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Our duty to care-but at what cost?

Our duty to care-but at what cost?. A report on the violence experienced by residential care staff in the Health Service Executive-Mid Western Area. Georgina Burke Cork Institute of Technology Dissertation presented as part of degree in social studies. Aim of study.

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Our duty to care-but at what cost?

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  1. Our duty to care-but at what cost? A report on the violence experienced by residential care staff in the Health Service Executive-Mid Western Area. Georgina Burke Cork Institute of Technology Dissertation presented as part of degree in social studies

  2. Aim of study • To examine the frequency and type of violence in residential care • To explore the effects on the staff member • To ascertain which supports are presently available to social care staff • To investigate whether social care staff believe that there is a link between high rates of staff turnover and high levels of violence at work

  3. “For the caring profession, violence is an integral part of the job: Frightening, Unacceptable but Inevitable” (Bibby, 94)

  4. Why study violence in residential care??? • Violence threatens the safety of staff and young people • Violence against staff is unacceptable and management have a duty to protect their staff from violence • A reduction in violence will vastly improve the quality of care given to the young people we work with

  5. Methodology • Questionnaires sent to all residential care workers in Mid West HSE: 60 returned • Interviews with 5 staff members

  6. Main findingsextent of violence • 98% of staff have experienced violence • Over 50% of the sample experienced being punched, kicked, slapped + pushed • 96.5% had been verbally abused • 93% have been threatened with assault

  7. “The threats are the hardest thing to deal with, you're afraid that it could happen any time…you’re anxious and afraid because its happened before”

  8. Effects of violence on staff • Stress: 88% • Anger: 77% • Anxiety about safety: 72% • Physical injury: 53% • Fear of resident: 53% • Powerlessness: 63% • Fear of returning to work: 47%

  9. Interviewee results on effect of violence “If there is a culture of violence and violence is a daily occurrence then even before you go into work, when you wake up, you don’t want to go in. So when you do you’re feeling negative…the constant threat of assault is very wearing. You’re getting through each day. I’ve worked in centres where I’ve heard people say ‘I hope I get a good belt early’ rather than be bullied all day long.” (Lisa)

  10. “who wants to work in an environment whereby you get punched, kicked and threatened on a regular basis?...its difficult to go home with a black eye or split lip. Its just a job at the end of the day”

  11. Is there a link between high staff turnover and high levels of violence??? “The main reason for high staff turnover is the level of violence even if its only verbal abuse” 86% felt that there was a link between violence and turnover of staff 74% had considered leaving the area of work themselves due to violence

  12. Lack of support for staff “A lot of staff have now left the service due to a lack of support following violence at work” “The main reason for high staff turnover lies in the dearth of organisational support for staff at every level”

  13. Effect on work practice “it leaves you feeling powerless, you become fearful of the child and it hinders you in your job, you cant go in and do you’re job when you’re afraid of being physically hurt, this is a real fear for a lot of people. You feel you cant challenge the young people, you give into them”

  14. RECOMMENDATIONS • A clear policy for managing violence • Additional training • Additional supports and clear guidelines • A culture where violence is unacceptable • Further research to discover why violence occurs and to examine how best to prevent it

  15. OUR DUTY TO CARE-BUT AT WHAT COST?

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