scholarly journals Violence against Nurses: A Neglected and Healththreatening Epidemic in the University Affiliated Public Hospitals in Shiraz, Iran

Author(s):  
Behnam Honarvar ◽  
Nima Ghazanfari ◽  
Hadi Raeisi Shahraki ◽  
Sara Rostami ◽  
Kamran Bagheri Lankarani

Background: Nurses are more likely to be exposed to violence at their workplace in comparison with other employees. Objective: To determine various aspects of violence against nurses in Shiraz public hospitals. Methods: This cross-sectional study was conducted from 2017 to 2018, using a multistage random sampling method. Violence including verbal threats, verbal abuse, physical and sexual abuse as well as ethnical types, violence from patients, patients' companions and coworkers, and causes of violence were investigated using a checklist. Results: 405 nurses with a mean age of 30.2 (SD 7.1) years and female to male ratio of 4.2 were interviewed. 363 (89.6%) nurses had experienced at least one kind of violence; 68.4% suffered from more than one type of violence. Verbal abuse (83.9%), verbal threats (27.6%), physical violence (21.4%), sexual abuse (10.8%), and ethnical harassment (6.1%) were the most common types of violence experienced by the nurses. Patients' companions, patients, and physicians were reported as the sources of violence in 70.6%, 43.1%, and 4.1% of cases, respectively. Nurses with non-official employment status and non-Farsi ethnicity, having a disease, with non-evening shift work, and those with short or long employment period were more affected. Unrealistic expectations by patients' companions and long working hours were the most common attributing factors. Conclusion: Violence against nurses, as a strenuous and health-threatening crisis, has become epidemic in public hospitals in our region. Effective interventions are warranted to sort out these problems.

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Juliana da Costa Fernandes ◽  
Luciana Fernandes Portela ◽  
Rosane Härter Griep ◽  
Lúcia Rotenberg

ABSTRACT OBJECTIVE To assess the association between weekly working hours and self-rated health of nurses in public hospitals in Rio de Janeiro, State of Rio de Janeiro, Brazil. METHODS A total of 3,229 nurses (82.7% of the eligible group) participated in this cross-sectional study, carried out between April 2010 and December 2011. The collection instrument consisted of a self-administered multidimensional questionnaire. The weekly working hours were calculated from a recall of the daily hours worked over seven consecutive days; this variable was categorized according to tertiles of distribution for men and women. The outcome of interest, self-rated health, was categorized into three levels: good (very good and good), regular, and poor (poor and very poor). The statistical analysis of the data included bivariate and multivariate analyses, having as reference group those with short working hours (first tertile). All the analyses were stratified by gender and elaborated using the program SPSS. RESULTS Among women, the group corresponding to the longest working week (more than 60.5 hours per week) were more likely to report regular self-rated health, compared with those with shorter working hours, after adjusting for confounding factors (OR = 1.30; 95%CI 1.02–1.67). Among men, those with average working hours (49.5–70.5 hours per week) were more than twice as likely to rate their health as regular (OR = 2.17; 95%CI 1.08–4.35) compared to those with shorter working hours (up to 49.5 hours). There was no significant association between long working hours and poor self-rated health. CONCLUSIONS The results point to the urgent need to promote interventions in the organization of work and appreciation of the nursing profession, in order to reduce the number of multiple jobs and thus contribute to mitigate potential effects on the health of workers and the quality of care in hospitals.


2017 ◽  
Vol 5 (3) ◽  
pp. 19
Author(s):  
Amar Alsheri ◽  
Nayef Almutairi ◽  
Alshebli Ahmed

Background: According to the recent studies, violence in health care is growing and it excessively affects the retention and recruitment of nurses. It also affects burnout levels and sick leave. Aims: To determine the physical and verbal abuse violence prevalence against nurses in Al-Medina hospitals. Methods: This a descriptive cross sectional study which was conducted in three community hospitals in Saudi Arabia in 2011 using a random sample of 288 nurses. Results: The prevalence of physical violence among the population of the study was 26%. Verbal abuse prevalence was 23.3%. Patients/clients were the major perpetrators of the violence (76.0%) followed by patient’s family member(s) (24.0%). Whereas 92.0% mentioned that the violence action was preventable. Gender was correlated significantly with verbal abuse violence. Conclusion: Our study manifested that the prevalence of physical violence and verbal abuse among nurses at Al-Medina hospitals was high.


Author(s):  
Francesco Bellanti ◽  
Aurelio Lo Buglio ◽  
Erika Capuano ◽  
Michał Dobrakowski ◽  
Aleksandra Kasperczyk ◽  
...  

