The Hidden Experience of Violence during Pregnancy: A Study of 400 Pregnant Australian Women

2008 ◽  
Vol 14 (1) ◽  
pp. 97 ◽  
Author(s):  
Deborah Walsh
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Psychological Abuse ◽  
Physical Violence ◽  
Antenatal Clinic ◽  
Structured Interview ◽  
Diverse Backgrounds ◽  
Abusive Behaviour ◽  
Violence During Pregnancy ◽  
The Relationship

This article will report on the results of research into violence experienced by women during pregnancy, undertaken at a large public tertiary obstetric hospital in Australia. Participants in the research included 400 women from diverse backgrounds, recruited from the Royal Women's Hospital Antenatal clinic in Melbourne. The methodology for the research included a structured interview framework into which was incorporated a modified version of the Abusive Behaviour Inventory (ABI). The instrument measured both physical and psychological abuse indicators. The study found that 20% (n=80) of women interviewed reported experiencing violence during their pregnancy and that they did not disclose this to their health care professionals, thus suffering the abuse in silence. An increase in physical violence was reported by 6% (n=25); however, the majority of women reported that the level of violence and abuse remained the same throughout the pregnancy. It was found that a range of abusive behaviours were reported by the women interviewed, which resulted in three very distinct profile groups emerging from the data. A greater awareness of the prevalence of this phenomenon in the peri-natal population, together with ongoing access to research in this area, will benefit health care professionals in developing sensitive practice strategies for working with women affected by violence during pregnancy. Through a deeper understanding of associated issues, practitioners can work towards creating an environment where women feel safe enough to break their silence and be confident that their disclosures will be responded to appropriately, without pressure to leave the relationship.

Prevalence of Workplace Violence Against Health-Care Professionals in China: A Comprehensive Meta-Analysis of Observational Surveys

2018 ◽  
Vol 21 (3) ◽  
pp. 498-509 ◽  
Author(s):  
Li Lu ◽  
Min Dong ◽  
Shi-Bin Wang ◽  
Ling Zhang ◽  
Chee H. Ng ◽  
...  
Keyword(s):  
Health Care ◽  
Workplace Violence ◽  
Health Care Professionals ◽  
Physical Violence ◽  
Meta Analysis ◽  
Psychological Violence ◽  
Random Effects Models ◽  
Policies And Procedures ◽  
Pooled Prevalence ◽  
Associated Risk Factors

Background: In China, workplace violence (WPV) toward health-care professionals has been a major concern, but no meta-analysis on this topic has been published. This study is a meta-analysis of the pooled prevalence of WPV against health-care professionals in China and its associated risk factors. Method: English- (PubMed, PsycINFO, and Embase) and Chinese-language (Chinese National Knowledge Infrastructure, WanFang, and SinoMed) databases were systematically searched. Data on the prevalence of WPV and the subtypes of violence experienced by health-care professionals in China were extracted and pooled using random-effects models. Findings: A total of 47 studies covering 81,771 health-care professionals were included in the analyses. The overall prevalence of WPV from 44 studies with available data was 62.4% (95% confidence interval [CI] = [59.4%, 65.5%]). The estimated prevalence of physical violence, psychological violence, verbal abuse, threats, and sexual harassment were 13.7% (95% CI [12.2%, 15.1%]), 50.8% (95% CI [46.2%, 55.5%]), 61.2% (95% CI [55.1%, 67.4%]), 39.4% (95% CI [33.4%, 45.4%]), and 6.3% (95% CI [5.3%, 7.4%]), respectively. Males were more likely to experience WPV than females. Interpretation: WPV against health-care professionals appears to be a significant issue in China. Relevant policies and procedures related to WPV should be developed. Staff should be provided with adequate training, education, and support to implement violence management policies to ensure safety at the workplace.

