Prevalence and Risk Factors Associated With Workplace Violence Against General Practitioners in Hubei, China

Gan, Yong; Li, Liqing; Jiang, Heng; Lǚ, Kai; Yan, Shijiao; Cao, Shiyi; Fu, Wenning; Hu, Sujuan; Qiao, Yaojun; Yang, Tingting; Wang, Chao; Chen, Yawen; Yang, Yudi; Li, Hui; Fang, Pengqian; Yin, Xiaoxv; Lu, Zuxun

doi:10.2105/ajph.2018.304519

Cited by 32 publications

(58 citation statements)

References 7 publications

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“…They might not have had adequate communication skills to meaningfully interact with patients while handling difficult cases. This could contribute to workplace violence resulting in an increased likelihood of younger GPs to leave posts.…”

Section: Discussionmentioning

confidence: 99%

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A national survey of turnover intention among general practitioners in China

Gan

Jiang

et al. 2019

Health Planning & Management

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Summary Studies on turnover intention among Chinese general practitioners (GPs) at the national level are limited. This study aimed to assess intention to leave and its associated factors among a nationally representative sample of GPs. The participants were selected using a multistage stratified random sampling method. A self‐administered structured questionnaire was used to collect data from 3236 GPs in China between October 2017 and February 2018. A multiple linear stepwise regression analysis was used to identify factors associated with turnover intention. Over 70.0% GPs had a moderate or high turnover intention. GPs who were male, were younger, had a higher education level, had a lower professional title, had a lower income level, and had a temporal work contract had higher turnover intention. In addition, GPs who worked night shifts, had low job satisfaction, and had few opportunities for professional development reported higher turnover intention. Substantial gender and regional differences in predictors of turnover intention among GPs were observed. The study showed that turnover intention in Chinese GPs is high, and the factors influencing turnover intention were low professional title and income level, high education level, having a temporary work contract, working night shifts, and limited opportunities for professional development.

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Section: Discussionmentioning

confidence: 99%

“…These include increment in wage/salaries and other professional incentives aimed at attracting and retaining GPs. 19 resulting in an increased likelihood of younger GPs to leave posts.…”

Section: Discussionmentioning

confidence: 99%

A national survey of turnover intention among general practitioners in China

Gan

Jiang

et al. 2019

Health Planning & Management

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“…These factors may vary across different countries. [24][25][26][27][28] At present, it is unknown whether WPV prevalence rates vary across gender, study location, the time of violence occurrence, occupations, practice settings and countries at the global level, and which types of WPV have the highest prevalence and what are the key risk factors associated with WPV. To investigate these questions, we conducted a systematic review of relevant studies on the prevalence of and risk factors for WPV in healthcare workers across the world and investigated the causes of heterogeneity in findings across individual studies.…”

Section: Key Messagesmentioning

confidence: 99%

Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis

et al. 2019

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We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference lists of all included studies. Two authors independently assessed studies for inclusion. Data were double-extracted and discrepancies were resolved by discussion. The overall percentage of healthcare worker encounters resulting in the experience of WPV was estimated using random-effects meta-analysis. The heterogeneity was assessed using the I2 statistic. Differences by study-level characteristics were estimated using subgroup analysis and meta-regression. We included 253 eligible studies (with a total of 331 544 participants). Of these participants, 61.9% (95% CI 56.1% to 67.6%) reported exposure to any form of WPV, 42.5% (95% CI 38.9% to 46.0%) reported exposure to non-physical violence, and 24.4% (95% CI 22.4% to 26.4%) reported experiencing physical violence in the past year. Verbal abuse (57.6%; 95% CI 51.8% to 63.4%) was the most common form of non-physical violence, followed by threats (33.2%; 95% CI 27.5% to 38.9%) and sexual harassment (12.4%; 95% CI 10.6% to 14.2%). The proportion of WPV exposure differed greatly across countries, study location, practice settings, work schedules and occupation. In this systematic review, the prevalence of WPV against healthcare workers is high, especially in Asian and North American countries, psychiatric and emergency department settings, and among nurses and physicians. There is a need for governments, policymakers and health institutions to take actions to address WPV towards healthcare professionals globally.

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“…Additionally, physical violence against doctors appears to be more common than physical violence against nurses in China ( 21 ). There are only a few studies on WPV in China ( 17 , 19 , 22 ); the prevalence of WPV varies from province to province ( 21 , 23 ), from hospital to hospital ( 19 , 24 ), and from department to department ( 25 , 26 ). China is the only country in which prevalence of WPV by month has been studied; according to previous research, it is most common in July ( 20 ).…”

Section: Introductionmentioning

confidence: 99%

Serious Workplace Violence Against Healthcare Providers in China Between 2004 and 2018

Chen

Zheng

et al. 2021

Front. Public Health

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Introduction: Workplace violence (WPV) against healthcare providers has severe consequences and is underreported worldwide. The aim of this study was to present the features, causes, and outcomes of serious WPV against healthcare providers in China.Method: We searched for serious WPV events reported online and analyzed information about time, location, people, methods, motivations, and outcomes related to the incident.Result: Serious WPV reported online in China (n = 379) were mainly physical (97%) and often involved the use of weapons (34.5%). Doctors were victims in most instances (81.1%). Serious WPV mostly happened in cities (90.2%), teaching hospitals (87.4%), and tertiary hospitals (67.9%) and frequently in Emergency Department (ED), Obstetrics and Gynecology Department (OB-GYN), and pediatric departments; it was most prevalent in the months of June, May, and February. Rates of serious WPV increased dramatically in 2014 and decreased after 2015, with death (12.8%), severe injury (6%), and hospitalization (24.2%) being the major outcomes. A law protecting healthcare providers implemented in 2015 may have helped curb the violence.Conclusion: Serious WPV in China may stem from poor patient–doctor relationships, overly stressed health providers in highly demanding hospitals, poorly educated/informed patients, insufficient legal protection, and poor communication. Furthering knowledge about WPV and working toward curtailing its presence in healthcare settings are crucial to increasing the safety and well-being of healthcare workers.

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Prevalence and Risk Factors Associated With Workplace Violence Against General Practitioners in Hubei, China

Abstract: This study shows that the prevalence of workplace violence against GPs is high in Hubei, China. Creating a prevention strategy and providing safer workplace environments for GPs should be urgently prioritized.

Cited by 32 publications

References 7 publications

A national survey of turnover intention among general practitioners in China

A national survey of turnover intention among general practitioners in China

Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis

Serious Workplace Violence Against Healthcare Providers in China Between 2004 and 2018

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