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Taherzadeh Chenani K, Jahangiri M, Madadizadeh F, Sadat Anoosheh V. Factors associated with occurrence of workplace violence against healthcare workers during the COVID-19 pandemic: a meta-analysis. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024:1-9. [PMID: 39154295 DOI: 10.1080/10803548.2024.2381981] [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: 08/19/2024]
Abstract
Objectives. Healthcare systems all over the world are increasingly alarmed by the prevalence of workplace violence (WPV) directed at healthcare workers (HCWs) during the COVID-19 pandemic. Therefore, the aim of the current review was to investigate the factors associated with WPV against HCWs during the COVID-19 pandemic. Methods. This study was conducted in December 2021. Four international databases along with two Iranian databases were searched. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement served as the foundation for the reporting procedure. Results. A total of 13 articles were included in the analysis. Results showed that females are less at risk of WPV (odds ratio [OR] 0.76, 95% confidence interval [CI] [0.67, 0.84], p = 0.000 based on a fixed-effects model). Moreover, significant association was found between education level (OR 1.09, 95% CI [1.05, 1.14]), age (correlation = 0.025, 95% CI [0.014, 0.036]) and work experience (correlation = 0.028, 95% CI [0.016, 0.016]) and WPV. Conclusion. The primary factors linked to WPV exposure were found to be gender, education level, age and work experience. Additional research is necessary to provide more accurate and detailed data.
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Affiliation(s)
- Khalil Taherzadeh Chenani
- Department of Occupational Health and Safety Engineering, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Occupational Health, Health Faculty, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Mehdi Jahangiri
- Department of Occupational Health and Safety Engineering, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farzan Madadizadeh
- Research Center of Prevention, and Epidemiology of Non-Communicable Disease, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Vida Sadat Anoosheh
- Department of Occupational Health and Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
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Waltzman M, Ozonoff A, Fournier KA, Welcher J, Milliren C, Landschaft A, Bulis J, Kimia AA. Surveillance of Health Care-Associated Violence Using Natural Language Processing. Pediatrics 2024; 154:e2023063059. [PMID: 38973359 PMCID: PMC11291961 DOI: 10.1542/peds.2023-063059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 03/14/2024] [Accepted: 03/18/2024] [Indexed: 07/09/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Patient and family violent outbursts toward staff, caregivers, or through self-harm, have increased during the ongoing behavioral health crisis. These health care-associated violence (HAV) episodes are likely under-reported. We sought to assess the feasibility of using nursing notes to identify under-reported HAV episodes. METHODS We extracted nursing notes across inpatient units at 2 hospitals for 2019: a pediatric tertiary care center and a community-based hospital. We used a workflow for narrative data processing using a natural language processing (NLP) assisted manual review process performed by domain experts (a nurse and a physician). We trained the NLP models on the tertiary care center data and validated it on the community hospital data. Finally, we applied these surveillance methods to real-time data for 2022 to assess reporting completeness of new cases. RESULTS We used 70 981 notes from the tertiary care center for model building and internal validation and 19 332 notes from the community hospital for external validation. The final community hospital model sensitivity was 96.8% (95% CI 90.6% to 100%) and a specificity of 47.1% (39.6% to 54.6%) compared with manual review. We identified 31 HAV episodes in July to December 2022, of which 26 were reportable in accordance with the hospital internal criteria. Only 7 of 26 cases were reported by employees using the self-reporting system, all of which were identified by our surveillance process. CONCLUSIONS NLP-assisted review is a feasible method for surveillance of under-reported HAV episodes, with implementation and usability that can be achieved even at a low information technology-resourced hospital setting.
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Affiliation(s)
- Mark Waltzman
- Boston Children’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | - Al Ozonoff
- Boston Children’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
| | | | | | | | | | | | - Amir A Kimia
- Boston Children’s Hospital, Boston, Massachusetts
- Harvard Medical School, Boston, Massachusetts
- Connecticut Children’s Hospital, Hartford, Connecticut
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Zhang Z, Li Y, Wang S, Wang J, Huang Y, Wang X, Guo H, Zhou J. Exploring the Impact of Workplace Violence on the Mental Health of Chinese Correctional Officers: A JD-R Model Approach. Psychol Res Behav Manag 2024; 17:2865-2874. [PMID: 39104767 PMCID: PMC11298411 DOI: 10.2147/prbm.s468370] [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: 03/11/2024] [Accepted: 07/22/2024] [Indexed: 08/07/2024] Open
Abstract
Background Correctional officers face widespread workplace violence and the resulting overwork that can profoundly damage their physical and mental health. Purpose This study aims to investigate the mediating role of overwork in the relationship between workplace violence and the manifestation of physical and mental health issues among correctional officers. Methods This study enlisted 472 eligible participants. Cross-sectional data were obtained using the Chinese version of the Workplace Violence Scale (WVS), while the physical and mental health of correctional officers was evaluated through relevant scales. Analysis involved descriptive statistics, correlation analyses, and tests for mediation models. Results The study found significant correlations between workplace violence, overwork, and various mental health variables (depression, anxiety, stress, suicidal ideation, and insomnia), with correlations ranging from 0.135 to 0.822 (p < 0.01). Mediation analysis revealed that workplace violence directly impacts correctional officers' physical and mental health (p < 0.001) and also has an indirect effect through overwork (p < 0.023). These findings underscore the substantial impact of workplace violence on the health of correctional officers, both directly and indirectly. Conclusion Workplace violence and overwork significantly contribute to the physical and mental health challenges faced by correctional officers. Overwork acts as a mediator in the relationship between workplace violence and these health issues. The study suggests addressing workplace violence and mental health issues among correctional officers by increasing their numbers, improving the work environment, and implementing enhanced welfare policies.
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Affiliation(s)
- Zheng Zhang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Yan Li
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Siyuan Wang
- Pingtang Compulsory Isolation Detoxification Institute in Hunan Province, Changsha, People’s Republic of China
| | - Jizhi Wang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Ying Huang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Xiaoping Wang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Huijuan Guo
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
| | - Jiansong Zhou
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, People’s Republic of China
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Acquadro Maran D, Giacomini G, Scacchi A, Bigarella R, Magnavita N, Gianino MM. Consequences and coping strategies of nurses and registered nurses perceiving to work in an environment characterized by workplace bullying. DIALOGUES IN HEALTH 2024; 4:100174. [PMID: 38516220 PMCID: PMC10953936 DOI: 10.1016/j.dialog.2024.100174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 02/08/2024] [Accepted: 02/23/2024] [Indexed: 03/23/2024]
Abstract
Aim The aim of this study was to analyze the well-being and coping strategies of nurses working in an organizational setting perceived as characterized by workplace bullying. The innovative aspect of this study is that we considered only those who perceive to work in an organizational environment characterized by workplace bullying, and not those who see themselves as victims and those who perceive they work in an organizational environment not characterized by workplace bullying. Method A questionnaire with the NAQ-R, PGWBI, Val.Mob. and Brief COPE scales was administered to nurses. To better understand this phenomenon, a comparison was made between 331 nurses and 166 workers in other professions who also work in an organizational environment perceived to be characterized by workplace bullying. Results In both groups (nurses and workers), the results were approximately the same in terms of personal bullying and workplace bullying episodes and the number of physical and emotive symptoms. The PGWBI score was lower for nurses than for workers in other fields. Among the individual symptoms, nurses and registered nurses were more likely to report gastritis, insomnia and heartburn than workers in other contexts. Workers in other contexts were more likely than nurses to report symptoms of anxiety, fear, feelings of insecurity, inferiority and guilt. In terms of coping strategies, nurses were more likely than other workers to report distraction, substance use, emotional support, disengagement, venting, positive reframing, humor, and religion. Workers in other professional context were more likely than nurses to report active coping, denial, instrumental support, planning, acceptance, and self-blame. Conclusion Results suggest that the consequences of working in a perceived organizational environment characterized by workplace bullying are similar for both groups of workers, with nonstatistical differences in perceived workplace bullying episodes and sum of physical and emotive symptoms. Implication Overall, findings suggest that workplace bullying prevention is a fundamental element in training workers in all types of workplaces and should be an integral part of curriculum activities.
