The weakness of the strong: Examining the squeaky-wheel effect of hospital violence in China

Workplace violence in healthcare settings is a common global problem, including in Bangladesh. Despite the known presence of workplace violence in healthcare environments of developing countries, there is limited understanding of factors that lead to hospital violence in Bangladesh. This study aims to explore factors that influence incidents of violence against healthcare professionals in Bangladesh, as reported by doctors via social media forum. Content analysis was conducted on 157 reported incidents documented on “Platform,” the online social media most used by medical students and doctors in Bangladesh. Posts by doctors detailing experiences of physical or verbal violence at their workplace between July 2012 and December 2017 were included in this study. The majority of reported incidents were reported by male doctors (86%) and from government hospitals (63.7%). Findings showed that primary healthcare centers experienced more violence than secondary and tertiary facilities. This may largely be due to insufficient human and other resources in primary care settings to meet patient demand and expectations. Most of the events happened at night (61%), and as a result, entry-level doctors such as emergency duty doctors and intern doctors were commonly affected. Six themes were identified as vital factors in workplace violence against doctors: patients’ perspectives, delayed treatment, power practice, death declarations, extreme violence, and care-seeking behaviors. Most incidents fell under the categories of delayed treatment and power practice at 26.8 and 26.1%, respectively. This study identified possible factors for reported violence in hospital settings. To address and reduce these incidents, hospital administrators should be aware of risk factors for violent behavior and design appropriate measures to prevent workplace violence. Further qualitative and quantitative research is needed to appropriately address the consequences of violence on healthcare workers and implement measures to mitigate these events.

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Comparison of BP Neural Network Model and Logistic Regression in the Analysis of Influencing Factors of Violence in Hospitals

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.50-51.964 ◽

2011 ◽

Vol 50-51 ◽

pp. 964-967 ◽

Cited By ~ 2

Author(s):

Jian Hui Wu ◽

Guo Li Wang ◽

Xiao Ming Li ◽

Su Feng Yin

Keyword(s):

Neural Network ◽

Logistic Regression ◽

Network Model ◽

Neural Network Model ◽

Roc Curve ◽

Bp Neural Network ◽

Logistic Regression Model ◽

Training Set ◽

Hospital Violence ◽

Bp Neural Network Model

Collecting violence cases for medical personnel from different levels of the hospital of Tangshan, we create a model for influential factors of hospital violence, and respectively with BP Nerve Network and logistic regression, by sensitivity, specificity and ROC curve, it is compared with two methods,in order to discovering effective analytical method . The training set and testing set sensitivity of BP Neural Network Model are 0.916 and 0.935,and the specificity is 0.447 and 0.526,the area of ROC curve is 0.769 and 0.785；for logistic regression Model ,for its the training set and testing set, sensitivity is 0.907 and 0.925, the specificity is 0.377 and 0.404, the area of ROC curve is 0.663and0.666. In hospital violence influencing factors, the forecast capability of BP Neural Network Model is better than logistic regression Model and it has farther extend value.

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Out-of-Hospital Violence Injury Surveillance: Quality of Data Collection

Annals of Emergency Medicine ◽

10.1016/s0196-0644(99)70100-9 ◽

1999 ◽

Vol 34 (6) ◽

pp. 745-750 ◽

Cited By ~ 11

Author(s):

Lynn A Boergerhoff ◽

Susan Goodwin Gerberich ◽

Aparna Anderson ◽

Laura Kochevar ◽

Lance Waller

Keyword(s):

Data Collection ◽

Injury Surveillance ◽

Quality Of Data ◽

Hospital Violence

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Violence against doctors in Iraq during the time of COVID-19

PLoS ONE ◽

10.1371/journal.pone.0254401 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0254401

Author(s):

Riyadh Lafta ◽

Noor Qusay ◽

Meighan Mary ◽

Gilbert Burnham

Keyword(s):

Patient Care ◽

Workplace Violence ◽

Health Workers ◽

Hospital Environment ◽

Health Providers ◽

Security Measures ◽

Hospital Violence ◽

Hospital Doctors ◽

Hospital Productivity ◽

Violence Against Doctors

Objectives This study assessed patterns in reported violence against doctors working in 11 Baghdad hospitals providing care for patients with COVID-19 and explored characteristics of hospital violence and its impact on health workers. Methods Questionnaires were completed by 505 hospital doctors (38.6% male, 64.4% female) working in 11 Baghdad hospitals. No personal or identifying information was obtained. Findings Of 505 doctors, 446 (87.3%) had experienced hospital violence in the previous 6 months. Doctors reported that patients were responsible for 95 (21.3%) instances of violence, patient family or relatives for 322 (72.4%), police or military personnel for 19 (4.3%), and other sources for 9 (2%). The proportion of violent events reported did not differ between male and female doctors, although characteristics varied. There were 415 of the 505 doctors who reported that violence had increased since the beginning of the pandemic, and many felt the situation would only get worse. COVID-19 has heightened tensions in an already violent health workplace, further increasing risks to patients and health providers. Interpretation During the COVID-19 epidemic in Iraq an already violent hospital environment in Baghdad has only worsened. The physical and emotional toll on health workers is high which further threatens patient care and hospital productivity. While more security measures can be taken, reducing health workplace violence requires other measures such as improved communication, and addressing issues of patient care.

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