Safety of healthcare workers in hospitals is a major concern during the COVID-19 pandemic. Being exposed for several working hours per day to infected patients, nurses dealing with COVID-19 face several issues that lead to physical/psychological breakdown. This study focused on burnout and its associated factors in nurses working in an Italian University Hospital during the first wave of COVID-19 pandemic. We designed a web-based cross-sectional study addressed to nurses working at the University Hospital in Foggia, Italy. The online questionnaire was organized in sections aimed at collecting demographic and occupational variables, including the Maslach Burnout Inventory (MBI) and the Oldenburg Burnout Inventory (OBI). Two hundred and ninety-three nurses agreed to participate. According to MBI, we reported moderate/high emotional exhaustion in 76.5%, depersonalization in 50.2%, and personal gratification in 54.6% of participants. COVID-19-related burnout measured by OBI resulted medium/high in 89.1% of participants. Among demographic and occupational factors, a multivariate regression analysis identified emotional support, consideration of leaving job, and workload as predictive of burnout in nurses. In conclusion, this study suggests that the improvement of employer and family support to nurses, as well as reduction of workload and job-related stress, would contribute to reducing burnout in nurses during COVID-19 pandemics.


2021 ◽  
Vol 12 ◽  
Author(s):  
Mohammad Ali Zakeri ◽  
Elham Rahiminezhad ◽  
Farzaneh Salehi ◽  
Hamid Ganjeh ◽  
Mahlagha Dehghan

Background: Nurses are the major healthcare workforce in an epidemic and have the most contact with patients. Frontline nurses face many health challenges during the COVID-19 epidemic, are directly at risk when treating and caring for COVID-19 patients, and thus experience severe stress and problems in the workplace leading to physical, mental, and social disorders, as well as burnout, anxiety, stress, and depression. The purpose of this study was to compare burnout, anxiety, stress, and depression in nurses before and during the first wave of the COVID-19 pandemic.Methods: This was a cross sectional study. We assessed 266 frontline nurses before and 242 frontline nurses during the first wave of the COVID-19 pandemic with one year apart in 2019 and 2020 (two-stage sampling). The data were collected using demographic questionnaire, Maslach Burnout Questionnaire and Depression, Anxiety and Stress Scale (DASS-21) in public hospitals in Southern Iran.Results: There were no significant differences between groups in subscales of burnout (p > 0.05). Anxiety, stress and depression scores significantly increased during the first wave of the COVID-19 pandemic compared with before the COVID-19 outbreak (p < 0.05). There were significant differences between groups in level of anxiety (p < 0.001) and stress (p = 0.04). Before the COVID-19 outbreak, burnout predicted 11, 15, and 13% of the variance of anxiety, stress and depression, respectively. In addition, stress, monthly working hours and shift were variables that predicted 16% of the variance of burnout before COVID-19.Conclusion: The results of the present study showed that burnout during the first wave of the COVID-19 pandemic did not change significantly compared with before COVID-19. Anxiety, stress and depression increased significantly first wave of the COVID-19 pandemic.


2021 ◽  
Vol 20 (3) ◽  
pp. 461-501
Author(s):  
Eduarda Dos Santos Ribeiro ◽  
Elianara Kelly Vieira da Silva ◽  
Letícia de Albuquerque Jatobá ◽  
Wanneska Nogueira Andrade ◽  
Lays Nogueira Miranda

