Nursing Times is partnering with the union Unison to run a new survey on workplace safety.
We want to hear from nursing and midwifery professionals and students in the UK about how safe you feel at work, whether you have experienced physical violence on shift and whether employers are taking the issue seriously enough.
All responses are anonymous.

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* 1. Have you ever experienced physical violence at work?

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* 2. What forms of physical violence have you experienced at work? (Tick all that apply)

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* 3. If you have experienced physical violence at work, who was it from? (Tick all that apply)

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* 4. If you have experienced physical violence at work, do you think any of the following were aggravating factors in the incident/s taking place? (Tick all that apply)

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* 5. If you have experienced physical violence at work, were you targeted because of any of your protected characteristics?

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* 6. If you have experienced physical violence at work, did you report any of the incidents to your employer?

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* 7. If yes above, which of the following best describes how you felt about the response of your employer?

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* 8. If yes to question 6, do you feel the response by your employer ensures that a similar incident could not recur?

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* 9. If you have experienced physical violence at work, do you currently feel safe at work?

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* 10. How often do you face physical violence at work?

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* 11. When was the last time you were subject to physical violence at work?

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* 12. Have you ever taken time off work due to physical violence faced while on a shift?

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* 13. If you have, how much time off did you take off due to one specific incident/series of incidents?

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* 14. Have you ever moved to a different role in healthcare because of physical violence faced while on shift?

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* 15. Have you ever witnessed a colleague experiencing physical violence at work?

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* 16. Do you feel safe from physical violence at work?

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* 17. Have concerns about violence at work ever made you consider quitting nursing or midwifery?

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* 18. Has your employer put any measures in place to make workers safer from violence since you have worked there? (Tick all that apply)

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* 19. Do you think your employer takes the issue of violence against nurses and midwives seriously enough?

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* 20. Please feel free to comment in more depth on the issues raised in this survey below

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* 21. Which of the following best describes your role?

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* 22. Which of the following best describes the setting in which you work?

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* 23. What best describes your gender?

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* 24. What best describes your ethnicity?

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* 25. How old are you?

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* 26. Which country do you work in?

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* 27. If you are willing to talk to us about your experiences, please leave your email address and mobile number below

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