'I was told to return to work as soon as I regained consciousness.' Why only a third of assaulted nurses report it to police

Violence and assault is often minimised as ‘part of the job’. Shutterstock^[9]

Assaults still seen as ‘part of the job’

Nurses in our study spoke about how they see assaults as “part of the job”. As one said:

I was told to return to work as soon as I regained consciousness […] I had to look after the same patient because ‘there aren’t enough staff to replace you, and this is part of nursing […] There is only four hours left of your shift. Then you can go home and sleep it off’.

Another nurse said assaults were common:

[…] this sort of treatment from patients happens often and no one reports it. There’s this sort of culture that you just move on and get over it […] I have been physically and sexually assaulted a few times over the last year but not reported to police as I feel like I’m wasting time and resources and my claim isn’t important enough.

This self-limiting culture appears to be longstanding, and reinforced by substandard responses from their employer and police.

Nurses don’t report based on misconceptions

In our research^[10] nurses thought patients who are intoxicated or have a mental illness wouldn’t satisfy the requirement of a guilty mind (mens rea^[11]) required for conviction. Or that, they have to be physically hurt for assaults to be seen as an offence.

But patients who are intoxicated or have mental illness can be held accountable.

In legal terms, neither intoxication or mental illness equate to a lack of capacity^[12] to know what is right or wrong. And to say someone cannot be held responsible for their actions due to mental illness, can be seen as stigmatising or unjust. It is not up to a nurse, employer or police to decide a person’s mental capacity. Every person is to be presumed of “sound mind” unless proven otherwise during prosecution.

Another misconception is that nurses have to be physically hurt for assaults to be reported. As one nurse said:

I didn’t think that it was worth reporting it to the police as there was no visible harm done to me.

Harms from assault can be physical, emotional or psychosocial (impact on one’s thought and how they interact with others). However, assault is not characterised by its impact, but rather the act itself.^[13] A patient can be guilty of assault if they physically attack a nurse or if they threaten to do so.

Read more: Aged care staff urgently need training to report and prevent sexual assault^[14]

Benefits of reporting to the police

Laws help set standards of what is right or wrong in society. To enforce the law, nurses must first report and make a statement to the police, so charges can be laid against a patient who commits violence. Police can then present this evidence to a prosecutor, who makes a decision if there is sufficient evidence for conviction.

Reporting to the police could have far-reaching impacts including:

• enforcing a culture of respect and safety, improved staff retention and wellbeing
• helping patients learn their rights to seek health care must be balanced with nurses’ rights to a safe workplace
• setting a consistent standard of acceptable behaviours in society that includes health-care settings.

Many nurses have been assaulted by patients, but only few are reporting to the police. Employers and authorities must work together to empower and support nurses to report assaults. It is through this collective effort that we can hold patients to account, and ultimately keep nurses safe from harm.

Read more: Paramedics have one of Australia's most dangerous jobs — and not just because of the trauma they witness^[15]

Read more https://theconversation.com/i-was-told-to-return-to-work-as-soon-as-i-regained-consciousness-why-only-a-third-of-assaulted-nurses-report-it-to-police-217288