Perceived workplace violence reported by nurses enrolled in B.Sc Nursing degree programme at KIU, Sri Lanka

Background: Workplace violence (WPV) can be defined as a violent act directed towards workers, including physical assault, threat of assault and verbal abuse and it is widely recognized as having far-reaching consequences for workers’ health and safety. Nurses are the most vulnerable group for WPV. In recent years WPV against nurses has significantly increased, becoming a nationwide phenomenon across the hospital settings. Furthermore, it can impact the quality of patient care and reduce the efficiency and quality of the entire health system. Therefore, this study aimed to determine the perceived workplace violence reported by nurses enrolled in the B.Sc Nursing degree programme at KIU, Sri Lanka. Methods: A descriptive cross-sectional study was conducted among 306 undergraduate nurses in KIU. A pretested self-administered questionnaire was used to collect data which consisted of demographic information, the prevalence of WPV and factors associated with WPV. Data analysis was done with descriptive statistics and chi-square test using SPSS version 23. Ethical approval was obtained from the Ethics Review Committee of KIU (KIU/ERC/20/05). Results: The majority of participants were females (97.4%, n=298), aged between 20-30 years (61.4%, n=188) and had working experience of <5 years (63.7%, n=195). The prevalence of workplace violence was 75.5%, n=231. The commonest type of reported violence was verbal violence (87.8%, n=203) followed by emotional violence (65%, n=150), physical violence (15%, n=35), sexual violence (3.8%, n=9) and racial harassment (2.1%, n=5). Medical and Surgical wards (39.6%, n=91) were the most frequent working areas where nurses faced violent behavior. The perpetrators were found to be supervisors (73.1%, n=168), patients’ relatives (53.2%, n=122), and patients (52.3%, n=120). The working unit of the nurses (p< 0.001), designation (p<0.001), number of night duties per month (p=0.019), and ability to access the ward without permission (p=0.042) were significantly associated with WPV among nurses. Conclusion: The study concluded that the prevalence of WPV was high among nurses while verbal violence from nursing supervisors was the most common WPV. Therefore, it is mandatory to place appropriate measures to prevent the WPV among nurses.

Download Full-text

“Prevalence and Source of Various Types of Workplace Violence among Healthcare Professionals in the Public Hospitals of Karachi” A Cross-Sectional Survey

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i49b33347 ◽

2021 ◽

pp. 111-120

Author(s):

Jai Dev Maheshwari ◽

Sidra Zaheer ◽

Greesh Kumar Maheshwari ◽

Kiran Khan ◽

Syeda Batool ◽

...

Keyword(s):

Public Sector ◽

Sexual Harassment ◽

Workplace Violence ◽

Physical Violence ◽

Male Gender ◽

Public Hospitals ◽

Categorical Variables ◽

Medical Doctors ◽

Cross Sectional ◽

Racial Harassment

Objectives: To determine the prevalence of violence among medical doctors in public sector hospitals of Karachi relating to physical violence, psychological violence (verbal and bullying/mobbing), sexual harassment and racial harassment). Methods: A cross-sectional study was carried out in three public sector hospitals in Karachi (JPMC, Civil Hospital and Sindh Government Lyari General Hospital Karachi). Medical doctors of any age and gender who worked in outpatient departments, wards, and emergency departments were eligible to participate in the study. A validated WHO-designed questionnaire was used, with questions about exposure to violence, the source and types of violence, and socio-demographic information. In descriptive statistics, frequencies and percentages were reported for all categorical variables. The Chi-square and Fisher's exact tests were used to investigate the relationship between workplace violence and other types of violence. Results: 350 questionnaires were distributed to qualified medical doctors in total. Only 300 of them responded, for an 85.7 percent response rate. The majority of respondents were under the age of 40, and male gender was slightly more exposed to violence. The majority of the doctors were subjected to verbal abuse as well as bullying and mobbing. Conclusion: It was then concluded that any type of violence was common in doctors aged >35 years and male gender was more exposed to any violence as compare to female gander. The main type of violence was verbal violence in our study, whereas racial harassment and sexual harassment was also seen.

