Workplace Violence in the Health Sector in Turkey: A National Study

2015 ◽  
Vol 32 (15) ◽  
pp. 2345-2365 ◽  
Author(s):  
Tevfik Pinar ◽  
Cengizhan Acikel ◽  
Gul Pinar ◽  
Erdem Karabulut ◽  
Meral Saygun ◽  
...  

Violence in the workplace is an increasing occupational health concern worldwide. Health care workers are at high risk of assault. To develop, monitor, and manage prevention policies, baseline data should be available. This cross-sectional study was designed to determine the current extent of workplace violence nationwide in Turkey. The study population of 12.944 health care workers was a stratified sample of all health care workers (612,639) in the country. A probabilistic sampling was made on the basis of the “multistage stratified random cluster sampling method.” This study was conducted by a structured questionnaire in a face-to-face interview. The questionnaire items were adapted and translated into Turkish based on questionnaires of International Labor Organization, International Council of Nurses, World Health Organization, and Public Services International. The percentage of health care workers who experienced workplace violence in Turkey in the previous 12 months was 44.7%. The types of violence included physical 6.8%, verbal 43.2%, mobbing (bullying) 2.4%, and sexual harassment 1%. Multivariate analysis showed that level of health care system, type of institution, gender, occupation, age, working hours, and shift work were independent risk factors for experiencing workplace violence ( p < .05). Our study indicates that the workplace violence among health care workers is a significant problem. The results of the study can serve as the basis for future analytical studies and for development of appropriate prevention efforts.

2019 ◽  
Vol 2 (4) ◽  
pp. 202-207
Author(s):  
AM Jibo ◽  
RS Karaye ◽  
AU Gajida ◽  
AA Abulfathi

Nigeria is making effort to address the child mortality burden by increasing vaccine coverage rates, yet the vaccine coverage falls short of 90% target. Scaling up of new and under-used vaccines to 90% coverage could save more than 600,000 Nigerian children. Healthcare givers knowledge of vaccine used for immunization is essential to increase the vaccine uptake rates. This study assesses the knowledge of routine, underutilized and future vaccines among health workers. A cross sectional descriptive study was done among health care workers at a tertiary health facility in Nigeria. Using a pre-tested semi structured interviewer administered questionnaire, 220 respondents were selected by cluster sampling technique. The health workers’ knowledge of these vaccines was assessed using a scale developed for the study. Data collected were analyzed using SPSS version 22.The mean age of the respondents was 31.9 + 5.7 years . Doctors and nurses formed more than half of the respondents, 51.8% (n=114). About three quarters of respondents 72.3% (n=159) had good knowledge of vaccines used in routine immunizations. Knowledge of under-utilized and future vaccine was low with less than a fifth 18.6% (n=41) and one tenth 9.1% (n=20) having good knowledge scores respectively. Similarly, poor perception scores of future vaccines were observed in 90.1% (n=218) of the respondents. Only marital status was associated with knowledge of underutilized vaccines (p<0.05) and no association was observed between other sociodemographic variables and knowledge of these vaccines (P>0.05). The awareness level of health care workers on routine immunization is high. Their knowledge and perception of under-utilized and future vaccines were however low. There is, therefore, need for more training and retraining of health care workers on the vaccines.


Healthline ◽  
2021 ◽  
Vol 12 (2) ◽  
pp. 54-57
Author(s):  
Disha Patel ◽  
Bela Patel ◽  
Naresh Makwana ◽  
Dipesh Parmar

Introduction: The World Health Organization declared the 2019–20 coronavirus outbreak a Public Health Emergency of International Concern (PHEIC) on 30 January 2020 and a pandemic on 11 March 2020. A poor understanding of the disease among healthcare workers may implicate in delayed treatment and the rapid spread of infection. Objective: To know the perception and knowledge of the health care workers in different districts of Gujarat state about the COVID 19. Method: A cross sectional web based survey was conducted among the 104 health care workers working in different districts of Gujarat during the month of April 2020. WhatsApp and Telegram based questionnaire was sent to each participant and their response was recorded. Data was entered in Microsoft Excel 2016 and was analysed by applying various statistical test using SPSS version 25. Results: Out of 104 participants, 46.15% and 53.85% were male and female respectively. Mean age of participants was 26.40 years. Majority participants were from Saurashtra-Kutch(36.54%) followed by central Gujarat(28.85%) and north Gujarat(23.08%). Out of 63 who had received training of basic course in COVID-19, only 27 were able to give correct answer about criteria for discharge of patient. Conclusion: HCWs in our study are having good knowledge regarding COVID 19. They are aware of the measures needed to be taken to reduce the spread of the disease. HCWs were using authentic sources for information; this ultimately affects knowledge and is reflected in attitude and practice.


Author(s):  
Ferguson Ayemere Ehimen ◽  
Iboro Samuel Akpan ◽  
Emmanuel Friday Osagiede ◽  
A. N. Ofili ◽  
Pierre Oziegbe Okukpon ◽  
...  

