Workplace Violence, Workforce Stability, and Well-being in China's Psychiatric Hospitals

2021 ◽  
Author(s):  
Xinxin Han ◽  
Feng Jiang ◽  
Lijun Shen ◽  
Yuanli Liu ◽  
Tingfang Liu ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Psychiatric Hospitals ◽  
Well Being

scholarly journals Assault predicts time away from work after claims for work-related mild traumatic brain injury

2019 ◽  
Vol 76 (7) ◽  
pp. 471-478 ◽  
Author(s):  
Reema Shafi ◽  
Peter M Smith ◽  
Angela Colantonio
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Workplace Violence ◽  
Well Being ◽  
Economic Loss ◽  
Multivariable Logistic Regression Analysis ◽  
Physical Assault ◽  
Mechanism Of Injury ◽  
Work Related ◽  
Time Away

IntroductionWorkplace violence carries a substantial economic loss burden. Up to 10% of all traumatic brain injury (TBI) admissions result from physical assault. There remains a paucity of research on assault as a mechanism of injury, taking into account sex, and its association with work re-entry.ObjectivesThe aim of this study was to characterise, by sex, the sample of workers who had sustained a work-related mild TBI (wr-mTBI) and to assess the independent influence of assault, as a mechanism of injury, on time away from work.MethodsA population-based retrospective cohort of workers’ compensation claimants in Australia (n=3129) who had sustained a wr-mTBI was used for this study. A multivariable logistic regression analysis assessed whether workers who had sustained wr-mTBI as a result of assault (wr-mTBI-assault) were more likely to claim time off work compared with workers who had sustained a wr-mTBI due to other mechanisms.ResultsAmong claimants who sustained a wr-mTBI, 9% were as a result of assault. The distribution of demographic and vocational variables differed between the wr-mTBI-assault, and not due to assault, both in the full sample, and separately for men and women. After controlling for potential confounding factors, workers who sustained wr-mTBI-assault, compared with other mechanisms, were more likely to take days off work (OR 2.14, 95% CI 1.53 to 2.99) within a 3-month timeframe.ConclusionThe results have policy-related implications. Sex-specific and workplace-specific prevention strategies need to be considered and provisions to support return-to-work and well-being within this vulnerable cohort should be examined.

scholarly journals An integrative review on patient inflicted violence among mental health nurses

2018 ◽  
Vol 7 (1) ◽  
pp. 62
Author(s):  
Mohammed Hamdan Alshammari
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Workplace Violence ◽  
Health Care Professionals ◽  
Physical Violence ◽  
Well Being ◽  
Integrative Review ◽  
Public Health Issue ◽  
Global Public Health ◽  
Mental Health Nurses

Workplace violence can be in the form of aggression, harassment or simply physical infliction of harm towards nurses. It can arise from many sources but primarily they are patient inflicted violence in different forms. It can be a physical violence, emotional or a combination of both. Incidence of violence towards health care professionals is a recognized global public health issue. Previous studies have already suggested that health care professionals, particularly nurses, have a higher risk of experiencing workplace violence than other professionals. This integrative review looked into the violence where patients are the primary source, as well as the types and impact of violence amongst psychiatric mental health nurses happening worldwide. Further, it looked into the nurses’ road to recovery from the experience of violence and what hospitals and facilities are advocating in stopping these events or at least minimizing the frequency of such acts. Published studies considered in this review found that nurses’ experienced physical pain, fear, anxiety, frustration, distress, resentment, apathy, job dissatisfaction and anger following the violent incident. Nurses after their exposure to a series of violence from their patients’ experience dramatic changes in their well-being.

scholarly journals The Effect of Religion on Psychological Resilience in Healthcare Workers During the Coronavirus Disease 2019 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Mei-Chung Chang ◽  
Po-Fei Chen ◽  
Ting-Hsuan Lee ◽  
Chao-Chin Lin ◽  
Kwo-Tsao Chiang ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Mental Distress ◽  
Psychiatric Hospitals ◽  
Well Being ◽  
Social Adaptation ◽  
General Hospitals ◽  
Psychological Well Being ◽  
Catholic Religion

