Cultural Dimensions of Workplace Violence in Healthcare: A Narrative Review

工作场所暴力 霍夫斯泰德的文化维度理论 医疗保健 叙述的 毒物控制 主题分析 心理学 文化多样性 侵略 语言障碍 民族 自杀预防 人为因素与人体工程学 职业安全与健康 社会心理学 社会文化进化 授权 斯科普斯 社会学 医学 患者安全 职场欺凌 组织文化 伤害预防 无礼 定性研究
作者
Sara Morales Palomares,Flavio Gheri,Nicola Ramacciati
出处
期刊:Journal of Nursing Management [Wiley]
卷期号:2025 (1)
标识
DOI:10.1155/jonm/8336854
摘要

Introduction Workplace violence (WPV) against healthcare workers is a global concern, affecting safety, well‐being, and job satisfaction. Cultural factors significantly influence aggression dynamics, making their understanding crucial for targeted prevention strategies. Aim This study aims to identify and analyze the cultural factors contributing to WPV and to explore how these elements influence both aggression dynamics and the effectiveness of strategies for its prevention and mitigation. Methods A narrative review was conducted in accordance with PRISMA guidelines. Literature searches in PubMed, CINAHL, and Scopus identified studies on cultural dimensions of WPV in healthcare. A thematic analysis synthesized findings. Results Eight studies were included in the review. The analysis identified four primary cultural dimensions contributing to WPV: (1) Ethnic and linguistic disparities: Healthcare workers from minority backgrounds face higher risks due to language barriers and cultural biases, leading to miscommunication and increased aggression. (2) Female healthcare professionals, particularly in patriarchal or hierarchical workplaces, are disproportionately affected by WPV due to structural power imbalances and gender stereotypes. (3) Sociocultural perceptions of healthcare workers: Patients’ expectations of “unconditional care” can heighten frustration and aggression when unmet, particularly in underfunded or resource‐limited healthcare settings. (4) Cultural normalization and underreporting: In many cultures, WPV is perceived as an inherent part of the profession, discouraging formal reporting and institutional responses. Conclusion Cultural factors shape WPV prevalence, reporting, and management. Addressing these factors through culturally competent interventions, language accessibility, gender‐sensitive policies, and institutional reforms is essential for safer workplaces. Future research should standardize WPV prevention strategies integrating cultural awareness and cross‐cultural communication training. Implications for Nursing Management Nursing management plays a key role in WPV prevention through culturally competent strategies, gender‐sensitive policies, and systemic reforms. Implementing cultural competence training, language accessibility, and zero‐tolerance policies can enhance safety. Strengthening reporting mechanisms and advocating for adequate staffing are crucial steps in mitigating WPV and fostering a safer healthcare environment.
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