Law, Morality, and Health Care Professionals: A Multilevel Framework

2019 ◽  
Vol 15 (1) ◽  
pp. 117-135
Author(s):  
Elizabeth Chiarello
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Social Life ◽  
Meaning Making ◽  
Organizational Structures ◽  
Multilevel Approach ◽  
Health Care Work ◽  
Shared Space ◽  
Movement Mobilization ◽  
The Relationship

Socio-legal scholars have long been interested in the relationship between law and morality. This article uses a multilevel approach to understanding this relationship by focusing on health care professionals, key actors in an institution that covers broad swaths of social life and that serves as a key site of moral meaning making and practice. I demonstrate how morality and law interface differently at three levels: through daily social interaction, during which providers assess patients’ deservingness while patients attempt to present themselves as morally worthy; through organizational structures and processes that establish legalistic rules and bring diverse workers into shared space; and through field-level legal and moral infrastructures that shape frontline decision making and that change due to social movement mobilization. The article concludes by describing the benefits of a multilevel approach to examining the interplay between law, morality, and health care work and suggesting strategies for theoretically investigating these relationships more completely.

scholarly journals Prevalence of Workplace Physical Violence against Health Care Professionals by Patients and Visitors: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (1) ◽  
pp. 299 ◽  
Author(s):  
Yi-Lu Li ◽  
Rui-Qi Li ◽  
Dan Qiu ◽  
Shui-Yuan Xiao
Keyword(s):  
Health Care ◽  
Subgroup Analysis ◽  
Health Care Professionals ◽  
Physical Violence ◽  
Meta Analysis ◽  
Persistent Problem ◽  
Prevalence Studies ◽  
Prevalence Estimates ◽  
Meta Regression ◽  
One Year

Workplace physical violence against health care professionals perpetrated by patients and visitors has been a persistent problem worldwide. Prevalence estimates varied vastly across studies and there was a lack of quantitative syntheses of prevalence studies. This review aimed to quantify pooled one-year prevalence estimates at the global and regional levels. A systematic literature search was performed in the databases of PubMed, PsycINFO, Web of Science, and Embase between 1 January 2000 and 8 October 2018. Studies providing information about one-year prevalence of self-reported workplace physical violence against health care professionals perpetrated by patients or visitors were included. Heterogeneity between studies was evaluated using Cochran’s chi-squared test (Cochran’s Q) and I2 values. Subgroup analysis and meta-regression were used to explore heterogeneity. A total of 65 eligible studies reported one-year prevalence estimates for 61,800 health care professionals from 30 countries. The pooled one-year prevalence of workplace physical violence against health care professionals perpetrated by patients or visitors was 19.33% (95% confidence interval (CI): 16.49–22.53%) and the overall heterogeneity was high across studies. We noted geographic and staff categories variations for prevalence estimates through subgroup analysis. The meta-regression showed that sample size, type of health care setting, and quality score were significant moderators for heterogeneity. One in five health care professionals experienced workplace physical violence perpetrated by patients or visitors worldwide annually. Practical intervention was needed to ensure safety of health care professionals.

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.

An Exploration of the Relationship Between Patient Autonomy and Patient Advocacy: implications for nursing practice

2002 ◽  
Vol 9 (5) ◽  
pp. 472-482 ◽  
Author(s):  
Deirdre Hyland
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Autonomy ◽  
Positive Outcome ◽  
Care Provision ◽  
Patient Advocates ◽  
The Right ◽  
The Relationship ◽  
Paternalistic Approach

The purpose of this article is to examine whether patient/client autonomy is always compatible with the nurse’s role of advocacy. The author looks separately at the concepts of autonomy and advocacy, and considers them in relation to the reality of clinical practice from professional, ethical and legal perspectives. Considerable ambiguity is found regarding the legitimacy of claims of a unique function for nurses to act as patient advocates. To act as an advocate may put nurses at personal and professional risk. It may also be deemed arrogant and insulting to other health care professionals. Patient autonomy can be seen as a subcategory of the right of every individual to self-determination, and as such is protected by law. However, it is questionable whether the traditionally paternalistic approach to health care provision truly respects the autonomous rights of each patient. The author considers examples and cases from the literature that resulted in professional and/or personal difficulties for the nurses involved, and also reflects on an incident from her own practice where a positive outcome was achieved that demonstrated compatibility between the concepts under consideration.

