Health Affairs August 23, 2023
Linda Beeber, Kathleen R. Delaney, Emily Hauenstein, Joanne Iennaco, JoEllen Schimmels, Daryl Sharp, Mona Shattell

A new bargaining chip appeared on the table as hospital employees in Iowa negotiated a new contract with the University of Iowa Hospitals and Clinics—protection from patient attacks. Iowa’s increase in non-fatal workplace injuries and illnesses among registered nurses echoed national trends with a 32.9 percent increase in violence-related workplace injury and illness in nurses from 2019 to 2020. Across the US, violent assaults in health care are rising; three nurses were killed at work in the fall of 2022. One hospital-based analysis shows two nurses are assaulted every hour. The statistics are alarming and disturbing.

The COVID-19 pandemic increased patient violence toward nurses and health care workers; in one survey, 27 percent of nurses reported more incidents during the...

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