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Huang L, Zhang Q, Wu H, Lan Y, Jiang F, Zhang Y. Work-related violence, occupational stress and psychological distress among medical staff in China: A structural equation modeling analysis. Work 2024:WOR240323. [PMID: 39121150 DOI: 10.3233/wor-240323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/11/2024] Open
Abstract
BACKGROUND Psychological issues and work-related violence are the main challenges faced by medical staff. The situation has become even more prevalent during the COVID-19 pandemic. OBJECTIVE This research aimed to analyze the relationships among work-related violence, occupational stress and psychological distress and to further identify the direct or indirect effects of violence on psychological distress. METHODS A total of 1,765 medical staff members were surveyed using the Kessler Psychological Distress Scale and Revised Occupational Stress Inventory. Work-related violence was assessed using a self-made 5-question questionnaire. STATA 14.0 and Amos 21.0 software were used for correlation analysis, variance analysis, and structural equation modeling analysis. RESULTS A total of 66.1% of the medical staff suffered workplace violence, and 61.2% witnessed workplace violence. The psychological distress score (Kessler 10 Scale) of the medical staff was 22.7±7.67. The psychological strain score and physical strain score were 26.8±7.14 and 24.2±6.51, respectively. Work-related violence (suffered: β= 0.467; witnessed: β= 0.258) and occupational stress (psychological strain: β= 0.269; physical strain: β= 0.317) were predictors of psychological distress, and social support (β= -0.265) was a protective factor. Work-related violence and social support had both direct and indirect effects on psychological distress, and the intermediate factor was occupational stress. The total effects of suffered workplace violence and witnessed workplace violence were 0.181 and 0.092, respectively, and the total effect of social support was -0.262. CONCLUSIONS Work-related violence may exacerbate symptoms of occupational stress and psychological distress. Reducing workplace violence and protecting medical staff from work-related violence are extremely important aspects of mental health prevention.
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Affiliation(s)
- Lei Huang
- Department of Postgraduate Students, West China Hospital and West China School of Medicine, Sichuan University, Chengdu, China
| | - Qin Zhang
- Department of Postgraduate Students, West China Hospital and West China School of Medicine, Sichuan University, Chengdu, China
| | - Huiyi Wu
- Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Yajia Lan
- Department of Environmental Health and Occupational Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Fugui Jiang
- Sichuan Provincial Center for Mental Health, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, China
| | - Yang Zhang
- Department of Periodical Press and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China
- Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China
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Wang Y, Xu M, Wei Z, Sun L. Associations between workplace violence and suicidal ideation among Chinese medical staff: a propensity score matching analysis. PSYCHOL HEALTH MED 2024; 29:1020-1034. [PMID: 37656046 DOI: 10.1080/13548506.2023.2254037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Accepted: 08/25/2023] [Indexed: 09/02/2023]
Abstract
Physical and mental health problems had been identified as the negative outcomes of workplace violence (WPV) against medical staff. Considering the proven associations between physical and mental health and suicidal ideation, it is reasonable to assume that WPV may associate with suicidal ideation. However, few studies were conducted to explore the relationship between WPV and their suicidal ideation against medical staff. Based on a cross-sectional design, 3, 426 medical staff working in general hospitals were interviewed in Shandong Province, China. Socio-demographic characteristics, work-related factors, psychological variables, WPV, and suicidal ideation were evaluated. Propensity score matching (PSM) was performed to explore the association between WPV and suicidal ideation. The prevalence of suicidal ideation among medical staff was 9.1% (312/3426), and 52.2% (1788/3426) of medical staff reported the WPV experience. Before PSM, we found that the association between WPV and suicidal ideation was statistically significant (aOR = 1.606, p < 0.01). After PSM, there was a statistically significant correlation between WPV and suicidal ideation (aOR = 1.525, p < 0.01). This study supported the correlations between WPV against medical staff and their suicidal ideation. The results of PSM further implied that WPV might cause suicidal ideation among medical staff. Psychological health, especially for suicidal ideation, should be paid attention for medical staff with WPV experiences.
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Affiliation(s)
- Yifan Wang
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, China
- NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, China
- Jinan Center for Disease Control and Prevention, Jinan, China
| | - Meixia Xu
- Department of Current Situation and Policy, Shandong Women's University Jinan Shandong, Jinan, China
| | - Zhen Wei
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, China
- NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, China
| | - Long Sun
- Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine Shandong University, Jinan, Shandong, China
- NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, China
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Xiong P, Chen Y, Shi Y, Liu M, Yang W, Liang B, Liu Y. Global burden of diseases attributable to intimate partner violence: findings from the Global Burden of Disease Study 2019. Soc Psychiatry Psychiatr Epidemiol 2024:10.1007/s00127-024-02637-x. [PMID: 38520514 DOI: 10.1007/s00127-024-02637-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Accepted: 02/12/2024] [Indexed: 03/25/2024]
Abstract
PURPOSE Our study aims to evaluate the global burden of disease attributable to IPV from 1990 to 2019 at global, regional, national, and socio-demographic index (SDI) levels. Our research question is: What is the global burden of disease attributable to intimate partner violence (IPV) from 1990 to 2019, and how does it vary at global, regional, national, and socio-demographic index (SDI) levels? METHODS Data parameters for the number of deaths, disability-adjusted life years (DALYs), and age-standardized rate were obtained from the Global Burden of Disease Study 2019. We calculated the percentage change and population attributable fraction with 95% uncertainty intervals. RESULTS IPV directly accounted for 0.14% [95% UI 0.09%, 0.21%] and 0.32% [95% UI 0.17%, 0.49%] of global all-cause deaths and DALYs in 2019, respectively. The age-standardized deaths and DALYs rates of IPV increased by 12.83% and 4.00% respectively from 1990 to 2019. Women aged 35-39 and 30-34 had the highest deaths and DALYs rate respectively. The highest age-standardized rates of IPV-related deaths and DALYs were observed in Southern Sub-Saharan. Both of deaths and DALYs were high in low-socio-demographic Index (SDI) quintile in 2019. CONCLUSIONS A higher level of deaths and DALYs attributable to IPV were reported in younger women, in the early 2000s, in Southern Sub-Saharan regions and in low SDI regions. Our study provides policymakers with up-to-date and comprehensive information.
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Affiliation(s)
- Peng Xiong
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 601 West Huangpu Road, Guangzhou, 510632, People's Republic of China.
| | - Yuhan Chen
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 601 West Huangpu Road, Guangzhou, 510632, People's Republic of China
- Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, People's Republic of China
| | - Yuchen Shi
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 601 West Huangpu Road, Guangzhou, 510632, People's Republic of China
- Capital University of Economics and Business, Beijing, People's Republic of China
| | - Min Liu
- Zhuhai Center for Maternal and Child Health Care, Zhuhai, People's Republic of China
| | - Weixin Yang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 601 West Huangpu Road, Guangzhou, 510632, People's Republic of China
- Department of Dermato-Venereology, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China
| | - Baolin Liang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, 601 West Huangpu Road, Guangzhou, 510632, People's Republic of China
| | - Yaozhong Liu
- Guangzhou Huashang College, Guangzhou, People's Republic of China
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Hsieh HF, Chen YM, Chen SL, Wang HH. Understanding the Workplace-Violence-Related Perceptions and Coping Strategies of Nurses in Emergency Rooms. J Nurs Res 2023; 31:e304. [PMID: 38036492 DOI: 10.1097/jnr.0000000000000581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2023] Open
Abstract
BACKGROUND Workplace violence (WPV) is a well-known and serious issue in most countries, and WPV against healthcare providers is of particular concern, especially among nurses working in emergency rooms (ERs). PURPOSE We aimed to develop a deeper understanding of nurses' perceptions and coping strategies related to WPV that took place over a 1-year period from the perspective of nursing victims still working in ERs in southern Taiwan. METHODS This is a qualitative study with in-depth and semistructured interviews. Nineteen ER nurse victims were recruited from six hospitals in southern Taiwan from June 2015 to April 2016. All of the interview recordings were analyzed using content analysis. RESULTS The content analysis identified two themes of perceptions and two themes of coping strategies toward WPV. The two themes of perceptions were "adversity" and "dilemma," with the former covering the three subthemes of "misunderstanding of health policy," "unsafe environment," and "nursing shortage" and the latter covering the two subthemes of "burnout" and "keeping or quitting the job." The two themes of coping strategies were "adjustment" and "resilience," with the former covering the three subthemes of "acceptance of the reality of WPV," "self-regulation," and "culture and belief" and the latter covering the two subthemes of "living with WPV" and "problem solving." CONCLUSIONS/IMPLICATIONS FOR PRACTICE The findings revealed that ER nurse victims of WPV experienced a complicated journey after encountering WPV. Their coping strategies may be referenced by other ER nurses to better prevent and manage violent events in ERs. To prevent and manage violence in ERs, hospital managers should create a safe working environment through, for example, assigning sufficient security personnel and staff; provide relevant training to ER nurses in communications and other skills; and implement support systems to strengthen nurse resilience.
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Affiliation(s)
- Hsiu-Fen Hsieh
- PhD, RN, Associate Professor and Adjunct Research Fellow, School of Nursing, College of Nursing, Kaohsiung Medical University, Taiwan
| | - Yao-Mei Chen
- PhD, RN, Assistant Professor, School of Nursing, College of Nursing, Kaohsiung Medical University, Taiwan
| | - Shu-Lin Chen
- MSN, RN, Head Nurse and Instructor, Department of Nursing, Kaohsiung United Municipal Hospital, Taiwan
| | - Hsiu-Hung Wang
- PhD, RN, FAAN, Professor, College of Nursing, Kaohsiung Medical University, Taiwan
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Li Q, Jing W, Wei Z, Wang Y, Sun L. Associations Between Workplace Violence and Mental Health Among Chinese Health Technicians: A Moderated Mediation Analysis of Sleep Quality and Physical Activity. Psychol Res Behav Manag 2023; 16:2045-2057. [PMID: 37305220 PMCID: PMC10252941 DOI: 10.2147/prbm.s411098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Accepted: 05/31/2023] [Indexed: 06/13/2023] Open
Abstract
Background Workplace violence (WPV) had always been the focus of attention in all walks of lives, especially in the health fields. Previous studies had shown it adversely affected mental health for healthcare workers. In addition, both sleep quality and physical activity were supported to have impact on mental health. However, the mechanism of sleep quality and physical activity influence the association between WPV and mental health had not been explored, so the purpose of this paper was to explore this mechanistic link among workplace violence, sleep quality, physical activity, and mental health in Chinese health technicians. Methods Cross-sectional study was conducted in 3 cities of China, totally 3426 valid questionnaires were collected. WPV, physical activity, and social-demographic variables were evaluated. The Pittsburgh Sleep Quality Index and the Kessler Psychological Distress Scale were used to measure sleep quality and mental health. Descriptive analysis, univariate analysis, Pearson correlation, and moderated mediation analysis were used to estimate prevalence of WPV, association between WPV and mental health, and the role of sleep quality and physical activity on association between WPV and mental health. Results The prevalence of WPV was 52.2% among Chinese health technicians. After controlling social-demographic and work-related variables, sleep quality partially mediated the effect of WPV on mental health (indirect effect=0.829). Physical activity moderated the relationship between WPV and sleep quality (β=0.235, p=0.013), but not find the moderating role between WPV and mental health (β=0.140, p=0.474), and between sleep quality and mental health (β=0.018, p=0.550). Conclusion The rate of WPV among health technicians remained at an alarming level. Sleep quality and physical activity could mitigate the adverse effect of WPV on mental health. In the future, we could improve sleep quality and encourage health technicians to engage physical activity to decrease the negative effect of WPV on mental health.
