Workplace Violence Survey

Saint Joseph Human Resources Department and Mission Integration have been asked by the hospital administration to conduct a short survey of all Saint Joseph employees in Lexington and Jessamine. We are interested in learning about your experiences with workplace violence. Your response to this survey is very important. Please complete the survey by November 30.

For the purpose of this survey, Violence is defined as:
a) Physical assault (e.g. being spit on, bitten, pushed);
b) Threat of assault (e.g. verbal or written threats intending harm);
c) Emotional abuse such as hurtful attitude or remarks (insults, gestures, humiliation before the work team, coercion);
d) Verbal sexual harassment (repeated, unwanted intimate questions or remarks of a sexual nature);
e) Sexual assault (any forced physical sexual contact including forcible touching and fondling, any forced sexual acts including forcible intercourse).
Name (optional): 


A red asterisk (*) indicates required questions.

  1. I work at...*
    Saint Joseph East
    Saint Joseph Hospital
    Saint Joseph Jessamine
    Women's Hospital at Saint Joseph East


  1. My primary work area or department is (for example, Emergency Department, Nursery, Pediatrics, etc.)*


  1. I have worked in the current department for…*
    0-1 year
    2-5 years
    6-10 years
    more than 10 years


  1. I am…*
    Male
    Female


  1. Employees in my department understand the hospital’s policy for reporting workplace violence.*
    Strongly disagree
    Somewhat disagree
    Agree
    Somewhat agree
    Strongly agree
    I didn't know the hospital had a policy regarding workplace violence.


  1. Have you ever witnessed an employee or a colleague being slapped, hit, spit on, pushed, or grabbed roughly by a patient or visitor?*
    Yes
    No


  1. Have you ever been slapped, hit, spit on, pushed, or grabbed roughly by a patient or visitor?*
    Yes
    No


  1. During some weeks you may see or experience an increase in incidents of workplace violence in your department. Thinking about a typical work week, about how many incidents of workplace violence do you see or experience? *


  1. In your opinion, what is the percentage of workplace related violence incidents that go unreported in your department? *


  1. Violence from patients is a part of working in the medical field.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Reporting violent incidents might affect patient service scores/reports.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel that current violence reporting policies are unclear.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have the skills and training to confront a violent situation.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. The environment (e.g. workplace physical space) provides a safe place to work. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Employees in my department feel that current violence reporting policies are unclear.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Employees in my department have the skills and training to confront a violent situation. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Thinking about workplace violence that employees in your department have experienced, is there a particular time it seems to occur most often (for example, night shift, weekends, post-surgery, etc)? Skip this question if you or your employees have not experienced workplace violence.*


  1. We value any additional comments you have regarding workplace violence:





Rose Patrick
Lexington, KY