Download Full-text

Violence Against Frontline Emergency Nurses During Pandemic of COVID-19 in Guilan: A Cross-Sectional Study

10.21203/rs.3.rs-116197/v1 ◽

2020 ◽

Author(s):

Atefeh Ghanbari ◽

Somaye Pouy ◽

Latif Panahi ◽

Abolfazl Etebarian Khorasgani ◽

Fateme Hasandoost

Keyword(s):

Workplace Violence ◽

Physical Violence ◽

Medical Center ◽

Statistical Tests ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Exact Test ◽

Medical Centers ◽

Verbal Violence

Abstract BackgroundViolence in the workplace is one of the most important risk factors worldwide. Nurses are always exposed to all kinds of violence due to their presence and activity in medical centers and direct contact with patients and their companions, as well as exposure to various stressors. The aim of this study was to determine the violence against nurses working in Razi educational and medical center in Rasht, Guilan.MethodsThe present study was an analytical cross-sectional study that was performed on 112 nurses working in Razi educational and medical centers in Rasht by convenience sampling method. The instrument used includes a questionnaire to assess workplace violence in medical settings, which has been used in several Iranian studies and has been psychometric assessed by Najafi et al, In Iran. After collecting the data and entering into the SPSS software version 22, they will be evaluated through descriptive and inferential statistical tests (Chi-square, independent t-test and Fisher's exact test). The level of significance was considered as P<0.05.ResultsThe findings of this study showed that 11.1% of nurses experienced physical violence and 55.7% of them experienced verbal violence. Verbal violence is often caused by the patient's companions and physical violence is often caused by the patient, and in the majority of cases, those who did not report the violence attributed it to the uselessness of the report. In addition, the findings showed that there is a statistically significant relationship between education level and verbal violence (p = 0.02) and between work status (p = 0.02) and marital status (p = 0.02) with physical violence.ConclusionThe results of the study show that during the pandemic of COVID-19, verbal and physical violence for nurses occurred in several occasions, which requires the authorities to take effective measures to reduce the incidence of violence in hospitals.

Download Full-text

Drug consumption and violence in female work Zapallal - Lima/Peru

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692005000800013 ◽

2005 ◽

Vol 13 (spe2) ◽

pp. 1185-1193 ◽

Cited By ~ 3

Author(s):

Yesenia Musayón ◽

Catherine Caufield

Keyword(s):

At Risk ◽

Women Workers ◽

Workplace Violence ◽

Illicit Drugs ◽

Physical Violence ◽

Drug Consumption ◽

Cross Sectional ◽

Catholic Women ◽

Verbal Violence ◽

Violence In The Workplace

The study design was descriptive, correlational, cross-sectional, and qualitative. The objective was to identify sociodemographic and labor risk factors for drug consumption and types of violence in the workplace related to drug consumption, as well as to understand the perception of female workers regarding the relationship between drug consumption and workplace violence. We surveyed 125 women workers of four slums in the area of Zapallal, Lima, Peru, interviewing 16 women who experienced workplace violence. Among the participants, 52.8% consumed alcohol and 6.4% illegal drugs. Catholic women were at risk for consuming alcohol, while participants under 20 years of age were at risk for consuming illicit drugs. In this group, 17.6% of the women experienced verbal violence, 9.6% physical violence and 1.6% were sexually harassed in the workplace. Women victims of verbal violence have a risk for consuming illicit drugs. These women perceived themselves as a vulnerable group for violence in the workplace and weak for defending themselves. They expressed fear or shame in reporting cases of violence.

Download Full-text

Depressive symptoms and workplace-violence-related risk factors among otorhinolaryngology nurses and physicians in Northern China: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2017-019514 ◽

2018 ◽

Vol 8 (1) ◽

pp. e019514 ◽

Cited By ~ 14

Author(s):

Huiying Fang ◽

Xiaowen Zhao ◽

Haicheng Yang ◽

Peihang Sun ◽

Ying Li ◽

...

Keyword(s):

