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Verschuren C, Tims M, De Lange AH. Beyond Bullying, Aggression, Discrimination, and Social Safety: Development of an Integrated Negative Work Behavior Questionnaire (INWBQ). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6564. [PMID: 37623150 PMCID: PMC10454399 DOI: 10.3390/ijerph20166564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 07/21/2023] [Accepted: 07/24/2023] [Indexed: 08/26/2023]
Abstract
Negative work behavior (NWB) threatens employee well-being. There are numerous constructs that reflect NWBs, such as bullying, aggression, and discrimination, and they are often examined in isolation from each other, limiting scientific integration of these studies. We aim to contribute to this research field by developing a diagnostic tool with content validity on the full spectrum of NWBs. First, we provide a full description of how we tapped and organized content from 44 existing NWB measurement instruments and 48 studies. Second, we discussed our results with three experts in this research field to check for missing studies and to discuss our integration results. This two-stage process yielded a questionnaire measuring physical, material, psychological, sociocultural, and digital NWB. Furthermore, the questions include a range of potential actors of NWB, namely, internal (employees, managers) and external actors (clients, customers, public, and family members) at work and their roles (i.e., target, perpetrator, perpetrator's assistant, target's defender, outsider, and witness of NWBs). Finally, the questionnaire measures what type of harm is experienced (i.e., bodily, material, mental, and social harm).
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Affiliation(s)
- Cokkie Verschuren
- Department of Management and Organization, School of Business and Economics, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Maria Tims
- Department of Management and Organization, School of Business and Economics, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The Netherlands
| | - Annet H. De Lange
- The Faculty of Psychology, Open University, 6419 AT Heerlen, The Netherlands
- The Department of Psychology, Universidade da Coruna, 15701 A Coruña, Spain
- The Faculty of Psychology, Norwegian University of Science and Technology (NTNU), 7491 Trondheim, Norway
- Norwegian School of Hotel Management, University of Stavanger, 4021 Stavanger, Norway
- Department of Human Resource Studies, Faculty of Social and Behavioral Sciences, Tilburg University, 5037 AB Tilburg, The Netherlands
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Willer F, Chua D, Ball L. Patient aggression towards receptionists in general practice: a systematic review. Fam Med Community Health 2023; 11:e002171. [PMID: 37414572 PMCID: PMC10335458 DOI: 10.1136/fmch-2023-002171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/08/2023] Open
Abstract
OBJECTIVE General practice receptionists provide an essential function in the healthcare system but routinely encounter acts of incivility and aggression from patients, including hostility, abuse and violence. This study was conducted to summarise what is known about patient-initiated aggression towards general practice receptionists, including impacts on reception staff and existing mitigation strategies. DESIGN Systematic review with convergent integrated synthesis. ELIGIBILITY CRITERIA Studies published at any time in English that examine patient aggression experiences of reception staff in primary care settings. INFORMATION SOURCES Searches of five major databases were performed (CINAHL Complete, Scopus, PubMed, Healthcare Administration Database and Google Scholar) to August 2022. RESULTS Twenty studies of various designs were included, ranging from the late 1970s to 2022 and originating from five OECD countries. Twelve were assessed as high quality using a validated checklist. Reviewed articles represented 4107 participants; 21.5% were general practice receptionists. All studies reported that displays of aggression towards receptionists by patients were a frequent and routine occurrence in general practice, particularly verbal abuse such as shouting, cursing, accusations of malicious behaviour and use of racist, ablest and sexist insults. Although infrequent, physical violence was widely reported. Inefficient appointment scheduling systems, delayed access to doctors and prescription denial appeared common precipitators. Receptionists adapted their behaviour and demeanour to placate and please patients to avoid escalation of patient frustrations at the cost of their own well-being and clinic productivity. Training in patient aggression management increased receptionist confidence and appeared to decrease negative sequalae. Coordinated support for general practice reception staff who had experienced patient aggression was generally lacking, with a small proportion receiving professional counselling. CONCLUSIONS Patient aggression towards reception staff is a serious workplace safety concern for general practices and negatively affects healthcare sector function more broadly. Receptionists in general practice deserve evidence-based measures to improve their working conditions and well-being for their own benefit and that of the community. REGISTRATION Pre-registered in Open Science Framework (osf.io/42p85).
