Ambato, Ecuador
Occupational violence in nursing is a growing problem that affects the physical, emotional and professional health of the staff, compromising the quality of care. Objective: The aim of this study was to analyze the impact of such violence on nursing staff, comparing it with healthy work environments free of aggression, in order to evaluate its effects on physical, psychological and occupational well-being. Methods: A systematic review guided by the PRISMA 2020 guidelines was conducted, including original qualitative, quantitative or mixed studies published between 2020 and 2025 in international databases. Forty-six studies that met the inclusion criteria were selected. Results revealed a high overall prevalence of occupational violence (68.4%), with verbal (66.8%) and physical violence (20.8%) predominating. The main impacts identified were anxiety (65.3%), emotional exhaustion (58.4%) and intention to resign (40.3%). The interventions implemented reduced incidents by 31.7%. Violence was more frequent in night shifts and emergency areas, while only a minority of institutions had complete protocols. Conclusion: it is urgent to implement comprehensive policies with mandatory protocols, confidential reporting systems and institutional psychological support, in order to protect staff and improve the quality of care.
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