Workplace Violence Prevention
Violence in emergency departments has reached epidemic levels and emergency nurses are particularly vulnerable.

In fact, the health care industry leads all other sectors in the incidence of nonfatal workplace assaults, and the emergency department is a particularly vulnerable setting. It’s currently a felony to assault an emergency nurse in 31 states, and ENA is working hard to make it a felony in all 50 states.
ENA believes emergency nurses have the right to education and training related to the recognition, management and mitigation of workplace violence. The mitigation of workplace violence requires a “zero tolerance” environment instituted and supported by hospital leadership.
The resources below were designed to help emergency nurses conduct and participate in research and quality improvement initiatives aimed at preventing, mitigating, and reporting workplace violence.
No Silence on ED Violence
According to surveys by the American College of Emergency Physicians and the Emergency Nurses Association, almost half of emergency physicians report being physically assaulted at work, while about 70 percent of emergency nurses report being hit and kicked while on the job. Furthermore, the vast majority – 80 percent – of emergency physicians say violence in the emergency department harms patient care. Similarly, emergency nurses report that the harmful consequences of experiencing a violent event at work interfere with the delivery of high-quality patient care.

The frequency of violent attacks on nurses, physicians and patients in our nation’s emergency departments is unconscionable and unacceptable. For medical professionals, being assaulted in the emergency department must no longer be tolerated as “part of the job.”
In an effort to meaningfully minimize these attacks and protect emergency department professionals, ENA and ACEP launched a new campaign called “No Silence on ED Violence.” This joint effort aims to support, empower and provide the resources our respective members need to effect safety improvements at their workplace, while engaging state and federal policymakers, stakeholder organizations and the public at large to generate action to address this crisis.
Online Education
Workplace Violence Prevention Course
Workplace Violence in the ED is an overarching problem. To better prepare you, ENA's updated Workplace Violence Prevention online course educates nurses, managers and staff who work in the emergency care setting how to recognize and mitigate all types of violence, including incidents precipitated by consumers/visitors, intruders, employees, and management. Free for ENA members!
Resources
ENA Resources
- Position Statement: Workplace Violence and Its Impact on the Emergency Nurse: This position statement evaluates the various factors that contribute to violence in the emergency care setting and discusses ENA's stance. Click here to view the position statement
- Position Statement: Supporting a Healthy Work Environment and Just Culture in the Emergency Care Setting: This position statement examines the concept of a healthy work environment and its association with improved nursing outcomes. Click here to view the position statement
- Guiding Principles: Mitigating Violence in the Workplace: AONL and ENA developed these guiding principles to assist nurse leaders in systematically implementing measures to decrease and mitigate violence within the health care environment. Click here to view the guiding principles
- Toolkit: Mitigating Violence in the Workplace: AONL and ENA created a toolkit to provide a step-by-step approach to mitigating violence in the workplace. Click here to view the toolkit
- Think Tank: Promoting Workplace Safety and Preventing Violence Through the Nursing Leadership Lens: The AONL Foundation Leadership Think Tank brings leaders from health care practice and industry together to discuss important issues and brainstorm next steps. ENA joined the discussion regarding workplace safety. Click here to view the results of the think tank
- Executive Summary: 2011 Emergency Department Violence Surveillance Report: ENA initiated a workplace violence surveillance study to collect data on the occurrence of violence toward nurses and the processes used to respond to workplace violence. Click here to view the executive summary
- Journal of Emergency Nursing Study: Nothing Changes, Nobody Cares: Understanding the Experience of Emergency Nurses Physically or Verbally Assaulted While Providing Care: This study was designed to better understand the experience of emergency nurses who have been physically or verbally assaulted while providing patient care in US emergency departments. Click here to view the study
- Journal of Nursing Administration: Violence Against Nurses Working in US Emergency Departments: A total of 3,465 emergency nurse ENA members participated in a cross-sectional study aimed at investigating emergency nurses' experiences and perceptions of workplace violence, the types of and frequencies of assaults, and the contributing factors to workplace violence. Click here to view the study