Objetivo: Analizar la Calidad de Vida en el Trabajo (CVT) de enfermeras en hospitales públicos. Método: Estudio cuantitativo descriptivo transversal, realizado en dos hospitales públicos ubicados en la ciudad de Maceió / AL, de febrero a abril de 2020, donde 78 enfermeros respondieron dos cuestionarios auto-cumplimentados, el primero de ellos sociodemográfico y otro cuestionario estructurado relacionado con la evaluación CVT (TQWL-42). Los datos se analizaron mediante estadística descriptiva. Resultados: Predominó el sexo femenino (93,6%), carga total de trabajo de 60 horas o más (56,4%), turnos de mañana, tarde y noche (41%), tipo de contrato público (74,4%), el aspecto de significación de la tarea tuvo un promedio positivo (4,34) y el aspecto de servicios de salud y asistencia social tuvo un promedio negativo (2,35). El ámbito psicológico / conductual predominó con una media de (3,69) y, según la representación gráfica de la muestra según el TQWL-42, el aspecto de significación de la tarea obtuvo un resultado satisfactorio (83,49). Conclusiones: El CVT de los enfermeros fue evaluado como ni positivo ni negativo, requiriendo la ampliación de nuevos estudios sobre la importancia de los aspectos, para resolver los problemas en cuestión. Objective: To analyze the Quality of Life at Work (QWL) of nurses in public hospitals. Method: Quantitative descriptive cross-sectional study, carried out in public hospitals located in the city of Maceió / AL, from February to April 2020, from where 78 nurses answered the self-fulfilled questionnaires, the first sociodemographic and other structured questionnaire related to it evaluation QLW (TQWL-42). The data were analyzed by means of descriptive statistics. Results: Female sex predominated (93.6%), total workload of 60 hours or more (56.4%), working hours, afternoon and night (41%), type of public contract (74.4%), the aspect of significance of the positive attitude (4.34) and the aspect of health services and social assistance as negative (2.35). The psychological / behavioral scope predominated with a mean of (3.69) and, according to the graphical representation of the subject according to the TQWL-42, the aspect of significance of the task obtained a satisfactory result (83.49). Conclusion: The QLT of the sick was evaluated as positive in negative, requiring the expansion of new studies on the importance of aspects, to solve the problems in question. Objetivo: Analisar a Qualidade de Vida no Trabalho (QVT) dos enfermeiros de instituições hospitalares da rede pública. Método: Estudo quantitativo descritivo de corte transversal, realizado em dois hospitais públicos localizados no município de Maceió/AL, no período de fevereiro a abril de 2020, onde 78 enfermeiros responderam dois questionários de autopreenchimento, sendo o primeiro um questionário sociodemográfico e outro questionário estruturado relacionados à avaliação da QVT (TQWL-42). Os dados foram analisados por meio de estatística descritiva. Resultados: Predominou o sexo feminino (93,6%), carga horária total de 60h ou mais (56,4%), turnos de trabalho matutino, vespertino e noturno (41%), tipo de contrato concursado (74,4%), o aspecto significância da tarefa apresentou média positiva (4,34) e o aspecto serviço de saúde e assistência social apresentou média negativa (2,35). Prevaleceu a esfera psicológico/comportamental com a média de (3,69) e, segundo a representação gráfica da amostra de acordo com o TQWL-42, o aspecto significância da tarefa obteve resultado satisfatório (83,49). Conclusão: A QVT dos enfermeiros foi avaliada como nem positiva, nem negativa, sendo necessário a ampliação de novos estudos sobre a importância dos aspectos, a fim de solucionar as problemáticas em questão.


BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e028309 ◽  
Author(s):  
Jinli Yu ◽  
Jiming Gao ◽  
Junyan Chen ◽  
Yirui Sun

ObjectivesChinese neurosurgery has made great progress during the past decades; yet, little is known about the working status of neurosurgeons. This study aimed to evaluate the difference between academic and non-academic neurosurgeons, focusing on their professional burnout, job satisfaction and work engagement.DesignCross-sectional nationwide survey.Study settingThe survey was conducted in China between 2017 and 2018.ParticipantsA total number of 823 academic neurosurgeons and 379 non-academic neurosurgeons participated in this study.Outcome measuresProfessional burnout, job satisfaction and work engagement were assessed using the Maslach Burnout Inventory, the Job Descriptive Index and the Utrecht Work Engagement Scale, respectively.ResultsThe majority of respondents were male (92.93%), less than 45 years old (85.27%) and married (79.53%). Chinese neurosurgeons worked 63.91±11.04 hours per week, and approximately 45% experienced burnout. Compared with non-academic respondents, academic neurosurgeons had longer working hours (p<0.01), higher income (p<0.01) and were less willing to get married (p<0.01). In addition, they showed a lower degree of burnout (p<0.01), a higher level of job satisfaction (p<0.01) and were more enthusiastic at work (p=0.015). Multivariate regression analyses indicated that divorced (OR 7.02, 95% CI 2.37 to 15.08) and workplace violence (OR 1.52, 95% CI 1.18 to 2.24) were associated with burnout for both academic and non-academic respondents. Long working hours (≥71 hours per week) and low annual income (<1 00 000 RMB) were risk factors for burnout among academic neurosurgeons. For non-academic neurosurgical surgeons (age 36–45 years), working as attending doctors, serving in public hospitals and having the first house-living child were all closely related to the incidence of burnout.ConclusionChinese neurosurgeons are under significant stress particularly for the non-academic neurosurgeons. Offering better opportunities for training, promotion, higher income and safer working environments could be solutions to relieve burnout and improve career satisfaction and engagement.Trial registration numberChiCTR1800014762. This article is not linked to a clinical trial.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Okbah Mohamad ◽  
Naseem AlKhoury ◽  
Mohammad-Nasan Abdul-Baki ◽  
Marah Alsalkini ◽  
Rafea Shaaban