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Affiliation(s)
- Qixiu Li
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People’s Republic of China
- National Health Commission of China (NHC) Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, People’s Republic of China
| | - Wenhua Jing
- Hospital Service Department, Qilu Hospital of Shandong University, Jinan, Shandong, People’s Republic of China
| | - Zhen Wei
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People’s Republic of China
- National Health Commission of China (NHC) Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, People’s Republic of China
| | - Yifan Wang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People’s Republic of China
- National Health Commission of China (NHC) Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, People’s Republic of China
| | - Long Sun
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, People’s Republic of China
- National Health Commission of China (NHC) Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, Shandong, People’s Republic of China
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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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Barrett TA, Di Tosto G, Shiu-Yee K, Melnyk HL, Rush LJ, Sova LN, Lampert BC, Ganapathi AM, Whitson BA, Waterman BL, McAlearney AS. Prevalence of Violence against Providers in Heart and Lung Transplant Programs. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4805. [PMID: 36981714 PMCID: PMC10049342 DOI: 10.3390/ijerph20064805] [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: 01/30/2023] [Revised: 03/05/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
Workplace violence in healthcare institutions is becoming more frequent. The objective of this study was to better understand the nature of threat and physical acts of violence from heart and lung transplant patients and families toward healthcare providers and suggest programmatic mitigation strategies. We administered a brief survey to attendees at the 2022 International Society of Heart and Lung Transplantation Conference in Boston, Massachusetts. A total of 108 participants responded. Threats of physical violence were reported by forty-five participants (42%), were more frequently reported by nurses and advanced practice providers than physicians (67% and 75% vs. 34%; p < 0.001) and were more prevalent in the United States than abroad (49% vs. 21%; p = 0.026). Acts of physical violence were reported by one out of every eight providers. Violence against providers in transplant programs warrants closer review by health systems in order to ensure the safety of team members.
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Affiliation(s)
- Todd A. Barrett
- Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
- Heart and Vascular Center, Richard M. Ross Heart Hospital, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
| | - Gennaro Di Tosto
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Karen Shiu-Yee
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Halia L. Melnyk
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Laura J. Rush
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Lindsey N. Sova
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Brent C. Lampert
- Division of Cardiovascular Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
| | - Asvin M. Ganapathi
- Heart and Vascular Center, Richard M. Ross Heart Hospital, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
- Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
| | - Bryan A. Whitson
- Heart and Vascular Center, Richard M. Ross Heart Hospital, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
- Division of Cardiac Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
| | - Brittany L. Waterman
- Division of Palliative Medicine, The Ohio State University Wexner Medical Center, Columbus, OH 43210, USA
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
| | - Ann Scheck McAlearney
- The Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43210, USA
- Department of Family and Community Medicine, College of Medicine, The Ohio State University, Columbus, OH 43210, USA
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Magnavita N. Workplace Health Promotion Embedded in Medical Surveillance: The Italian Way to Total Worker Health Program. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3659. [PMID: 36834352 PMCID: PMC9968016 DOI: 10.3390/ijerph20043659] [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: 01/13/2023] [Revised: 02/09/2023] [Accepted: 02/17/2023] [Indexed: 06/18/2023]
Abstract
In 2011, NIOSH launched the Total Worker Health (TWH) strategy based on integrating prevention and health promotion in the workplace. For several years now, in Italy, this integration has led to the creation of workplace health promotion embedded in medical surveillance (WHPEMS). WHPEMS projects, which are also implemented in small companies, focus each year on a new topic that emerges from the needs of workers. During their regular medical check-up in the workplace, workers are invited to fill in a questionnaire regarding the project topic, its outcome, and some related factors. Workers receive advice on how to improve their lifestyles and are referred to the National Health Service for any necessary tests or treatments. Results collected over the past 12 years from more than 20,000 participants demonstrate that WHPEMS projects are economical, sustainable, and effective. The creation of a network of occupational physicians who are involved in WHPEMS projects could help to improve the work culture, health, and safety of workers.
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Affiliation(s)
- Nicola Magnavita
- Post-Graduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Rome, Italy; ; Tel.: +39-347-330-0367
- Department of Woman, Child and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
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Sajedian AA, Akbari H, Azad E, Ahmadi Moshiran V, Sadeghi-Yarandi M, Ghasemi M. Evaluation of general health, exposure to workplace violence, and predicting its consequences in health care employees in Iran. Work 2023; 76:343-354. [PMID: 36872833 DOI: 10.3233/wor-220447] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023] Open
Abstract
BACKGROUND Workplace violence is an important event that affects the safety of healthcare employees, and diagnosing it in hospitals is an immediate occupational concern. OBJECTIVE The present study was conducted to investigate general health and the prevalence of occupational violence and to predict its consequences among nurses and paramedics as the main body in medical settings. METHODS This cross-sectional study was performed in 2020 in a selected hospital in Tehran, Iran. A total of 208 healthcare workers participated in the study. To study general health, exposure to workplace violence, job burnout, and productivity, the general health questionnaire (GHQ), the workplace violence questionnaire, the Maslach burnout questionnaire, and the workforce productivity questionnaire were provided to healthcare workers, respectively. Then, a multiple linear regression model was used to predict violence and its consequences. RESULTS The results revealed that 34.1% of the participants have psychological disorders, and 74.5% have experienced one type of violence in their workplace at least once during the past year. The multiple linear regression model results indicated that workplace violence prevalence proved the ability to predict the increase in burnout and decrease in job productivity. CONCLUSION Exposure to violence in the workplace significantly increases the risk of mental disorders associated with the risk of mental illness. Therefore, managing exposure to violence in the workplace is a practical step in improving general and mental health and ultimately increasing job productivity in medical settings.
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Affiliation(s)
- Ali Asghar Sajedian
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Hamed Akbari
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Esfandiar Azad
- Behavioral Sciences Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Vahid Ahmadi Moshiran
- Department of Occupational Health Engineering, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - Mohsen Sadeghi-Yarandi
- Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Ghasemi
- Health Research Center, Lifestyle Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
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Díaz A, Utzet M, Mirabent J, Diaz P, Ramada JM, Serra C, Benavides FG. Workplace aggression against healthcare workers in a Spanish healthcare institution between 2019 and 2021: The impact of the COVID-19 pandemic. Front Public Health 2023; 11:1070171. [PMID: 37033051 PMCID: PMC10073706 DOI: 10.3389/fpubh.2023.1070171] [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: 10/14/2022] [Accepted: 02/14/2023] [Indexed: 04/11/2023] Open
Abstract
Objectives Describe the incidence of first aggressions among healthcare workers (HCWs) before and during the COVID-19 pandemic in a Spanish healthcare institution, according to workers' socio-occupational characteristics and analyze the impact of the pandemic on it. Methods A cohort involving HCWs who worked in the institution for at least 1 week each year from 1 January 2019 to 31 December 2021. Adjusted relative risks (aRR) were estimated using generalized estimating equations and negative binomial models to calculate the differences in WPA between the different time periods. All analyses were stratified by gender. Results Among women, the incidence was 6.8% (6.0; 7.8) during the pre-COVID-19 period, 6.0% (5.2; 7.0) during the COVID-19 baseline and 5.1% (4.3; 5.9) during the COVID-19 endline; and 4.6% (3.4; 6.1), 5.3% (4.1; 6.8) and 4.4% (3.5; 5.8), respectively, among men. Among men, the incidence of WPA was 4.6 (3.4; 6.1), 5.3 (4.1; 6.8), and 4.4% (3.5; 5.8), respectively. These incidences were significantly higher among male nurses and aides [11.1 (8.0; 15.4), 12.3 (8.9; 16.6), and 9.3% (6.5; 13.3) during each period] and psychiatric center workers [women: 14.7 (11.2; 19.0), 15.4 (11.8; 19.8), and 12.4% (9.2; 16.6); men: 12.3 (7.2; 20.0), 17.8 (11.6; 26.2), and 14.3% (8.8; 22.4)]. Among women, the risk of WPA was 23% lower in the post-COVID-19 period compared to before the pandemic [aRR = 0.77 (0.64; 0.93)], while the risk during the COVID-19 baseline was not significantly different [aRR = 0.89 (0.74; 1.06)]. Conclusions The COVID-19 pandemic led to an unexpected decrease in first-time WPA against HCWs. However, ~5% of HCWs experienced at least one incidence of aggression in the last follow-up year. Healthcare managers should continue to increase the prevention of aggression against HCWs, especially among vulnerable groups with a higher level of incidence.
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Affiliation(s)
- Aitor Díaz
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
| | - Mireia Utzet
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
- *Correspondence: Mireia Utzet
| | - Joan Mirabent
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
| | - Pilar Diaz
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
| | - Jose Maria Ramada
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
| | - Consol Serra
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
- Occupational Health Service, Parc de Salut Mar, Barcelona, Spain
| | - Fernando G. Benavides
- Center for Research in Occupational Health, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain
- IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain
- CIBER of Epidemiology and Public Health, Madrid, Spain
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El-Zoghby SM, Ibrahim ME, Zaghloul NM, Shehata SA, Farghaly RM. Impact of workplace violence on anxiety and sleep disturbances among Egyptian medical residents: a cross-sectional study. HUMAN RESOURCES FOR HEALTH 2022; 20:84. [PMID: 36536416 PMCID: PMC9761647 DOI: 10.1186/s12960-022-00786-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 12/07/2022] [Indexed: 06/13/2023]
Abstract
BACKGROUND Workplace violence (WPV) against healthcare workers is a common occurrence worldwide, especially among young physicians and medical residents. This study aimed to explore the negative health impacts of WPV among medical residents in Egypt, and their perception regarding how safe it is to report violence. PURPOSE To investigate the prevalence of WPV among medical residents, its possible negative health impacts, specifically on sleep quality and mental health, and the perceived workplace safety climate. METHODS This is a cross-sectional analytic study, using a convenience sample through an online questionnaire. An abuse index was calculated, generalized anxiety disorder (GAD) and sleep quality were collected from the reported outcomes. RESULTS The study sample included 101 residents (86.1% females). The most common reported form of abuse was verbal abuse, with the most common reported perpetrators being senior staff members (59.4%). About 86% of participants were classified as poor sleepers, while 59.4% had GAD, and there were significant positive correlations between GAD and Global Pittsburgh Sleep Quality Index (PSQI) scores with the abuse index. More than one third (35.6%) of residents reported a very high-risk Psychosocial Safety Climate (PSC) score, and 31.6% of them either strongly agreed or agreed that reporting a sexual harassment claim would be dangerous. CONCLUSION Workplace violence is common among Egyptian medical residents, with a significant negative impact on sleep quality and a rising risk of GAD. The promotion of a safe workplace environment is essential in protecting the health and wellbeing of medical residents.
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Affiliation(s)
- Safaa M. El-Zoghby
- Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, 41522 Egypt
| | - Maha E. Ibrahim
- Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University, Ismailia, 41522 Egypt
| | - Nancy M. Zaghloul
- Department of Forensic Medicine and Clinical Toxicology, Misr University for Science and Technology, Cairo, Egypt
| | - Shaimaa A. Shehata
- Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Suez Canal University, Ismailia, 41522 Egypt
- Present Address: Faculty of Medicine, Suez Canal University, Ring Road, Ismailia, 41111 Egypt
| | - Rasha M. Farghaly
- Department of Community, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, 41522 Egypt
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Chen Z, Peng K, Liu X, Yang J, Long L, Liu Y, Li Y, Tian Y. Association between high burn-out and workplace violence among healthcare workers in China: a WeChat-based survey. BMJ Open 2022; 12:e064729. [PMID: 36379659 PMCID: PMC9668040 DOI: 10.1136/bmjopen-2022-064729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES This study is conducted to examine whether overall workplace violence (WPV) and its five types are associated with high burn-out among healthcare workers in China. DESIGN A WeChat-based cross-sectional survey. Snowball sampling was used in this study. PARTICIPANTS Front-line healthcare workers (N=3706) from 149 cities across 23 provinces in China responded to the survey, and 22 questionnaires were excluded because of incomplete data. PRIMARY AND SECONDARY OUTCOME MEASURES (1) The Chinese Maslach Burnout Inventory-General Survey was used to measure high burn-out. (2) WPV was assessed using the Chinese version of the Workplace Violence Scale. (3) An anonymous self-designed web-based questionnaire consisting of demographic, behavioural and occupational information was used to identify covariates. RESULTS A total of 3684 front-line healthcare workers (934 physicians and 2750 nurses) were included. Of all participants, 13.3% (491/3193) experienced high burn-out. Adjusted logistic regression revealed that experience of WPV in the past year was associated with high burn-out (OR 2.10, 95% CI 1.69 to 2.62). Healthcare workers who had suffered emotional abuse, threat or verbal sexual harassment were more vulnerable to high burn-out. CONCLUSION This study finds that healthcare workers with WPV, especially emotional abuse, threat and verbal sexual harassment, are more likely to experience burn-out. These types of WPV should be considered in interventions to reduce and prevent burn-out for healthcare workers.