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Affiliation(s)
| | - Gianmarco Giacomini
- Department of Sciences of Public Health and Pediatrics, University of Turin, Torino, Italy
| | - Alessandro Scacchi
- Department of Sciences of Public Health and Pediatrics, University of Turin, Torino, Italy
| | | | - Nicola Magnavita
- Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
| | - Maria Michela Gianino
- Department of Sciences of Public Health and Pediatrics, University of Turin, Piazza Polonia, 94, Torino (I) 10126
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Arnetz JE, Baker N, Arble E, Arnetz BB. Workplace violence, work-related exhaustion, and workplace cognitive failure among nurses: A cross-sectional study. J Adv Nurs 2024. [PMID: 38712618 DOI: 10.1111/jan.16217] [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: 01/18/2024] [Revised: 03/28/2024] [Accepted: 04/24/2024] [Indexed: 05/08/2024]
Abstract
AIM To examine the relationships between nurses' exposure to workplace violence and self-reports of workplace cognitive failure. DESIGN A cross-sectional study. METHODS An online questionnaire was administered in April 2023 to nurses in Michigan, US. Structural equation modelling was used to examine effects of physical and non-physical workplace violence (occupational stressors) and work efficiency and competence development (occupational protective factors) on workplace cognitive failure. RESULTS Physical violence was a significant predictor of the action subscale of cognitive failure. There were no direct effects of non-physical violence, workplace efficiency, or competence development on any of the workplace cognitive failure dimensions. Both types of violence and efficiency had significant indirect effects on workplace cognitive failure via work-related exhaustion. Work-related exhaustion predicted significantly higher scores for workplace cognitive failure. CONCLUSION Workplace violence and work efficiency exhibited primarily indirect effects on workplace cognitive failure among nurses via work-related exhaustion. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Nurses experiencing workplace violence may be at increased risk for workplace cognitive failure, especially if they are also experiencing work-related exhaustion. Workplaces that nurses perceive as more efficient can help to mitigate the effects of violence on nurses' cognitive failure. IMPACT This study addressed the possible effects of workplace violence as well as work efficiency and competence development on nurses' cognitive failure at work. Analyses revealed primarily indirect effects of workplace violence, and indirect protective effects of work efficiency, on nurses' cognitive failure via work-related exhaustion. This research has implications for healthcare organizations and suggests that efforts made by healthcare workplaces to prevent violence and work-related exhaustion, and to enhance work efficiency, may help to mitigate workplace cognitive failure among nurses. REPORTING METHOD We have followed the STROBE checklist in reporting this study. PATIENT OR PUBLIC CONTRIBUTION No Patient or public contribution.
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Affiliation(s)
- Judith E Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
| | - Nathan Baker
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
| | - Eamonn Arble
- Department of Psychology, Eastern Michigan University, Ypsilanti, Michigan, USA
| | - Bengt B Arnetz
- Department of Family Medicine, College of Human Medicine, Michigan State University, Grand Rapids, Michigan, USA
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Zoromba MA, Abousoliman AD, Zakaria AM, El-Monshed AH, El-Gazar HE. Mistreatment of nurses by patients and its impact on their caring behaviors: The roles of psychological detachment and supervisor positive gossip. Int Nurs Rev 2024. [PMID: 38683143 DOI: 10.1111/inr.12970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Accepted: 04/03/2024] [Indexed: 05/01/2024]
Abstract
BACKGROUND Mistreatment by patients is a detrimental phenomenon predominant in healthcare organizations. However, there is a lack of nursing literature regarding the underlying mechanisms and boundary conditions that exist between mistreatment by patients and its detrimental consequences. AIM By integrating the Job Demands-Resources Model and the Conservation of Resources Theory, the study aimed to unveil the mediating role of psychological detachment from work in the relationship between mistreatment by patients and nurses' caring behaviors, as well as the moderating effect of supervisor positive gossip. METHODS This multicenter, cross-sectional study involved 341 nurses from five hospitals across two cities in Egypt. Data were collected using an introductory information form, the Mistreatment by Patients Scale, the Psychological Detachment Scale, the Caring Behaviors Scale, and the Supervisor Positive Gossip Scale. The study's hypotheses were tested using the PROCESS macro. RESULTS The results showed that mistreatment by patients was negatively related to nurses' caring behaviors via an increased psychological detachment. Further, higher levels of supervisor positive gossip were shown to weaken the direct effect of mistreatment by patients in increasing nurses' psychological detachment, as well as the indirect negative effect of mistreatment by patients on nurses' caring behaviors via psychological detachment. CONCLUSIONS Mistreatment by patients contributes to nurses' psychological detachment and decreased caring behaviors; however, these negative outcomes can be mitigated by supervisor positive gossip. IMPLICATION FOR NURSING POLICYMAKING Nursing managers should adopt strategies to deter the rise of mistreatment by patients, and utilize positive gossip to support nurses exposed to such mistreatment to alleviate its consequences.
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Affiliation(s)
- Mohamed A Zoromba
- College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Ali D Abousoliman
- College of Nursing, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
- Nursing Administration Department, Faculty of Nursing, Kafr Elsheikh University, Kafr el-Sheikh, Egypt
| | - Abeer Mohamed Zakaria
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Ahmed Hashem El-Monshed
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
- Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain
| | - Heba E El-Gazar
- Nursing Administration Department, Faculty of Nursing, Port Said University, Port Said, Egypt
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Ekpor E, Kobiah E, Akyirem S. Prevalence and predictors of workplace violence against nurses in Africa: A systematic review and meta-analysis. Health Sci Rep 2024; 7:e2068. [PMID: 38650728 PMCID: PMC11033334 DOI: 10.1002/hsr2.2068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 03/22/2024] [Accepted: 04/10/2024] [Indexed: 04/25/2024] Open
Abstract
Background and Aims Workplace violence (WPV) against nurses is a pervasive global issue, yet the extent of this phenomenon in the African context remains insufficiently explored. This review aimed to synthesize the available literature to identify the prevalence and predictors of WPV against nurses in Africa. Methods A systematic search was conducted across MEDLINE, CINAHL, PsycINFO, and Scopus, to identify studies published from 2000 to October 2023. The pooled prevalence of WPV and it subtypes were estimated using random-effect meta-analysis. Heterogeneity between studies was quantified with I 2 statistics. Subgroup analysis and meta-regression were performed to identify sources of heterogeneity. Results This review included 27 studies, involving 9831 nurses. The pooled prevalence of WPV was 62.3% (95% confidence interval [CI]: 51.6-72.0). Verbal abuse emerged as the most common form of WPV, with a prevalence rate of 51.2% (95% CI: 41.3-61.1), followed by threat 23.3% (95% CI: 6.5-57.2), bullying 22.9% (95% CI: 14.0-35.2), physical abuse 15.1% (95% CI: 11.0-20.4), and sexual harassment 10.3% (95% CI: 5.9-17. 5). The proportion of WPV varied across geographical areas in Africa; however, the differences were not significant. The predictors of WPV encompassed demographic factors, personal habits, workplace characteristics, and nurses' past experience. Conclusion WPV against nurses is prevalent in Africa and transcends geographical boundaries in this region. This underscores the urgent need for targeted interventions and policy changes to address this issue in Africa.
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Affiliation(s)
- Emmanuel Ekpor
- School of Nursing and MidwiferyUniversity of GhanaAccraGhana
- Christian Health Association of GhanaAccraGhana
| | | | - Samuel Akyirem
- Yale School of NursingYale UniversityNew HavenConnecticutUSA
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Volonnino G, Spadazzi F, De Paola L, Arcangeli M, Pascale N, Frati P, La Russa R. Healthcare Workers: Heroes or Victims? Context of the Western World and Proposals to Prevent Violence. Healthcare (Basel) 2024; 12:708. [PMID: 38610130 PMCID: PMC11011269 DOI: 10.3390/healthcare12070708] [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: 02/26/2024] [Revised: 03/18/2024] [Accepted: 03/22/2024] [Indexed: 04/14/2024] Open
Abstract
Episodes of direct violence against healthcare workers and social workers represent a worrying and widespread phenomenon in Western countries. These violent attacks, whether verbal or physical, occur in various work environments, targeting professionals working in private facilities, medical practices, or those employed within the National Health System facilities. We conducted a search using a single search engine (PubMed) using the terms "violence against healthcare workers AND Western" for the period 2003-2023, identifying 45 results to which we added to the literature through hand searching. Our review thus analyzed the sector literature to highlight the phenomenon of violence against healthcare workers, particularly in Western countries. We began with an analysis of the problem and then focused on the true purpose of the study, which is to propose new solutions to protect healthcare workers in all work settings. Consequently, we aim to improve both the working environment for healthcare professionals and to enhance the overall healthcare and public health outcomes.
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Affiliation(s)
- Gianpietro Volonnino
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, 00161 Rome, Italy; (F.S.); (L.D.P.); (P.F.)
| | - Federica Spadazzi
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, 00161 Rome, Italy; (F.S.); (L.D.P.); (P.F.)
| | - Lina De Paola
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, 00161 Rome, Italy; (F.S.); (L.D.P.); (P.F.)
| | - Mauro Arcangeli
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.A.); (R.L.R.)
| | - Natascha Pascale
- Department of Forensic Medicine, Hospital ‘San Carlo’, 85100 Potenza, Italy;
| | - Paola Frati
- Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University, 00161 Rome, Italy; (F.S.); (L.D.P.); (P.F.)
| | - Raffaele La Russa
- Department of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.A.); (R.L.R.)