Depressive Symptoms ◽

Workplace Violence ◽

Physical Violence ◽

Northern China ◽

Cross Sectional Study ◽

Sectional Study ◽

Related Factors ◽

Cross Sectional ◽

Related Risk

ObjectivesWorkplace violence is relatively frequent among medical professionals who work in otorhinolaryngology units. This phenomenon reduces the quality of provided medical care and increases the incidence of depressive symptoms among physicians and nurses, seriously affecting their job satisfaction and work efficiency with a negative attitude towards providing treatment. Few existing studies have assessed workplace-violence-related factors associated with depressive symptoms among otorhinolaryngology physicians and nurses.MethodsWe conducted a cross-sectional study in grade A tertiary hospitals of Heilongjiang province in Northern China, to evaluate the occurrence and level of depressive symptoms among otorhinolaryngology physicians and nurses and to analyse the relationship between them and workplace-violence-related risk factors and demographic variables.ResultsOf all our participating professionals, (379 otorhinolaryngologists and 273 nurses), 57.2% were found to have depressive symptoms, whereas, of the respondents who had suffered from physical violence, 71.25% had depressive symptoms. Professionals with less than 1 year of experience, as well as professionals who more frequently worked alone, were more likely to suffer from depressive symptoms than their colleagues.ConclusionsThis research addresses an emerging issue of clinical practice, and its results differ from those of previous studies; specifically, it indicates that the frequency of depressive symptoms among otorhinolaryngology physicians and nurses may be influenced by physical violence, the number of coworkers they have for more than half of their working hours and other workplace-violence-related factors. To reduce the depressive symptoms caused by workplace violence and improve the quality of medical services, medical institutions should implement effective measures to prevent the occurrence of physical violence, strengthen team cooperation ability and increase peer support.

Download Full-text

Doctors and Nurses: A Systematic Review of the Risk and Protective Factors in Workplace Violence and Burnout

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063280 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3280

Author(s):

Jose Miguel Giménez Lozano ◽

Juan Pedro Martínez Ramón ◽

Francisco Manuel Morales Rodríguez

Keyword(s):

Risk Factors ◽

Protective Factors ◽

Workplace Violence ◽

Physical Violence ◽

Health Sector ◽

Risk And Protective Factors ◽

Working Environment ◽

Academic Degree ◽

Authoritarian Leadership

The present study aims analyze the risk factors that lead to high levels of burnout among nurses and physicians and the protective factors that prevent them. Thus, it is also intended to explore the possible correlation between physical and verbal violence produced at work and the symptoms derived from burnout. Methods: The search was carried out on the Scopus, PubMed and Web of Science databases between 2000 and 2019 (on which date the bibliographic search ends). Descriptive studies estimating the prevalence of workplace violence and risk and protective factors and burnout were included. An adapted version of the Downs and Black quality checklist was used for article selection. 89.6 percent of the studies analysed were in the health sector. There is a significant correlation between burnout symptoms and physical violence at work. On the one hand, the risk factors that moderate this correlation were of structural/organisational type (social support, quality of the working environment, authoritarian leadership, little autonomy or long working days, etc.) and personal type (age, gender, nationality or academic degree, etc.). On the other hand, protective factors were the quality of the working environment, mutual support networks or coping strategies. The results were analysed in-depth and intervention strategies were proposed.

Download Full-text

Workplace violence against healthcare professionals in a multiethnic area: a cross-sectional study in southwest China

BMJ Open ◽

10.1136/bmjopen-2020-037464 ◽

2020 ◽

Vol 10 (9) ◽

pp. e037464

Author(s):

Haonan Jia ◽

Huiying Fang ◽

Ruohui Chen ◽

Mingli Jiao ◽

Lifeng Wei ◽

...

Keyword(s):

Ethnic Minority ◽

Workplace Violence ◽

Healthcare Professionals ◽

Minority Groups ◽

Physical Violence ◽

Cross Sectional Study ◽

Security Measures ◽

Psychological Violence ◽

Sectional Study ◽

Cross Sectional

ObjectiveThe purpose of this study is to examine workplace violence (WPV) towards healthcare professionals in a multiethnic area in China, including prevalence, influencing factors, healthcare professionals’ response to WPV, expected antiviolence training measures and content, and evaluation of WPV interventions.DesignA cross-sectional study.SettingA grade III, class A hospital in the capital of Yunnan Province, which is the province with the most diverse ethnic minority groups in China.ParticipantsIn total, 2036 healthcare professionals participated, with a response rate of 83.79%.ResultsThe prevalence of physical and psychological violence was 5.5% and 43.7%, respectively. Healthcare professionals of ethnic minority were more likely to experience psychological violence (OR=1.54, 95% CI 1.16 to 2.05). Stratified by gender, male healthcare professionals of ethnic minority suffered from more physical violence (OR=3.31, 95% CI 1.12 to 9.79), while female healthcare professionals suffered from psychological violence (OR=1.71, 95% CI 1.24 to 2.36). We also found a unique work situation in China: overtime duty on-call work (18:00–07:00) was a risk factor for psychological violence (OR=1.40, 95% CI 1.02 to 1.93). Healthcare professionals of ethnic minority are less likely to order perpetrators to stop or to report to superiors when faced with psychological violence. They are also more interested in receiving training in force skills and self-defence. Both Han and ethnic minority participants considered security measures as the most useful intervention, while changing the time of shift the most useless one.ConclusionOur study comprehensively described WPV towards healthcare professionals in a multiethnic minority area. More research on WPV conducted in multiethnic areas is needed.