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Affiliation(s)
- Fiona Willer
- Centre for Community Health and Wellbeing, The University of Queensland, Saint Lucia, Queensland, Australia
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Queensland, Australia
| | - David Chua
- Centre for Community Health and Wellbeing, The University of Queensland, Saint Lucia, Queensland, Australia
| | - Lauren Ball
- Centre for Community Health and Wellbeing, The University of Queensland, Saint Lucia, Queensland, Australia
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Mambrey V, Ritz-Timme S, Loerbroks A. Prevalence and correlates of workplace violence against medical assistants in Germany: a cross-sectional study. BMC Health Serv Res 2023; 23:350. [PMID: 37038136 PMCID: PMC10088275 DOI: 10.1186/s12913-023-09331-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 03/15/2023] [Accepted: 03/23/2023] [Indexed: 04/12/2023] Open
Abstract
BACKGROUND Workplace violence is widespread, but studies on workplace violence against health professions in outpatient settings are sparse. We aimed to examine, for the first time, the prevalence of workplace violence against medical assistants as well as potential sociodemographic, occupational and health-related correlates of the exposure to workplace violence. METHODS We used data from a survey (03-05/2021) among medical assistants in Germany (n = 424). We assessed the 12-month prevalence (yes/no) of verbal violence, physical violence, and sexual harassment as well as the types of perpetrators of workplace violence. Further, information was gathered on sociodemographic (e.g., age, educational level), occupational (e.g., years in job), and mental health-related factors (i.e., anxiety, depression). The 12-month prevalences of the different types of workplace violence were merged into a single variable ("any workplace violence" vs. none) for association analysis. We ran multivariable Poisson regression models to examine potential associations between sociodemographic and occupational correlates (i.e., independent variables) with any workplace violence as dependent variable and in addition between any workplace violence (independent variable) and dichotomized mental health as dependent variable. RESULTS Overall, 59.4% of the medical assistants reported verbal violence, 5.9% reported physical violence, 3.8% reported sexual harassment, and 60.1% reported any workplace violence in the previous 12 months. Patients were reported to be the main perpetrators, followed by patients' relatives. Younger age, being single, and working in a medical care center were sociodemographic and occupational correlates of workplace violence (PRs ≥ 1.27). Workplace violence was significantly associated with mental health variables (PRs ≥ 1.72). CONCLUSION Medical assistants experience workplace violence, in particular verbal violence. To devise preventive measures, prospective studies are needed to confirm the potential risk groups for workplace violence and the potential mental health sequels of workplace violence observed in our study.
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Affiliation(s)
- Viola Mambrey
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Duesseldorf, Moorenstraße 5, Düsseldorf, 40225, Germany.
| | - Stefanie Ritz-Timme
- Institute of Legal Medicine, University Hospital Duesseldorf, Moorenstraße 5, Düsseldorf, 40225, Germany
| | - Adrian Loerbroks
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Duesseldorf, Moorenstraße 5, Düsseldorf, 40225, Germany
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Vidal-Alves MJ, Pina D, Ruiz-Hernández JA, Puente-López E, Paniagua D, Martínez-Jarreta B. (Un)Broken: Lateral violence among hospital nurses, user violence, burnout, and general health: A structural equation modeling analysis. Front Med (Lausanne) 2022; 9:1045574. [PMID: 36507501 PMCID: PMC9729731 DOI: 10.3389/fmed.2022.1045574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 11/11/2022] [Indexed: 11/25/2022] Open
Abstract
Introduction Workplace violence is a social problem yet to be solved. Although it is present in virtually all work environments, its prevalence in healthcare settings stands out, being perceived as something inherent to the job. Most studies in this context have focused on user violence against professionals. However, it has been observed that violence among colleagues in these types of jobs is a risk factor for the health of workers and has rarely been studied as a whole. Among the main consequences of exposure to violence reported in the literature, burnout syndrome, depression, anxiety, or somatic problems have been among the most studied. On the one hand, some authors claim that being exposed to workplace violence can increase the associated physical and psychological pathology and lead to a picture congruent with burnout. On the other hand, it has been hypothesized that violence is associated with burnout, which can trigger physical and psychological symptoms. Taking into account this background, the aim of this study is to explore workplace violence in health personnel, symptomatology, and burnout syndrome through mediation models that allow us to know the interrelationships between the variables. Methods A cross-sectional design with a double descriptive-associative strategy was used. The sample was composed of 950 nursing professionals from public hospitals. The scales of physical and non-physical violence from users to professionals HABS-U, personal, social, and occupational violence among co-workers using the Health Aggressive Behavior Scale - Co-workers and Superiors (HABS-CS) scale, the burnout scale Maslach Burnout Inventory - General Survey (MBI-GS) which evaluates professional exhaustion, efficacy and cynicism, and the factors referring to depression, anxiety, somatization, and dysfunction of the GHQ-28 scale were applied. In order to calculate the models, workplace violence was used as a predictor of symptomatology, using the burnout variables as mediators. Regression coefficients with and without mediation model, direct and standardized estimates were obtained. For statistical power, Bootstrap analysis was used to calculate direct mediation effects. Results After controlling the mediation effects of burnout and cynicism, physical and non-physical user violence toward healthcare personnel were significant predictors of the GHQ-28 scores. These same results were obtained when assessing the relationship between social, occupational, and personal violence among co-workers and GHQ-28 scores. Conclusion Our results contribute to increase the evidence about the effects of violence on the health of professionals and to advance in the characterization of the possible consequent psychological damage. Regardless of the type of violence experienced, exposure to violence can lead to anxious, depressive or somatization symptoms, among others. Violence is also a predictor of burnout syndrome, which in turn accentuates the rest of the consequences studied. Despite the limitations of the proposed model, these results serve to highlight the complexity of the situation experienced by healthcare professionals. Moreover, it serves as a basis for proposing intervention/prevention programs to raise awareness and protect professionals from these risks. To this end, self-care tools should be proposed with which professionals take care of their own health through the management of violent situations and/or the improvement of occupational health.
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Affiliation(s)
- Maria Joao Vidal-Alves
- Department of Socio-Sanitary Sciences, University of Murcia, Murcia, Spain,Department of Community Medicine, Information and Health Decision Sciences, School of Medicine, University of Porto, Porto, Portugal,EPIUnit – Institute of Public Health, University of Porto, Porto, Portugal,Laboratory for Integrative and Translational Research in Population Health (ITR), University of Porto, Porto, Portugal
| | - David Pina
- Department of Socio-Sanitary Sciences, University of Murcia, Murcia, Spain,*Correspondence: David Pina,
| | | | - Esteban Puente-López
- Facultad de Derecho, Universidad Internacional de la Rioja (UNIR), Logroño, Spain
| | - David Paniagua
- Department of Psychobiology and Methodology in Behavioral Sciences, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
| | - Begoña Martínez-Jarreta
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, Zaragoza, Spain
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Pina D, Peñalver-Monteagudo CM, Ruiz-Hernández JA, Rabadán-García JA, López-Ros P, Martínez-Jarreta B. Sources of Conflict and Prevention Proposals in User Violence Toward Primary Care Staff: A Qualitative Study of the Perception of Professionals. Front Public Health 2022; 10:862896. [PMID: 35784229 PMCID: PMC9240435 DOI: 10.3389/fpubh.2022.862896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
Background Some studies indicate that at least one in four cases of workplace violence occurs in the health sector, with a higher incidence in Emergency Departments, Mental Health Services or Primary Care. Unlike other professional groups, healthcare workers perceive this type of behavior mainly from users or patients. This is the reason why both the detection of conflict between users and professionals and the ways to face and reduce these conflicts has been and is one of the main fields of study in this population. The aim of this study was to delve into the sources of conflict between users and professionals in Primary Care from the perspective of the professionals themselves. In addition, the aim was to explore the proposals for intervention/prevention of this conflict that the professionals perceived as necessary to improve the work environment. Methods This study uses qualitative methodology conducting 8 focus groups with professionals related to Primary Health Care. The final sample was composed of 44 workers who were part of the regional management, labor unions, area coordinators, center coordinators and representatives of the professional groups of these centers (medicine, nursing and administration). Thematic analysis was used to extract topics and subtopics. Results The results are divided into areas of conflict and intervention proposals. The professionals detect a lack of training or education in themselves, absence of functional multidisciplinary teams or competencies to improve the patient-professional relationship, among others. To address these shortcomings, they propose the creation of protocols for action in the face of aggression, the formation of spaces and channels of communication both among the center's own workers and between them and other organizations (e.g., hospitals), fostering a positive relationship with the user community and ongoing training in various topics such as self-safety, management of emotions, empathy or interpersonal communication. Conclusions This study allows to highlight specific areas of user-professional conflict in Primary Care. Furthermore, the inclusion of intervention proposals by the professionals allows to propose starting points for the development of complete plans.