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Joncic G, Jain M, Chattu VK, Gohar B, Nowrouzi-Kia B. Examining the health and functioning status of medical laboratory professionals in Ontario, Canada: an exploratory study during the COVID-19 pandemic. BMJ Open 2023; 13:e074384. [PMID: 37914309 PMCID: PMC10626828 DOI: 10.1136/bmjopen-2023-074384] [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] [Received: 04/05/2023] [Accepted: 10/11/2023] [Indexed: 11/03/2023] Open
Abstract
OBJECTIVES This study aims to explore the overall and specific aspects of the functioning of medical laboratory professionals (MLPs) in Ontario, Canada during the COVID-19 pandemic. DESIGN A cross-sectional analysis where a questionnaire was used to assess the mental status of MLPs. SETTING An online questionnaire administered in Ontario, Canada. PARTICIPANTS 632 MLPs (medical laboratory technologists, technicians and assistants) were included. MAIN OUTCOME MEASURES We employed the WHO Disability Assessment Schedule V.2.0 (WHODAS V.2.0) Questionnaire to assess functioning/disability and Copenhagen Psychosocial Questionnaire, third edition for psychosocial workplace factors. Multiple regression analysis examined the relationship between overall and specific domain functioning scores and psychosocial workplace factors. RESULTS Of the total 632 participants, the majority were female gender and Caucasian. It was found that health (β=2.25, p<0.001, CI: 1.77 to 2.73), management of environmental conditions (β=0.65, p<0.001, CI: 0.33 to 0.98), fear of unemployment (β=-0.72, p<0.001, CI: -1.09 to -0.35) and frequency of stress (β=-1.86, p<0.001, CI: -2.33 to -1.40), in addition to bullying exposure (β=0.56, p<0.01, CI: 0.15 to 0.98) and threats of violence exposure (β=0.90, p<0.01, CI: 0.25 to 1.54), significantly decreased functioning overall and within the specific WHODAS V.2.0 functioning domains. CONCLUSION This study provides preliminary evidence of the overall and specific aspects of functioning among the MLPs during the COVID-19 pandemic. Besides, these findings can support and guide the improvement of workplace practices and policies among MLPs in the future.
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Affiliation(s)
- Genavieve Joncic
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Mahika Jain
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Vijay Kumar Chattu
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Basem Gohar
- Department of Population Medicine, University of Guelph, Guelph, Ontario, Canada
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Ontario, Canada
| | - Behdin Nowrouzi-Kia
- Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Ontario, Canada
- Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
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AlHassan AK, AlSaqat RT, Al Sweleh FS. Sexual workplace violence in the health sector in Saudi Arabia: a cross sectional study. BMC Health Serv Res 2023; 23:1065. [PMID: 37798618 PMCID: PMC10557224 DOI: 10.1186/s12913-023-10080-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 09/27/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Sexual workplace violence occurs worldwide with increasing prevalence, causing psychological and physical injuries. However, only few reports from the Kingdom of Saudi Arabia have investigated the most involved health specialty and its association with other factors, such as working and sociodemographic conditions. The aim of this study was to determine the prevalence of workplace sexual violence over 12 months, from May 2018 to May 2019, circumstances related to the event, and consequences for the perpetrator and survivor and to identify associated factors among all healthcare workers (HCWs) in Saudi Arabia. METHODS This cross-sectional study included all HCWs registered with the Saudi Commission for Health Specialties who worked for > 1 year in the health sector (government or private) in Saudi Arabia until May 2019. A non-probability convenient sampling technique was used. A modified self-administered questionnaire sent via email was utilized to assess workplace violence. Descriptive statistics were used to report percentages and frequencies, while advanced statistics, such as bivariate analysis, were used to determine associations. Multivariate logistic binary regression analysis was used to assess the combined and individual associations between relevant predictors of exposure of HCWs to recent sexual violence at the workplace. RESULTS In total, 7,398 (male, 51.3%; female, 48.7%) HCWs were electively enrolled in the study (mean age 40 ± 8.62 years). Most were non-Saudi (60%). Overall, 3.9% were sexual violence survivors. Approximately 60.7%, 51.4%, 48.3%, and 65.9% of female workers, nurses, Saudi natives, and night shift workers (18:00 to 07:00), respectively, were significantly exposed to sexual violence. Furthermore, approximately 54.8% of those with direct physical contact with patients had a higher rate of exposure to sexual harassment (p = 0.001). CONCLUSIONS The prevalence of sexual violence is low but remains a risk to HCWs, especially those working night shifts and having direct physical contact with patients. Thus, more support, specific strategies, and policies are needed to reduce the rate of occurrence, protect HCWs, and prevent such events. The underreporting of cases may be skewing the magnitude of the problem; thus, more education and additional research in Saudi Arabia are needed regarding sexual violence experienced by HCWs.
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Affiliation(s)
- Aseel Khaled AlHassan
- King Khalid Hospital in AlKharj, Ministry of Health, P.O. BOX: 52166, Riyadh, Kingdom of Saudi Arabia.
| | - Reem Tarik AlSaqat
- Princess Nourah bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia
| | - Fahad Saleh Al Sweleh
- Dental University Hospital, King Saud medical city, King Saud University, Riyadh, Kingdom of Saudi Arabia
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Worman D, Nimkar S. A Hostile Environment: An Exploratory Study of Prelicensure Nursing Student Exposure to Patient Aggression. Nurse Educ 2023; 48:265-269. [PMID: 37000905 DOI: 10.1097/nne.0000000000001404] [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: 04/03/2023]
Abstract
BACKGROUND The literature regarding the increased risk of violence toward registered nurses and health care workers is plentiful; yet, data on prelicensure nursing student exposure to violent patient behaviors are limited and did not exist for the university's nursing program. PURPOSE The purpose of this exploratory study was to examine nursing student exposure to patient aggression or violent behavior in a prelicensure nursing program in the Midwestern United States. METHODS The research design was an exploratory study using surveys completed by nursing students in their junior and senior years. RESULTS Almost 74% of male students and 85% of female students experienced some form of verbal aggression from their patients, with a statistically significant difference between male and female nursing students on their exposure to sexual harassment. Students also experienced extreme emotions and feelings. CONCLUSIONS The survey results reveal nursing students are exposed to patient aggression or violent behavior, do not feel prepared to manage these situations, and desire faculty mentoring.
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Affiliation(s)
- Dawn Worman
- Nursing Faculty (Dr Worman) and Associate Professor Health Services (Dr Nimkar), University of Southern Indiana, Evansville
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Banga A, Mautong H, Alamoudi R, Faisal UH, Bhatt G, Amal T, Mendiratta A, Bollu B, Kutikuppala LVS, Lee J, Simadibrata DM, Huespe I, Khalid A, Rais MA, Adhikari R, Lakhani A, Garg P, Pattnaik H, Gandhi R, Pandit R, Ahmad F, Camacho-Leon G, Ciza N P, Barrios N, Meza K, Okonkwo S, Dhabuliwo A, Hamza H, Nemat A, Essar MY, Kampa A, Qasba RK, Sharma P, Dutt T, Vekaria P, Bansal V, Nawaz FA, Surani S, Kashyap R. ViSHWaS: Violence Study of Healthcare Workers and Systems-a global survey. BMJ Glob Health 2023; 8:e013101. [PMID: 37696546 PMCID: PMC10496720 DOI: 10.1136/bmjgh-2023-013101] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 08/08/2023] [Indexed: 09/13/2023] Open
Abstract
OBJECTIVE To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education. METHODS The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ2 test was performed to determine the association between gender and different violence forms. RESULTS A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26-35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26-65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55-65 age group, which lost statistical significance. CONCLUSION This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction.
