13. Violence--Community Nursing

violence

Framed in the context of "intentional" violence, or stated another way, that which is carried out by a person or persons against another person or persons when there is a conscious choice to act in a violent manner

goal of healthy people for violence

Prevent violence/related injuries and deaths

objects of healthy people with violence

• Violence Prevention — General

• Adolescents: Reduce gun carrying/dating violence/physical fighting

• Children: Reduce fatal/ nonfatal child abuse and neglect/

• increase review of unexpected deaths among infants by a child fatality review team

• Injury Prevention: Reduce nonfatal physical assault/firearm injuries

• Reduce firearm injury death

• Workplace violence: Reduce work related assaults

physical violence

abuse, suicide, homicide

sexual violence

rape, exploitation

emotional violence

• Abandonment

• Feelings of love/security lacking

• Hidden form, rarely reported

types of violence in communities

• Homicide

• Assault

• Rape

• Human trafficking

• Suicide

• Intimate Partner Violence (IPV)

• Gun violence

• Child/elder/disability abuse

physical abuse

intentionally causing physical harm to another person

emotional abuse

the nonphysical mistreatment of a person

financial abuse

the improper or illegal use of a person's money, possessions, property, or other assets

digital abuse

The use of technologies such as texting and social networking to bully, harass, stalk or intimidate a partner.

stalking

Repeatedly following, harassing, or threatening an individual

violence against children

Violence against people under 18 years old

• Impacts lifelong health and well-being

• Target 16.2 of the 2030 Agenda for Sustainable Development

• Maltreatment

• Bullying/cyber-bullying

• IPV/domestic/dating

• Gender-based violence

• Gang violence

school violence

• Bullying

• Cyberbullying

• Slapping

• Punching

• Weapon use

• Random shootings

• Hostage situations

• Attention, power

crisis

• Precipitated by specific event

• Usual problem -solving skills don't work

• Unable to cope

• Perception

• Positive/negative resolution

• Resolution adaptive/maladaptive

• Developmental

• Situational

• Multiple

• Crisis Teams

assessing for community characteristics of violence

• High crime rate

• High level of unemployment

• Lack of neighborhood resources

• Lack of support systems

• Lack of community cohesiveness

assessing for familial factors/individual factors

• Poor communication

• Economic stressors

• Homelessness

• Substance abuse

• Social Isolation

individual risk factors for violence

History of abuse/ exposure to violence

• Low self-esteem

• Fear/distrust of others

• Poor self-control

• Inadequate social skills

• Minimal social support/isolation

common perpetrator characteristics

• Low self esteem

• Low income

• Low academic achievement

• Heavy alcohol/drug use

• Anger/hostility

• Isolation

• Personality disorders

• Unemployment

• Being a victim of physical/psychological abuse

nursing interventions

- focus and QSEN

- core public health functions

- teamwork, collaboration

- community approach

- primary prevention key

- community resource mapping

- systematic response to violence

- media campaign

- develop policy