It is estimated that one fourth of workplace violent incidents occur in the health sector. The aims of the present investigation are: a) to identify sociodemographic and work variables related to exposure to user violence in primary care professionals and b) to analyze the impact of exposure to user violence on professionals' psychological well-being, job satisfaction, and empathy. An empirical study with quantitative, descriptive, and transversal methodology was carried out with a sample of 574 professionals from 39 primary-care centers. The study revealed that variables of gender, professional tenure, continued training, and professional status are significantly associated with exposure to user violence. Likewise, the results show that depending on professional status exposure to user violence, job satisfaction and professionals' empathy have an impact on primary health-care workers' General Health Questionnaire (GHQ) scores. In conclusion, exposure to non-physical user violence in primary-care professionals is associated with some sociodemographic and work characteristics. La violencia de los usuarios y el bienestar psicológico en los profesionales de atención primaria de salud R E S U M E N Se estima que una cuarta parte de los incidentes violentos laborales se producen en el ámbito sanitario. Los objetivos de la presente investigación son: a) identificar las variables sociodemográficas y laborales relacionadas con la exposición a la violencia de los usuarios en profesionales de atención primaria y b) analizar el impacto sobre el bienestar psicológico de los profesionales de la exposición a la violencia de los usuarios, la satisfacción laboral y la empatía. Se llevó a cabo un estudio empírico con metodología cuantitativa, descriptivo y transversal, con una muestra de 574 profesionales de 39 centros de atención primaria. Se observa que las variables de género, antigüedad en la profesión, formación continuada y categoría profesional se encuentran asociadas significativamente a la exposición a la violencia de los usuarios. Del mismo modo, se identifica que la exposición a las conductas violentas de los usuarios, la satisfacción laboral y la empatía de los profesionales influyen, dependiendo de la categoría profesional, en las puntuaciones de GHQ total de los trabajadores de atención primaria. En conclusión, la exposición a la violencia no física de los usuarios en los profesionales de atención primaria se asocia con ciertas características sociodemográficas y laborales.

IntroductionGrowing concern about workplace violence shows the need for an evaluation in specific contexts in order to identify the particularities of each professional group. The health sector consists of a group of professionals with high exposure to violence, specially from users. There are differences depending on the professional category or unit in which the professional works. In this regard, Primary Health Care (PHC) is characterized by a personalized and continuous patient treatment over time, which is not exempt from cases of violence. Among the commonly studied consequences of these situations are decreases in job satisfaction and burnout.ObjectiveThe main objective of this study is to analyze the modulating role of job satisfaction in the relationship between non-physical user violence and the onset of burnout.MethodsCross-sectional comparative descriptive design. The sample consisted of 574 professionals from 39 PHC centers of the Murcian Health Service. Data were collected using two-stage cluster sampling. For data analysis, descriptive analysis, correlations and stepwise hierarchical regression were used to analyze the interaction between the variables.ResultsRegression analysis draws a model where non-physical violence and low intrinsic and extrinsic job satisfaction act as modulators of non-physical violence, cynicism and emotional exhaustion.ConclusionsThis study provides evidence of the psychological consequences of the perception of user violence in the PHC staff. Furthermore, it is evident that the emergence of burnout syndrome in these professionals is related to exposure to verbal or non-physical violence together with low job satisfaction. In this sense, a circular and bidirectional relationship between the variables studied is proposed as a possible explanatory model.

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The right to die is an international dilemma. Some countries and states already have laws regulating one of the most common applications of this right, the active voluntary euthanasia. The evidence from these countries highlights the importance of a bioethical framework to limit some of its applications. In this regard, the evaluation of attitudes towards euthanasia in medical personnel will allow to understand the attitudes of these professionals and how they can deal with such requests, whether this assisted death is decided by the patients or their surroundings.Consequently, the aim of this study was Palabras clave: actitudes, eutanasia, eutanasia active voluntaria, estudio psicométrico, estudio transversal