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Affiliation(s)
- Akshat Banga
- Department of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, India
| | - Hans Mautong
- Department of Medicine, Universidad de Especialidades Espíritu Santo, Samborondon, Ecuador
| | - Razan Alamoudi
- Department of Pharmaceutical Services, King Fahd Armed Forces Hospital, Jeddah, Makkah, Saudi Arabia
| | - Umme Habiba Faisal
- Department of Urology, All India Institute of Medical Sciences, Kalyani, India
| | - Gaurang Bhatt
- Department of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, Rishikesh, India
| | - Tanya Amal
- Department of Medicine, Maulana Azad Medical College, New Delhi, India
| | - Ayushi Mendiratta
- Department of Internal medicine, Parkview Medical Center, Pueblo, Colorado, USA
| | - Bhaswanth Bollu
- Department of General medicine, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India
| | - L V Simhachalam Kutikuppala
- Department of General Surgery, Konaseema Institute of Medical Sciences and Research Foundation Hospital, Amalapuram, Andhra Pradesh, India
| | - Joanna Lee
- Department of Medicine, David Tvildiani Medical University, Tbilisi, Georgia
| | - Daniel Martin Simadibrata
- Department of Medicine, Universitas Indonesia, Depok, Indonesia
- Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Ivan Huespe
- Department of Intensive Care Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Aisha Khalid
- Department of Gastroenterology, Postgraduate Medical Education, Harvard Medical School, Boston, Massachusetts, USA
| | | | - Ramesh Adhikari
- Department of Internal medicine, Franciscan Health Lafayette East, Lafayette, Indiana, USA
| | - Alisha Lakhani
- Department of Internal medicine, Shantabaa Medical College and General Hospital, Amreli, Gujarat, India
| | - Piyush Garg
- Department of Cardiology, Medanta The Medicity, Gurgaon, Haryana, India
| | - Harsha Pattnaik
- Department of Undergraduate Medicine, Lady Hardinge Medical College, New Delhi, Delhi, India
| | - Raghu Gandhi
- Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA
| | - Ramesh Pandit
- Department of Internal medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Faizan Ahmad
- Public Health Reference Laboratory Department, Khyber Medical University, Peshawar, Pakistan
| | - Genesis Camacho-Leon
- Division de estúdios para graduados, Universidad del Zulia, Maracaibo, Venezuela
| | - Pierre Ciza N
- Department of Psychiatry, Kampala International University, Kampala, Uganda
| | - Nimsi Barrios
- Department of Medicine, Universidad de San Carlos de Guatemala, Guatemala, Guatemala
| | - Kelly Meza
- Department of Internal medicine, Dana-Farber Cancer Institute, Boston, Massachusetts, USA
| | - Susan Okonkwo
- Department of Family Health, Society for Family Health Nigeria, Abuja, Nigeria
| | - Amuza Dhabuliwo
- Department of Pediatrics, Kawempe National Refferal hospital, Kampala, Uganda
| | - Hafeez Hamza
- Department of Pharmacy, Girne American University, Girne, Cyprus
| | - Arash Nemat
- Microbiology Department, Kabul University of Medical Sciences Abu Ali Ibn Sina, Kabul, Afghanistan
| | | | - Anne Kampa
- Department of Development, Mayo Clinic, Rochester, Minnesota, USA
| | - Rakhtan K Qasba
- Department of Medicine, Green Life Medical College and Hospital, Dhanmondi, Bangladesh
| | - Pranjal Sharma
- Department of Nephrology, MercyOne Clinton, Clinton, Iowa, USA
| | - Taru Dutt
- Department of Psychiatry, Hennepin County Medical Center, Minneapolis, Minnesota, USA
| | - Pratikkumar Vekaria
- Department of Internal medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA
- Internal Medicine, Prisma Health Upstate, Greenville, South Carolina, USA
| | - Vikas Bansal
- Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA
| | - Faisal A Nawaz
- Department of Psychiatry, Al Amal Psychiatric Hospital, Al Aweer, Dubai, UAE
| | - Salim Surani
- Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA
- Department of Pulmonary, and Critical Care & Sleep Medicine, Texas A&M University, College Station, Texas, USA
| | - Rahul Kashyap
- Department of Gastroenterology, Postgraduate Medical Education, Harvard Medical School, Boston, Massachusetts, USA
- Department of Research, WellSpan Health, York, Pennsylvania, USA
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Yosep I, Mardhiyah A, Hendrawati H, Hendrawati S. Interventions for Reducing Negative Impacts of Workplace Violence Among Health Workers: A Scoping Review. J Multidiscip Healthc 2023; 16:1409-1421. [PMID: 37251104 PMCID: PMC10216865 DOI: 10.2147/jmdh.s412754] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Accepted: 05/18/2023] [Indexed: 05/31/2023] Open
Abstract
Workplace violence on health workers in the workplace causes physical and psychological problems. Negative impacts on victims of workplace violence such as physical problems, anxiety, depression, stress, and risk of death or risk of suicide. This problem needs to be addressed immediately so as not to impact post-traumatic stress disorder and reduce the work performance of health workers. The purpose of this study is to explore interventions to reduce the negative impact of workplace violence on health workers. This study used scoping review design with a descriptive approach to data analysis. The CINAHL, PubMed, and Scopus databases were used in this investigation. This study used PCC's framework (Population, Content, Context). The keywords are workplace violence, healthcare personnel, interventions, and programs were used by the authors. Search strategy used PRISMA Extension for Scoping Reviews. The sample are health workers, original research used a randomized control trial or quasi-experiment design, and the publication time had to be within the previous ten years (2014-2023). The JBI assessment was used to assess the quality of the article. We found 11 articles who discuss about interventions to reduce negative effects of workplace violence among health workers. This study shows that there is a decrease in psychological problems in victims of workplace violence such as anxiety, depression, and incidents of workplace violence. The range of sample in this study are 30-440 respondents. The authors discovered three different types of interventions: training programs, cognitive behavior therapy, and workplace violence programs. Interventions must focus on both the physical and psychological needs of the victims of workplace violence, psychiatric nurses and psychologists carried out interventions in a thorough manner. Interventions carried out by psychiatric nurses and psychologists can reduce the negative impact of workplace violence on health workers such as anxiety, depression and other psychological problems.
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Affiliation(s)
- Iyus Yosep
- Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia
| | - Ai Mardhiyah
- Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia
| | - Hendrawati Hendrawati
- Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia
| | - Sri Hendrawati
- Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia
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Hennen R, Phillips KE. Emergency Nurses' Care of Psychiatric Patients. J Am Psychiatr Nurses Assoc 2023; 29:96-102. [PMID: 36916646 DOI: 10.1177/10783903231153418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/16/2023]
Abstract
OBJECTIVE The volume of patients with mental illness presenting to the emergency department (ED) has been increasing in recent years, yet many ED nurses hold stigmatized attitudes and behaviors about patients with mental illness, creating barriers to therapeutic care. At the same time, there has been an increase in workplace violence (WPV) against nurses. Fortunately, resilience helps nurses manage their response to WPV and continue to provide therapeutic care. Although research has considered many barriers to the therapeutic care of patients with mental illness in the ED, the variables of stigma, resilience, and the experience of WPV have not been considered in relation to behavioral care competence and work performance, which is the purpose of this study. METHODS A survey consisting of the Brief Resilience Scale, the Individual Work Performance Questionnaire, the Behavioral Healthcare Competency (BHCC) survey, the Opening Minds Scale for Healthcare Providers, and open-ended questions about WPV were used to collect data. Independent t-tests were run between scale scores and categorical descriptive data. Correlations were run between scale scores and continuous descriptive data. RESULTS Over half (60%) had experienced a personal injury from WPV. Higher behavioral competence scores were associated with lower stigma and higher contextual work performance. Nurses who experienced a WPV injury had higher mean BHCC and higher contextual work performance scores. CONCLUSIONS WPV may be an impetus for nurses to improve their practice in behavioral health and working as part of a team.
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Affiliation(s)
- Rebecca Hennen
- Rebecca Hennen, DNP, PMHNP-BC, Psychiatric Nurse Practitioner, UW Health, Consultation Liaison Psychiatry, Madison, WI, USA
| | - Kathryn E Phillips
- Kathryn E. Phillips, PhD, APRN, Associate Professor, Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT, 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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16
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Lu J, Yu Y, Wang B, Zhang Y, Ji H, Chen X, Sun M, Daun Y, Pan Y, Chen Y, Yi Y, Dou X, Zhou L. The mediating role of self-efficacy between workplace violence and PTSD among nurses in Liaoning Province, China: A cross-sectional study. Front Psychol 2023; 14:1090451. [PMID: 36910753 PMCID: PMC9995771 DOI: 10.3389/fpsyg.2023.1090451] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Accepted: 02/06/2023] [Indexed: 02/25/2023] Open
Abstract
Purpose Nurses are at high risk for workplace violence, which can lead to psychological problems. The purpose of this study was to determine the relationship between workplace violence, self-efficacy, and PTSD, and to further explore whether self-efficacy mediates the relationship between workplace violence and PTSD among Chinese nurses. Materials and methods This cross-sectional study was conducted in Liaoning Province, China in 2020. A total of 1,017 valid questionnaires were returned. Each questionnaire included the Workplace Violence Scale, the General Self-Efficacy Scale, the Post-traumatic Stress Disorder Scale (PTSS-10), and demographics information. A hierarchical multiple regression approach was used to explore the mediating role of self-efficacy in the relationship between workplace violence and PTSD. The mediation model was then tested by the PROCESS macro in SPSS. Results A total of 1,017 nurses were included in this study, and the average score of PTSD among Chinese nurses was 26.85 ± 13.13 (mean ± SD). After further adjustment for control variables, workplace violence was positively associated with PTSD, explaining 13% of the variance. High self-efficacy was associated with low PTSD, explaining 18% of the variance. Self-efficacy partially mediated the role of workplace violence and PTSD. Conclusion The high scores of PTSD among Chinese nurses demand widespread attention. Workplace violence is an important predictor of PTSD in nurses. Self-efficacy is a significant factor in improving PTSD in nurses and mediates the relationship between workplace violence and PTSD. Measures and strategies to improve self-efficacy may mitigate the effects of workplace violence on PTSD in nurses.