Introduction: Occupational exposure to blood and body fluids (BBFs) is a serious public health concern and it constitute a major risk factor for transmission of infectious diseases such as hepatitis B virus (HBV), hepatitis C virus, and human immune deficiency virus. Therefore, regular adherence to standard precautions remains the best strategy advocated by World Health Organization and Centres of Disease Control for controlling occupational exposure to blood and body fluids. Objectives: To evaluate the knowledge and practice of HCWs, as it relates to exposure to BBFs and adherence to standard precautions. Methods: A cross-sectional study was carried out within 8 months among primary health care workers. Information on knowledge of exposure to BBFs, standard precaution practices and post-exposure management were collected using interviewers’ administered questionnaire and observational checklist. The study was conducted among two hundred and thirteen health care workers in Ekpoma, Edo State. Data were entered, cleaned and analyzed using SPSS for window, version 16 (SPSS Inc., Chicago, IL, USA) statistical package software. Results: Sixty eight (41.7%) of cleaners and 29(17.8%) of nurses/community health extension workers were aware of blood borne infections associated with occupational exposure to BBFs compared to doctors, 3(1.8%) and laboratory workers, 4(2.5%). It was also found out that majority (74.2%) of the participants had poor knowledge of infection control practices. Conclusion: The knowledge and practice of standard precautions was found to be generally poor. Hence, all health care workers should be trained on the principles of infection control and exposure prevention. Also, relevant authorities need to formulate new strategies to create a favorable working environment that will ensure HCWs adherence to standard precautions.


Author(s):  
Anuja U. ◽  
Rajasi R. S. ◽  
Ratheesh K. H. ◽  
VijayaKumar K. ◽  
Amar Fettil

Background: Health care workers were prioritized by World Health Organization (WHO) for H1N1 vaccination during 2009 swine influenza pandemic following which in Kerala, a total of 72,000 people mostly health care personnel were immunized with a single dose of inactivated split influenza monovalent H1N1 vaccine in 2010. The present study was carried out with the objective to find out the proportion of health care workers seroconverted in Kerala following H1N1 vaccination.Methods:A cross-sectional study conducted in three districts of Kerala. Blood samples collected from 193 health staffs were analysed for H1N1 antibody titre 6 months following single dose of vaccination. Univariate analysis was done using proportions for qualitative variables.Results: 99.5% of health staffs seroconverted following vaccination and none of them developed disease even after getting exposed to H1N1 cases thereafter.Conclusions:Single dose of H1N1 vaccine is found to offer sufficient protection and should be recommended for health care workers. So all health care personnel shall consider H1N1 vaccination for their own protection. 


2014 ◽  
Author(s):  
Sphiwe Madiba ◽  
Mathildah Mokgatle

The perspectives and practices of health care workers (HCWs) regarding disclosure to HIV-infected children have not been adequately investigated ten years after the roll-out of pediatrics antiretroviral therapy (ART). The aim of the study was to examine the opinions of HCWs about disclosure to HIV-infected children and determine their role in disclosure to children accessing ART in centers in South Africa. This was a cross-sectional survey using a semi-structured questionnaire among HCWs in ART centers at three hospitals and 48 primary health facilities in two provinces in South Africa. Of the 206 HCWs, 140 (68.2%) were nurses, 44 (21.5%) were lay counsellors, and 4 (2%) were doctors. The majority (n=183, 89.3%) felt that disclosure benefits children and they should be told about their HIV status. Over half (n=93, 51.4%) recommended 11-18 years as the appropriate age to disclose. Half (n= 99, 48.5%) said that caregivers should take the lead to disclose, 87 (42.7%) said that disclosure is a shared responsibility of caregivers and HCWs, and 18 (8.8%) said HCWs should lead disclosure. HCWs perceived their role as that of preparing the caregiver for disclosure and the child to understand the disease. However, the lack of guidelines and training on disclosure counselling for children affects their ability to fully participate in disclosure to children. There is a need to adopt t he World Health Organizations’ disclosure guidelines for children and adapt them to the local cultural and community contexts and train HCWs to guide, support, and assist caregivers in their disclosure to HIV-infected children.


2021 ◽  
Author(s):  
Humayun Kabir ◽  
Md. Kamrul Hasan ◽  
Mamunur Rahman ◽  
Shimpi Akter ◽  
Golam Ishraque Chowdhury ◽  
...  

‘Black fungus’ or ‘Mucormycosis’ is an emerging public health concern during the COVID-19 pandemic. The rise of black fungus cases here in Bangladesh among the COVID-19 infected persons has been raised reasonable alarming conditions among health care workers along with the general people. Therefore, this study aimed to investigate black fungus knowledge of Bangladeshi health care workers aiming the issue could be managed readily by the health care systems. A cross-sectional study was carried out among the Bangladeshi health care workers from May 25, 2021, to June 5, 2021. As COVID-19 restriction existed countrywide, data were collected via a semi-structured online questionnaire by following convenient and snowball sampling methods. The main outcome variable of this study was the black fungus knowledge score; was measured by a six items’ questionnaire. The other studied variables included socio-demographic, workplace, COVID-19, and health-related information of the respondents. The t-test and one-way ANOVA test were performed to investigate the association between the black fungus knowledge score and the studied variables. This study found 422 responses from the health care workers of Bangladesh. Among the respondents, nearly half of them (45.26%) were doctors (n= 191); where the nurses (n=161) were 38.15%, and other health care workers (n=70) were 16.59%. This study found that the black fungus knowledge mean scores of health care workers were significantly associated with seniority (p=0.001), gender (p-value = 0.012), profession (p &lt;0.001), death of friends and family members due to COVID-19 (p=0.049), and, etc. Moreover, the gender, income, job type, and marital status of the respondents were also found to be significantly associated with the mean scores of several items of the black fungus knowledge questionnaire. Proper knowledge of health care workers regarding any emerging public health issues is considered as a sine qua non-indicator of implementing the health care system readily. This study emphasized the black fungus knowledge of the health care workers along with other associated factors. The study's findings could help the policymakers to mitigate the mucormycosis and other infectious diseases emergencies in the post-COVID-19 situation, where the wave of the pandemic was surging continuously.