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Affiliation(s)
- David Pina
- Department of Socio-Health Sciences, Faculty of Medicine, University of Murcia, Murcia, Spain
- Applied Psychology Service, University of Murcia, Murcia, Spain
| | | | - José Antonio Ruiz-Hernández
- Applied Psychology Service, University of Murcia, Murcia, Spain
- Department of Psychiatry and Social Psychology, Faculty of Psychology, University of Murcia, Murcia, Spain
| | | | - Paloma López-Ros
- Department of Behavioral Sciences and Health, University Miguel Hernández, Elche, Spain
| | - Begoña Martínez-Jarreta
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, Zaragoza, Spain
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Pina D, Llor-Zaragoza P, López-López R, Ruiz-Hernández JA, Puente-López E, Galián-Munoz I, Martínez-Jarreta B. Assessment of Non-physical User Violence and Burnout in Primary Health Care Professionals. The Modulating Role of Job Satisfaction. Front Public Health 2022; 10:777412. [PMID: 35186835 PMCID: PMC8854207 DOI: 10.3389/fpubh.2022.777412] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 01/13/2022] [Indexed: 11/13/2022] Open
Abstract
IntroductionGrowing concern about workplace violence shows the need for an evaluation in specific contexts in order to identify the particularities of each professional group. The health sector consists of a group of professionals with high exposure to violence, specially from users. There are differences depending on the professional category or unit in which the professional works. In this regard, Primary Health Care (PHC) is characterized by a personalized and continuous patient treatment over time, which is not exempt from cases of violence. Among the commonly studied consequences of these situations are decreases in job satisfaction and burnout.ObjectiveThe main objective of this study is to analyze the modulating role of job satisfaction in the relationship between non-physical user violence and the onset of burnout.MethodsCross-sectional comparative descriptive design. The sample consisted of 574 professionals from 39 PHC centers of the Murcian Health Service. Data were collected using two-stage cluster sampling. For data analysis, descriptive analysis, correlations and stepwise hierarchical regression were used to analyze the interaction between the variables.ResultsRegression analysis draws a model where non-physical violence and low intrinsic and extrinsic job satisfaction act as modulators of non-physical violence, cynicism and emotional exhaustion.ConclusionsThis study provides evidence of the psychological consequences of the perception of user violence in the PHC staff. Furthermore, it is evident that the emergence of burnout syndrome in these professionals is related to exposure to verbal or non-physical violence together with low job satisfaction. In this sense, a circular and bidirectional relationship between the variables studied is proposed as a possible explanatory model.
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Affiliation(s)
- David Pina
- University of Murcia, Department of Socio-Sanitary Sciences, Murcia, Spain
- Applied Psychology Service, University of Murcia, Murcia, Spain
| | | | - Reyes López-López
- University of Murcia, Department of Socio-Sanitary Sciences, Murcia, Spain
| | - Jose Antonio Ruiz-Hernández
- Applied Psychology Service, University of Murcia, Murcia, Spain
- Department of Psychiatry and Social Psychology, University of Murcia, Murcia, Spain
| | - Esteban Puente-López
- Applied Psychology Service, University of Murcia, Murcia, Spain
- *Correspondence: Esteban Puente-López
| | - Inmaculada Galián-Munoz
- Administration of the National Institute of Social Security (INSS), Ministry of Work, Migration and Social Security, Murcia, Spain
| | - Begoña Martínez-Jarreta
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, Zaragoza, Spain
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Verschuren CM, Tims M, de Lange AH. A Systematic Review of Negative Work Behavior: Toward an Integrated Definition. Front Psychol 2021; 12:726973. [PMID: 34777108 PMCID: PMC8578924 DOI: 10.3389/fpsyg.2021.726973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 08/25/2021] [Indexed: 12/02/2022] Open
Abstract
The objective of this systematic review was to identify the overlapping and unique aspects of the operationalizations of negative work behaviors (NWBs) to specify a new integrative definition of NWB. More specifically, we examined (1) how many operationalizations and conceptualizations of NWB can be identified, (2) whether these operationalizations can be categorized into facets, i. e., the nature of NWB, harm, actor types, and roles, with subcategories, (3) what the meaningful overlap in these operationalizations was, (4) whether the operationalizations tapped unique and meaningful elements, i.e., positive labels and dynamic processes, and (5) how the overlapping and unique elements of the operationalizations could be integrated into a new theory-based research model for NWB for future research. In the literature search based on the Prisma framework, Pubmed, PsycINFO, and Google Scholar, we identified k = 489 studies that met the inclusion criteria of our review. The results of these studies revealed 16 frequently studied NWB labels, e.g., bullying and aggression. Many of these could be categorized in the same way, namely, in terms of the type of behavior, type of harm, and type of actor involved in the NWB. In our new definition of NWB, we integrated the content of the overlapping and meaningful unique elements of the 16 labels.