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Affiliation(s)
- Zengyu Chen
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Kexin Peng
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Xiaopei Liu
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Jiaxin Yang
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Liuxin Long
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Department of Rheumatology and Immunology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yiting Liu
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yamin Li
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
| | - Yusheng Tian
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China
- Department of Psychiatry, The Second Xiangya Hospital of Central South University, National Clinical Research Center for Mental Disorders, Changsha, Hunan, China
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Magnavita N, Mele L, Meraglia I, Merella M, Vacca ME, Cerrina A, Gabriele M, Labella M, Soro MT, Ursino S, Matera C. The Impact of Workplace Violence on Headache and Sleep Problems in Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13423. [PMID: 36294004 PMCID: PMC9603049 DOI: 10.3390/ijerph192013423] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 10/14/2022] [Accepted: 10/16/2022] [Indexed: 06/16/2023]
Abstract
Workplace violence (WV) is a significant occupational hazard for nurses. Previous studies have shown that WV has a reciprocal relationship with occupational stress. Headaches and sleep problems are early neuropsychological signs of distress. This cross-sectional study aims to ascertain the frequency of physical or verbal assaults on nurses and to study the association of WV with headaches and sleep problems. During their regular medical examination in the workplace, 550 nurses and nursing assistants (105 males, 19.1%; mean age 48.02 ± 9.98 years) were asked to fill in a standardized questionnaire containing the Violent Incident Form (VIF) concerning the episodes of violence experienced, the Headache Impact Test (HIT-6) regarding headaches, and the Pittsburgh Sleep Quality Inventory (PSQI) on sleep quality. Occupational stress was measured using the Effort/Reward Imbalance questionnaire (ERI). Physical and non-physical violence experienced in the previous year was reported by 7.5% and 17.5% of workers, respectively. In the univariate logistic regression models, the workers who experienced violence had an increased risk of headaches and sleep problems. After adjusting for sex, age, job type, and ERI, the relationship between physical violence and headaches remained significant (adjusted odds ratio aOR = 2.25; confidence interval CI95% = 1.11; 4.57). All forms of WV were significantly associated with poor sleep in a multivariate logistic regression model adjusted for sex, age, job type, and ERI (aOR = 2.35 CI95% = 1.44; 3.85). WV was also associated with the impact of headaches and with sleep quality. WV prevention may reduce the frequency of lasting psychoneurological symptoms, such as headaches and poor sleep quality, that interfere with the ability to work.
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Affiliation(s)
- Nicola Magnavita
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy
- Department of Woman, Child & Public Health Sciences, Fondazione A. Gemelli IRCCS, 00168 Roma, Italy
- Local Healthcare Unit Roma 4, 00053 Civitavecchia, Italy
| | - Luca Mele
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy
| | - Igor Meraglia
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy
| | - Marco Merella
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy
| | - Maria Eugenia Vacca
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy
| | - Anna Cerrina
- Local Healthcare Unit Roma 4, 00053 Civitavecchia, Italy
| | | | | | | | - Simona Ursino
- Local Healthcare Unit Roma 4, 00053 Civitavecchia, Italy
| | - Carmela Matera
- Local Healthcare Unit Roma 4, 00053 Civitavecchia, Italy
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Blanchard M, Somme D, Charras K, Corvol A. Caregivers facing violence in long-term care setting: A cross analysis of incident reports and caregivers speech. J Nurs Manag 2022; 30:1768-1776. [PMID: 35476219 PMCID: PMC9790201 DOI: 10.1111/jonm.13651] [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: 01/05/2022] [Revised: 04/19/2022] [Accepted: 04/25/2022] [Indexed: 12/30/2022]
Abstract
BACKGROUND Workplace violence is frequent, especially in long-term care, but often unreported. AIMS The aim of this study is to identify workers experiences and coping strategies when they face physical aggression from residents and assess the value of incident reports for violence follow-up. METHODS This mixed method study is based on incident reports collected over 3 years from two different long-term care geriatric facilities in France and thematic analysis of 20 semi-structured interviews of nurses and nursing assistants. RESULTS The reported frequencies of physical aggression among respondents range from none to daily aggression. Only 76 incident reports were submitted. Aggressions were under-reported by caregivers who often felt guilty for not having avoided them. Coping strategies included banalization and seeking support from colleagues. Incident reports can constitute a warning signal for the management team but are not a reliable tool for workplace violence follow-up. CONCLUSIONS Our study emphasizes the complexity of workplace violence prevention in long-lerm care settings. Proposals can be formulated to train and support caregivers, but a shift from a task-oriented organisation to a patient-centred approach seems necessary to reduce violence. IMPLICATIONS FOR NURSING MANAGEMENT Situations to be reported should be better defined, aggression reporting encouraged and judgmental attitudes toward reports discouraged.
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Affiliation(s)
| | - Dominique Somme
- Univ Rennes, CHU Rennes, Living Lab Vieillissement et VulnérabilitésRennesFrance,Univ Rennes, CNRS, CHU Rennes, ARENES ‐ UMR 6051, INSERM, CIC 1414RennesFrance
| | - Kevin Charras
- Living Lab Aging and vulnerabilityCHU RennesRennesFrance
| | - Aline Corvol
- Univ Rennes, CNRS, CHU Rennes, ARENES ‐ UMR 6051, INSERM, CIC 1414RennesFrance,Univ Rennes, CNRS, Inserm, CIC 1414, Arènes ‐ UMR 6051, RSMS – U 1309RennesFrance
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15
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Yang Y, Wang P, Kelifa MO, Wang B, Liu M, Lu L, Wang W. How workplace violence correlates turnover intention among Chinese health care workers in COVID-19 context: The mediating role of perceived social support and mental health. J Nurs Manag 2022; 30:1407-1414. [PMID: 33792990 PMCID: PMC8250348 DOI: 10.1111/jonm.13325] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 03/07/2021] [Accepted: 03/27/2021] [Indexed: 12/11/2022]
Abstract
AIM To elucidate the effects of workplace violence on turnover intention among Chinese health care workers, and to identify the potential mediators in this relationship. BACKGROUND Workplace violence has emerged as a crucial determinant of turnover intention for health care workers. METHODS A cross-sectional survey was conducted among Chinese health care workers (N = 1,063) between 13 and 20 February 2020. Mediation effects were tested using structural equation modelling with weighted least squares mean and variance adjusted (WLSMV) estimator. RESULTS Workplace violence had both direct and indirect effects on turnover intention among Chinese health care workers. Specifically, perceived social support, mental health and perceived social support together with mental health partially mediated the relationship between workplace violence and turnover intention. CONCLUSIONS Chinese health care workers experiencing violence during the COVID-19 outbreak were more likely to report turnover intention. Enhancing social support and reducing mental health problems would be beneficial in decreasing the detrimental effects of workplace violence on turnover intention. IMPLICATIONS FOR NURSING MANAGEMENT Ensuring health care workers' health and safety is vital in reducing turnover intention, which in turn ascertains continuity of health care delivery. Health care managers should develop targeted interventions to improve social support and prevent post-violence mental health problems.
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Affiliation(s)
- Yinmei Yang
- School of Health SciencesWuhan UniversityWuhanChina
| | - Peigang Wang
- School of Health SciencesWuhan UniversityWuhanChina
| | | | - Bo Wang
- Department of Population and Quantitative Health SciencesUniversity of Massachusetts Medical SchoolWorcesterMAUSA
| | - Mingxiu Liu
- School of NursingHubei University of MedicineShiyanChina
| | - Lili Lu
- Department of Gastroenterologythe Affiliated Hospital of Xuzhou Medical UniversityXuzhouChina
| | - Wei Wang
- School of Public HealthXuzhou Medical UniversityXuzhouChina
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16
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Muntean LM, Nireștean A, Mărușteri M, Sima-Comaniciu A, Lukacs E. Occupational Stress and Personality in Medical Doctors from Romania. Healthcare (Basel) 2022; 10:healthcare10091612. [PMID: 36141224 PMCID: PMC9498482 DOI: 10.3390/healthcare10091612] [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: 08/03/2022] [Revised: 08/18/2022] [Accepted: 08/21/2022] [Indexed: 11/16/2022] Open
Abstract
Occupational stress amongst doctors has been intensively studied as doctors are exposed to several stress factors daily. The purpose of this study was to investigate if there are associations between personality dimensions and the factors that generate stress at work. We conducted a cross-sectional study of 280 medical doctors from Romania between February 2021 and September 2021 who were evaluated using the DECAS and ASSET Scales. Our results showed that the agreeableness and emotional stability dimensions of personality, according to the Big Five model, were statistically associated with work relationships (A p < 0.0001; ES p = 0.0005), work-life balance (A p = 0.008; ES p = 0.01), overload (A p = 0.01; ES p = 0.001), job security (A p < 0.0001; ES p = 0.002), job control (A p = 0.001; ES p = 0.009), resources and communication (A p = 0.0002; ES p < 0.0001), and job conditions (A p = 0.005; ES p = 0.03). The conscientiousness dimension was statistically associated with job control (p = 0.02). Doctors from different specialties experienced stress differently, with psychiatrists and doctors from preclinical specialties reporting the lowest levels of stress. Internists and surgeons reported higher levels of stress. This study showed that the dimensions of agreeableness and emotional stability were both associated with variables indicative of the level of stress felt at work.
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Affiliation(s)
- Lorena Mihaela Muntean
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
| | - Aurel Nireștean
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
- Correspondence: (A.N.); (M.M.)
| | - Marius Mărușteri
- Department of Medical Informatics and Biostatistics, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
- Correspondence: (A.N.); (M.M.)
| | - Andreea Sima-Comaniciu
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
| | - Emese Lukacs
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
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Prevalence and Consequences of Verbal Aggression among Bank Workers: A Survey into an Italian Banking Institution. ADMINISTRATIVE SCIENCES 2022. [DOI: 10.3390/admsci12030078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Robberies and other violent acts by strangers and intruders are common in banks, which can lead to post-traumatic stress disorder in employees. However, the literature indicates that more subtle and less measurable forms of violence, such as psychological violence, can also cause discomfort among employees. The aim of the present work is to investigate the prevalence of verbal aggression and its consequences among 311 Italian bank employees. A self-administered questionnaire was completed by 197 employees. The results showed a high prevalence of verbal aggression in the sample. It is important to investigate and find the causes and effects of verbal aggression in order to understand the phenomenon in this workplace. Cases of verbal aggression need to be prevented and responded to appropriately. In addition, it should be noted that the effects of verbal aggression do not only affect the victim, but also the workplace, as productivity decreases, and the feeling of a safe environment is missing.
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Vargas L, Vélez-Grau C, Camacho D, Richmond TS, Meisel ZF. The Permeating Effects of Violence on Health Services and Health in Mexico. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP10883-NP10911. [PMID: 33527877 PMCID: PMC8326291 DOI: 10.1177/0886260521990832] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Mexico's violence related to organized crime activity has grown to epidemic levels in the last 12 years. We interviewed 22 Mexican health care providers from five states to examine how violence impacts health care services and health. We transcribed and analyzed semi-structured interviews using framework analysis. Our findings describe the ways in which community violence in Mexico permeates health care services, impacting health care providers, and the health of patients. We developed a model to reflect our main themes that illustrate how violence permeates health care services over geographic space and time. We identified three thematic categories: (a) the impact of violence on health care facilities and service provision, (b) the impact of violence on providers, and (c) the impact of violence on the health of the community. Our model articulates a dynamic process of the spread and permeation of violence. Prior literature focuses on the impact of violence as an occupational hazard and the effect of war or civil conflict on health care services. We extend this literature by documenting the impacts of widespread violence on Mexican health care services and providers. We discuss how violence impacts services, providers, and health in a country that is not officially at war. We compare our findings to previous literature on occupational violence in health professions and the impacts on health services in official war zones. Finally, we highlight the implications for health care practice and policy. We suggest that violence should be considered throughout the care continuum in Mexico and make the case for violence as a structural contributor to health and health disparities in Mexico. We suggest additional research on this under-investigated topic.