scholarly journals Ethical dilemmas concerning decision-making within health care leadership: a systematic literature review

Medicina ◽  
2010 ◽  
Vol 46 (9) ◽  
pp. 595 ◽  
Author(s):  
◽  
Tarja Suominen ◽  
Päivi Åstedt-Kurki ◽  
Daiva Lepaitė
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Care Management ◽  
Ethical Dilemmas ◽  
Qualitative Content Analysis ◽  
Health Care Management ◽  
Structured Interview ◽  
Health Care Leadership

The objective was to describe the research methods and research focuses on ethical dilemmas concerning decision-making within health care leadership. Material and methods. The search was conducted on Medline and PubMed databases (1998–2008). The systematic review included 21 selected articles. Results. The ethical dilemmas concerning decision-making within health care leadership are related to three levels: institutional (particular organization), political and local interface (local governmental structure), and national (professional expertise and system). The terms that are used as adequate to the term of “ethical dilemma” are the following: “continuous balancing,” “result of resource allocation,” “gap between professional obligations and possibilities,” “ethically controversial situation,” “concern about interactions,” “ethical difficulty,” “outcome of medical choices,” “concern about society access to health care resources,” “ethically difficult/ challenging situation,” “(the consequence of) ethical concern/ethical issue.” In qualitative studies, a semi-structured interview and qualitative content analysis are the most commonly applied methods; in quantitative studies, questionnaire surveys are employed. In the research literature, there is a lack of specification according to professional qualification of health care professionals concerning ethical dilemmas by decision-making within health care management/administration. Conclusions. The research on ethical dilemmas in health care leadership, management, and administration should integrate data about levels at which ethical dilemmas occur and investigate ethical dilemmas as complex phenomena because those are attached to decision-making and specific nuances of health care management/administration. In this article, the presented scientific problem requires extensive scientific discussions and research on ethical dilemmas concerning decision-making within health care leadership at various levels.

scholarly journals Hjelpsomme relasjoner. En kvalitativ undersøkelse av samarbeidet mellom brukere med alvorlige psykiske lidelser og rusproblemer og fagpersoner i to oppsøkende team

2015 ◽  
Vol 10 (2) ◽  
pp. 121 ◽  
Author(s):  
Turid Møller Olsø ◽  
Arve Almvik ◽  
Reidun Norvoll
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Assertive Outreach ◽  
Good Relation ◽  
Work Done ◽  
The Relationship ◽  
Depth Interviews

<p>Helpful relations. A quality study about the alliance between users with serious mental health problems and health care professionals in two outreach teams.</p><p>In recent years Norway has established various types of assertive outreach teams in community based mental health care. The article examines the importance of the quality of the alliance between health care professionals and users in two assertive outreach teams. More specifically, we describe the common characteristics of a good relation, pointed out by both users and professionals, and the methods that are thought to support these relationships. The study has a qualitative design and data was gathered through semi structured in-depth interviews of 19 professionals and 9 users. The study concludes that helpful relationships are characterized by contact and equality, and that interaction through everyday activities helped strengthen the working alliance. Our results confirm recent research that highlights the importance of the quality of the relationship as a prerequisite for good care, and the importance of the tacit knowledge used and informal work done by professionals interacting with users.</p>

scholarly journals Mishel’s Model of Uncertainty Describing Categories and Subcategories in Fibromyalgia Patients, a Scoping Review

2020 ◽  
Vol 17 (11) ◽  
pp. 3756
Author(s):  
Ana Fernandez-Araque ◽  
Julia Gomez-Castro ◽  
Andrea Giaquinta-Aranda ◽  
Zoraida Verde ◽  
Clara Torres-Ortega
Keyword(s):  
Health Care ◽  
Family Support ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Cognitive Process ◽  
Social Stigma ◽  
Emotional Disorder ◽  
Qualitative Studies ◽  
The Third ◽  
The Relationship