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Affiliation(s)
- Cokkie M. Verschuren
- Department of Management and Organization, School of Business and Economics, VU Amsterdam, Amsterdam, Netherlands
| | - Maria Tims
- Department of Management and Organization, School of Business and Economics, VU Amsterdam, Amsterdam, Netherlands
| | - Annet H. de Lange
- Department of Human Resource Management, HAN University of Applied Sciences, Nijmegen, Netherlands
- Department of Psychology, Universidade da Coruna, A Coruña, Spain
- Faculty of Psychology, Open University Heerlen, Heerlen, Netherlands
- Faculty of Social Sciences, University of Stavanger, Stavanger, Norway
- Faculty of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
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Enosh G, Freund A, Goldblatt H, Drach-Zahavy A, Guindy M, Ofer-Bialer G. Whose fault is it? Attribution of causes of patient violence among exposed and unexposed community-based family physicians. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:175-184. [PMID: 32627279 DOI: 10.1111/hsc.13080] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Revised: 02/24/2020] [Accepted: 06/03/2020] [Indexed: 06/11/2023]
Abstract
Extensive research has dealt with violence directed at healthcare workers in hospital settings; however, few studies have examined community-based settings. Furthermore, there is also scant literature regarding the perceptions of healthcare providers who were exposed to violence, compared to those who were not. This study aims to narrow these gaps in the literature by examining community-based family physicians' (CBFPs) perceptions in a large national Health Maintenance Organisation (HMO) regarding patient-initiated violence. Using a voluntary online survey, directed at all CBFPs working at the HMO, 412 CBFPs were surveyed on the following issues: exposure to violence initiated by patients or their family members; perceptions of violent occurrences and possible safety measures. The differences between CBFPs who had been exposed to violence and those who had not were compared. The majority of CBFPs reported experiencing verbal attacks (64%), and a small percentage experienced property-related violence (11.7%) or physical violence (3.4%). Comparing CBFPs who were exposed to violence with those who were not, regarding their perceptions of the 'causes of violence', revealed three differentiating factors: 'waiting time', 'failure to meet the patient's expectations' and 'the nature of the physician-patient encounter'. Regarding the desired preventive actions, the four differentiating factors were as follows: 'reduction in the number of patients per physician', 'improved queue management processes', 'longer meetings' and 'violence prevention training'. Conducting separate analyses, according to violence type (verbal abuse, vandalism or physical violence), indicated finer differentiations. In terms of Attribution Theory, one might argue that CBFPs who were directly exposed to patients' aggression attributed internal locus to the attacker, and tended to blame the attacker's personal characteristics and cultural values. Conversely, family CBFPs who were not attacked attributed external locus to situational factors such as waiting time, not receiving service, and the nature of the interaction between the attacker and the CBFP.
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Busnello GF, Trindade LDL, Pai DD, Beck CLC, Ribeiro OMPL. Tipos de violência no trabalho da enfermagem na Estratégia Saúde da Família. ESCOLA ANNA NERY 2021. [DOI: 10.1590/2177-9465-ean-2020-0427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo analisar a ocorrência dos diferentes tipos de violência no trabalho da Enfermagem na Estratégia Saúde da Família e as implicações dos aspectos laborais e do trabalhador. Método estudo misto, explanatório, sequencial, com 169 trabalhadores de Enfermagem da Estratégia Saúde da Família. Como instrumentos de coleta de dados, foram utilizados o Survey Questionnaire Workplace Violence in the Health Sector e a entrevista semiestruturada. Resultados foram encontrados episódios de agressão verbal com melhores médias na avaliação sobre o reconhecimento e os relacionamentos no trabalho e o maior uso de medicamentos. O assédio moral foi associado à cor da pele branca dos participantes, ao cargo de enfermeiro; apresentaram-se avaliações mais negativas acerca do reconhecimento laboral e dos relacionamentos interpessoais e uma maior preocupação com a violência. Já o assédio sexual relacionou-se ao cargo de técnico/auxiliar de Enfermagem e pela ausência de estímulo para os relatos de violência. A discriminação racial foi associada à cor da pele parda/negra e à redução da satisfação laboral. Conclusão e implicações para a prática a análise dos fatores que se associam aos tipos específicos de violência permite melhor determinar medidas e políticas institucionais que minimizem os atos violentos contra os trabalhadores de Enfermagem.