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Xu H, Cao X, Jin QX, Wang RS, Zhang YH, Chen ZH. Distress, support and psychological resilience of psychiatric nurses as second victims after violence: A cross-sectional study. J Nurs Manag 2022; 30:1777-1787. [PMID: 35689407 DOI: 10.1111/jonm.13711] [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: 01/16/2022] [Revised: 05/16/2022] [Accepted: 06/07/2022] [Indexed: 11/26/2022]
Abstract
AIM The aim is to explore the impact of violence and psychological resilience on psychiatric nurses as second victims. BACKGROUND Workplace violence is a public health concern, seriously influencing medical staff's physical and mental health. However, few pieces of research have concentrated on psychiatric nurses as second victims. METHOD The socio-demographic data, violence-related data, psychological resilience scale, the Chinese version of the Second Victim Experience and Support Tool were applied to conduct a cross-sectional survey on nurses from psychiatric hospitals. The multiple linear regression model identified significant variables associated with violence-related injury and resilience. RESULTS A total of 683 nurses completed the survey, of whom 88.3% were women. The average scores of the second victims' experience and support, support and distress were 3.45 ± 0.43, 3.71 ± 0.57 and 3.19 ± 0.67, respectively. Physical violence, psychological violence, psychological influence and nursing work environment were positively correlated with the experience and support of the second victims, and innocuous violence was a negative factor, which explains 20.6% of the variation. Moreover, physical injury, nursing work environment, resilience restructuring, physical violence, psychological violence, psychological impact and disagreement about the existence of violence explained 14.8% of the distress. The innocuous violence, psychological violence and nursing work environment explained 46.2% of the support. CONCLUSIONS Our findings suggest that nurses who are second victims after the violence mainly suffer from severe psychological distress and receive the least support for the same. IMPLICATION FOR NURSING MANAGEMENT The study provides clues to help nursing managers' emphasis on the distress and support of second victims and provides targeted intervention based on the relevant factors and these results. The article is a cross-sectional study of psychiatric nurses, which has been approved by the ethics committee of the hospital before the survey. All the nurses who participated in the survey have been informed and agreed.
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Affiliation(s)
- Hua Xu
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Xiang Cao
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Quan-Xiang Jin
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Rui-Shi Wang
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Yan-Hong Zhang
- Department of Nursing, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
| | - Zhao-Hong Chen
- Department of Adult Psychiatry, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China
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La Torre G, Firenze A, Di Gioia LP, Perri G, Soncin M, Cremonesi D, De Camillis N, Guidolin S, Evangelista G, Marte M, Fedele NG, De Sio S, Mannocci A, Sernia S, Brusaferro S. Workplace violence among healthcare workers, a multicenter study in Italy. Public Health 2022; 208:9-13. [PMID: 35660281 DOI: 10.1016/j.puhe.2022.04.008] [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: 02/28/2022] [Revised: 04/23/2022] [Accepted: 04/27/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVES The purpose of this study is to assess the prevalence and determinants of workplace violence and the sociodemographic risk factors associated. STUDY DESIGN This was a multicenter cross-sectional study. METHODS The study was performed using self-compiled Italian version of the World Health Organization's questionnaire on workplace violence online by filling in a Google form. The survey was opened from May 2018 to March 2020 and lasted 5-10 min. RESULTS The sample consists of 3659 healthcare workers, of which 2525 (69%) are females, 1446 (39.5%) are nurses, and 2029 (55.5%) are health workers from northern Italy. The most frequent age group of the sample is 50-54 years (16.7%). A total of 366 (10%) healthcare workers are victims of physical aggression at work in the last 12 months, of which 6.3% with a weapon. The risk of being a victim of physical aggression at work in the last 12 months is significantly associated with the following independent variables: male gender (odds ratio [OR] 1.72, 95% confidence interval [CI]: 1.36-2.17), work in southern Italy (OR 1.59, 95% CI: 1.10-2.28), and being a nurse (OR 2.56, 95% CI: 2.01-3.25). The risk of being a victim of physical aggression at work with a weapon in the last 12 months is significantly associated with work in southern Italy (OR 9.33, 95% CI: 3.83-22.73). A total of 1723 (47.1%) of healthcare workers declare to be a victim of verbal aggression at work in the last 12 months. The risk of being a victim of verbal aggression at work in the last 12 months is significantly associated with the following independent variables: work in northern Italy (adjusted OR [aOR] 1.54, 95% CI: 1.32-1.81), work in southern Italy (aOR 3.68, 95% CI: 2.90-4.68), and be more than 55 years old (aOR 0.73, 95% CI: 0.63-0.85). CONCLUSIONS The study underlines that the problem of verbal and physical aggression against healthcare workers is still central and is a further starting point for research. The prevalence of violence is difficult to assess because violent incidents are underreported or unreported. The results of the study suggest that increased awareness is needed to develop effective control strategies at the individual, hospital, and national levels to prevent aggression and improve the conditions of victims.
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Affiliation(s)
- G La Torre
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
| | - A Firenze
- University of Palermo, Palermo, Italy
| | - L P Di Gioia
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - G Perri
- Dipartimento di Area Medica, Università di Udine, Udine, Italy
| | - M Soncin
- Ospedale Niguarda, Milano, Italy
| | - D Cremonesi
- Ordine Delle Professioni Infermieristiche Como, Italy
| | | | | | - G Evangelista
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - M Marte
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - N G Fedele
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - S De Sio
- R.U. of Occupational Medicine, Sapienza University of Rome, Rome, Italy
| | | | - S Sernia
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy
| | - S Brusaferro
- Dipartimento di Area Medica, Università di Udine, Udine, Italy
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21
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Urnberg H, Gluschkoff K, Saukkonen P, Elovainio M, Vänskä J, Heponiemi T. The association between stress attributed to information systems and the experience of workplace aggression: a cross-sectional survey study among Finnish physicians. BMC Health Serv Res 2022; 22:724. [PMID: 35641931 PMCID: PMC9158205 DOI: 10.1186/s12913-022-08116-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Accepted: 05/20/2022] [Indexed: 11/22/2022] Open
Abstract
Background Physicians commonly suffer from workplace aggression and its negative consequences. Previous studies have shown that stressors such as job demands increase the risk of inappropriate treatment at workplace. Poorly functioning, and constantly changing information systems form a major work stressor for physicians. The current study examined the association between physicians’ stress attributed to information systems (SAIS) and their experiences of workplace aggression. Workplace aggression covered physical and non-physical aggression, perpetrated by coworkers, patients, patient’s relatives, or supervisors. Methods A cross-sectional survey study was conducted. The participants included 2786 physicians (67.4% women) who were sampled randomly from the registry of Finnish Medical Association, which covers almost all of the Finnish physician population. First, bivariate associations were studied among participant characteristics, SAIS and workplace aggression. Logistic regression analysis was then used to further determine how SAIS was associated with the likelihood of experiencing different types of aggression. Results Higher levels of SAIS were associated with higher likelihood of aggression with regard to all types of aggression, except non-physical aggression perpetrated by patients or relatives. The demographic factors (work-sector, gender, age) did not have a noticeable influence on the association between SAIS and aggression. Conclusions The present results build on previous evidence on the prevalence of SAIS and its negative effects on healthcare workers. Since SAIS may increase the risk of experiencing aggression, it is possible that SAIS also endangers the wellbeing of physicians and thereby the quality of patient care. Resourcing time and training during introduction of a new IS could alleviate time pressure and thus stress attributed to managing new information systems. The role of organizational climate and general workload in arousing SAIS and aggression should be examined in future studies. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08116-w.
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22
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Ayhan D, Mercan N, Doğan R, Yüksel Ç. The aggressive patient experiences of healthcare professionals exposed to physical violence in a psychiatric clinic: A phenomenological study. Perspect Psychiatr Care 2022; 58:501-508. [PMID: 34270096 DOI: 10.1111/ppc.12918] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 07/03/2021] [Accepted: 07/05/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE This study investigated the experiences of healthcare professionals, exposed to physical violence, related to aggressive patients at a psychiatry service. DESIGN AND METHODS The qualitative study sample consisted of a total of 21 healthcare professionals. The data were collected through in-depth interviews. An inductive qualitative content analysis was used to analyze the data. FINDINGS Three themes, the effects of warning signs of violence, clinical management of violence, and effects of violence, and 13 sub-themes were determined. PRACTICE IMPLICATIONS The effects of physical violence on healthcare professionals can be seen and will contribute to planning in this regard.
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Affiliation(s)
- Didem Ayhan
- Department of Nursing, Faculty of Health Sciences, Bandirma Onyedi Eylul University, Balıkesir, Turkey
| | - Neşe Mercan
- Department of Child Development, Faculty of Health Sciences, Bilecik Seyh Edebali University, Bilecik, Turkey
| | - Reyhan Doğan
- Department of Hematology, Gulhane Training and Research hospital, Ankara, Turkey
| | - Çiğdem Yüksel
- Department of Mental Health and Psychiatric Nursing, Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Turkey
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23
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Varghese A, Joseph J, Vijay VR, Khakha DC, Dhandapani M, Gigini G, Kaimal R. Prevalence and determinants of workplace violence among nurses in the South‐East Asian and Western Pacific Regions: a systematic review and meta‐analysis. J Clin Nurs 2022. [DOI: 10.1111/jocn.15987 ; pmid: 34351652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Affiliation(s)
- Abin Varghese
- College of Nursing Bhopal Memorial Hospital and Research CentreICMR Bhopal India
| | - Jaison Joseph
- Department of Psychiatric Nursing College of Nursing Pt. B. D. Sharma University of health Sciences Rohtak India
| | - V. R. Vijay
- College of Nursing All India Institute of Medical Sciences Bhubaneswar India
| | - Deepika C Khakha
- College of Nursing All India Institute of Medical Sciences New Delhi India
| | - Manju Dhandapani
- Post Graduate Institute of Medical Education and Research (PGIMER National Institute of Nursing Education Chandigarh India
| | - George Gigini
- College of Nursing Bhopal Memorial Hospital and Research CentreICMR Bhopal India
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24
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Heuel L, Lübstorf S, Otto AK, Wollesen B. Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach. BMC Public Health 2022; 22:624. [PMID: 35354449 PMCID: PMC8967083 DOI: 10.1186/s12889-022-12993-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 03/14/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Nurses experience high, and often chronic, levels of occupational stress. As high-quality care requires a healthy workforce, individualized stress-alleviating interventions for nurses are needed. This study explored barriers and resources associated with health behaviors in nurses with different stress levels and work-related behavioral tendencies and identified health behavior determinants based on the Health Action Process Approach (HAPA) model. METHODS Applying a mixed methods transformative triangulation design, n = 43 nurses filled out chronic stress (SSCS) and work-related behavior and experience patterns (German acronym AVEM) questionnaires, and participated in semi-structured interviews. With content analysis, categories of health behavior-related barriers and resources emerged. Behavior determinants (self-efficacy, outcome expectancies), health behavior, and barriers and resources were quantified via frequency and magnitude coding and interrelated with SSCS and AVEM scores to link level of health behavior with potential influencing factors. Nonparametric tests explored differences in quantified variables for SSCS and AVEM scores and 4-step-hierarchical regression analysis identified predictors for health behavior. RESULTS Eighty-four percent of the nurses were chronically stressed while 49% exhibited unhealthy behavioral tendencies at the workplace. 16 personal and organizational themes (six resources, ten barriers) influenced health behaviors. Stress was associated with resource frequency (p = .027) and current health behaviors (p = .07). Self-efficacy significantly explained variance in health behaviors (p = .003). CONCLUSION Health promotion related barriers and resources should be considered in designing nurse health promotion campaigns. Practitioners need to individualize and tailor interventions toward stress and behavioral experiences for sustainable effects on adherence and health.
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Affiliation(s)
- Luis Heuel
- Department of Biopsychology and Neuroergonomics, Technical University of Berlin, Fasanenstr. 1, 10623, Berlin, Germany.
| | - Svea Lübstorf
- Faculty of Psychology and Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany
| | - Ann-Kathrin Otto
- Department of Biopsychology and Neuroergonomics, Technical University of Berlin, Fasanenstr. 1, 10623, Berlin, Germany.,Faculty of Psychology and Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany
| | - Bettina Wollesen
- Department of Biopsychology and Neuroergonomics, Technical University of Berlin, Fasanenstr. 1, 10623, Berlin, Germany.,Faculty of Psychology and Human Movement Science, University of Hamburg, Turmweg 2, 20148, Hamburg, Germany
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25
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Janzen S, Arnetz J, Radcliffe S, Fitzpatrick L, Eden J, Wright MC. Preventing patient violence in hospitals: Applying critical decision method interviews to understand how skilled staff think and act differently. Appl Nurs Res 2022; 63:151544. [PMID: 35034701 DOI: 10.1016/j.apnr.2021.151544] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 09/23/2021] [Accepted: 11/15/2021] [Indexed: 01/10/2023]
Abstract
AIMS Our aims were to understand how hospital staff who are skilled at managing aggressive patients recognize and respond to patient aggression and to compare the approaches of skilled staff to the experiences of staff who were recently involved in incidents of patient violence. BACKGROUND Violence from patients toward staff is prevalent and increasing. There is a need for greater understanding of effective approaches to managing patient aggression in a wide variety of hospital settings. METHODS We conducted grounded theory qualitative research applying Critical Decision Method interviews at two hospitals. Skilled staff and incident-involved staff were asked to describe experiences involving aggressive patients and the data were analyzed qualitatively. RESULTS Our interviews (N = 23) identified positive approaches and challenges to managing aggressive patients. Positive approaches included: maintaining empathy for the patient, allowing the patient time and space, exhibiting a calm demeanor, not taking things personally, and implementing strategies to build trust. Challenges included: inadequate psychiatric resources, balancing priorities between patients with urgent physical needs and those exhibiting difficult behaviors, and perceiving pressure to de-escalate situations quickly. Incident-involved staff were more likely to describe the challenges listed above and a limited tolerance for patients whose behavior they perceived as unjustified or detracting from other patients' care. CONCLUSION The Critical Decision Method proved valuable for highlighting nuanced understandings of skilled staff that sometimes contrasted with perceptions of incident-involved staff. Our findings support investigation of novel approaches to training such as peer coaching and improving empathy through increased understanding of mental illnesses and addiction.