2020 ◽  
Author(s):  
Titus Kipchirchir Kolongei ◽  
Justus Osero ◽  
Albert Gachau

Abstract Background: This was a cross sectional exploratory study that examined data obtained from health care workers on substance use in Bungoma County Kenya. Methods: This was a cross sectional exploratory study in selected health facilities in three sub counties of Bungoma County. This study used a two-stage cluster sampling technique and systematic sampling to select the respondents. The study sample was (N= 237 ) among health care workers in selected facilities in 3 sub counties of Bungoma county .The study response rate was 96.3 %(237/247) . Self-reported data on substance use during their lifetime, use in the past 12 months and past 30 days was used as key parameters to determine patterns and correlates of substance Results: As compared with females, males were found to have a greater like hood of substance use, having family member with a history of substance use and a colleague who uses substances were key predictors for substance use. Substance use prevalence without generalization to the population of Health care workers (HCWs) in this study shows a high prevalence of lifetime substance use (35.02, 29.17- 41.36) concurs with findings in a study in Machakos and Nairobi (Mokaya et al 2018). Alcohol had the highest lifetime prevalence rate (33%) Conclusion; Alcohol use among HCW had the highest prevalence with socio-demographic factors on gender, family and peer influence associated with substance use among health workers. The study findings suggest preventive interventions against substance use are required at family level and among peers. Further research is needed on substance abuse, dependence, reasons for substance use and how it affects health workers performance Keywords: Substance Use, abuse, dependence, patterns, correlates, lifetime use


2020 ◽  
Vol 18 (1) ◽  
pp. 82-90
Author(s):  
Mariana Roberta Lopes Simões ◽  
Heloisa Helena Barroso ◽  
Danielle Sandra da Silva de-Azevedo ◽  
Ana Carolina Monteiro Duarte ◽  
Rose Elizabeth Cabral Barbosa ◽  
...  

Background: Health care workers stand out in recent studies as a function of high rates of workplace violence. Objective: To calculate the prevalence of workplace violence involving health care workers and associated factors. Methods: Cross-sectional study with municipal health care workers in Diamantina, Minas Gerais, Brazil. Data were collected in interviews from December 2016 through March 2017. Variable workplace violence was considered as outcome on univariate and multivariate analysis. Descriptive and analytical statistical techniques were used (Poisson regression). Results: The study population comprised 203 municipal health care workers (79% response rate). The prevalence of workplace violence was 40.4–47.9% for women and 22.0% for men. Occupational factors associated with violence were job satisfaction, support at work and psychological demands. Conclusion: The prevalence rates we found and associated factors point to the relevance of health protection policies targeting this category of workers which may contribute to mitigate the negative effects of violence on the health of workers and consequently on the quality of care delivery.


2014 ◽  
Author(s):  
Sphiwe Madiba ◽  
Mathildah Mokgatle

The perspectives and practices of health care workers (HCWs) regarding disclosure to HIV-infected children have not been adequately investigated ten years after the roll-out of pediatrics antiretroviral therapy (ART). The aim of the study was to examine the opinions of HCWs about disclosure to HIV-infected children and determine their role in disclosure to children accessing ART in centers in South Africa. This was a cross-sectional survey using a semi-structured questionnaire among HCWs in ART centers at three hospitals and 48 primary health facilities in two provinces in South Africa. Of the 206 HCWs, 140 (68.2%) were nurses, 44 (21.5%) were lay counsellors, and 4 (2%) were doctors. The majority (n=183, 89.3%) felt that disclosure benefits children and they should be told about their HIV status. Over half (n=93, 51.4%) recommended 11-18 years as the appropriate age to disclose. Half (n= 99, 48.5%) said that caregivers should take the lead to disclose, 87 (42.7%) said that disclosure is a shared responsibility of caregivers and HCWs, and 18 (8.8%) said HCWs should lead disclosure. HCWs perceived their role as that of preparing the caregiver for disclosure and the child to understand the disease. However, the lack of guidelines and training on disclosure counselling for children affects their ability to fully participate in disclosure to children. There is a need to adopt t he World Health Organizations’ disclosure guidelines for children and adapt them to the local cultural and community contexts and train HCWs to guide, support, and assist caregivers in their disclosure to HIV-infected children.


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