Dealing with Combative Patients: Why Healthcare Violence Demands Urgent Action
The Alarming Reality in Healthcare
A recent National Council of State Boards of Nursing survey of over 800,000 nurses revealed an unsettling statistic — 40% plan to leave the profession by 2029. The reasons range from burnout and excessive workloads to chronic understaffing, low pay, and workplace violence. While every factor is critical, workplace violence stands out as an immediate and growing threat. Too often, verbal abuse, threats, and even physical assaults are brushed off as “part of the job,” leaving many healthcare workers unprotected and unsupported. This mindset not only endangers staff but also affects patient care and drives more professionals out of the field.
Watch this YouTube video which is just one of many examples:
Recognizing the Hidden Threat of Healthcare Violence
According to OSHA, healthcare workers are five times more likely to experience workplace violence than workers in any other industry. Yet, many incidents go unreported due to fear of retaliation, lack of trust in the system, or the belief that nothing will change. Combative patients may not always be predictable, but there are warning signs that can help you act before things escalate:
Sudden changes in body language, such as clenched fists or pacing
Raised voice, hostile tone, or shouting
Aggressive gestures or invading personal space
Refusal to follow basic instructions
Signs of intoxication or withdrawal symptoms
Prioritizing Staff Safety Through Training
De-escalation skills can prevent many violent encounters. Hospitals should make this part of mandatory training, but individual staff can also focus on:
Maintaining a calm, steady tone to avoid adding tension
Showing a patient care before providing a solution
Using non-threatening body language (open hands, relaxed posture)
Calling for assistance early before a situation turns physical
Keeping a safe distance and having an escape route
Documenting every incident, no matter how small, to build a case for change
Why Change Can’t Wait
Hospital violence has a ripple effect that harms both staff and patients. Here’s why urgent action is non-negotiable:
Protecting physical and emotional health – Injuries and trauma can have long-term effects on staff.
Reducing turnover – Safer work environments keep skilled professionals from leaving.
Improving patient care – Focused, confident staff can deliver better outcomes.
Saving costs – Lower injury rates reduce medical bills, legal costs, and recruitment expenses.
Strengthening morale – A culture of safety builds trust and teamwork.
Final Thoughts
Creating Safer Workplaces for Healthcare Heroes
Healthcare violence isn’t just a workplace issue — it’s a public health issue. Protecting healthcare workers ensures better care for patients and preserves the future of the profession. Change requires commitment from both individual staff members and healthcare leadership to address the problem openly and proactively.
Take the First Step
The Warrior Within is offering a free 30-minute orientation on Dealing with Combative Patients for healthcare workers. In this session, you’ll learn how to identify early warning signs, use effective de-escalation techniques, and maintain personal safety. Your safety matters as much as your patients’ well-being. Book your free orientation today and take an active role in creating a safer workplace for yourself and your team.