The aim of this review was to demonstrate the presence of categories and subcategories of Mishel’s model in the experiences of patients with fibromyalgia by reviewing qualitative studies. Uncertainty is defined as the inability to determine the meaning of disease-related events. A scoping review of qualitative studies was carried out. Twenty articles were included, with sample sizes ranging from 3 to 58 patients. Articles from different countries and continents were included. Three categories of the model and eight subcategories could be shown to be present in the experiences of fibromyalgia patients through the scoping review. The first category, concerning antecedents of uncertainty in patients with fibromyalgia, is constituted by the difficulty in coping with symptoms, uncertainty about the diagnosis and uncertainty about the complexity of the treatment. The second concerns the cognitive process of anxiety, stress, emotional disorder and social stigma. The third category refers to coping with the disease, through the management of social and family support and the relationship with health care professionals.

scholarly journals The role of Emotional Intelligence in health care professionals burnout

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Arnone ◽  
M I Cascio ◽  
I Parenti
Keyword(s):  
Health Care ◽  
Emotional Intelligence ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Protective Factor ◽  
Healthcare Professionals ◽  
Self Report ◽  
Length Of Service ◽  
The Relationship

Abstract The purpose of this study is to explore the relationship between Emotional Intelligence (EI) and burnout in health care professionals. More specifically, this survey has the purpose of demonstrating the role of EI as a protective factor against the risk of burnout. Health professionals (doctors, nurses, and other caregivers) composed the sample. Health care professionals were invited to complete the following tests: Self Report Emotional Intelligence Test (Schutte et al., 1998; it. ad. Craparo, et al.[35]); Link Burnout Questionnaire,LBQ; Other variables, such as gender, lenght of service (years of professional experience) and organizational department. Major results of this survey underline the relationship between EI and burnout. More specifically, there is a negative and significant correlation between burnout and Emotional Intelligence. Moreover, burnout varies depending on length of service: burnout increases between 5 and 10 years of experience and decreases over 10 years. Indeed, burnout is differently expressed amongst healthcare professionals: more specifically, Psycho-physical exhaustion, Detriment of the relationships and Burnout (total score) impact physician (doctors) more than other investigated health professionals. These findings seem to suggest the opportunity to improve Emotional Intelligence abilities through specific training programs, useful to promote the ability to cope with stress and to enrich the relationships in the workplace. Key messages Burnout is more diffuse among health professionals working in emergency departments. Emotional intelligence has the role to cope with burnout.

Boosting Job Satisfaction Through Emotional Intelligence: A Study on Health Care Professionals

2021 ◽  
pp. 097206342110352
Author(s):  
Shalini Srivastava ◽  
Richa Misra ◽  
Deepti Pathak ◽  
Poonam Sharma
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Emotional Intelligence ◽  
Health Care Professionals ◽  
Service Industry ◽  
Care Service ◽  
Health Care Service ◽  
Quality Health Care ◽  
Quality Health ◽  
The Relationship

Emotional intelligence (EI) is possibly one of the most studied psychological factors of the twenty-first century. EI is very much relevant in service industry particularly in management, academics, life sciences or psychology. The purpose of the empirical study is to test the relationship between the defined constructs of EI and job satisfaction ( JS) amongst health care professionals of Delhi NCR region of India. It further tried to understand whether gender moderates the EI and JS relationship. Structured survey was used to solicit response from 260 health care professionals comprising doctors and nurses belonging to different hospitals of Delhi NCR region. Standardised instruments were used to assess the data. Linear and moderated regression were used to test hypotheses developed. The findings suggest that EI constructs significantly impact the level of JS among health care professionals. The result of moderated regression suggested that the relationship of EI and JS is significantly moderated by gender. The construct of EI is relevant in providing high quality health care service delivery to the patients.

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