Violence Against Doctors

Ahasan, H A M Nazmul; Das, Aparna

doi:10.3329/jom.v15i2.20680

Cited by 6 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21,23,35 Moreover, the majority of respondents believed that social media, by reporting about the poor quality of care and conveying a poor image of healthcare providers, plays a negative role by triggering violent attacks by patients and their relatives; this is consistent with Ahasan's findings. 14,20 Healthcare providers should work in a healthy environment to maintain their health and safety and allow them to provide quality care. Thus, serious initiatives should be implemented by responsible agencies to prevent such abuse and to control the workplace environment.…”

Section: Discussionmentioning

confidence: 99%

“…13 These violent incidents resulted in a significant decrease in healthcare providers' self-esteem as statistics have shown that 70% of physicians prefer for their children to not enter the medical field because of violent behaviour. 14,15 Workplace violence against healthcare professionals in the Middle East has been thoroughly studied recently. [16][17][18] Although government policies and regulations are in place, the rate of workplace violence in the Middle East, such as in Saudi Arabia, is quite high.…”

Section: Introductionmentioning

confidence: 99%

“…20 This has resulted in mistrust between patients and healthcare providers and triggered widespread violent incidents; in fact, many practitioners are aiming to undergo selfdefense training to protect themselves. 14 Most acts of violence remain unknown and underreported. 21 Therefore, we do not know the actual level of workplace violence that occurs.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

<p>The Awareness of Violence Reporting System Among Healthcare Providers and the Impact of New Ministry of Health Violence Penalties in Saudi Arabia</p>

Towhari¹,

Bugis

2020

RMHP

View full text Add to dashboard Cite

Healthcare professionals are one of the most vulnerable groups subjected to verbal and physical violence daily while carrying out their duties; such violence is a worldwide concern. This study aimed to explore the awareness of a violence reporting system among healthcare providers and the impact of the new Ministry of Health (MOH) violence regulations at one of the Eastern Region hospitals in Saudi Arabia. Methods: A cross-sectional study was conducted from January to February 2020. The study included 210 healthcare providers from different specialties working in critical care units. A sample of 137 healthcare providers was selected randomly, and a self-administered questionnaire was distributed accordingly. Results: In this study, 31.4% of participants were not aware of whether they had a specific system for reporting violent incidents, while 68.6% had no training on these systems. Experiences of violence among the staff decreased from 78.6% before the MOH regulations to almost 20% after the MOH regulations. Conclusion: The majority of victims did not report incidents because there is a lack of system privacy, and the workers felt that the incidents of violence were a part of their daily jobs. In addition, this study revealed that the majority of healthcare workers did not receive training on the reporting system, which explains their lack of knowledge about the formal reporting system. Finally, the MOH initiative and penalties for controlling workplace violence have resulted in a significant drop in the prevalence of violence among healthcare workers.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

<p>The Awareness of Violence Reporting System Among Healthcare Providers and the Impact of New Ministry of Health Violence Penalties in Saudi Arabia</p>

Towhari¹,

Bugis

2020

RMHP

View full text Add to dashboard Cite

show abstract

“…According to three surveys from 1999, 2000, and 2003, the most important predictor of satisfaction of patients with health providers was found to be the behavior of the providers with the patients [ 15 – 17 ] . Dissatisfaction among service seekers over the provider’s behavior has often been expressed in the form of physical violence, as reported by many recent media reports [ 18 – 20 ], as well as by scientific studies [ 21 – 23 ]. Physicians also responded to these acts by holding strikes and refusing services [ 24 – 26 ].…”

Section: Introductionmentioning

confidence: 99%

Development and validation of a structured observation scale to measure responsiveness of physicians in rural Bangladesh