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Affiliation(s)
- Grasiele Fatima Busnello
- Universidade Comunitária da Região de Chapecó, Brasil; Universidade do Estado de Santa Catarina, Brasil
| | - Letícia de Lima Trindade
- Universidade Comunitária da Região de Chapecó, Brasil; Universidade do Estado de Santa Catarina, Brasil
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Sturbelle ICS, Pai DD, Tavares JP, Trindade LDL, Beck CLC, Matos VZD. Workplace violence types in family health, offenders, reactions, and problems experienced. Rev Bras Enferm 2020; 73 Suppl 1:e20190055. [PMID: 32490942 DOI: 10.1590/0034-7167-2019-0055] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2019] [Accepted: 09/15/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to identify the types of violence that affect the health team in Family Health Units, their offenders, reactions and problems experienced by workers. METHOD a cross-sectional, concurrent mixed-type research. The Survey Questionnaire Workplace Violence in the Health Sector was applied to 106 workers from Family Health Units. Of these, 18 answered the semi-structured interview. RESULTS verbal aggression (65.1%), bullying (14.2%), racial discrimination (10.4%), physical assault (8.5%) and sexual harassment (4.7%) were prevalent. Patients were the main perpetrators of verbal aggression (79.4%) and bullying (46.7%). Workers responded by telling co-workers and reporting to the boss. Victims remained over-alert, vigilant and tense, relating exposure to violence to absenteeism and the desire to leave the profession. CONCLUSION verbal aggression is the most common violence with negative impact on workers' health and work performed.
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Affiliation(s)
| | - Daiane Dal Pai
- Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Nowack V, Donahue JJ. Outcomes associated with employee and organisational LGBT value discrepancies. PSYCHOLOGY & SEXUALITY 2020. [DOI: 10.1080/19419899.2019.1673466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Viktor Nowack
- Division of Applied Behavioral Sciences, University of Baltimore, Baltimore, MD, USA
| | - John J. Donahue
- Division of Applied Behavioral Sciences, University of Baltimore, Baltimore, MD, USA
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Ruiz-Hernández JA, Sánchez-Muñoz M, Jiménez-Barbero JA, Pina López D, Galían-Muñoz I, Llor-Esteban B, Llor-Zaragoza L. User violence in mental health services: Adaptation of an instrument. Healthcare-workers' Aggressive Behavior Scale-Users-Mental Health Version (HABS-U-MH). PLoS One 2019; 14:e0212742. [PMID: 30830922 PMCID: PMC6398850 DOI: 10.1371/journal.pone.0212742] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2018] [Accepted: 02/09/2019] [Indexed: 11/19/2022] Open
Abstract
Background/Objetive According to the World Health Organization, one out of every four violent workplace acts takes place in the health setting. The aims of the study are to adapt the Healthcare-workers’ Aggressive Behavior Scale-Users (HABS-U) to mental health professionals, to establish the frequency of exposure to hostile indicators and to determine which professional group is most exposed. Method Study through qualitative and quantitative methodology in MH professionals of the Region of Murcia (Spain). In the qualitative phase, 12 in-depth interviews were conducted, and during the quantitative phase, the instrument was applied to 359 professionals of Mental Health Services (MHS). Results Non-medical and nursing staff were found to be the professional group most exposed, as well as Brief Psychiatric Inpatient and Medium-Stay Inpatient Services. Conclusion The resulting scale shows excellent psychometric properties. The distribution of user violence is not homogeneous among the different professional groups of MHS. The adaptation of the scale may be useful to detect user violence, as well as to evaluate the efficacy of intervention programs.
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Affiliation(s)
- José Antonio Ruiz-Hernández
- Department of Psychiatry and Social Psychology, University of Murcia, Faculty of Psychology, Espinardo, Murcia, Spain
| | | | - José Antonio Jiménez-Barbero
- Department of Psychiatry and Social Psychology, University of Murcia, Faculty of Psychology, Espinardo, Murcia, Spain
- * E-mail:
| | - David Pina López
- Department of Psychiatry and Social Psychology, University of Murcia, Faculty of Psychology, Espinardo, Murcia, Spain
| | | | - Bartolomé Llor-Esteban
- Department of Psychiatry and Social Psychology, University of Murcia, Faculty of Psychology, Espinardo, Murcia, Spain
| | - Laura Llor-Zaragoza
- Department of Education, Catholic University San Antonio, Faculty of Social Sciences and Communication, Guadalupe, Murcia, Spain
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