Background: Healthcare workers in the front line of diagnosis, treatment, and care of patients with coronavirus disease 2019 (COVID-19) are at great risk of both infection and developing mental health symptoms. This study aimed to investigate the following: (1) whether healthcare workers in general hospitals experience higher mental distress than those in psychiatric hospitals; (2) the role played by religion and alexithymic trait in influencing the mental health condition and perceived level of happiness of healthcare workers amidst the stress of the COVID-19 pandemic; and (3) factors that influence the resilience of healthcare workers at 6 weeks' follow-up.Methods: Four-hundred and fifty-eight healthcare workers were recruited from general and psychiatric hospitals, and 419 were followed-up after 6 weeks. All participants filled out the 20-item Toronto Alexithymia Scale, five-item Brief-Symptom Rating Scale, and the Chinese Oxford Happiness Questionnaire.Results: Under the stress of the COVID-19 pandemic, 12.3% of frontline healthcare workers in general hospitals reported having mental distress and perceived lower social adaptation status compared with those working in psychiatric hospitals. Christians/Catholics perceived better psychological well-being, and Buddhists/Taoists were less likely to experience mental distress. The results at 6 weeks of follow-up showed that the perceived lower social adaptation status of general hospital healthcare workers was temporary and improved with time. Christian/Catholic religion and time had independent positive effects on psychological well-being; however, the interaction of Christian/Catholic religion and time had a negative effect.Conclusions: Collectivism and individualism in the cultural context are discussed with regard to alexithymic trait and Buddhist/Taoist and Christian/Catholic religious faiths. Early identification of mental distress and interventions should be implemented to ensure a healthy and robust clinical workforce for the treatment and control of the COVID-19 pandemic.

Workplace violence against nurses working in psychiatric hospitals in Jordan

2019 ◽  
Vol 33 (5) ◽  
pp. 58-62 ◽  
Author(s):  
Hasan Al-Omari ◽  
Abdallah Abu Khait ◽  
Hanan Al-Modallal ◽  
Eman Al-Awabdeh ◽  
Shaher Hamaideh
Keyword(s):  
Workplace Violence ◽  
Psychiatric Hospitals

Nurses Between the Hammer and the Anvil: Analyzing the Role of the Workplace Prevention Climate in Reducing Internal and External Violence

2019 ◽  
Vol 34 (2) ◽  
pp. 363-375
Author(s):  
Sara Viotti ◽  
Gloria Guidetti ◽  
Daniela Converso
Keyword(s):  
Workplace Violence ◽  
Intention To Leave ◽  
Well Being ◽  
Self Report ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Mediating Role ◽  
Path Analyses ◽  
Violence Prevention Climate

The aim of this study was to test a model including relationships among internal and external violence, workplace violence-prevention climate, exhaustion, and intention to leave (ITL) in a sample of nurses. Data were collected by a self-report questionnaire involving nurses (n = 313) from two multispecialist hospitals in Italy. The survey was cross-sectional and nonrandomized. Path analyses showed the presence of the mediating role of internal violence between workplace prevention climate and exhaustion, as well as the mediating function of both types of violence between workplace prevention climate and ITL. Moreover, an indirect effect through exhaustion between internal violence and ITL was highlighted. These findings suggested that organizations that invest in preventive measures may reduce incidents of violence and, in turn, prevent negative consequences on worker well-being.

Effect of Workplace Violence and Psychological Stress Responses on Medical-Surgical Nurses’ Medication Intake

2020 ◽  
pp. 084456212090391 ◽  
Author(s):  
Farinaz Havaei ◽  
Maura MacPhee
Keyword(s):  
Psychological Stress ◽  
Stress Responses ◽  
Workplace Violence ◽  
Physical Violence ◽  
Well Being ◽  
Adverse Outcomes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medication Intake ◽  
Surgical Nurses

