Violence in daily hospital nursing work

Abstract

Objective: To describe the frequency of referred verbal, physical and sexual violence and factors associated with verbal violence in nursing teams' work at public hospitals. Methods: Cross-sectional study, involving 1509 workers at three public hospitals in Rio de Janeiro City -(RJ). Bivariate analysis and logistic regression were applied. Significance was set at 5%. Results: The frequencies of verbal, physical and sexual violence amounted to 982 (65.1%), 46 (3%) and 87 (5.7%), respectively. After applying multivariate analysis, higher chances of referred verbal violence were observed among women, younger professionals, with higher education levels, nurses, who were contracted and receive low levels of social support at work. Conclusion: Verbal violence is frequent in the hospital work environment and associated with different characteristics. A less hostile environment needs to be built for nursing workers. Keywords: Working conditions; Violence; Nursing service hospital; Occupational health resumo Objetivo: Descrever a frequência das violências verbal, física e sexual referidas e fatores associados à violência verbal no trabalho das equipes de enfermagem de hospitais públicos. Métodos: Estudo seccional com 1509 trabalhadores de três hospitais públicos do Município do Rio de Janeiro -(RJ). Realizaram-se análises bivariadas e regressão logística adotando-se níveis de 5% de significância. Resultados: As frequências de violência verbal, física e sexual foram respectivamente 982 (65,1%), 46 (3%) e 87 (5,7%). Após a análise multivariada, foram observadas chances mais elevadas de referir violência verbal entre as mulheres, os mais jovens, de escolaridade mais alta, enfermeiros, os contratados e baixo apoio social no trabalho. Conclusão: A violência verbal é frequente no ambiente de trabalho hospitalar em associação com diferentes características. A construção de um ambiente menos hostil para o trabalhador de enfermagem torna-se necessária. Descritores: Condições de trabalho; Violência; Serviço hospitalar de enfermagem; Saúde do trabalhador resumen Objetivo: Describir la frecuencia de las violencias verbal, física y sexual referidas y factores asociados a la violencia verbal en el trabajo de los equipos de enfermería de hospitales públicos. Métodos: Se trata de um estudio seccional realizado con 1509 trabajadores de tres hospitales públicos del Municipio de Rio de Janeiro -(RJ). Se realizaron análisis bivariados y regresión logística adoptándose niveles del 5% de significancia. Resultados: Las frecuencias de violencia verbal, física y sexual fueron respectivamente 982 (65,1%), 46 (3%) y 87 (5,7%). Después del análisis multivariado, fueron observadas oportunidades más elevadas de referir violencia verbal entre as mujeres, los más jóvenes, de escolaridad más alta, enfermeros, los contratados y bajo apoyo social en el trabajo. Conclusión: La violencia verbal es frecuente en el ambiente de trabajo hospitalario asociado a diferentes características. La construcción de un ambiente menos hostil para el trabajador de ...

Violence, Burnout and Minor Psychiatric Disorders in Hospital Work

“…Victims of violence at work in the past year had lower average age than those not exposed to violence in the last year, reinforcing findings of other studies (5,9,12,18,(20)(21) . This result can be explained from the perspective of young professionals who have less expertise in the development of their work activities and thus would have less ability to prevent attacks.…”

“…These data reveal the prevalence of victims in a recent period, featuring workplace violence as a phenomenon occurring in labor every day. Brazilian studies have identified a prevalence of 25-65% for some kind of violence in the last 12 months (9,18) .…”

“…The implication of gender on the understanding of violence should consider the historical cultural and economic inequality between genders, for which women have been in unfavorable ...continuation conditions. Females having the largest distribution in the group of workers exposed to occupational violence has been recurrent in the health sector (5,9,12) .…”

“…However, in Brazil the problem still needs to be studied further (8)(9)(10) , since the invisibility of its occurrence and consequences contributing to the attacks are treated as "natural" in many work environments and the magnitude of the problem is underestimated.…”

“…In addition, minor psychiatric disorders have also been linked to the victims of violence at work (9) , which are described as non-psychotic psychiatric symptoms (14) , such as anxiety, insomnia, sadness, fatigue, forgetfulness, difficulty in concentrating, irritability, somatic complaints and neurasthenia. Thus, in addition to the interest in identifying the violence suffered by workers of the health team, this study questioned its association with Burnout and minor psychiatric disorders.…”