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Affiliation(s)
- Jiachen Lu
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yingying Yu
- School of Public Health, Dalian Medical University, Dalian, China
| | - Bin Wang
- Department of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Yanni Zhang
- Laboratory Animal Center, Affiliated Zhongshan Hospital Dalian University, Dalian, China
| | - Haoqiang Ji
- School of Public Health, Shandong University, Jinan, China
| | - Xu Chen
- School of Public Health, Dalian Medical University, Dalian, China
| | - Meng Sun
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yuxin Daun
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yuanping Pan
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yunting Chen
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yaohui Yi
- School of Public Health, Dalian Medical University, Dalian, China
| | - Xiaofeng Dou
- School of Public Health, Dalian Medical University, Dalian, China
| | - Ling Zhou
- School of Public Health, Dalian Medical University, Dalian, China
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17
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Kim EH, Yi Y. Associations among workplace incivility, stress coping, and nursing performance in hospital nurses: A path analysis. J Nurs Scholarsh 2022. [PMID: 36510252 DOI: 10.1111/jnu.12864] [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: 05/13/2022] [Revised: 11/16/2022] [Accepted: 11/28/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE This study aimed to identify the associations among workplace incivility, stress-coping strategy, and nursing performance and confirm how workplace incivility influences nursing performance through the stress-coping strategy. DESIGN This is a descriptive, cross-sectional study. Data were collected using a self-reported questionnaire from 245 nurses working at seven hospitals in Korea between December 2019 and January 2020. METHODS The associations among the study variables (workplace incivility, stress coping, and nursing performance) were analyzed using path analysis with bootstrapping. RESULTS Supervisors' incivility affected directly and negatively nursing performance although problem-focused coping was mediating between them. By contrast, coworkers' and doctors' incivility was not directly associated with nursing performance through stress-coping strategies. CONCLUSION Problem-focused coping enhanced nursing performance and was a more effective stress-coping strategy than emotion-focused coping for nurses affected by coworkers' and doctors' incivilities. Supervisors' incivility may be considered a threatening factor to nursing performance even though problem-focused coping partially mediates between supervisors' incivility and nursing performance. CLINICAL RELEVANCE Organizations must prevent all kinds of workplace incivilities from occurring. Nursing managers should periodically monitor the relationship between the supervisors and nurses and be aware of nurses' stress-coping strategies under stressful situations.
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Affiliation(s)
| | - Yeojin Yi
- College of Nursing, Hanyang University, Seoul, South Korea
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18
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Özdamar Ünal G, İşcan G, Ünal O. The occurrence and consequences of violence against healthcare workers in Turkey: before and during the COVID-19 pandemic. Fam Pract 2022; 39:1001-1008. [PMID: 35395085 PMCID: PMC9383775 DOI: 10.1093/fampra/cmac024] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Before and throughout the COVID-19 pandemic, healthcare workers (HCWs) were victims of workplace violence (WPV). There are no reliable statistics on the occurrence and consequences of WPV against HCWs in Turkey throughout the pandemic period. OBJECTIVE We investigated the rates of WPV against HCWs in Turkey in the pre-pandemic and pandemic periods, variables associated with WPV, and the relationship between these variables and job satisfaction and burnout. METHODS A structured online questionnaire was disseminated through social media channels to HCWs in various healthcare settings. All the respondents also completed the Maslach Burnout Inventory (MBI) and Job Satisfaction Scale. Based on the data obtained, we determined the frequency, causes, and consequences of WPV against HCWs before and during the pandemic. RESULTS There were 701 completed questionnaires. 68.2% of participants were female, and 65.6% of them were doctors. The rate of WPV was 54.1% and 24.3% before and during the pandemic, respectively. Verbal abuse was the most common kind of WPV. Female HCWs were more likely to be physically assaulted than their male counterparts, especially those working in COVID-19 units. The majority of HCWs who were exposed to the violence at least once did not report WPV. HCWs exposed to WPV during the pandemic reported more emotional exhaustion and depersonalization and a lower perceived level of personal achievement. CONCLUSION HCWs were exposed to significant levels of violence both before and during the pandemic. Preventing WPV against HCWs and removing barriers to reporting abuse is crucial.
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Affiliation(s)
- Gülin Özdamar Ünal
- Department of Psychiatry, Faculty of Medicine, University of Süleyman Demirel, Çünür East Campus, Isparta 32200, Turkey
| | - Gökçe İşcan
- Department of Family Medicine, Faculty of Medicine, University of Süleyman Demirel, Çünür East Campus, Isparta 32200, Turkey
| | - Onur Ünal
- Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Süleyman Demirel, Çünür East Campus, Isparta 32200, Turkey
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Bordignon M, Marziale MHP, Sutherland MA, Monteiro I. Factors related to work ability among nursing professionals from urgent and emergency care units: A cross-sectional study. Work 2022; 74:673-683. [PMID: 36278388 DOI: 10.3233/wor-211300] [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: 11/05/2022] Open
Abstract
BACKGROUND Nursing professionals are on the front line of health systems in Brazil as well as worldwide. Studies on the work ability of nursing professionals are especially relevant as care demands increase and health care workforce shortages are expected. As the population of Brazil ages, the need for nursing care will increase. OBJECTIVE To identify levels and predictors of work ability among Brazilian nursing professionals. METHODS A cross-sectional study with 267 nursing professionals (72 nurses and 195 nursing technicians and nursing auxiliary) from public emergency and urgent care units was conducted. Measures included the following: Work Ability Index; Questionnaire of Socio-demographics, Lifestyle and Work and Health Aspects; and Violence at Work questionnaire. Generalized linear regression and Poisson models were used for data analysis. RESULTS The mean work ability was 40.4 (range: 22 to 49). Almost 79.6% (n = 211) of participants reported good or excellent work ability, and 20.4% (n = 54) reported moderate or poor work ability. Better perceptions of health and job satisfaction, absence of health issues (past 15 days), lower stress levels, and having a partner were associated with better work ability. Victims of workplace violence were less likely to have good or excellent work ability than non-victims (prevalence ratio = 0.80; 95% CI 0.72 to 0.90). Professionals with cumulative experiences of workplace violence were less likely to report better work ability. CONCLUSIONS The prevalence of good or excellent work ability was 79.6%. Our findings indicate that the following factors are predictors of work ability: self-reported perception of health, health issues in the last 15 days, workplace violence, job satisfaction, stress, and marital status.
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Affiliation(s)
| | - Maria Helena Palucci Marziale
- WHO Collaborating Centre for Nursing Research Development (PAHO), College of Nursing, University of São Paulo at Ribeirão Preto, Ribeirão Preto, SP, Brazil
| | | | - Inês Monteiro
- Work and Health Research Group, Faculty of Nursing, University of Campinas, Campinas, SP, Brazil
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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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Doedens P, Vermeulen J, Ter Riet G, Boyette LL, Latour C, de Haan L. Association between characteristics of nursing teams and patients' aggressive behavior in closed psychiatric wards. Perspect Psychiatr Care 2022; 58:2592-2600. [PMID: 35505593 PMCID: PMC9790403 DOI: 10.1111/ppc.13099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 03/24/2022] [Accepted: 04/12/2022] [Indexed: 12/30/2022] Open
Abstract
PURPOSE Estimate the effect of nursing, shift, and patient characteristics on patients' aggression. DESIGN AND METHODS Follow-up study on a closed psychiatric ward was performed to estimate the effect of nursing team characteristics and patient characteristics on the incidence of aggression. FINDINGS The incidence of aggression (n = 802 in sample) was lower in teams with >75% male nurses. Teams scoring high on extraversion experienced more verbal aggression and teams scoring high on neuroticism experienced more physical aggression. Younger patients and/or involuntarily admitted patients were more frequently aggressive. PRACTICE IMPLICATIONS These findings could stimulate support for nurses to prevent aggression.
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Affiliation(s)
- Paul Doedens
- Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands.,Urban Vitality - Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Jentien Vermeulen
- Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands
| | - Gerben Ter Riet
- Urban Vitality - Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.,Department of Cardiology, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands
| | - Lindy-Lou Boyette
- Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands
| | - Corine Latour
- Urban Vitality - Centre of Expertise, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Lieuwe de Haan
- Department of Psychiatry, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands.,Arkin, Amsterdam, The Netherlands
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Abdullah Aloraier H, Mousa Altamimi R, Ahmed Allami E, Abdullah Alqahtani R, Shabib Almutairi T, AlQuaiz AM, Kazi A, Alhalal E. Sexual Harassment and Mental Health of Female Healthcare Workers in a Tertiary Care Hospital in Riyadh, Saudi Arabia. Cureus 2022; 14:e30860. [PMID: 36457639 PMCID: PMC9706148 DOI: 10.7759/cureus.30860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/08/2022] [Indexed: 06/17/2023] Open
Abstract
Background In this study, we aimed to estimate the prevalence and identify the correlates of sexual harassment among female healthcare workers in a tertiary care hospital in Riyadh, Saudi Arabia. Methodology A cross-sectional study was conducted among 432 female healthcare workers in both Arabic and English languages. The questionnaire consisted of five sections which included the sociodemographic characteristics, a sexual harassment survey, the Kessler distress scale, social support, and the Rosenberg self-esteem scale. Unadjusted odds ratios with 95% confidence intervals were calculated to identify the significant factors associated with harassment. Results Sexual harassment was reported by 15.5% of the participants, with verbal harassment being the most commonly reported (66%), followed by physical harassment (34%). Around three-fourths of harassment acts took place during the daytime, and 18% of the participants preferred to keep quiet about it. Moderate distress [2.38 (1.17, 4.84)] and severe distress [2.31 (1.09, 4.90)], feeling hopeless [2.86 (1.47, 5.57)] and feeling depressed [3.70 (1.62, 8.48)] were significantly associated with sexual harassment. Low self-esteem items, such as "I don't have good qualities" [4.78 (2.0, 11.43)], "don't have much to be proud of" [2.10 (1.22, 3.63)], "wish that I have more respect for myself" [2.30 (1.36, 3.90)], and "inclined to feel that I am a failure" [2.27 (1.24, 4.16)] were significantly associated with sexual harassment. Conclusions It is important for all employees to know about their rights and report all types of harassment acts. Counseling sexually harassed victims should focus on improving the self-esteem and mental distress of these women. Prevention of harassment against female healthcare workers can improve their mental health as well as their quality of work.