Abstract Introduction Workplace violence (WPV) against healthcare workers is a common and daily problem in hospitals worldwide. Studies in different countries indicated that exposure to WPV potentially impacts the psychological status of healthcare workers. However, there is a paucity of studies approaching this issue in the Syrian healthcare system. Objectives This study had three objectives: (1) to estimate the prevalence of violence against resident doctors in Syria, (2) to examine the association between WPV and resident doctors’ psychological stress, sleep quality, depression, and general health and (3) to suggest approaches to tackle this problem from the resident doctors' perspectives. Methods A cross-sectional study was conducted in 8 out of 14 provinces, and covered 17 out of 56 accessible functioning hospitals in Syria. Data were collected using anonymous, self-administered questionnaires during February 2020. A total of 1226 resident doctors volunteered to participate in the study. Finally, 1127 valid questionnaires were used in the final data analysis. The overall response rate was 91.92%. Results A total of 955 participants (84.74%) reported exposure to WPV in the 12 months prior to the study. In specific, 84.74% exposed to verbal violence and 19.08% to physical violence. Patients’ associates were the predominant aggressors in both verbal and physical violence (n = 856; 89.63%, n = 178; 82.79%, respectively). Most resident doctors (87.31%) suggested enacting more legislation to protect doctors as the best solution to reduce WPV. Verbal and physical violence showed a significant positive correlation with each item of depression and stress, and a significant negative correlation with both subjective sleep quality and subjective health. Conclusion Workplace violence against resident doctors in Syria is highly common. Therefore, policymakers, hospital managers, and supervisors should work collaboratively in order to minimize WPV and ensure resident doctors’ safety and psychophysical stability.


2021 ◽  
pp. 216507992110312
Author(s):  
Ha Do Byon ◽  
Knar Sagherian ◽  
Yeonsu Kim ◽  
Jane Lipscomb ◽  
Mary Crandall ◽  
...  

Background Type II (customer-on-worker) workplace violence (WPV) against nurses and its underreporting are ongoing safety and health challenges in health care. The COVID-19 pandemic has strained patients and nurses and, in turn, may have increased WPV. The purpose of this cross-sectional study was to describe and compare a sample of nurses’ reported prevalence of Type II WPV and their reporting of these events during the pandemic. Methods Data from an online survey of registered nurses ( N = 373) working in hospitals were included. Prevalence was calculated for physical violence and verbal abuse, and their reporting of these events, including the experience of violence between nurses who did and did not care for patients with COVID-19. Findings Overall, 44.4% and 67.8% of the nurses reported experiencing physical violence and verbal abuse, respectively, between February and May/June 2020. Nurses who provided care for patients with COVID-19 experienced more physical violence (adjusted odds ratio [aOR] = 2.18, 95% confidence interval [CI] = [1.30, 3.67]) and verbal abuse (aOR = 2.10, 95% CI = [1.22, 3.61]) than nurses who did not care for these patients. One in 10 nurses felt reporting the incident was more difficult during the pandemic. Conclusion/Application to Practice A significant proportion of nurses who cared for patients with COVID-19 experienced more physical violence and verbal abuse, and more difficulty in reporting to management. As the pandemic continues, health care organizations need to recognize that workers may be at an elevated risk for experiencing WPV and may be less likely to report, resulting in an urgent need for prevention efforts on their part.


2011 ◽  
Vol 18 (04) ◽  
pp. 632-634
Author(s):  
NOSHEEN ZAIDI ◽  
SAIF-UD-DIN SAIF ◽  
MAHMOOD AHMED ◽  
Wasif Khan

Background: In Pakistan there are about 3.3 Million unprotected child laborers. They are constantly exposed to all kinds of dangers and abuse intimidating the future of the country. These child laborers are without the basic necessities of life including food, shelter, schooling and healthcare services, which has devastating effects on our socio-economic fabric. It is quite imperative to comprehend and unveil the perilous picture of the working conditions of child laborers and the abuse inflicted upon them at such an impressionable age. Design: Cross sectional study. Setting: Rawalpindi city including workshops, shops and streets of Rawalpindi. Period: January 2008–Dec 2008. Objective: To assess the presence of any Verbal, Physical and Sexual abuse among the child laborers at Rawalpindi city. Results: Out of the total sample of 700 study subjects 315 (45%) of the Child laborers reported being abused whereas 385 (55%) reported no abuse. Out of the fraction which reported to be abused the break up is as follows. 214 (67.9%) reported verbal abuse, 75 (23.8%) reported Physical abuse and 25 (7.9%) reported sexual abuse. Conclusions: This study concluded that the child laborers are open to the elements of the adversities that come along with their work environment. The government should be urged to take necessary steps to trim down the abuse against child laborers and its frightening effects on their families, society and nation at large by constituting strict laws and ensuring their speedy implementation. 


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