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Affiliation(s)
- Suzanne Janzen
- Saint Alphonsus Regional Medical Center, United States of America
| | | | - Sydney Radcliffe
- Saint Alphonsus Regional Medical Center, United States of America
| | | | - Joyce Eden
- Saint Agnes Medical Center, United States of America
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26
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Ebrahimi Rigi Z, Mangolian Shahrbabaki P, Ahmadi F, Ravari A. Self-Sacrifice in a Distressful and Threatening Environment: The Consequences of the COVID-19 Crisis in Intensifying Workplace Violence. Front Psychiatry 2022; 13:848059. [PMID: 35664478 PMCID: PMC9157344 DOI: 10.3389/fpsyt.2022.848059] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 04/04/2022] [Indexed: 02/03/2023] Open
Abstract
BACKGROUND The stress and mental pressure resulting from the challenges posed by the COVID-19 crisis exacerbated occupational stressors such as workplace violence against nurses even though nurses were endangering their lives to provide high-quality care and reduce patients' suffering. Therefore, the present study aimed to explain Iranian nurses' experiences of workplace violence during the COVID-19 crisis. MATERIALS AND METHODS This study was conducted using a qualitative approach. Twenty-five semi-structured interviews were conducted with nurses who had experienced workplace violence at COVID-19 referral centers in Kerman during the COVID-19 crisis. Conventional content analysis was used to analyze the data, and the research was reported via the COREQ checklist. RESULTS Analysis of the findings led to one main category, "nurses' self-sacrifice in a distressful and threatening environment," and four subcategories, which included "omitting entertainment and fun activities," "having challenging duties in unsafe conditions," "receiving insufficient support," and "nurses' toleration of disrespect." CONCLUSION Crises can exacerbate workplace violence toward nurses. Thus, it is necessary to design educational programs and prevention strategies to manage the destructive psychological and occupational impact of the crises on nurses. Nurses should receive training in crisis management to cope with the intensified aggressive behavior of managers, colleagues, patients, and patient companions during the crisis. Policy-makers must be prepared to deal with crises, and they should take measures to improve nurses' mental health and quality of care.
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Affiliation(s)
- Zahra Ebrahimi Rigi
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| | - Parvin Mangolian Shahrbabaki
- Nursing Research Center, Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Fazlollah Ahmadi
- Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
| | - Ali Ravari
- Geriatric Care Research Center, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
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27
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Tsukamoto SAS, Galdino MJQ, Barreto MFC, Martins JT. Burnout syndrome and workplace violence among nursing staff: a cross-sectional study. SAO PAULO MED J 2022; 140:101-107. [PMID: 34932780 PMCID: PMC9623842 DOI: 10.1590/1516-3180.2021.0068.r1.31052021] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Accepted: 05/31/2021] [Indexed: 02/22/2023] Open
Abstract
BACKGROUND Among healthcare professionals, nursing workers are the most prone to becoming victims of workplace violence and present the highest burnout levels. OBJECTIVES To investigate the association between burnout syndrome and workplace violence among nursing workers. DESIGN AND SETTING Cross-sectional study carried out at a teaching hospital in southern Brazil. METHODS This study involved 242 nursing workers. We collected data over a six-month period using a sociodemographic and occupational survey, the Survey Questionnaire Workplace Violence in the Health Sector and the Maslach Burnout Inventory - General Survey. For occupational violence, we selected the Survey Questionnaire Workplace Violence in the Health Sector. Burnout syndrome was evaluated using the Maslach Burnout Inventory - General Survey. The data were analyzed in the Statistical Package for the Social Sciences (SPSS). Categorical variables were described as absolute and relative frequencies and numerical variables in terms of central trend and dispersion measurements. For data analysis, we applied descriptive statistics and multiple logistic regression. RESULTS The multiple models indicated that the workers who had experienced verbal abuse, physical violence and concern about workplace violence over the past 12 months had significantly higher chances of presenting high emotional exhaustion (P < 0.05) and depersonalization (P < 0.05) and low professional accomplishment (P < 0.05). CONCLUSION Occurrence of violence significantly increased the chances of great emotional exhaustion and depersonalization and low professional achievement, within burnout syndrome. Therefore, workplace violence prevention strategies need to be put in place to provide workers with a safe workplace in which to conduct their activities.
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Affiliation(s)
- Sirlene Aparecida Scarpin Tsukamoto
- MSc. Nurse, Hospital Evangélico de Londrina, Londrina (PR), Brazil; and Member of the Núcleo de Estudos da Saúde do Trabalhador, Universidade Estadual de Londrina (NUESTUEL), Londrina (PR), Brazil.
| | - Maria José Quina Galdino
- PhD. Nurse and Adjunct Professor, Department of Nursing, Universidade Estadual do Norte do Paraná (UENP), Bandeirantes (PR), Brazil; and Coordinator, Study Group on Teaching, Health and Work, Universidade Estadual do Norte do Paraná (UENP), Bandeirantes (PR), Brazil.
| | - Maynara Fernanda Carvalho Barreto
- PhD. Nurse and Professor, Department of Nursing, Universidade Estadual do Norte do Paraná (UENP), Bandeirantes (PR), Brazil; and Member of the Study Group on Teaching, Health and Work, Universidade Estadual do Norte do Paraná (UENP), Bandeirantes (PR), Brazil.
| | - Júlia Trevisan Martins
- PhD. Nurse and Associate Professor, Department of Nursing, Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil; and Coordinator, Study Group on Occupational Health, Universidade Estadual de Londrina (UEL), Londrina (PR), Brazil.
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28
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Das A, Datta M, Banerjee S, Mondal S. Workplace violence as a predictor of work-related stress among doctors. ACTA MEDICA INTERNATIONAL 2022. [DOI: 10.4103/amit.amit_27_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
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29
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Liu R, Li Y, An Y, Zhang L, An FR, Luo J, Wang A, Zhao YJ, Yuan A, Cheung T, Ungvari GS, Qin MZ, Xiang YT. Workplace violence against frontline clinicians in emergency departments during the COVID-19 pandemic. PeerJ 2021; 9:e12459. [PMID: 34900420 PMCID: PMC8621782 DOI: 10.7717/peerj.12459] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Accepted: 10/18/2021] [Indexed: 12/24/2022] Open
Abstract
Background Frontline clinicians working in emergency departments (ED) were at disportionate risk of workplace violence (WPV). We investigated the prevalence of WPV and its relationship with quality of life (QOL) in this group of health professionals in China during the COVID-19 pandemic. Methods A cross-sectional, online study was conducted. The nine-item Workplace Violence Scale measured WPV. Results A total of 1,103 ED clinicians participated in this study. The overall prevalence of WPV against ED clinicians was 29.2% (95% CI [26.5%-31.9%]). Having family/friends/colleagues infected with COVID-19 (Odds Ratio (OR) = 1.82, P = 0.01), current smoking (OR = 2.98, P < 0.01) and severity of anxiety symptoms (OR = 1.08, P < 0.01) were independently and positively associated with WPV, while working in emergency intensive care units (OR = 0.45, P < 0.01) was negatively associated with WPV. After controlling for covariates, clinicians experiencing WPV had a lower global QOL compared to those without (F(1, 1103) = 10.9,P < 0.01). Conclusions Prevalence of workplace violence against ED clinicians was common in China during the COVID-19 pandemic. Due to the negative impact of WPV on QOL and quality of care, timely preventive measures should be undertaken for ED clinicians.
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Affiliation(s)
- Rui Liu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China.,Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
| | - Yue Li
- Department of Nursing, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Ying An
- Department of Emergency Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Ling Zhang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Feng-Rong An
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Jia Luo
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Aiping Wang
- Department of Emergency Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yan-Jie Zhao
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
| | - Anzhe Yuan
- Eastside High School, Gainesville, FL, USA
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hongkong SAR, China
| | - Gabor S Ungvari
- Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia.,University of Notre Dame Australia, Fremantle, Australia
| | - Ming-Zhao Qin
- Department of Geriatric Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.,Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China.,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
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30
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Sun X, Qiao M, Deng J, Zhang J, Pan J, Zhang X, Liu D. Mediating Effect of Work Stress on the Associations Between Psychological Job Demands, Social Approval, and Workplace Violence Among Health Care Workers in Sichuan Province of China. Front Public Health 2021; 9:743626. [PMID: 34778178 PMCID: PMC8578796 DOI: 10.3389/fpubh.2021.743626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 09/28/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: The aim of this study was to investigate the prevalence of workplace violence against health care workers, to explore the combined association of work stress, psychological job demands, and social approval with workplace violence and their respective mechanisms among health care workers. Methods: Using data from the Chinese Sixth National Health Service Survey (NHSS) in 2018 conducted among 1,371 health care workers in Sichuan province of China. A self-administered structured questionnaire was used to collect data on health care workers' socio-demographic and work-related characteristics, work stress, psychological job demands, social approval, and workplace violence. We used structural equation modeling (SEM) to test the hypothesized relationship among the variables. Results: The results showed that a total of 77.0% health care workers were exposed to workplace violence. Work stress was directly related to workplace violence (β = 2.167, 95%CI: 1.707, 2.627), while psychological job demands and social approval had indirect associations with workplace violence via work stress [β = 0.427, 95%CI: 0.297, 0.557; β = -0.787, 95%CI: (-0.941)-(-0.633)]. Both psychological job demands (β = 0.197, 95%CI: 0.139, 0.255) and social approval [β = -0.346, 95%CI: (-0.399)-(-0.294)] had direct associations with work stress, while social approval had direct association with psychological job demands [β = -0.085, 95%CI: (-0.136)-(-0.034)]. Psychological job demands mediated the relationship between social approval and work stress. Conclusion: Overall, decreasing workplace violence among health care workers requires to promote interventions to reduce work stress and psychological job demands by improving social approval.