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Affiliation(s)
- Hind Abdullah Aloraier
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
| | - Rawan Mousa Altamimi
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
| | - Elham Ahmed Allami
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
| | - Razan Abdullah Alqahtani
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
| | - Taif Shabib Almutairi
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
| | - AlJohara M AlQuaiz
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
- Family and Community Medicine, King Saud University Medical City, Riyadh, SAU
| | - Ambreen Kazi
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
- Family and Community Medicine, King Saud University Medical City, Riyadh, SAU
| | - Eman Alhalal
- Community and Mental Health, College of Nursing, King Saud University Medical City, Riyadh, SAU
- Princess Nora Bint Abdullah Chair for Women's Health Research, King Saud University Medical City, Riyadh, SAU
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Ferrara P, Terzoni S, Destrebecq A, Ruta F, Sala E, Formenti P, Maugeri M. Violence and unsafety in Italian hospitals: Experience and perceptions of nursing students. Work 2022; 73:211-217. [DOI: 10.3233/wor-210488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Assessment of workplace violence towards healthcare workers represents a challenge for healthcare organizations worldwide. Workers’ experience and perceived risk of violence may have a serious impact on job satisfaction and retention of workers. To date, no studies have been conducted on nursing students. OBJECTIVES: To assess the prevalence of physical and non-physical violence among nursing students during their clinical experiences and to analyze the perceived risk of violence. METHODS: Multicentre, cross-sectional survey. We enrolled a convenience sample of nursing students of the bachelor’s degree in Nursing of the University of Milan (Italy). The students completed a structured questionnaire prepared in accordance with the available literature on violence in healthcare settings. RESULTS: Out of 1185 questionnaires sent, 603 were collected (50.89%). 35.1% had experience of verbal violence during the clinical internship training period, while 8.1% were victims of physical violence. 202 students (33.5%) reported unsafety, which was related to experience of physical or psychological violence, witnessed episodes of violence, gender, hospital structure and efficacy of the safety policies. CONCLUSIONS: Our findings highlight that nursing students are exposed to the risk of violence which influences their perception of risk.
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Affiliation(s)
| | | | | | | | - Elena Sala
- San Paolo Teaching Hospital, Milan, Italy
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24
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Zeighami M, Zakeri MA, Mangolian Shahrbabaki P, Dehghan M. Bitter silence allows sexual harassment to continue in workplace: A qualitative study in Iranian nurses. Front Public Health 2022; 10:971522. [PMID: 36172206 PMCID: PMC9511045 DOI: 10.3389/fpubh.2022.971522] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2022] [Accepted: 08/22/2022] [Indexed: 01/25/2023] Open
Abstract
Background Sexual harassment in the workplace is continuing. However, the rate of sexual harassment disclosure is low, which causes many problems. Non-disclosure of sexual harassment can cause nurses' psychological distress and physical harm, and affect their productivity and quality of care. Therefore, the present study aimed to investigate the reasons why Iranian nurses stayed silent and did not disclose sexual harassment in their workplace. Method This qualitative descriptive-explorative study was conducted to investigate the reasons why Iranian nurses (n = 18) stayed silent on sexual harassment. Conventional content analysis and purposeful sampling method were used in this study. Data was collected through in-depth semi-structured interviews. Maximum variance in terms of age, sex, work experience, education level, marital status, and type of hospital and ward was considered in order to obtain rich information. Guba and Lincoln criteria were used to increase the study's trustworthiness, while the Graneheim and Lundman approach was used to analyze the content. Results The research data indicated 112 codes, a major category, 4 subcategories, and 9 primary categories. The major category, "The missing link is bitter silence; sexual harassment is still going on," includes four subcategories: fear of social stigmas, organizational and legal barriers, family barriers, and personal barriers. Conclusions Nurses cannot break their silence on sexual harassment because they are afraid that disclosure of sexual harassment has negative consequences for their personal and professional lives. Policies and strategies should be developed to encourage nurses to disclose sexual harassment. This issue must be studied socially, culturally, and politically.
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Affiliation(s)
- Maryam Zeighami
- Department of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran
| | - Mohammad Ali Zakeri
- Determinants of Health Research Centre, Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| | - Parvin Mangolian Shahrbabaki
- Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Mahlagha Dehghan
- Department of Critical Care Nursing, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
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Pang Y, Dan H, Jeong H, Kim O. Impact of workplace violence on South Korean nurses' turnover intention: Mediating and moderating roles of depressive symptoms. Int Nurs Rev 2022; 70:211-218. [PMID: 35947607 DOI: 10.1111/inr.12798] [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: 08/24/2021] [Accepted: 07/17/2022] [Indexed: 12/01/2022]
Abstract
AIM To identify the mediating and moderating roles of depressive symptoms in the relationship between workplace violence and nurses' turnover intention in South Korea. BACKGROUND Workplace violence and depressive symptoms are known to influence turnover intentionsof employees. INTRODUCTION Among healthcare workers, nurses may be at the greatest risk of exposure to workplace violence because they have frequent contact with patients and families of patients. Depressive symptoms reported to be related to workplace violence are one set of factors affecting turnover intention. METHODS A cross-sectional study was designed and employed to investigate mediation and moderation roles of depressive symptoms between workplace violence and turnover intention. RESULTS Verbal violence and sexual harassment increased depressive symptoms, which in turn increased turnover intentions in a sample of Korean nurses. Depressive symptoms showed partial mediation effects between verbal violence and sexual harassment and turnover intention. Depressive symptoms showed moderating effects on sexual harassment and turnover intention. DISCUSSION It is necessary to reduce turnover intention not only by preventing violence but also by managing depressive symptoms in nurses who have experienced verbal violence and sexual harassment. CONCLUSION Depressive symptoms were shown to have a mediating and moderation roles on the relationship between WPV and turnover intention. IMPLICATIONS FOR NURSING AND HEALTH POLICY Hospital managers such as hospital and nursing directors should provide effective policies to prevent verbal violence and sexual harassment to reduce turnover intention in the workplace. It is needed to educate patients and patient caregivers about the importance of preventing violence against nurses. Policies should be established to provide regular check-ups for depressive symptoms and psychological support for nurses who have experienced WPV.
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Affiliation(s)
- Yanghee Pang
- Department of Nursing, Baekseok Culture University, Cheonan, Republic of Korea
| | - Hyunju Dan
- Department of Nursing, Gangdong University, Eumseong, Republic of Korea
| | - Hyunseon Jeong
- Seoul Women's College of Nursing, Seoul, Republic of Korea
| | - Oksoo Kim
- College of Nursing, Ewha Research Institute of Nursing Science, Ewha Womans University, Seodaemun-gu, Seoul, Republic of Korea
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26
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Pina D, Vidal-Alves M, Puente-López E, Luna-Maldonado A, Luna Ruiz-Cabello A, Magalhães T, Llor-Esteban B, Ruiz-Hernández JA, Martínez-Jarreta B. Profiles of lateral violence in nursing personnel of the Spanish public health system. PLoS One 2022; 17:e0268636. [PMID: 35622880 PMCID: PMC9140284 DOI: 10.1371/journal.pone.0268636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Accepted: 05/04/2022] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Workplace violence in healthcare settings has long been studied in scientific literature, particularly in the nursing profession. Research has explored mostly user violence probably for its high prevalence and impact on health and job satisfaction. Yet this focus may overshadow another dangerous type of workplace violence: coworker violence. Exerted by co-workers with similar status, lateral violence differs from that yielded by a co-worker with a higher rank, known as vertical. This study aims to deepen the knowledge about lateral violence perceived by nurses and its interaction with other variables commonly associated with workplace violence in healthcare: burnout, job satisfaction, and self-perceived health. METHOD A random block sampling was performed, prompting a total sample of 925 nursing professionals from 13 public hospitals located in the southeast of Spain. The sample distribution (mean and standard deviation) and the response percentages according to the study variables of the ad-hoc questionnaire were analyzed and classified with cluster analysis. RESULTS Through the cluster analysis, two subgroups were obtained: Cluster 1, composed of 779 participants, with low scores in the variables used for the classification, high levels of both extrinsic and intrinsic satisfaction, low levels of emotional exhaustion and cynicism, and low rates of somatization, anxiety, social dysfunction and depression; and Cluster 2, composed of 115 participants and characterized by moderate-high scores in the variables used for the classification, moderate extrinsic satisfaction, and low intrinsic satisfaction, high emotional exhaustion and cynicism and lower somatization, anxiety, social dysfunction, and depression scores. Excluded cases amounted to 31. CONCLUSION Nursing professionals who experience lateral violence reveal a lower intrinsic satisfaction, feeling less self-accomplished in their job, and less positive work experience. Emotional exhaustion rises as a concerning progressive and long-term outcome of experiencing this type of violence.
