Title Slide - CUPE Ontario

Title Slide - CUPE Ontario

1 2 3 4 Preventing and Managing Workplace Violence in Healthcare: Ontarios Violence Prevention Partnership Tina Dunlop, RN, MsN CUPE Injured Worker Advocacy and Health & Safety Conference

Ottawa, Ontario September 10, 2015 5 Who We Are E S TA B L I S H E D I N 200 NON-PROFIT 9 ASSOCIATION FUNDED PARTNER



s Consulting Education Healthcare Emergency Services Government First Nations Workplace Violence Physical force that causes or could cause physical injury; An attempt to exercise physical force that could cause

physical injury; A statement or behaviour that it is reasonable to interpret as a threat to exercise physical force that could cause physical injury to the worker. Violence in Healthcare Healthcare Sector, Lost Time Injuries by Type, 2013 PSHSA Injury Type Machinery; 63; 0.95% Transportation; 20; 0.30% (LT) Injury

Claims Total MSD Other 1594 Falls 1208 MSD Client Handling 1135 Exposures

Contact with/Struck by 932 Workplace Violence 639 Not Classified 221 MVI

155 670 Machinery 63 Transportation 20 Fires and Explosions Grand Total

Fires and Explosions; 2; 0.03% Not Classified; 221; 3.33% MVI; 155; 2.33% Workplace Violence; 639; 9.62% MSD Other; 1594; 24.01% Contact with/Struck by; 670; 10.09% Exposures; 932; 14.04% 2 6639 MSD Client Handling; 1135; 17.10%

Data source: WSIB EIW Claim Cost Analysis Schema, May 2014 data snapshot. Falls; 1208; 18.20% Types of Workplace Violence Type Type Type Type

I (Criminal Intent) II (Client to Worker) III (Worker to worker) IV (Domestic Violence) 9 Project Overview 10 Project Purpose Engages key stakeholders Focus on client-on-staff violence

Develop toolkits that are: Practical Scalable Consensus-based 11 PSHSA Toolkit 12 Project Framework Protection Prevention Post-incident

CultureResponse 13 Prevention Strategies undertaken prior an incident to deter onset of workplace violence Important steps include: Recognizing risks Analyzing precautions and prioritizing risks Controlling and communicating risk Evaluating and refining the action plan 14

Protection Strategies undertaken during an incident to manage workplace violence and extent of harm Activities include: Early identification of violent/responsive behaviour De-escalation and diffusion techniques Use of coded requests for help Mobilization of resources and security measures Keeping safety a priority 15 Post-Incident Response Strategies undertaken after an incident has occurred reduce long-term negative effects

Suggested responses include: Assistance and support for victims Information sharing and team debriefing Reporting and recording procedures Incident investigations to prevent recurrence 16 Project Phases Phase 1: Discovery Literature Review Jurisdictional Scan Focus Group

Phase 2: Design Phase 3: Delivery Confirm Priority Areas Design Toolkit Marketing Strategy Research & Evaluation Plan Toolkit Pilot Implementation

Knowledge Translation Education Steering Committee Leadership Working Group Expertise 17 Phase 1 Discovery 18 Phase 1 Discovery Approach

Literature Review Reviewed 35 intervention studies (MEDLINE & Oud Proceedings 2012) Studies were organized by category of intervention (Merchant & Lundell, 2011). Environmental Organizational and Administrative Behavioural/interpersonal Lighting entrances and exits using security hardware and other engineering controls. Developing programs, policies, and work

practices to promote a safe working environment. Training staff to anticipate, recognize, and respond to conflict and actual violence in the workplace. n = 15 n = 17 n=3 (includes interventions in another category)

Jurisdictional Scan Focus Groups 19 Marketing Campaign Increase awareness about health and safety issues in Ontario among healthcare workers Educate people about PSHSA risk preventive services and measures STRATEGY Digital Campaign Type Targeting Demographics Metrics

Programmatic Display & Retargeting 2,120,521 Impressions 7,172 Clicks 0.34% CTR

Point of Interest / Mobile: LinkedIn Healthcare workers Families of clients Hospitals Medical buildings

Doctors offices Health care facilities Treatment and Rehabilitation facilities Related Points of Interest Health Care Industry Executives Mid-level management Supervisors Medical specialists 492,400 Impressions

2,082 Clicks 0.42% CTR 488,822 Impressions 972 Clicks 0.20% CTR Phase 2 Design 21

Priority Areas 1. 2. 3. 4. 5. Organizational Risk Assessment Individual Client Risk Assessment Flagging Security Personal Safety Response System 22

Organizational Risk Assessment Pre-assessment checklist Organizational workplace violence risk assessment tool Acute care Long-term care Multidisciplinary team At least once a year; more frequently when theres changes 23

Individual Client Risk Assessment Violence assessment tool Recommended controls Sample policy Acute care Long-term care Emergency services Community care Healthcare provider or manager/supervisor

First contact and according to organizations policies and procedures 24 Flagging Handbook Sample policy Privacy fast fact Acute care All staff Potential for violence 25

Security 9 tools Acute care Long-term care Community care Security personnel Those responsible for security Once a year; more frequently when circumstances change 26 Personal Safety Response System

Decision guide Device list Policy template Training guidelines Action plan template Acute care

Long-term care Community care Multidisciplinary team Once a year; more frequently when circumstances change 27 Phase 3 Delivery

28 Research and Evaluation 29 Next Steps Toolkit revisions Toolkit ready for full implementation and posting on

PSHSA website 30 Henrietta Van hulle, Executive Director, Health & Community Services [email protected] 519 688 6221 Era Mae Ferron, Project Lead [email protected] 416-708-5618 Tina Dunlop, Project Coordinator, Consultant [email protected]

519-890-9012 31 Posters Free to Download 32 Handbooks free to download 33 Workplace Violence Prevention Series

The following resources may be purchased from our website: www.pshsa.ca 34 Workplace Violence Prevention DVD 35 Workplace Bullying Fast Fact Additional Fast Facts Workplace

Violence: OHSA Domestic Violence Working Alone 36 HealthyWorkEnvironments.ca Your gateway to: Best Practices Tips & Tools Resources Free Downloads Research & Publications

Upcoming Healthcare Events and more! 37 Questions 38 PSHSA.ca @PSHSAca Public Services Health & Safety Association on LinkedIn youtube.com/PSHSA

416-250-2131 (toll free: 1-877-2507444) 39

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