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Affiliation(s)
- Xiaxia Sun
- Department of Infection Control, West China University Second Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China
| | - Mutian Qiao
- Department of Health-Related Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jianjun Deng
- Department of Infection Control, West China University Second Hospital, Sichuan University, Chengdu, China.,Key Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.,Department of Paediatrics, Western Women's and Children's Research Institute, West China University Second Hospital, Sichuan University, Chengdu, China.,Department of Pediatrics, Maternal and Child Health Hospital of Zigong, Zigong, China
| | - Juying Zhang
- Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jingping Pan
- Health Information Centre of Sichuan Province, Chengdu, China
| | - Xueli Zhang
- Health Information Centre of Sichuan Province, Chengdu, China
| | - Danping Liu
- Department of Health-Related Behavior and Social Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
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Tan YZ, Chong JJ, Chew LST, Tan KH, Wang A. Burnout and resilience among pharmacists: A Singapore study. JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY 2021. [DOI: 10.1002/jac5.1551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Yan Zhi Tan
- Health Economics and Outcomes Research Monitor Deloitte Brussels Belgium
| | - Jin Jian Chong
- Department of Pharmacy Singapore General Hospital Singapore Singapore
| | - Lita Sui Tjien Chew
- Department of Pharmacy National University of Singapore Singapore Singapore
- Department of Pharmacy National Cancer Centre Singapore Singapore Singapore
| | - Kok Hian Tan
- SingHealth Duke‐NUS Institute for Patient Safety & Quality (IPSQ) Singapore Health Services Singapore Singapore
- Department of Maternal Fetal Medicine KK Women's and Children's Hospital Singapore Singapore
| | - Aiwen Wang
- Department of Pharmacy Singapore General Hospital Singapore Singapore
- Department of Pharmacy National University of Singapore Singapore Singapore
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Vidal-Alves MJ, Pina D, Puente-López E, Luna-Maldonado A, Luna Ruiz-Cabello A, Magalhães T, Pina-López Y, Ruiz-Hernández JA, Jarreta BM. Tough Love Lessons: Lateral Violence among Hospital Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179183. [PMID: 34501771 PMCID: PMC8431196 DOI: 10.3390/ijerph18179183] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 08/27/2021] [Accepted: 08/28/2021] [Indexed: 11/16/2022]
Abstract
Background: Workplace violence is a growing social problem among many professions, but it particularly affects the health sector. Studies have mainly focused on evaluating user violence toward health professionals, with less attention being paid to other sources of conflict, such as co-workers themselves. There are different manifestations of this violence in what has been called a context of tolerated or normalized violence among co-workers. However, its effects are far from being tolerable, as they have an impact on general health and job satisfaction and contribute to burnout among professionals. Based on this idea, and following the line of the previous literature, nursing staff are a population at high risk of exposure to workplace violence. For this reason, the present study aims to evaluate exposure to lateral violence or violence among co-workers in nursing staff in public health services and the relationship of this exposure with some of the most studied consequences. (2) Methods: A cross-sectional associative study was carried out in which scales of workplace violence (HABS-CS), burnout (MBI-GS), job satisfaction (OJS), and general health (GHQ-28) were applied to a sample of 950 nursing staff from 13 public hospitals located in the southeast of Spain. (3) Results: The results show that nursing staff have a high exposure to violence from their co-workers, which is more common in male nurses. Greater exposure is observed in professionals with between 6 and 10 years of experience in the profession, and it is not characteristic of our sample to receive greater violence when they have less experience or are younger. A positive correlation is observed with high levels of burnout and a negative correlation with general health and job satisfaction. (4) Conclusions: The results of this work contribute to increasing the scientific evidence of the consequences of a type of workplace violence frequent among nursing staff and to which less attention has been paid in relative terms to other types of prevalent violence. Organizations should be aware of the importance of this type of workplace violence, its frequency and impact, and implement appropriate prevention policies that include the promotion of a culture that does not reward violence or minimize reporting. A change of mentality in the academic environment is also recommended in order to promote a more adequate training of nursing staff in this field.
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Affiliation(s)
- María Joao Vidal-Alves
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, 4200-319 Porto, Portugal;
- Department of Science, University Institute of Health Sciences-CESPU, 4585-116 Gandra, Portugal
| | - David Pina
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
- Correspondence:
| | - Esteban Puente-López
- Applied Psychology Service (SEPA), University of Murcia, 30100 Murcia, Spain; (E.P.-L.); (J.A.R.-H.)
| | - Aurelio Luna-Maldonado
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
| | - Aurelio Luna Ruiz-Cabello
- Department of Socio-sanitary Sciences, University of Murcia, 30100 Murcia, Spain; (M.J.V.-A.); (A.L.-M.); (A.L.R.-C.)
| | - Teresa Magalhães
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, 4200-319 Porto, Portugal;
- Department of Science, University Institute of Health Sciences-CESPU, 4585-116 Gandra, Portugal
| | | | - José Antonio Ruiz-Hernández
- Applied Psychology Service (SEPA), University of Murcia, 30100 Murcia, Spain; (E.P.-L.); (J.A.R.-H.)
- Department of Psychiatry and Social Psychology, University of Murcia, 30100 Murcia, Spain
| | - Begoña Martínez Jarreta
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, 50009 Zaragoza, Spain;
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Varghese A, Joseph J, Vijay VR, Khakha DC, Dhandapani M, Gigini G, Kaimal R. Prevalence and determinants of workplace violence among nurses in the South-East Asian and Western Pacific Regions: a systematic review and meta-analysis. J Clin Nurs 2021; 31:798-819. [PMID: 34351652 DOI: 10.1111/jocn.15987] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 06/22/2021] [Accepted: 07/15/2021] [Indexed: 01/15/2023]
Abstract
BACKGROUND Workplace violence (WPV) includes verbal abuse, physical violence, bullying or mobbing, assault and sexual harassment. The area has been well researched in the developed and high-income countries among nurses and healthcare professionals, but in the case of the low and upper-middle-income countries, there remains a paucity of comprehensive data on the prevalence of WPV and its contributing factors. AIMS To estimate the prevalence and determinants of WPV among nurses working in the South-East Asian Region and Western Pacific Regions. DESIGN Systematic review and Meta-analysis. METHOD A comprehensive search was done to retrieve articles based on a PRISMA compliant protocol registered in PROSPERO: CRD 42020223605. Study selection, quality assessment and data abstraction were independently done by the team members and discrepancies addressed through mutual consensus. Random-effect meta-analysis, I2 statistics and subgroup analysis were done. RESULTS The review included 41 studies conducted among 42,222 nurses from 13 countries. The pooled prevalence of WPV, verbal abuse, physical violence, threatening behaviour, physical assault, sexual harassment and bullying/mobbing were 58% (CI 51%-64%), 64% (CI 59%-70%), 23% (CI 14%-34%), 30(CI-11%-52%), 21% (CI 8%-38%), 12% (CI 7%-17%) and 25% (17%-33%), respectively. The various determinants of WPV included attributes related to the patient, nurses and organisation. Moreover, the impact of WPV included physical, psychological repercussions on nurses and the various measures used to manage it. CONCLUSION Nurses encounter a high level of WPV especially verbal abuse in their workplace settings. Nursing councils and professional nursing organisations should put in their effort towards the formulation and implementation of occupational safety legislation in their respective countries through appropriate political lobbying. RELEVANCE TO CLINICAL PRACTICE Our review highlights the emerging need to focus on the prevention of WPV among nurses working in lower, middle and upper-middle-income countries. Legislation changes and organisational commitment are vital for ensuring effective policies to combat WPV.
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Affiliation(s)
- Abin Varghese
- College of Nursing, Bhopal Memorial Hospital and Research Centre, ICMR, Bhopal, India
| | - Jaison Joseph
- Department of Psychiatric Nursing, College of Nursing, Pt. B. D. Sharma University of health Sciences, Rohtak, India
| | - V R Vijay
- College of Nursing, All India Institute of Medical Sciences, Bhubaneswar, India
| | - Deepika C Khakha
- College of Nursing, All India Institute of Medical Sciences, New Delhi, India
| | - Manju Dhandapani
- Post Graduate Institute of Medical Education and Research (PGIMER, National Institute of Nursing Education, Chandigarh, India
| | - George Gigini
- College of Nursing, Bhopal Memorial Hospital and Research Centre, ICMR, Bhopal, India
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Abstract
Exposure to major trauma can have significant consequences for workers’ mental health, but common trauma may also result in poor mental health outcomes. This cross-sectional study retrospectively investigated the occurrence of common physical or psychological workplace trauma in 901 health, social service, and trading company workers and studied these experiences in relation to occupational stress, anxiety, and depression. Stress was measured with the effort/reward imbalance (ERI) model while anxiety and depression were evaluated with the Goldberg Anxiety and Depression Scale (GADS). Healthcare workers reported a high frequency of trauma and significantly higher levels of stress, anxiety, and depression than other workers. Even in the entire population of workers of the various professional categories, verbal violence (harassment and threats), traffic accidents, home injuries, and family bereavement were significantly associated with high levels of stress, anxiety, and depression. Major trauma survivors are known to be at increased risk of mental disorders and require support in the workplace, however, even minor repeated emotional trauma and injuries can affect mental health. During mandatory health surveillance, the occupational physician should systematically collect information on minor trauma and mental health outcomes when assessing the occupational fitness of the workers assigned to him.
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Interventions to promote physical and mental health of nurses in elderly care: A systematic review. Prev Med 2021; 148:106591. [PMID: 33930430 DOI: 10.1016/j.ypmed.2021.106591] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/09/2021] [Accepted: 04/25/2021] [Indexed: 10/24/2022]
Abstract
This systematic review focuses on the current evidence on interventions to promote physical and mental health in elderly care nurses. The literature was identified through the electronic databases Medline, PsycINFO and CINAHL using a combination of synonyms of the terms "elderly care nurses", "physical activity", "stress management", "occupational stress", "musculoskeletal diseases" and "incapacity to work". The search was performed in January 2020 and repeated in November 2020. N = 6 randomized controlled studies were included investigating the effect of physical activity interventions, cognitive-behavioral interventions, organizational interventions and multicomponent interventions on physical and mental health in elderly care nurses. Both, the content of the interventions and the used outcome measures were heterogeneous. Four of the included studies had a high quality. They scored same or higher than seven (out of a maximum quality score of 14) with low risks of performance and attrition bias. Results suggest that cognitive-behavioral and multicomponent interventions seem to have an influence on physical and mental health factors such as job satisfaction, burnout, mental health symptoms and neck complaints. This systematic review demonstrated the potential of health promotion programs in elderly care nurses. Nevertheless, high quality randomized controlled trials are needed. Further research should consider the bottom-up approach for planning programs as well as recommended and standardized outcome measures and interventions.
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Václavíková K, Kozáková R. Mobbing experienced by general nurses and related factors: a scoping review. CENTRAL EUROPEAN JOURNAL OF NURSING AND MIDWIFERY 2021. [DOI: 10.15452/cejnm.2020.11.0024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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Civilotti C, Berlanda S, Iozzino L. Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5860. [PMID: 34072551 PMCID: PMC8198045 DOI: 10.3390/ijerph18115860] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 05/26/2021] [Accepted: 05/27/2021] [Indexed: 12/18/2022]
Abstract
The aim of this scoping review is to synthesize the available evidence on the prevalence rates of healthcare workers being victims of violence perpetrated by patients and visitors in Italy. PubMed, Scopus, Web of Science and CINAHL were systematically searched from their inception to April 2021. Two authors independently assessed 1182 studies. All the scientific papers written in English or in Italian reporting primary quantitative and/or qualitative data on the prevalence of aggression or sexual harassment perpetrated by patients or visitors toward healthcare workers in Italy were included. Thirty-two papers were included in the review. The data extracted were summarized in a narrative synthesis organized in the following six thematic domains: (1). Methodology and study design; (2). Description of violent behavior; (3). Characteristics of health care staff involved in workplace violence (WPV); (4). Prevalence and form of WPV; (5). Context of WPV; and (6). Characteristics of violent patients and their relatives and/or visitors. The proportion of studies on WPV differed greatly across Italian regions, wards and professional roles of the healthcare workers. In general, the prevalence of WPV against healthcare workers in Italy is high, especially in psychiatric and emergency departments and among nurses and physicians, but further studies are needed in order to gather systematic evidence of this phenomenon. In Italy, and worldwide, there is an urgent need for governments, policy-makers and health institutions to prevent, monitor and manage WPV towards healthcare professionals.
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Affiliation(s)
- Cristina Civilotti
- Department of Psychology, Università di Torino, Via Verdi 10, 10124 Torino, Italy;
| | - Sabrina Berlanda
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria, 17, 37129 Verona, Italy;
| | - Laura Iozzino
- Psychiatric Epidemiology and Evaluation Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Via Pilastroni 4, 25125 Brescia, Italy
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Pihl-Thingvad J, Andersen LPS, Pihl-Thingvad S, Elklit A, Brandt LPA, Andersen LL. Can high workplace social capital buffer the negative effect of high workload on patient-initiated violence? Prospective cohort study. Int J Nurs Stud 2021; 120:103971. [PMID: 34107356 DOI: 10.1016/j.ijnurstu.2021.103971] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2020] [Revised: 04/24/2021] [Accepted: 04/27/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND High workload seems to increase the risk of patient-initiated workplace violence (patient-initiated violence). However, the temporal association between workload and violence remains uncertain. Understanding the interplay of factors in the psychosocial working environment and patient-initiated violence is important to future preventive initiatives. AIM To assess whether a high workload increases the risk of patient-initiated violence, and whether intraorganizational relationships based on trust, reciprocity, justice and collaboration, known as workplace social capital, moderate this risk. METHOD Baseline survey data on 1823 social educators was collected followed by 12 monthly surveys on patient-initiated violence exposure. Poisson regressions, in mixed models, were conducted to assess the risk of violence at four levels of workload. Further, moderation analyses were conducted to assess the moderating effects of three sub-types of workplace social capital. RESULTS High and very high workload increased the risk of patient-initiated violence: RR = 1.5 [1.4-1.6], p < .001 and RR = 1.4 [1.3-1.4], p < .001. All three levels of workplace social capital had a moderating effect on the workload-violence association: Workload*Workplace social capital(co-worker): F (3, 16,712) = 3.4, p = .017, Workload*Workplace social capital(local management): F (3, 16,748) = 11.9, p < .001, Workload*Workplace social capital(general management): F (3, 16,556) = 5.5, p < .001. Only high Workplace social capital (co-workers) reduced the risk of violence at all levels of workload. Workplace social capital (general management) reduced the risk of violence at high, medium and low workload, and Workplace social capital (local management) reduced the risk of violence at medium and low workload. CONCLUSION High workload clearly increases the risk of patient-initiated violence. A high workplace social capital appears to be a viable protective factor and should be investigated further in studies of patient-initiated violence prevention.