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Affiliation(s)
- David Pina
- Department of Socio-sanitary Sciences, University of Murcia, Murcia, Spain
| | - Maria Vidal-Alves
- Department of Socio-sanitary Sciences, University of Murcia, Murcia, Spain
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, Porto, Portugal
- University Institute of Health Sciences—CESPU, Gandra, Portugal
| | | | | | | | - Teresa Magalhães
- Department of Community Medicine, Information and Health Decisions, School of Medicine, University of Porto, Porto, Portugal
- University Institute of Health Sciences—CESPU, Gandra, Portugal
| | | | - José Antonio Ruiz-Hernández
- Servicio de Psicología Aplicada (SEPA), University of Murcia, Murcia, Spain
- Department of Pathological Anatomy, Forensic and Legal Medicine and Toxicology, University of Zaragoza, Zaragoza, Spain
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27
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Assédio moral entre trabalhadores brasileiros da atenção primária e hospitalar em saúde. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao015134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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28
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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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29
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Bakker EJM, Dekker-van Doorn CM, Kox JHAM, Miedema HS, Francke AL, Roelofs PDDM. Conflict or connection? A feasibility study on the implementation of a training based on connecting communication in a nursing curriculum. NURSE EDUCATION TODAY 2022; 111:105302. [PMID: 35259563 DOI: 10.1016/j.nedt.2022.105302] [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: 06/01/2021] [Revised: 12/23/2021] [Accepted: 02/14/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Nursing students frequently experience offensive behaviour and communication problems with patients, clinical supervisors, and nursing and faculty staff. A communication training was developed based on connecting communication to prevent and manage conflict, and build interpersonal trust-based relationships. OBJECTIVES Feasibility study to evaluate the acceptability, demand, implementation, integration, and limited efficacy of a training based on connecting communication within a nursing curriculum. DESIGN Mixed method design. PARTICIPANTS Third-year nursing students (n = 24). SETTING A Dutch Bachelor of Nursing degree programme in Rotterdam. METHODS Between November 2019 and March 2020, data were collected from students and trainers, using quantitative and qualitative methods. Feasibility aspects, including limited efficacy testing, were measured with pre- and post-training surveys. Descriptive statistical analyses and (non)parametric tests were used to analyse feasibility aspects and baseline and follow-up scores for empathy, self-compassion, and exposure to violence. In addition, reflection reports of students and two paired interviews with the two trainers were analysed using qualitative content analysis with a deductive approach. RESULTS The post-training survey and reflection reports showed a positive assessment of the training on acceptability, demand, and integration. Students rated the training as helpful in improving their communication skills and in dealing with conflict situations. Furthermore, they recommended to implement the training in earlier years of the educational programme. According to the trainers, miscommunication, students' lack of preparation for lessons, and the timing of the training prohibited full participation in the training. The pretest-posttest survey results show statistically significant improved self-compassion (3.77 vs. 4.10; p = 0.03) and decreased self-judgement (4.21 vs. 3.50; p = 0.03). Empathy and exposure to violence did not change. CONCLUSIONS From the perspective of nursing students and trainers involved, this 10-week training based on connecting communication is feasible to implement in the Bachelor of Nursing degree programme, preferably before clinical placements.
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Affiliation(s)
- Ellen J M Bakker
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, P.O. Box 7057, 1007 MB Amsterdam, the Netherlands.
| | - Connie M Dekker-van Doorn
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Erasmus University Medical Centre, Department of Anaesthesiology, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
| | - Jos H A M Kox
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; Erasmus University Medical Centre, Department of General Practice, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
| | - Harald S Miedema
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands
| | - Anneke L Francke
- Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, P.O. Box 7057, 1007 MB Amsterdam, the Netherlands; NIVEL Netherlands institute for health services research, P.O. Box 1568, 3500 BN Utrecht, The Netherlands
| | - Pepijn D D M Roelofs
- Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, the Netherlands; University Medical Center Groningen, University of Groningen, Department of Health Sciences, Community and Occupational Medicine, A. Deusinglaan 1, 9713 AV, Groningen, The Netherlands
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Choi H, Shin S. The Factors That Affect Turnover Intention According to Clinical Experience: A Focus on Organizational Justice and Nursing Core Competency. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063515. [PMID: 35329203 PMCID: PMC8950360 DOI: 10.3390/ijerph19063515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/11/2022] [Accepted: 03/14/2022] [Indexed: 01/02/2023]
Abstract
The purpose of this study was to investigate organizational justice and nursing core competency as factors that affect turnover intention among nurses. The participants comprised 153 nurses who worked at tertiary hospitals and general hospitals throughout South Korea. Turnover intention was measured using the Nurse Turnover Intention Scale. Organizational justice was measured using the Justice Scale, and nursing core competency was measured using the Korean Nursing Core Competency Scale. Data were collected via an online survey and analyzed using multiple regression. Among nurses with less than 3 years of clinical experience, a lower distributive justice score (β = −0.47, p < 0.001) was associated with high turnover intention. Among nurses with 3 to 6 years of clinical experience, a lower interactional justice score (β = −0.37, p = 0.042) and high nursing core competency (β = 0.31, p = 0.034) were associated with high turnover intention. The type of organizational justice that influenced turnover intention differed depending on clinical experience. These results highlight the need to understand the professional characteristics of nurses according to their clinical experience and to provide targeted organizational support and effective competency-based human resource management.
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Affiliation(s)
| | - Sujin Shin
- Correspondence: ; Tel.: +82-02-3277-2726
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31
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Piao X, Managi S. Evaluation of employee occupational stress by estimating the loss of human capital in Japan. BMC Public Health 2022; 22:411. [PMID: 35232422 PMCID: PMC8887011 DOI: 10.1186/s12889-022-12751-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 02/07/2022] [Indexed: 11/26/2022] Open
Abstract
Background Human capital is thought to be a crucial factor that drives economic growth. This study aims to understand the evaluation of the loss of human capital caused by employees’ occupational stress. Methods In total, 1,021,178 observations for employee occupational stress were collected from 390 companies from 2017 to 2019 in Japan. The original cross-sectional survey contains 11,167 employees with occupational stress and their socioeconomic information in 2015. The relationship between stress and annual income is estimated with polynomial regression, and accumulated human capital loss is estimated. Matching approaches are applied for corporate human capital loss. Results The negative association between annual income and employee stress is derived, which indicates that the worse the employees’ stress is, the greater the human capital losses. Importantly, we confirmed that most employees have human capital loss, and on average, for male employees aged 25, the accumulated human capital loss will reach approximately $0.6 million USD by retirement. Conclusion For corporations, human capital loss is highly correlated with the number of employees, suggesting that reducing the occupational stress of employees can lead to greater corporate performance. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-12751-7.
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Affiliation(s)
- Xiangdan Piao
- Faculty of Humanities and Social Science, Iwate University, 3-18-34 Ueda, Morioka, Iwate, 020-8550, Japan. .,Urban Institute, Kyushu University, 744 Motooka Nishi-ku, Fukuoka, 819-0395, Japan.
| | - Shunsuke Managi
- Urban Institute & Department of Civil Engineering, Kyushu University, 744 Motooka Nishi-ku, Fukuoka, 819-0395, Japan.
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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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The association between fear of future workplace violence and burnout among nurses in China: A cross-sectional study. J Affect Disord 2021; 293:29-35. [PMID: 34166906 DOI: 10.1016/j.jad.2021.06.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 05/08/2021] [Accepted: 06/07/2021] [Indexed: 01/07/2023]
Abstract
BACKGROUND Fear of future workplace violence has adverse effects on nurses' health outcomes. However, the association between fear of future workplace violence and burnout among nurses in China remains unknown. METHODS Enrolled in the study were 1897 nurses from 12 tertiary hospitals of Shandong Province, China. Fear of future workplace violence was measured using the Fear of Future Violence at Work scale. Burnout was measured using the 15-item Maslach Burnout Service Inventory. Ordinal logistic regression analysis was used to examine the association between fear of future workplace violence and burnout. RESULTS The prevalence of high emotional exhaustion, high cynicism, and low personal accomplishment was 26.7%, 38.1%, and 35.6%, respectively, while 72.9% of participants had high levels of fear of future workplace violence. Among nurses, compared with high levels of fear of future workplace violence, low levels of fear were associated with a lower degree of emotional exhaustion, cynicism, and personal accomplishment; and medium levels of fear were associated with a lower degree of emotional exhaustion, cynicism, and a higher degree of personal accomplishment. LIMITATIONS This was a cross-sectional study, which could not establish the causal relationship between fear of future workplace violence and burnout. CONCLUSION There was a significant association between fear of future workplace violence and burnout among nurses. Fear of future workplace violence should be regarded as important issue for hospital administrators and healthcare policy makers when taking measures to ameliorate nurses' burnout.