Download Full-text

Global Prevalence of Workplace Violence Against Paramedics: A Systematic Review and Meta-analysis

Health in Emergencies & Disasters Quarterly ◽

10.32598/hdq.6.4.259.3 ◽

2021 ◽

Vol 6 (4) ◽

pp. 205-216

Author(s):

Hamidreza Shabanikiya ◽

◽

Fatemeh Kokabisaghi ◽

Morteza Mojtabaeian ◽

Tara Sahebi ◽

...

Keyword(s):

Sexual Harassment ◽

Workplace Violence ◽

Service Providers ◽

Physical Violence ◽

Prehospital Care ◽

Meta Analysis ◽

Group Analysis ◽

Significant Difference ◽

Verbal Violence ◽

Meta Analyses

Background: Violence is increasing in societies and workplaces around the world. This study aimed to review the literature on violence against paramedics in the prehospital setting and estimate the related exposure rates and types. Materials and Methods: The study was conducted based on the guidelines of systematic reviews and meta-analyses. The literature on the prevalence of workplace violence against paramedics published from January 1990 to September 2019 was searched in PubMed, Web of Science, Scopus, ProQuest, and Embase databases. The prevalence of violence was measured by using the random-effects model in Stata software. Sub-group analysis and meta-regression models were applied to explain the sources of heterogeneities. Results: The prevalence of overall violence, physical violence, verbal violence, and sexual harassment among study subjects were calculated to be 0.66 (95% CI CI: 0.20-1.11), 0.25 (CI: 0.16- 0.34), 0.58 (CI: 0.29-0.86) and 0.16 (CI: 0.09-0.22), respectively. There was no significant difference between male and female paramedics in terms of violence types. However, the prevalence of sexual harassment among women was higher than men (24% vs. 6%). The highest rate of physical violence and sexual harassment belonged to Europe and North America, while they had the lowest verbal violence. Asia and Australia had the lowest rate of physical violence and sexual harassment. Conclusion: Prehospital emergency service providers face a higher risk of potential exposure to violence in health care settings. This issue necessitates the special attention of prehospital care administrators to reduce the risk and related consequences of workplace violence by taking effective measures.

Download Full-text

Mental Health and Social Function Among Women Subjected to Intimate Partner Violence: A Cross-Sectional Study

ACTA MEDICA IRANICA ◽

10.18502/acta.v57i9.2638 ◽

2020 ◽

Author(s):

Leila Amini ◽

Maryam Heidary ◽

Hamidreza Daneshparvar ◽

Homa Sadeghi Avval Shahr ◽

Abbas Mehran ◽

...

Keyword(s):

Mental Health ◽

Intimate Partner Violence ◽

Partner Violence ◽

Physical Violence ◽

Social Function ◽

Intimate Partner ◽

Depression Symptoms ◽

Psychological Violence ◽

Cross Sectional ◽

Verbal Violence

Intimate partner violence is a serious public health problem in all societies that affects all aspects of the victim’s health, especially mental health. The present study aimed to determine the relationship between intimate partner violence and mental health among Iranian women who referred to the Forensic Medicine Center in Tehran. This cross-sectional study was done on 196 married women who referred to the south center of Forensic Medicine in Tehran. Data were collected in 2013 by using three questionnaires: a demographic questionnaire, CTS-2, and GHQ-28. Data analyzed by using SPSS-14 software. The age of participants was 29.9±6.3 years (range 18-57 years). Most women were housekeepers (73%) with moderate economic status (48.5%). Physical violence had the highest mean score (37.29±16.80); and after that, highest mean scores are related to Psychological violence 29.37±7.01, verbal violence 14.83±8.15, Physical violence leading to injury 14.47±6.85, and sexual violence 8.38±7.36, respectively. Verbal violence didn’t show any relation with all subscales of mental health. The somatic and anxiety symptoms were significantly correlated to total, and all violence subscales score (P<0.001). Also, social function was correlated to total violence score (P=0.032), Sexual (P=0.002), and psychological violence (P=0.025). Depression symptoms were correlated to total violence score (P<0.001), physical leading to damage violence (P<0.001), Sexual violence (P<0.001), Psychological violence (P=0.002), and physical violence (P<0.001). Our results showed IPV is related to the mental health of battered women, but verbal violence didn’t show any statistical relationship with somatic, anxiety, and depression symptoms and social function.

