The American Journal of Nursing (AJN)Homicides of Nurses in the United States, 2003-2022: An Exploratory Study

ℹ️ Policy & Professional Content

This NVDRS analysis examined 1,577 homicides of nurses and nursing assistants between 2003 and 2022 to better understand victim, suspect, and incident characteristics. Most homicides occurred outside healthcare facilities, frequently involved intimate partners or former partners, and were most often associated with interpersonal conflict in private residences.

Key Findings

• 1,577 nurse and nursing assistant homicides were identified.
• 75% occurred in private residences.
• 44% were associated with intimate partner violence.
• 52% of known suspects were current or former partners.
• 93% of suspects were male.
• Only 24 cases (1.6%) were documented as work-related.
• Firearms were involved in 63% of incidents.
• Arguments preceded 29% of homicides.

Professional Implications

• Findings challenge the common perception that nurse homicide is primarily a workplace violence issue.
• The data support broader workforce-safety approaches extending beyond clinical settings.
• Organizations may need to consider intimate partner violence awareness, employee assistance resources, and Total Worker Health initiatives as components of nurse safety programs.
• The study highlights the potential overlap between workforce well-being, personal safety, and organizational support structures.
• Surveillance limitations prevent conclusions about causation or true incidence trends over time.