Home-Based Care Type II Workplace Violence Nurse Provider Experience

Type II workplace violence (WPV)-violence committed against healthcare workers by patients, clients, or visitors-poses a significant threat to home-based care providers. Due to the unique, isolated nature of home care, these providers are particularly vulnerable, often lacking home-specific training and safety resources. A systematic review of literature published between 2014 and 2024 was conducted to examine qualitative and quantitative studies addressing Type II WPV in U.S. home health settings. Eight studies met the inclusion criteria. The review revealed that WPV in home care is frequently underreported, with existing training programs primarily designed for hospital environments rather than private homes. As a result, home care providers face heightened risks of both physical and psychological harm. The studies consistently called for specialized, home-based WPV prevention training emphasizing patient screening, situational awareness, and de-escalation strategies for high-risk clients. Future research should focus on developing and implementing comprehensive, home-specific WPV prevention and reporting protocols, alongside supportive organizational policies that promote a culture of safety and accountability for home healthcare workers.