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Introduction Health care workers represent a substantial demographic whose welfare and work efficiency are crucial to public health and societal well-being. However, the prevalence of sexual dysfunction within this group is often overlooked, despite its significant occurrence. Objective To evaluate the worldwide prevalence of sexual dysfunction among health care workers. Methods A comprehensive systematic review and meta-analysis of observational studies ranging from 2003 to 2023 were performed to compile prevalence estimates of sexual dysfunction among health care workers. A random effects model was implemented to amalgamate the prevalence analysis. Study heterogeneity was discerned by I2 and χ2 statistics. To assess potential publication bias, an Egger’s test and a funnel plot were employed. Results This meta-analysis incorporated 39 studies from 16 countries, encompassing 44 017 health care workers. The pooled prevalence of sexual dysfunction among health care workers was 46.79% (95% CI, 38.09%-55.68%), with a slightly higher prevalence of 49.57% (95% CI, 38.18%-61.01%) among clinical health care workers. The most prevalent forms of sexual dysfunction identified were loss of libido (51.26%), erectile dysfunction (36.99%), sexual dissatisfaction (36.90%), pain during intercourse (28.23%), orgasmic disorders (25.13%), low sexual arousal (23.54%), and lubrication disorders (22.62%). Among various health care professions, nurses exhibited the highest prevalence of sexual dysfunction (56.29%), followed by doctors (37.63%) and other health care workers (24.96%). Additionally, female health care workers experienced a higher prevalence of sexual dysfunction (47.61%) as compared with their male counterparts (32.01%). Conclusion This study indicates that nearly half of health care professionals report experiencing sexual dysfunction, with loss of libido being the most common manifestation. Addressing this issue requires a multistakeholder approach.
Introduction Health care workers represent a substantial demographic whose welfare and work efficiency are crucial to public health and societal well-being. However, the prevalence of sexual dysfunction within this group is often overlooked, despite its significant occurrence. Objective To evaluate the worldwide prevalence of sexual dysfunction among health care workers. Methods A comprehensive systematic review and meta-analysis of observational studies ranging from 2003 to 2023 were performed to compile prevalence estimates of sexual dysfunction among health care workers. A random effects model was implemented to amalgamate the prevalence analysis. Study heterogeneity was discerned by I2 and χ2 statistics. To assess potential publication bias, an Egger’s test and a funnel plot were employed. Results This meta-analysis incorporated 39 studies from 16 countries, encompassing 44 017 health care workers. The pooled prevalence of sexual dysfunction among health care workers was 46.79% (95% CI, 38.09%-55.68%), with a slightly higher prevalence of 49.57% (95% CI, 38.18%-61.01%) among clinical health care workers. The most prevalent forms of sexual dysfunction identified were loss of libido (51.26%), erectile dysfunction (36.99%), sexual dissatisfaction (36.90%), pain during intercourse (28.23%), orgasmic disorders (25.13%), low sexual arousal (23.54%), and lubrication disorders (22.62%). Among various health care professions, nurses exhibited the highest prevalence of sexual dysfunction (56.29%), followed by doctors (37.63%) and other health care workers (24.96%). Additionally, female health care workers experienced a higher prevalence of sexual dysfunction (47.61%) as compared with their male counterparts (32.01%). Conclusion This study indicates that nearly half of health care professionals report experiencing sexual dysfunction, with loss of libido being the most common manifestation. Addressing this issue requires a multistakeholder approach.
Background: Workplace violence against nurses is a pervasive problem within hospital settings. Predictive tools which could assist with identifying patients who may commit violence while hospitalized are needed in the medical surgical care areas. The Brøset violence checklist (BVC) is a six‐item checklist to assess patients and determine if the patient may become violent within the next 24 hours. The BVC has been validated in psychiatric and emergency department settings but not yet established in the medical–surgical inpatient settings. The purpose of this retrospective secondary data study was to determine validity and reliability metrics for the BVC within medical–surgical inpatient settings.Methods: This study utilized data from the electronic health record and safety reporting system from four medical–surgical settings within a large academic healthcare system to establish sensitivity and specificity of the BVC as well as establish inter‐reliability of BVC users.Findings: Of the 36,155 BVC assessments on 4437 patients included in the analysis, the BVC was a good predictor of violence. As expected, the analysis found that the BVC was more specific to accurately identifying negative cases than it was sensitive to identifying positive cases with a specificity of 98% and a sensitivity of 64% and receiver operating characteristics yielded an area under the curve of 0.8. The BVC reliability indicated a strong positive association between nurses and auditors’ scores as confirmed by Kendall’s coefficient of concordance (W = 0.71, p < 0.001).Discussion: The BVC is a valid, reliable, and simple assessment tool to identify patients who may pose a risk for violence in medical–surgical units with strong inter‐reliability.Implications to Practice: Integrating the BVC into the medical–surgical clinical areas may provide a validated tool to support proactive interventions to care practices and reduce physical harm of healthcare workers.
Background: Violence against health professionals is a global and growing problem, with significant impacts on the quality of care and the mental health of workers. Objectives: To analyze the level of knowledge, reporting practices and consequences of violence against health professionals in the Alentejo region (southern Portugal). Methods: This was an observational, cross-sectional study involving 440 health professionals (doctors and nurses). Data were collected using an online platform and a structured questionnaire created specifically for this study. In the statistical analysis, the data were described as counts and proportions and the X2 test was used considering a significance level of 0.05. Results: This study reveals that violence against health professionals in the southern region of Portugal is a frequent problem (40%), with a higher incidence among nurses (80%). Despite awareness of the existence and functioning of reporting channels, reporting is low (52%). The main causes are related to the health system, professionals and users. The consequences include mental health problems and a reduction in the quality of care provided. Suggested measures to combat violence include improving security, training and punishing aggressors. Conclusions: This study reveals that violence against health professionals in the southern region of Portugal is a frequent, under-reported problem with serious consequences for professionals and the quality of care.
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