Joarder

Mahmud

Sarker

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundResponsiveness of physicians is the social actions that physicians do to meet the legitimate expectations of service seekers. Since there is no such scale, this study aimed at developing one for measuring responsiveness of physicians in rural Bangladesh, by structured observation method.MethodsData were collected from Khulna division of Bangladesh, through structured observation of 393 patient-consultations with physicians. The structured observation tool consisted of 64 items, with four Likert type response categories, each anchored with a defined scenario. Inter-rater reliability was assessed by same three raters observing 30 consultations. Data were analyzed by exploratory factor analysis (EFA), followed by assessment of internal consistency by ordinal alpha coefficient, inter-rater reliability by intra-class correlation coefficient (ICC), concurrent validity by correlating responsiveness score with waiting time, and known group validity by comparing public and private sector physicians.ResultsAfter removing items with more than 50% missing values, 45 items were considered for EFA. Parallel analysis suggested a 5-factor model. Nine items were removed from the list owing to < 0.50 communality, <0.32 loading in un-rotated matrix, and <0.30 on any factor in rotated matrix. Since 34 items (i.e., the number of remaining items after removing nine items by EFA) were loaded neatly under five factors, explained 61.38% of common variance, and demonstrated high internal consistency with coefficient of 0.91, this was adopted as the Responsiveness of Physicians Scale (ROP-Scale). The five factors were named as 1) Friendliness, 2) Respecting, 3) Informing and guiding, 4) Gaining trust, and 5) Financial sensitivity. Inter-rater reliability was high, with an ICC of 0.64 for individual rater’s reliability and 0.84 for average reliability scores. Positive correlation with waiting time (0.51), and higher score of private sector by 0.18 point denote concurrent, and known group validity, respectively.ConclusionsThe ROP-Scale consists of 34 items grouped under five factors. One can apply this with confidence in comparable settings, as this scale demonstrated high internal consistency and inter-rater reliability. More research is needed to test this scale in other settings and with other types of providers.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2722-1) contains supplementary material, which is available to authorized users.

show abstract

“…According to three surveys, carried out in 1999, 2000, and 2003, the most important predictor of satisfaction of patients with health providers was the behavior of the providers (expressed in the form of respect and politeness) with the patients, rather than their clinical competence [ 14 – 16 ]. Dissatisfaction among service seekers with the provider’s behavior has often been expressed in the form of physical violence, according to both recent media reports [ 17 – 19 ] and scientific journal articles [ 20 – 22 ]. Physicians sometimes responded to these violent acts by engaging in strikes and refusing to provide services [ 23 – 25 ].…”

Section: Introductionmentioning

confidence: 99%

What constitutes responsiveness of physicians: A qualitative study in rural Bangladesh

et al. 2017

View full text Add to dashboard Cite

Responsiveness entails the social actions by health providers to meet the legitimate expectations of patients. It plays a critical role in ensuring continuity and effectiveness of care within people centered health systems. Given the lack of contextualized research on responsiveness, we qualitatively explored the perceptions of outpatient users and providers regarding what constitute responsiveness in rural Bangladesh. An exploratory study was undertaken in Chuadanga, a southwestern Bangladeshi District, involving in-depth interviews of physicians (n = 17) and users (n = 7), focus group discussions with users (n = 4), and observations of patient provider interactions (three weeks). Analysis was guided by a conceptual framework of responsiveness, which includes friendliness, respecting, informing and guiding, gaining trust and optimizing benefits. In terms of friendliness, patients expected physicians to greet them before starting consultations; even though physicians considered this unusual. Patients also expected physicians to hold social talks during consultations, which was uncommon. With regards to respect patients expected physicians to refrain from disrespecting them in various ways; but also by showing respect explicitly. Patients also had expectations related to informing and guiding: they desired explanation on at least the diagnosis, seriousness of illness, treatment and preventive steps. In gaining trust, patients expected that physicians would refrain from illegal or unethical activities related to patients, e.g., demanding money against free services, bringing patients in own private clinics by brokers (dalals), colluding with diagnostic centers, accepting gifts from pharmaceutical representatives. In terms of optimizing benefits: patients expected that physicians should be financially sensitive and consider individual need of patients. There were multiple dimensions of responsiveness- for some, stakeholders had a consensus; context was an important factor to understand them. This being an exploratory study, further research is recommended to validate the nuances of the findings. It can be a guideline for responsiveness practices, and a tipping point for future research.

show abstract

Violence Against Doctors

Abstract: Not availableDOI: http://dx.doi.org/10.3329/jom.v15i2.20680 J MEDICINE 2014; 15 : 106-108

Cited by 6 publications

References 6 publications

<p>The Awareness of Violence Reporting System Among Healthcare Providers and the Impact of New Ministry of Health Violence Penalties in Saudi Arabia</p>

<p>The Awareness of Violence Reporting System Among Healthcare Providers and the Impact of New Ministry of Health Violence Penalties in Saudi Arabia</p>

Development and validation of a structured observation scale to measure responsiveness of physicians in rural Bangladesh

What constitutes responsiveness of physicians: A qualitative study in rural Bangladesh

Contact Info

Product

Resources

About