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Materiali per la ricerca e l'approfondimento

No. 134 (2025)

Preventing Violence against Healthcare Workers. The Swiss Case of the Locarno Hospital

DOI
https://doi.org/10.3280/mesa2025-134oa22049
Submitted
febbraio 11, 2026
Published
2026-04-24

Abstract

Workplace violence against healthcare workers represents a growing challenge for healthcare systems, with significant implications for staff well-being and organizational sustainability. This paper presents a case study of the Locarno Hospital, a public acute-care hospital in the Italian-speaking region of Switzerland, describing an integrated model for the management and prevention of workplace aggression based on governance, organizational culture, and shared responsibility. Drawing on incident-reporting data from the 2021-2024 period and on the analysis of institutional procedures, the article examines the evolution of aggressive events and the typology of incidents recorded. Particular attention is paid to reporting systems and preventive actions based on training, communication, and the promotion of kindness.
The findings show a reduction in reported aggressions since 2021, suggesting the effectiveness of an organizational and relational approach.

References

  1. Becchetti L., Greco A., Meneguzzo M., Vita G. (2025). The underestimated impact of kindness in Healthcare: implications for policy and leadership – A case study ( July 09, 2025). -- Available at SSRN: https://ssrn.com/abstract=5377592 or http://dx.doi.org/10.2139/ssrn.5377592.
  2. European Agency for Safety and Health at Work (EU-OSHA) (2023). Work-related violence and harassment in the healthcare sector. Luxembourg: Publications Office of the European Union.
  3. González-Ortiz Laura G., Greco A., Luini C., Calciolari S., Meneguzzo M. (2021). Managing Covid-19 crisis: the Locarno hospital La Carità as a relevant case in the ticino’s hospital system response to the pandemic. Mecosan, 118: 71-95.
  4. Greco A. (2024). Ospitalità, accoglienza, gentilezza: un progetto dell’Ente Ospedaliero Cantonale (EOC), Tutto impresa_03.24 WEB (fliphtml5.com), 3, luglio-settembre, p. 20.
  5. Greco A., Bocci R., Stricker H. et al. (2025). What impact did the COVID-19 pandemic have on hospital complaints? A 7-year retrospective study in a Swiss public hospital. BMC Health Serv Res, 25, 968. DOI: 10.1186/s12913-025-13144-3.
  6. Greco A., González-Ortiz L.G., Gabutti L., Lumera D. (2025). What’s the role of kindness in the healthcare context? A scoping review. BMC Health Serv Res., 25(1): 207. Published 2025 Feb 5. DOI: 10.1186/s12913-025-12328-1.
  7. Lanctôt N., Guay S. (2014). The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences. Aggression and Violent Behavior, 19(5): 492-501. DOI: 10.1016/j.avb.2014.07.010.
  8. Lumera D., De Vivo I. (2021). Biologia della gentilezza. Le 6 scelte quotidiane per salute, benessere e longevità. Milano: Mondadori.
  9. Phillips J.P. (2016). Workplace violence against health care workers in the United States. New England Journal of Medicine, 374(17): 1661-1669. DOI: 10.1056/NEJMra1501998. PMID: 27119238.
  10. Reason J. (1997). Managing the risks of organizational accidents. Aldershot: Ashgate, London.
  11. Spector P.E., Zhou Z.E., Che X.X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies, 51(1): 72-84. DOI: 10.1016/j.ijnurstu.2013.01.010.
  12. Vincent C. (2010). Patient safety (2nd ed.). Chichester: Wiley-Blackwell. DOI: 10.1002/2F9781444323856.fmatter.
  13. World Health Organization, International Labour Office, International Council of Nurses, Public Services International. (2002). Framework guidelines for addressing workplace violence in the health sector. Geneva: WHO.
  14. Siti web consultati:
  15. https://m3.ti.ch/DFE/DR/USTAT/allegati/volume/ast_2025.pdf (Ufficio di statistica cantonale, Annuario statistico ticinese 2025)
  16. https://internationalkindnessmovement.com
  17. https://www.eoc.ch/chi-siamo/come-agiamo/strategia.html
  18. https://www.eoc.ch/media-e-news/rapporto-annuale.html
  19. www.eoc.ch/chi-siamo/come-agiamo/visione-missione-valori.html