Workplace Violence: The Hidden Epidemic Plaguing Health Care Workers

Author(s):  
Jordan Barab
2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Ruilie Cai ◽  
Ji Tang ◽  
Chenhui Deng ◽  
Guofan Lv ◽  
Xiaohe Xu ◽  
...  

Abstract Background Incidents of patient-initiated workplace violence against health care workers have been a subject of substantial public attention in China. Patient-initiated violence not only represents a risk of harm to health care providers but is also indicative of general tensions between doctors and patients which pose a challenge to improving health system access and quality. This study aims to provide a systematic, national-level characterization of serious workplace violence against health care workers in China. Methods This study extracted data from the China Judgment Online System, a comprehensive database of judgment documents. Three key phrases, “criminal case,” “health care institution,” and “health care worker” were used to search the China Judgment Online System for relevant cases between January 1, 2013, and December 31, 2016. Data extracted from identified cases was used to document the occurrence, the degree of risk, and the factors associated with serious workplace violence. Results In total, 459 criminal cases involving patient-initiated workplace violence against health care workers in China were reported and processed. The analysis revealed geographic heterogeneity in the occurrence of serious workplace violence, with lower incidence in western provinces compared to central and eastern provinces. Primary hospitals experienced the highest rates of serious workplace violence and emergency departments and doctors were at higher risk compared with other departments and health workers. Perpetrators were primarily male farmers aged 18 to 44 with low levels of education. The most frequently reported reasons of serious patient-initiated workplace violence included perceived medical malpractice by the perpetrator after the death of a patient, death of a patient with no other reason given, failures of the compensation negotiations after the death of a patient, and dissatisfaction with the treatment outcomes. Conclusions Serious workplace violence against providers varies across regions and types of health care institutions in China. Perception of low-quality care is the most reported reason for violence. Efforts should be made to improve quality of care in the low-level health institutions and strengthen the doctor-patient communication during the whole course of service.


2017 ◽  
Vol 65 (8) ◽  
pp. 380-380

Arbury, S., Zankowski, D., Lipscomb, J., & Hodgson, M. (2017). Workplace violence training programs for health care workers: an analysis of program elements. Workplace Health & Safety, 65(6), 266-272. (Original DOI: 10.1177/2165079916671534) In this article, the author list was incorrectly ordered in the OnlineFirst and print versions. It should have appeared as follows: Sheila Arbury, MPH, RN, Donna Zankowski, MPH, RN, COHN, Jane Lipscomb, PhD, RN, FAAN, and Michael Hodgson, MPH, MD. This error has been corrected in the online article.


2016 ◽  
Vol 22 (3) ◽  
pp. 204-209 ◽  
Author(s):  
Susan Hester ◽  
Christina Harrelson ◽  
Tameki Mongo

This article explores the topic of workplace violence in the health care setting. A definition of workplace violence and those who are most vulnerable is provided. National and state legislation that addresses the topic of workplace violence will be discussed. Other organizations such as the American Nurses Association and The Joint Commission and their position statements will be explored. Lastly, strategies targeting workplace violence prevention and the barriers to implementing identified strategies will be discussed. Workplace violence is a rapidly growing concern for those working in health care. This article provides recommendations for legislative and workplace actions to protect health care workers.


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.


2008 ◽  
Vol 50 (3) ◽  
pp. 288-293 ◽  
Author(s):  
Wen‐Ching Chen ◽  
Hai‐Gwo Hwu ◽  
Shou‐Mei Kung ◽  
Hsien‐Jane Chiu ◽  
Jung‐Der Wang

Author(s):  
H. O. Stanley ◽  
O. P. Nwosu

Introduction: Work place violence in health-care facilities are on the rise and are routinely underreported. Objective: This study investigated the prevalence of workplace violence among primary health-care workers in Enugu metropolis. Materials and Methods: The participants were selected via multi–stage sampling method. A total of 117 out of 135 questionnaires from primary health-care workers in Enugu metropolis were collated and analyzed with the aid of frequency tables and charts. Results: The results showed that the primary health-care workers are exposed to verbal and non-verbal harassment when working alone in shifts as a contributing factor to workplace violence, subjected to their type of work. This violence most times not reported owing to fear, stigmatization and mistrust of the workers that management will not take their cases serious, this, ultimately impinge on the overall job performance, revenue generation as well as job integrity. Based on the influence of workplace violence on work and life of primary health-care workers about 61.5% of primary health-care workers agrees that workplace violence experience leads to fear and impaired performance and majority agrees that workplace violence does not depends on tribe and religion. Based on predictors of workplace violence, about 69.4%, 69% and 69.1% of primary health-care workers agrees that level of education, work cadre and years of experience influences workplace violence respectively. Conclusion: The study shows that primary health-care workers are exposed to different workplace violence: physical, threat, verbal and sexual harassment. Also, primary health-care workers agree that patient relatives (31.9%) and colleague (17.4%) are the main sources of workplace violence mostly due to misunderstanding. Out of 75 victims of workplace violence 66.7% reported their cases while about 53.6% did not report. Victims of workplace violence should be encouraged to speak up.


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