Background Workplace violence is a prevalent phenomenon in the health-care sector globally, but few studies have examined its impact on nurses’ use of prescribed and/or over-the-counter medications to manage signs and symptoms. Purpose The purpose of this study was to examine the direct and indirect effect of workplace violence, through the pathway of psychological stress responses, on nurses’ frequencies of medication intake. An occupational stress and health outcomes model was tested in this study. Methods A secondary analysis of cross-sectional survey data from 551 medical-surgical nurses in British Columbia was conducted. Both emotional and physical workplace violence were examined. Emotional exhaustion and posttraumatic stress disorder were psychological stress responses to workplace violence. Results Emotional and physical violence from patients and/or families were the most prevalent sources of workplace violence. Physical violence and psychological stress responses increased the frequency of medication intake after controlling for nurse characteristics. Emotional violence was not related to medication intake over and above the effect of psychological stress responses. Physical and emotional violence elicited psychological stress responses resulting in increased medication use. Conclusion Workplace violence triggers psychological stress responses with adverse outcomes on nurses’ health and well-being.

Identifying Predictors of Inpatient Verbal Aggression in a Forensic Psychiatric Setting Using a Tree-based Modeling Approach

2021 ◽  
pp. 088626052110219
Author(s):  
Merten Neumann ◽  
Thimna Klatt
Keyword(s):  
Risk Factors ◽  
Violent Behavior ◽  
Psychiatric Hospitals ◽  
Well Being ◽  
Verbal Aggression ◽  
Potential Interaction ◽  
Future Research ◽  
Modeling Approach ◽  
Forensic Psychiatric ◽  
Insight Into

Inpatient violence poses a great risk to the health and well-being of other patients and members of staff. Previous research has shown that prevalence rates of violent behavior are particularly high in forensic psychiatric settings. Thus, the reliable identification of forensic inpatients who are particularly at risk for violent behavior is an important aspect of risk management. In the present study, we analyzed clinicians’ assessments of N = 504 male and female inpatients of German forensic mental health institutions in order to identify risk factors for verbal institutional violence. Using a tree-based modeling approach, we found the following variables to be predictors of verbal aggression: gender, insight into the illness, number of prior admissions to psychiatric hospitals, and insight into the iniquity of the offence. A high number of prior admissions to psychiatric hospitals seems to be a risk factor for verbal aggression amongst men whereas it showed the opposite effect amongst women. Our results highlight the importance of dynamic risk factors, such as poor insight into the own illness, in the prediction of violent incidents. With regard to future research, we argue for a stronger emphasis on nonparametric models as well as on potential interaction effects of risk and protective factors.

scholarly journals Immigrant Patients Adapt to the Culture of Admission and Experience Less Safety in Forensic Psychiatric Care

2021 ◽  
Vol 12 ◽  
Author(s):  
Larissa Titze ◽  
Julia Gros ◽  
Michael Büsselmann ◽  
Maximilian Lutz ◽  
Judith Streb ◽  
...  
Keyword(s):  
Country Of Origin ◽  
Reference Sample ◽  
Psychiatric Hospitals ◽  
Well Being ◽  
Migration Background ◽  
Daily Work ◽  
Forensic Patients ◽  
Immigrant Background ◽  
Forensic Psychiatric ◽  
Special Patient Population

Patients with an immigrant background are overrepresented in forensic psychiatric hospitals. As a result, daily work is impeded by language barriers and cultural differences. Furthermore, general therapy processes have not yet been adapted to this special patient population, and little reliable knowledge is available. All immigrants go through an acculturation process, which is related to their mental well-being. Four acculturation strategies exist: integration, separation, assimilation, and marginalization. The strategy chosen depends on the extent of someone’s orientation toward their country of origin and the country of admission. The current study aimed to expand knowledge of forensic patients with a migration background in Germany by evaluating their self-reported acculturation processes and associated individual and social factors, e.g., the ward climate. Therefore, we studied forensic patients with a migration background from 11 forensic hospitals in Bavaria, Germany. Besides completing the Frankfurter Acculturation Scale (FRACC) and Essen Climate Evaluation Schema (EssenCES), the participants provided information on their clinical and biographical history. We recruited 235 patients with a migration background and found that the participants oriented themselves more toward the culture of admission and less toward the country of origin than the reference sample did. Moreover, the patients experienced significantly less safety on the ward than the forensic reference sample did. A possible explanation for the patients’ orientation is the lack of possibilities to adhere to their cultural traditions. Patients may feel less safe because of their limited knowledge of German and cultural misunderstandings.

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