West. J. Nurs. Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1177\/2165079915574684","article-title":"Underreporting of Workplace Violence: Comparison of Self-Report and Actual Documentation of Hospital Incidents","volume":"63","author":"Arnetz","year":"2015","journal-title":"Workplace Health Saf."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"103727","DOI":"10.1016\/j.amsu.2022.103727","article-title":"Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures","volume":"78","author":"Lim","year":"2022","journal-title":"Ann. Med. Surg."},{"key":"ref_21","unstructured":"Al-Khateeb, H.M. (2025). Cyber Bullying in the Digital Age: Challenges, Impact, and Strategies for Prevention; Cybersecurity and Online Safety in the Digital Era, IGI Global."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Gallen, K., Sonnenberg, J., Loughran, C., Smith, M.J., Sheppard, M., Schuster, K., Kaufman, E., Song, J.S., and Hall, E.C. (2022). Health Effects of Policing in Hospitals: A Narrative Review, W. Montague Cobb-NMA Health Inst.","DOI":"10.1007\/s40615-022-01275-w"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Friborg, M.K., Hansen, J.V., Aldrich, P.T., Folker, A.P., Kjaer, S., Nielsen, M.B.D., Rugulies, R., and Madsen, I.E.H. (2017). Workplace Sexual Harassment and Depressive Symptoms: A Cross-Sectional Multilevel Analysis Comparing Harassment from Clients or Customers to Harassment from Other Staff Amongst 7603 Danish Staff from 1041 Organizations. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4669-x"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Adler, M., Vincent-H\u00f6per, S., Vaupel, C., Gregersen, S., Schablon, A., and Nienhaus, A. (2021). Sexual Harassment by Patients, Clients, and Residents: Investigating Its Prevalence, Frequency and Associations with Impaired Well-Being among Social and Healthcare Workers in Germany. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18105198"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1037\/ocp0000054","article-title":"Sexual Harassment: Have We Made Any Progress?","volume":"22","author":"Quick","year":"2017","journal-title":"J. Occup. Health Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"294","DOI":"10.12669\/pjms.342.14432","article-title":"Effectiveness of training on de-escalation of violence and management of aggressive behavior faced by health care providers in a public sector hospital of Karachi","volume":"34","author":"Baig","year":"2018","journal-title":"Pak. J. Med. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1007\/s11414-020-09736-y","article-title":"The Rapid Risk of Violence Screen (RROVS): A Brief Violence Risk Screening Tool for People in a Community Behavioral Health Setting","volume":"48","author":"Bonfine","year":"2021","journal-title":"J. Behav. Health Serv. Res."},{"key":"ref_28","unstructured":"Henkel, S.J. (2025, October 05). Threat Assessment Strategies to Mitigate Violence in Healthcare. Available online: https:\/\/iahssf.org\/assets\/IAHSS-Foundation-Threat-Assessment-Strategies-to-Mitigate-Violence-in-Healthcare.pdf."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/1\/5\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T02:47:28Z","timestamp":1766717248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/1\/5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,24]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["nursrep16010005"],"URL":"https:\/\/doi.org\/10.3390\/nursrep16010005","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,24]]}}}