Workplace Bullying and Violence on Burnout Among Bangladeshi Registered Nurses: A Survey Following a Year of the COVID-19 Pandemic

Chowdhury, Saifur Rahman; Kabir, Humayun; Chowdhury, Mahmudur Rahman; Hossain, Ahmed

doi:10.3389/ijph.2022.1604769

Cited by 17 publications

(19 citation statements)

References 61 publications

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“…[ 27 , 30 – 34 , 39 – 41 , 43 , 48 , 50 , 52 , 55 , 58 , 59 , 61 , 67 , 68 , 72 , 73 , 76 – 82 , 84 – 86 , 91 – 93 , 95 , 96 ]…”

Section: Resultsunclassified

Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures

Berger,

Grzonka,

Frei

et al. 2024

Crit Care

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Background To assess the frequency, risk factors, consequences, and prevention of violence against healthcare workers in intensive care units. Methods PubMed, Scopus, Google Scholar, EMBASE, Cochrane, and Web of Science were searched for studies on violence against healthcare workers in adult intensive care units. Risk factors, patient characteristics, and implications for healthcare workers were collected. Study quality, bias, and level of evidence were assessed using established tools. Results Seventy-five studies with 139,533 healthcare workers from 32 countries were included. The overall median frequency of violence was 51% (IQR 37–75%). Up to 97% of healthcare workers experienced verbal violence, and up to 82% were victims of physical violence. Meta-analysis of frequency revealed an average frequency of 31% (95% CI 22–41%) for physical violence, 57% for verbal violence (95% CI 48–66%), and 12% for sexual violence (95% CI 4–23%). Heterogeneity was high according to the I2 statistics. Patients were the most common perpetrators (median 56%), followed by visitors (median 22%). Twenty-two studies reported increased risk ratios of up to 2.3 or odds ratios of up to 22.9 for healthcare workers in the ICU compared to other healthcare workers. Risk factors for experiencing violence included young age, less work experience, and being a nurse. Patients who exhibited violent behavior were often male, older, and physically impaired by drugs. Violence was underreported in up to 80% of cases and associated with higher burnout rates, increased anxiety, and higher turnover intentions. Overall the level of evidence was low. Conclusions Workplace violence is frequent and underreported in intensive care units, with potential serious consequences for healthcare workers, calling for heightened awareness, screening, and preventive measures. The potential risk factors for violence should be further investigated. Systematic review registration: The protocol for this review was registered with Prospero on January 15, 2023 (ID CRD42023388449).

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“…[ 27 , 30 – 34 , 39 – 41 , 43 , 48 , 50 , 52 , 55 , 58 , 59 , 61 , 67 , 68 , 72 , 73 , 76 – 82 , 84 – 86 , 91 – 93 , 95 , 96 ]…”

Section: Resultsunclassified

Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures

Berger,

Grzonka,

Frei

et al. 2024

Crit Care

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“…Studies have found that workplace violence triggered burnout among HPs ( 29 , 43 ). Saifur also found workplace violence-exposed nurses were at a greater risk of burnout during the COVID-19 pandemic ( 44 ). We also observed a positive association between workplace violence and burnout.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Qin

Yang

et al. 2023

Front. Psychiatry

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BackgroundPersistently increased workload and stress occurred in health professionals (HPs) during the past 3 years as the COVID-19 pandemic continued. The current study seeks to explore the prevalence of and correlators of HPs' burnout during different stages of the pandemic.MethodsThree repeated online studies were conducted in different stages of the COVID-19 pandemic: wave 1: after the first peak of the pandemic, wave 2: the early period of the zero-COVID policy, and wave 3: the second peak of the pandemic in China. Two dimensions of burnout, emotional exhaustion (EE) and declined personal accomplishment (DPA), were assessed using Human Services Survey for Medical Personnel (MBI-HSMP), a 9-item Patient Health Questionnaire (PHQ-9), and a 7-item Generalized Anxiety Disorder (GAD-7) to assess mental health conditions. An unconditional logistic regression model was employed to discern the correlators.ResultsThere was an overall prevalence of depression (34.9%), anxiety (22.5%), EE (44.6%), and DPA (36.5%) in the participants; the highest prevalence of EE and DPA was discovered in the first wave (47.4% and 36.5%, respectively), then the second wave (44.9% and 34.0%), and the third wave had the lowest prevalence of 42.3% and 32.2%. Depressive symptoms and anxiety were persistently correlated with a higher prevalence risk of both EE and DPA. Workplace violence led to a higher prevalence risk of EE (wave 1: OR = 1.37, 95% CI: 1.16–1.63), and women (wave 1: OR = 1.19, 95% CI: 1.00–1.42; wave 3: OR =1.20, 95% CI:1.01–1.44) and those living in a central area (wave 2: OR = 1.66, 95% CI: 1.20–2.31) or west area (wave 2: OR = 1.54, 95% CI: 1.26–1.87) also had a higher prevalence risk of EE. In contrast, those over 50 years of age (wave 1: OR = 0.61, 95% CI: 0.39–0.96; wave 3: OR = 0.60, 95% CI: 0.38–0.95) and who provided care to patients with COVID-19 (wave 2: OR = 0.73, 95% CI: 0.57–0.92) had a lower risk of EE. Working in the psychiatry section (wave 1: OR = 1.38, 95% CI: 1.01–1.89) and being minorities (wave 2: OR = 1.28, 95% CI: 1.04–1.58) had a higher risk of DPA, while those over 50 years of age had a lower risk of DPA (wave 3: OR = 0.56, 95% CI: 0.36–0.88).ConclusionThis three-wave cross-sectional study revealed that the prevalence of burnout among health professionals was at a high level persistently during the different stages of the pandemic. The results suggest that functional impairment prevention resources and programs may be inadequate and, as such, continuous monitoring of these variables could provide evidence for developing optimal strategies for saving human resources in the coming post-pandemic era.

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“…Cronbach's α coefficient ≥ 0.60 for each subscale indicated acceptable internal consistency. 28 Text-retest reliability was tested by Pearson's correlation coefficient ( r ), where a value of > 0.70 was considered acceptable. 29 …”

Section: Methodsmentioning

confidence: 99%

Translation and validation study of the Chinese version of the service user technology acceptability questionnaire

Cheng¹,

Zhao²,

Li³

et al. 2023

Asia-Pacific Journal of Oncology Nursing

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Workplace Bullying and Violence on Burnout Among Bangladeshi Registered Nurses: A Survey Following a Year of the COVID-19 Pandemic

Cited by 17 publications

References 61 publications

Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures

Violence against healthcare professionals in intensive care units: a systematic review and meta-analysis of frequency, risk factors, interventions, and preventive measures

Prevalence and correlators of burnout among health professionals during different stages of the COVID-19 pandemic in China

Translation and validation study of the Chinese version of the service user technology acceptability questionnaire

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