Ep59 | When Healing Hurts: Workplace Violence, Conflict, and the Future of Healthcare Safety with…

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We hear the stories: a surgeon shot over opioids, a nurse attacked by a patient, staff assaulted over wait times. Workplace violence in healthcare is far too common, and far too costly in human and financial terms.

In this powerful episode of the Scalpel and Sword Podcast, Dr. Lee Sharma sits down with Dr. Scott Hutton, as they explore the root causes of affective violence from pain, fear, dementia, and loss of control, why it’s underreported, how it affects physicians and nurses differently, and why blaming patients or staff isn’t the answer.

Dr. Hutton shares evidence-based insights on policy gaps, the power of positive signage and psychological safety, how leaders should respond after incidents, and why patient and staff safety are not a zero-sum game. This conversation offers hope, practical tools, and a call for real systemic change.

Three Actionable Takeaways:

• Check for Cognitive Connection Before Entering Interactions: When approaching a patient, introduce yourself clearly and ensure they are oriented and with you. This simple step can significantly reduce the risk of affective violence by confirming they are present and reducing startle responses.

• Leaders: Support Staff and Address Root Causes Without Blame: After an incident, ensure physical and psychological safety for staff first. Then investigate systemic factors like staffing, communication, patient needs, rather than defaulting to blame. Use trauma-informed approaches and just culture principles to rebuild trust and prevent recurrence.

• Shift from Negative Rules to Positive Expectations: Replace “We will not tolerate…” signs with positive messaging like “Thank you for being kind to our staff , we’re working hard for you.” This sets a higher behavioral standard and reduces stigma while maintaining safety.

About the Show:

 Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Guest:

Dr. Scott Hutton, PhD, RN, is a nurse by calling with advanced degrees in nursing and business. He earned his PhD focused on workplace violence and occupational health. He has dedicated his career to studying and preventing violence in healthcare settings, helping organizations reduce harm to staff and improve patient outcomes.

LinkedIn: Scott Hutton PhD RN (https://www.linkedin.com/in/scott-hutton-572355b1)

About the Host:

Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

• Connect with Dr. Lee Sharma:

📧 Email: scalpelandsword@gmail.com (mailto:scalpelandsword@gmail.com)

🌐 Website: East Alabama Health – Dr. Sharma (https://www.eastalabamahealth.org/provider/lee-sharma-md-obstetrics)

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.

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