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Affiliation(s)
- Jesper Pihl-Thingvad
- Department of Occupational and Environmental Medicine, Odense University Hospital, OUH, Kløvervænget 3, Indgang 138 stuen, 5000 Odense C, Denmark; National Center of Psychotraumatology, Department of Psychology, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark; OPEN Odense Patient Explorative Network, Department of Clinical Research, University of Southern Denmark. WP 9, J. B. Winsløws Vej 9a, 5000 Odense, Denmark.
| | - Lars Peter Soenderbo Andersen
- Danish Ramazzini Centre, Department of Occupational Medicine - University Research Clinic, Regional Hospital West Jutland, Gl. Landevej 53 M, (postadresse 61), 7400 Herning, Denmark.
| | - Signe Pihl-Thingvad
- Department of Political Science and Public Management, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark.
| | - Ask Elklit
- National Center of Psychotraumatology, Department of Psychology, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark.
| | - Lars Peter Andreas Brandt
- Department of Occupational and Environmental Medicine, Odense University Hospital, OUH, Kløvervænget 3, Indgang 138 stuen, 5000 Odense C, Denmark; Department of Clinical Research, University of Southern Denmark. J.B. Winsløws Vej 19.3, 5000 Odense C, Denmark.
| | - Lars Louis Andersen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 København Ø, Denmark; Sport Sciences, Department of Health Science and Technology, Aalborg University, Fredrik Bajers Vej 7D2, 9220 Aalborg Øst, Denmark.
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Han CY, Chen LC, Lin CC, Goopy S, Lee HL. How Emergency Nurses Develop Resilience in the Context of Workplace Violence: A Grounded Theory Study. J Nurs Scholarsh 2021; 53:533-541. [PMID: 33960107 PMCID: PMC8518509 DOI: 10.1111/jnu.12668] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/23/2021] [Indexed: 11/28/2022]
Abstract
Purpose To understand how emergency nurses develop resilience in the context of workplace violence. Design This study employed grounded theory methodology. Thirty nurses from three hospital emergency departments in Taiwan were interviewed between August and December 2018. Methods Semistructured interviews were used to collect data. Interviews were audio‐recorded and transcribed verbatim. Findings The process through which emergency nurses who had experienced workplace violence developed resilience took place in three stages: the release of emotions after the assault; the interpretation of conflicting thoughts and actions; and the establishment of strategies to cope with workplace violence in the future. The core theme was the motivating role of professional commitment to emergency patient care. Conclusions The results of this study can inform the development of support systems to enhance the resilience of nurses experiencing workplace violence by alerting healthcare administrators and governing institutions to their needs. Clinical Relevance Emergency nurses viewed professional growth and professional commitment as an invisible motivator in the development of resilience following an encounter with workplace violence.
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Affiliation(s)
- Chin-Yen Han
- Associate Professor, Department of Nursing, and Clinical Competency Center Chang Gung University of Science and Technology; Associate Research Fellow (joint appointment) Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taiwan, Republic of China
| | - Li-Chin Chen
- Director, Department of Nursing, New Taipei Municipal Tuncheng Hospital, Chang Gung Memorial Hospital; Assistant Professor, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, Republic of China
| | - Chun-Chih Lin
- Associate Professor, Department of Nursing, Chang Gung University of Science and Technology; Associate Research Fellow (joint appointment) Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taiwan, Republic of China
| | - Suzanne Goopy
- Senior Teaching Fellow and Programme Coordinator, Usher institute, University of Edinburgh, UK, and Adjunct Associate Professor at University of Calgary, Canada
| | - Hui-Ling Lee
- Lecturer, Department of Nursing, Chang Gung University of Science and Technology, Taiwan, Republic of China
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Chirico F, Crescenzo P, Sacco A, Riccò M, Ripa S, Nucera G, Magnavita N. Prevalence of burnout syndrome among Italian volunteers of the Red Cross: a cross-sectional study. INDUSTRIAL HEALTH 2021; 59:117-127. [PMID: 33473066 PMCID: PMC8010165 DOI: 10.2486/indhealth.2020-0246] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 01/14/2021] [Indexed: 06/01/2023]
Abstract
Burnout syndrome (BOS) is a work-related constellation of symptoms characterized by emotional exhaustion, depersonalization, and personal accomplishment. A cross-sectional survey was performed to study the prevalence of BOS among a randomly selected sample of 280 Italian Red Cross volunteers. A socio-demographic questionnaire and the Maslach Burnout Inventory (MBI)-HSS were used to collect data. 241 volunteers participated (response rate: 86.1%). A significant proportion of the workers had BOS subscale scores in the highest tertile: emotional exhaustion 8.0%, depersonalization 35.9% and perceived lack of accomplishment 23.5%, respectively. Volunteers in emergency care reported higher levels of emotional exhaustion (p=0.004) and depersonalization (p=0.001), and lower level of personal accomplishment (p=0.042) than volunteers engaged in non-healthcare social and administrative duties. These findings support the opportunity of a set of administrative, organizational and individual preventive interventions for emergency volunteers' mental health.
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Affiliation(s)
- Francesco Chirico
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Health Service Department, State Police, Ministry of Interior, Italy
| | - Pietro Crescenzo
- Italian Red Cross Voluntary Military Corp, Psychological Activities Unit (NAP), Ministry of Defense, Italy
| | - Angelo Sacco
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Local Healthcare Unit Roma 2, Italy
| | - Matteo Riccò
- Dipartimento di Prevenzione, AUSL-IRCCS di Reggio Emilia, Italy
| | | | - Gabriella Nucera
- Department of Emergency, Fatebenefratelli Hospital, ASST Fatebenefratelli and Sacco, Italy
| | - Nicola Magnavita
- Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Italy
- Department of Woman/Child & Public Health, Fondazione Policlinico A. Gemelli IRCCS, Italy
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Bordignon M, Monteiro MI. Analysis of workplace violence against nursing professionals and possibilities for prevention. ACTA ACUST UNITED AC 2021; 42:e20190406. [PMID: 33886920 DOI: 10.1590/1983-1447.2021.20190406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Accepted: 08/04/2020] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To investigate workplace violence against nursing professionals, its relationship with personal, health and work variables, and to know possibilities for prevention. METHOD Descriptive and cross-sectional study, with quantitative approach, conducted with 267 nursing professionals from urgency and emergency units between 2015 and 2017. The Questionnaire of socio-demographic, life style and work and health aspects and Questionnaire on Workplace violence collected data, after submitted to statistical analysis. RESULTS 61.6% reported having been victims of verbal abuse, sexual harassment, or physical violence at work in the last 12 months. Statistically significant relationships were identified between suffering or not violence and personal, health and work variables. Possibilities for prevention were revealed and constituted a multidimensional model. CONCLUSION More than half of the sample reported having suffered workplace violence in the previous year, and possibilities of how to avoid it were revealed to support prevention protocols.
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Affiliation(s)
- Maiara Bordignon
- Universidade Federal da Fronteira Sul (UFFS), Curso de Graduação em Enfermagem. Chapecó, Santa Catarina, Brasil.,Universidade do Contestado (UnC), Curso de Graduação em Enfermagem. Concórdia, Santa Catarina, Brasil
| | - Maria Inês Monteiro
- Universidade Estadual de Campinas (UNICAMP), Faculdade de Enfermagem. Campinas, São Paulo, Brasil
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Heming M, Xu T, Nyberg A, Magnusson Hanson LL. The relationship between onset of workplace violence and onset of sleep disturbances in the Swedish working population. J Sleep Res 2021; 30:e13307. [PMID: 33655594 DOI: 10.1111/jsr.13307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 01/23/2021] [Accepted: 01/23/2021] [Indexed: 11/29/2022]
Abstract
The study investigated the association between onset of workplace violence and onset of sleep disturbances. We used self-reported data from the Swedish Longitudinal Occupational Survey of Health (SLOSH) collected in 2014, 2016, and 2018. A two-wave design was based on participants who had no exposure to workplace violence or sleep disturbances at baseline (n = 6,928). A three-wave design was based on participants who in addition were unexposed to sleep disturbances in the second wave (n = 6,150). Four items of the Karolinska Sleep Questionnaire were used to measure sleep disturbances and one question was used to measure the occurrence of workplace violence or threats of violence. Multivariate logistic regression analyses were performed. In the two-wave approach, onset of workplace violence was associated with onset of sleep disturbances after adjustment for sex, age, occupational position, education, and civil status (adjusted odds ratio 1.41, 95% confidence interval 1.02-1.96). The association was no longer statistically significant after further adjustment for night/evening work, demands, control, and social support at work. In the three-wave approach, results were only suggestive of an association between onset of workplace violence and subsequent onset of sleep disturbances after adjustment for sex, age, occupational position, education, and civil status. Onset of frequent exposure to workplace violence was associated with subsequent onset of sleep disturbances in the adjusted analyses, but these analyses were based on few individuals (13 exposed versus 5,907 unexposed). The results did not conclusively demonstrate that onset of workplace violence predicts development of sleep disturbances. Further research could elucidate the role of other working conditions.
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Affiliation(s)
- Meike Heming
- Stress Research Institute at Department of Psychology, Stockholm University, Stockholm, Sweden
| | - Tianwei Xu
- Stress Research Institute at Department of Psychology, Stockholm University, Stockholm, Sweden.,Department of Public Health, University of Copenhagen, Copenhagen, Denmark.,National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Anna Nyberg
- Stress Research Institute at Department of Psychology, Stockholm University, Stockholm, Sweden.,Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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Xie XM, Zhao YJ, An FR, Zhang QE, Yu HY, Yuan Z, Cheung T, Ng CH, Xiang YT. Workplace violence and its association with quality of life among mental health professionals in China during the COVID-19 pandemic. J Psychiatr Res 2021; 135:289-293. [PMID: 33516081 PMCID: PMC7817476 DOI: 10.1016/j.jpsychires.2021.01.023] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 01/12/2021] [Accepted: 01/18/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Mental health professionals are often exposed to workplace violence (WPV) in China. This study examined the prevalence of WPV and the associated factors and quality of life (QOL) among frontline mental health professionals during the COVID-19 pandemic. METHODS This national survey was carried out between March 15 and March 20, 2020. WPV and QOL were assessed with standardized measures. RESULTS A total of 10,516 participants were included. The prevalence of overall WPV was 18.5% (95% CI: 17.9%-19.3%), while verbal abuse/threats was 15.8% and physical violence was 8.4%. Multiple logistic regression analysis revealed that male gender (OR = 1.42, p < 0.01), higher educational level (OR = 1.40, p < 0.01), working in tertiary hospitals (OR = 1.33, p < 0.01), caring for COVID-19 patients (OR = 3.10, p < 0.01) and having more severe anxiety symptom (OR = 1.21, p < 0.01) were positively associated with WPV. In contrast, working in inpatient departments (OR = 0.74, p < 0.01), having longer work experience (OR = 0.99, p = 0.03), and being a junior nurse (OR = 0.73, p < 0.01) were negatively associated with WPV. After controlling for the covariates, mental health professionals who experienced WPV had a lower overall QOL compared to those without WPV (F(1, 10515) = 68.28, p < 0.01). CONCLUSION This study found that WPV was common among mental health professionals in China during the COVID-19 pandemic. Considering the negative impact of WPV on QOL and quality of patient care, appropriate measures to prevent WPV should be developed.
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Affiliation(s)
- Xiao-Meng Xie
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China,The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
| | - Yan-Jie Zhao
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China,Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China,Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
| | - Feng-Rong An
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
| | - Qing-E Zhang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
| | - Hai-Yang Yu
- Department of General Surgery, Beijing Liangxiang Hospital, Capital Medical University, Beijing, China
| | - Zhen Yuan
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China,Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Chee H. Ng
- Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, Victoria, Australia,Corresponding author. Department of Psychiatry, University of Melbourne, Australia
| | - Yu-Tao Xiang
- Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China; Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China; Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China.