Download Full-text

Workplace Violence in Social Care Settings: Traumatic Stress and Burnout in Staff

DBS Business Review ◽

10.22375/dbr.v3i0.62 ◽

2020 ◽

Vol 3 ◽

Author(s):

Daniel Dowling ◽

Prakashini Banka

Keyword(s):

Traumatic Stress ◽

Workplace Violence ◽

Social Care ◽

Physical Violence ◽

Maslach Burnout Inventory ◽

Cross Sectional ◽

Demographic Questionnaire ◽

Care Workers ◽

Positive Correlations ◽

Quantitative Correlational Study

The aim of this study was to examine the relationship between frequency of exposure to physical violence/aggression and traumatic stress and burnout in social care workers (SCWs). One hundred SCWs were surveyed using non-experimental, cross-sectional, quantitative correlational study design with three questionnaires: Demographic Questionnaire, Revised Impact of Events Scale and Maslach Burnout Inventory. Responses were analysed using SPSS quantitative software and utilised descriptive statistics, and non-parametric correlational tests. Results indicated statistically significant positive relationships between the frequency of exposure to physical aggression/violence and traumatic stress and burnout measures. Results also indicated significant positive correlations between traumatic stress and burnout. Furthermore, exposure to workplace violence/aggression, traumatic stress, and burnout also positively correlated with SCWs desire to leave the profession in the next five years. Finally, results indicated a significant relationship between frequency of self-care and levels of traumatic stress and burnout subscales in SCWs.)

Download Full-text

Workplace Violence Against Healthcare Professionals in Thai Tertiary Hospitals

10.21203/rs.3.rs-910003/v1 ◽

2021 ◽

Author(s):

Sophida Kueanongkhun ◽

Siriwan Grisurapong ◽

Kitirat Techatraisak ◽

Thomas E. Guadamuz

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Workplace Violence ◽

Healthcare Workers ◽

Qualitative Data ◽

Physical Violence ◽

Chi Square ◽

Racial Harassment ◽

Tertiary Hospitals ◽

Chi Square Test

Abstract Background: Thailand lacks evidence of the current prevalence of workplace violence (WPV) at tertiary hospitals. This study aimed to examine the prevalence of, perpetrators of, and factors associated with WPV against healthcare workers in excellent tertiary hospitals in Thailand.Methods: This was a mixed-methods study. A questionnaire was individually administered by an interviewer to 220 healthcare workers using a tablet with an online platforms, and the completion rate was 100%. The study was conducted from July 2018 to March 2019. Pearson’s chi-square test was used to examine the variables related to any violence according to individual and work data. Odds ratios with 95% confidence intervals were used to assess risk factors for exposure to violence using a logistic regression model. Thirty participants provided additional qualitative data that were used for thematic analysis.Results: The findings revealed that in the past 12 months, 63.6% of the participants experienced violence at their workplaces. The most common type of violence reported was verbal violence (56.4%), followed by physical violence (24.1%), bullying (16.4%), sexual harassment (4.1%), and racial harassment (3.6%). Multivariable logistic regression revealed that the correlates of violence at hospitals included being male (OR = 4.28, 95% CI 1.50–12.19), working in an outpatient department (OR = 2.55, 95% CI 1.42–4.58), and having direct contact with clients (OR = 3.12, 95% CI 1.25–7.73). The qualitative data revealed 5 major themes.Conclusion: There is a high prevalence of violence against all healthcare workers at excellent tertiary hospitals in Thailand. Policymakers need to be aware of the roots and risk factors for all types of WPV. The results could also contribute to the development of appropriate policies, interventions for conflicts based on intergenerational gaps, reporting, investigation processes, preventive measures, and zero-tolerance protocols for all healthcare workers.

Download Full-text