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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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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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Zanardi F, Broccoli M, Falasca G, Toderi S. Workplace physical aggressions in Italy and Emilia Romagna region. LA MEDICINA DEL LAVORO 2021; 112:130-140. [PMID: 33881007 PMCID: PMC8095328 DOI: 10.23749/mdl.v112i2.10194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 11/17/2020] [Indexed: 11/17/2022]
Abstract
Background: Workplace physical aggressions determine severe consequences for people and organizations. Previous studies reported their spread in organizations and described factors related to their occurrence (e.g. aggressor within/outside the organization, type of activity, etc.). However, such data are not available in the Italian work contexts, limiting the possibility of intervention. Objectives: This study aims to provide a description of workplace physical aggressions in the Italian context and the Emilia-Romagna region, considering the main variables described in the literature. Methods: We used data available from the "Flussi informativi" database, containing national data provided by INAIL (National Institute for Insurance against Accidents at Work), which concern all injuries, occupational illness and insured companies’ information, from 2000 to 2018. Information about aggressions in the workplace in Italy and Emilia-Romagna are derived from a subset of these data, coded according to ESAW (European Statistics for Accidents at Work) requirements. The number of events per year per 100,000 estimated insured employees by INAIL is considered as an indicator. Results: In the period 2014-2018, 23,084 injures from aggression were registered in Italy (an average of 28.7 events per 100,000 employees) and 2,308 in Emilia Romagna (30.2). Aggressions by people outside the organization accounted for 85.14 % in Italy and 87.87 % in Emilia-Romagna region. “Health and social services”, “Offices and other activities” and “Transportation” were the sectors that showed the highest numbers of events and rates. Furthermore, we reported detailed results about the variation of the events between professions, the site and nature of the lesion and gravity of events. Discussion: The study provides a description of workplace physical aggressions in the Italian context and we discuss the implication of these results for primary, secondary and tertiary prevention strategies of intervention.
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Affiliation(s)
- Francesca Zanardi
- Department of Public Health, U.O. Prevenzione e Sicurezza Ambienti di Lavoro AUSL della Romagna, U.O. Prevenzione e Sicurezza Ambienti di Lavoro AUSL della Romagna.
| | - Marco Broccoli
- Department of Public Health, U.O. Prevenzione e Sicurezza Ambienti di Lavoro AUSL della Romagna, U.O. Prevenzione e Sicurezza Ambienti di Lavoro AUSL della Romagna.
| | - Giovanni Falasca
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova.
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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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Mediational Occupational Risk Factors Pertaining to Work Ability According to Age, Gender and Professional Job Type. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18030877. [PMID: 33498534 PMCID: PMC7908393 DOI: 10.3390/ijerph18030877] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/14/2020] [Revised: 01/12/2021] [Accepted: 01/18/2021] [Indexed: 12/03/2022]
Abstract
The predictive value of work ability for several health and occupational outcomes is well known. Maintaining the ability to work of all employees has become an important topic in research although some evidence suggests that some groups of workers need greater attention than others. Healthcare workers (x¯ = 54.46 ± 5.64 years) attending routine occupational health checkups completed their work ability, occupational risk and sociodemographic measures. An analysis examined whether work ability differed according to gender, age and professional category. Mediation of these relationships by occupational risk variables, such as work–family conflict, was examined. Females and older adults had worse work ability than their counterparts. Professional group was not independently associated. Gender-related differences were mediated by current and historic ergonomic risk, psychosocial risk and work–family conflict. Age-related differences were mediated by violence/discrimination at work. All job risk variables, apart from current ergonomic risk, mediated associations between professional category and work ability. The present study identified the importance of risk variables for the work ability of health workers according to gender, age and professional job type. Perceptions of work–family conflict and violence–discrimination seem particularly important and should be considered when targeting improvements in work ability.
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Lafta R, Qusay N, Mary M, Burnham G. Violence against doctors in Iraq during the time of COVID-19. PLoS One 2021; 16:e0254401. [PMID: 34358239 PMCID: PMC8345879 DOI: 10.1371/journal.pone.0254401] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 06/25/2021] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES This study assessed patterns in reported violence against doctors working in 11 Baghdad hospitals providing care for patients with COVID-19 and explored characteristics of hospital violence and its impact on health workers. METHODS Questionnaires were completed by 505 hospital doctors (38.6% male, 64.4% female) working in 11 Baghdad hospitals. No personal or identifying information was obtained. FINDINGS Of 505 doctors, 446 (87.3%) had experienced hospital violence in the previous 6 months. Doctors reported that patients were responsible for 95 (21.3%) instances of violence, patient family or relatives for 322 (72.4%), police or military personnel for 19 (4.3%), and other sources for 9 (2%). The proportion of violent events reported did not differ between male and female doctors, although characteristics varied. There were 415 of the 505 doctors who reported that violence had increased since the beginning of the pandemic, and many felt the situation would only get worse. COVID-19 has heightened tensions in an already violent health workplace, further increasing risks to patients and health providers. INTERPRETATION During the COVID-19 epidemic in Iraq an already violent hospital environment in Baghdad has only worsened. The physical and emotional toll on health workers is high which further threatens patient care and hospital productivity. While more security measures can be taken, reducing health workplace violence requires other measures such as improved communication, and addressing issues of patient care.
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Affiliation(s)
- Riyadh Lafta
- Department of Family and Community Medicine, Al Mustansiriya University, Baghdad, Iraq
| | - Noor Qusay
- Department of Family and Community Medicine, Al Mustansiriya University, Baghdad, Iraq
| | - Meighan Mary
- Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
| | - Gilbert Burnham
- Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America
- * E-mail:
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Vento S, Cainelli F, Vallone A. Violence Against Healthcare Workers: A Worldwide Phenomenon With Serious Consequences. Front Public Health 2020; 8:570459. [PMID: 33072706 PMCID: PMC7531183 DOI: 10.3389/fpubh.2020.570459] [Citation(s) in RCA: 81] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 08/14/2020] [Indexed: 12/28/2022] Open
Affiliation(s)
- Sandro Vento
- Faculty of Medicine, University of Puthisastra, Phnom Penh, Cambodia
| | - Francesca Cainelli
- Faculty of Medicine, University of Puthisastra, Phnom Penh, Cambodia.,Raffles Medical Group Clinic, Phnom Penh, Cambodia
| | - Alfredo Vallone
- Infectious Diseases Unit, G. Jazzolino Hospital, Vibo Valentia, Italy
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Cho H, Pavek K, Steege L. Workplace verbal abuse, nurse-reported quality of care and patient safety outcomes among early-career hospital nurses. J Nurs Manag 2020; 28:1250-1258. [PMID: 32564407 DOI: 10.1111/jonm.13071] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Revised: 06/10/2020] [Accepted: 06/15/2020] [Indexed: 02/03/2023]
Abstract
AIMS To examine the differences in early-career nurses' verbal abuse experiences based on their sociodemographic characteristics, and to investigate the associations of verbal abuse experiences with nurse-reported care quality and patient safety outcomes. BACKGROUND Few studies have examined the relationships between early-career nurses' verbal abuse experiences and nurse-reported patient care quality and safety outcomes. METHODS Cross-sectional survey data from 799 early-career hospital nurses in the United States were analysed. Items assessed verbal abuse experiences from patients or their families, physicians and other employees. Associations between verbal abuse experiences and nurse-reported care quality and patient safety outcomes were examined using multiple logistic regression analyses. RESULTS There were significant differences in verbal abuse experiences by age, gender and work unit. Nurses who experienced verbal abuse, regardless of the perpetrator, were less likely to report high-quality care and a favourable safety grade. Nurses who experienced verbal abuse specifically from physicians or other employees were also less likely to feel comfortable reporting safety problems. CONCLUSION Managing verbal abuse may be important for improving patient care quality and safety. Future intervention study is needed to reduce verbal abuse. IMPLICATIONS FOR NURSING MANAGEMENT To optimize patient safety, managers should thoroughly monitor verbal abuse and organisations' need to establish clear expectations and ramifications for when verbal abuse occurs.
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Affiliation(s)
- Hyeonmi Cho
- School of Nursing, University of Wisconsin - Madison, Madison, WI, USA
| | - Katie Pavek
- School of Nursing, University of Wisconsin - Madison, Madison, WI, USA
| | - Linsey Steege
- School of Nursing, University of Wisconsin - Madison, Madison, WI, USA
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