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Converso D, Sottimano I, Balducci C. Violence exposure and burnout in healthcare sector: mediating role of work ability. LA MEDICINA DEL LAVORO 2021; 112:58-67. [PMID: 33635295 PMCID: PMC8023052 DOI: 10.23749/mdl.v112i1.9906] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Accepted: 09/25/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND One of the most difficult problems faced by health care professionals is experiencing verbal and physical abuse from patients and their family members. Some studies have shown that health care workers, especially nurses, are up to 16 times more likely to be subject to violence than other workers. AIMS The aim of this study was to analyze the relationship between exposure to violence, work ability and burnout. METHODS Data were collected through a questionnaire to investigate health care workers' exposure to violence (Violent Incident Form), burnout (Maslach Burnout Inventory) and work ability (Work Ability Index). A sample of 300 nurses was obtained for the study. RESULTS A total of 36% of nurses indicated that they had been a victim of violence in the past 12 months. The data analysis highlighted highly significant differences in work ability, emotional exhaustion and depersonalization between health care workers who had been victims of violence and those who had not experienced violence. Finally, work ability was shown to have a mediating effect on emotional exhaustion (indirect effect: b = 2.7, BCa CI: 1.37-4.33) and depersonalization (indirect effect: b = 1.1, BCa CI: 0.48-1.87). DISCUSSION This study is one of the first to consider the mediation effect of work ability between workplace violence experienced and burnout in the healthcare sector; it reports the complexity and severity of the consequences of workplace violence in this sector.
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Schnelli A, Mayer H, Ott S, Zeller A. Experience of aggressive behaviour of health professionals in home care services and the role of persons with dementia. Nurs Open 2021; 8:833-843. [PMID: 33410596 PMCID: PMC7877137 DOI: 10.1002/nop2.689] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Accepted: 10/30/2020] [Indexed: 11/12/2022] Open
Abstract
AIMS To explore the view of health professionals on the form and frequency of aggressive behaviour of clients against health professionals in home care services. DESIGN An explorative cross-sectional survey was conducted. METHODS We conducted a survey using the Survey of Violence Experienced by Staff German version Revised (SOVES-G-R) and the Impact of Patient Aggression on Carers Scale (IMPACS). A convenience sample of 852 healthcare professionals from German-speaking Switzerland participated. Data collection was conducted between July-October 2019. Data were analysed descriptively using IBM SPSS Statistics. RESULTS Of the health professionals, 78.9% (N = 672) experienced aggressive behaviour since they worked in home care services. The most frequent aggressive behaviour was verbal aggression (75.6%, N = 644), while the most common predisposing factor was restriction in cognitive ability (71.3%, N = 67). Fear, burden and impairment of nursing relationship were common consequences of aggressive behaviour.
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Affiliation(s)
- Angela Schnelli
- Department of Nursing Science, University of Vienna, Vienna, Austria.,Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, University of Applied Sciences of Eastern Switzerland, St. Gallen, Switzerland
| | - Hanna Mayer
- Department of Nursing Science, University of Vienna, Vienna, Austria
| | - Stefan Ott
- Department of Economy, University of Applied Sciences of Eastern Switzerland, St. Gallen, Switzerland
| | - Adelheid Zeller
- Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, University of Applied Sciences of Eastern Switzerland, St. Gallen, Switzerland
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Otto AK, Pietschmann J, Appelles LM, Bebenek M, Bischoff LL, Hildebrand C, Johnen B, Jöllenbeck T, Kemmler W, Klotzbier T, Korbus H, Rudisch J, Schott N, Schoene D, Voelcker-Rehage C, Vogel O, Vogt L, Weigelt M, Wilke J, Zwingmann K, Wollesen B. Physical activity and health promotion for nursing staff in elderly care: a study protocol for a randomised controlled trial. BMJ Open 2020; 10:e038202. [PMID: 33028557 PMCID: PMC7539591 DOI: 10.1136/bmjopen-2020-038202] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
INTRODUCTION Nursing staff is burdened by high workload and stress. Furthermore, heavy lifting, as well as transferring nursing home residents, cause lumbar tissue damage and back pain. Exercise intervention studies to reduce work-related problems are rare and the evidence for efficacy of studies among nurses is limited. Studies including targeted analysis of requirements are necessary to generate effective recommendations and tailored interventions for health promotion programmes. The purpose of this multicentred intervention study is to identify work-related problems, to implement health promotion programmes and to evaluate their effectiveness. METHODS AND ANALYSIS A randomised controlled trial will be conducted, including a total of 48 nursing home facilities in eight regions of Germany with an estimated sample size of 700 nurses. Standardised ergonomics and posture training (10 weeks, once a week for 20-30 min) and subsequently, back-fitness training (12 weeks, once a week for 45-60 min) will be administered. Following the implementation of standardised health promotion programmes, further demand-oriented interventions can be implemented. The perceived exposure to work-related demands, work-related pain in different parts of the body, health-related quality of life, perceived stress, work-related patterns of behaviour and experience, presentism behaviour, work environment as well as general needs and barriers to health promotion, will be assessed at baseline (pre-test), at 10 weeks (post-test, after ergonomics training), at 22 weeks (post-test, after back-fitness training) and at 34 weeks of the programme (follow-up). ETHICS AND DISSEMINATION The study was reviewed and approved by the local ethics committee of the University of Hamburg (AZ: 2018_168). The results of the study will be published in open-access and international journals. Furthermore, the results will be presented in the participating nursing homes and at national and international conferences. TRIAL REGISTRATION NUMBER DRKS.de (DRKS00015241).
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Affiliation(s)
- Ann-Kathrin Otto
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | | | - Luisa-Marie Appelles
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Michael Bebenek
- Institute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Laura L Bischoff
- Department of Human Movement Science, University of Hamburg, Hamburg, Germany
| | - Claudia Hildebrand
- Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany
| | - Bettina Johnen
- Department of Sports and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - Thomas Jöllenbeck
- Department of Sport and Health, University of Paderborn, Paderborn, Germany
| | - Wolfgang Kemmler
- Institute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | - Thomas Klotzbier
- Department of Sports and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - Heide Korbus
- Department of Sports and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - Julian Rudisch
- Institute of Sport and Exercise Sciences, University of Münster, Münster, Germany
| | - Nadja Schott
- Department of Sports and Exercise Science, University of Stuttgart, Stuttgart, Germany
| | - Daniel Schoene
- Institute of Medical Physics, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany
| | | | - Oliver Vogel
- Institute of Sports Sciences, Goethe University of Frankfurt, Frankfurt, Germany
| | - Lutz Vogt
- Institute of Sports Sciences, Goethe University of Frankfurt, Frankfurt, Germany
| | - Matthias Weigelt
- Department of Sport and Health, University of Paderborn, Paderborn, Germany
| | - Jan Wilke
- Institute of Sports Sciences, Goethe University of Frankfurt, Frankfurt, Germany
| | - Katharina Zwingmann
- Institute of Human Movement Science and Health, Chemnitz University of Technology, Chemnitz, Germany
| | - Bettina Wollesen
- Biological Psychology and Neuroergonomics, Technical University of Berlin, Berlin, Germany
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Magnavita N, Tripepi G, Di Prinzio RR. Symptoms in Health Care Workers during the COVID-19 Epidemic. A Cross-Sectional Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17145218. [PMID: 32698320 PMCID: PMC7400440 DOI: 10.3390/ijerph17145218] [Citation(s) in RCA: 140] [Impact Index Per Article: 35.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 07/15/2020] [Accepted: 07/15/2020] [Indexed: 12/13/2022]
Abstract
In March–April 2020, the Corona Virus Disease 19 (COVID-19) pandemic suddenly hit Italian healthcare facilities and in some of them many staff members became infected. In this work 595 health care workers from a public company were tested for Severe acute respiratory syndrome coronavirus 2 (82 positive) and asked to complete a questionnaire on early COVID-19 symptoms. Respiratory symptoms were present in 56.1% of cases. Anosmia and dysgeusia in COVID-19 cases were found to have an odds ratio (OR) = 100.7 (95% Confidence Interval [CI] = 26.5–382.6) and an OR = 51.8 (95%CI 16.6–161.9), respectively. About one in three of the cases (29.3%) never manifested symptoms. Anxiety was reported by 16.6% of COVID-19 cases and depression by 20.3%, with a significant increase in the estimated risk (OR = 4.3; 95%CI = 2.4–7.4 for anxiety, OR = 3.5; 95%CI = 2.0–6.0 for depression). In cases, sleep was a significant moderating factor in the relationship between occupational stress, or organizational justice, and anxiety. The early diagnosis of COVID-19 in health care workers, must consider, in addition to respiratory disorders and fever, anosmia, dysgeusia, exhaustion, myalgias and enteric disorders. The frequency of anxiety and depression disorders in the population examined was not higher than that commonly recorded in the same company during periodic checks in the years preceding the epidemic. In COVID-19 cases there was a significant risk of anxiety, especially in those who had low sleep quality. Mental health support and improvement interventions must mainly concern workers with positive tests and should also tend to improve sleep quality.
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Affiliation(s)
- Nicola Magnavita
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy;
- Department of Woman/Child & Public Health, Fondazione Policlinico A. Gemelli, 00168 Roma, Italy
- Correspondence:
| | - Giovanni Tripepi
- Research Unit of Reggio Calabria, Institute of Clinical Physiology, Italian National Research Council, 89124 Calabria, Italy;
| | - Reparata Rosa Di Prinzio
- Postgraduate School of Occupational Health, Università Cattolica del Sacro Cuore, 00168 Roma, Italy;
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Pina D, Llor-Zaragoza P, Puente-López E, Egea-Fuentes Á, Ruiz-Hernández JA, Llor-Esteban B. User violence in public mental health services. Comparative analysis of psychiatrists and clinical psychologists. J Ment Health 2020; 31:642-648. [DOI: 10.1080/09638237.2020.1793130] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- David Pina
- Facultad de Medicina, Universidad de Murcia, Murcia, Spain
| | - Paloma Llor-Zaragoza
- Instituto Nacional de la Seguridad Social (INSS), Ministerio de Trabajo, Migraciones y Seguridad Social, Madrid, Spain
| | - Esteban Puente-López
- Servicio Externo de Ciencias y Técnicas Forenses (SECYTEF), Universidad de Murcia, Murcia, Spain
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Effect of Work Environment on Presenteeism among Aging American Workers: The Moderated Mediating Effect of Cynical Hostility. SUSTAINABILITY 2020. [DOI: 10.3390/su12135314] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Cynical hostility in the workplace has been studied. However, there is still no complete study examining how cynical hostility affects work performance. We examined how work environment impacts presenteeism through the mediation of cynical hostility and how chronic work discrimination moderates the relationship between work environment and cynical hostility among ageing workforces. The psychosocial vulnerability model supplies theoretical support for our model. We analyzed data from a sample of 2926 aging workforces from the Health and Retirement Study. Structural equation modeling (SEM) was used to examine the relationships with a moderated mediation model. In the final SEM model, our results showed that work environment was directly negatively associated with presenteeism. Moreover, cynical hostility was significantly inversely correlated with work environment and positively correlated with presenteeism. We found that the significant indirect effect between work environment and presenteeism can be significantly mediated by cynical hostility. In addition, cynical hostility is more likely to be affected by work environment among ageing workforces with lower levels of chronic work discrimination than those with higher levels. Enterprise, government, and employees themselves should be aware of the impact of presenteeism on ageing workforces with high levels of cynical hostility.
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Schnelli A, Karrer M, Mayer H, Zeller A. Aggressive behaviour of persons with dementia towards professional caregivers in the home care setting—A scoping review. J Clin Nurs 2020. [DOI: 10.1111/jocn.15363] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Revised: 05/06/2020] [Accepted: 05/24/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Angela Schnelli
- Department of Nursing Science University of Vienna Vienna Austria
- Department of Health Center for Dementia Care Institute of Applied Nursing Sciences St. Gallen University of Applied Sciences St. Gallen Switzerland
| | - Melanie Karrer
- Department of Nursing Science University of Vienna Vienna Austria
- Department of Health Center for Dementia Care Institute of Applied Nursing Sciences St. Gallen University of Applied Sciences St. Gallen Switzerland
| | - Hanna Mayer
- Department of Nursing Science University of Vienna Vienna Austria
| | - Adelheid Zeller
- Department of Health Center for Dementia Care Institute of Applied Nursing Sciences St. Gallen University of Applied Sciences St. Gallen Switzerland
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