Workplace Violence and Burnout Among Mental Health Workers

Aguglia, Andrea; Murri, Martino Belvederi; Conigliaro, Claudia; Cipriani, N; Vaggi, Marco; Salvo, Gabriele Di; Maina, Giuseppe; Cavone, Vito; Aguglia, Eugenio; Serafini, Gianluca; Amore, Mario

doi:10.1176/appi.ps.201900161

Cited by 25 publications

(17 citation statements)

References 6 publications

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“…Of the 32 studies included, seven provided either a minimal definition of violence or none at all [ 14 , 32 , 49 , 50 , 51 , 52 , 53 ]. The other publications employed various terms to describe violence or aggressive behavior.…”

Section: Resultsmentioning

confidence: 99%

“…The other publications employed various terms to describe violence or aggressive behavior. These descriptions can be categorized as verbal or physical violence [ 41 , 49 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 ]. In five papers, the definitions used distinguish between verbal aggression (shouting, offenses and threats), physical assault and harassment by describing each behavior in detail [ 50 , 63 , 64 , 65 , 66 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five studies [ 14 , 43 , 50 , 53 , 58 ] focused on episodes of aggression experienced by mental health workers in public and private psychiatric services. Psychiatrists are those at the greatest risk of verbal aggression (range = 20.8–97%), injuries (range = 14.3–65.7%), treatment with dangerous objects (72%), object aggression (97% lifetime, 59% in the preceding 12 months), stalking (10.2–19.3%) and physical aggression (range = 17.8–64.6%) compared to other HCWs such as residents, nurses and other professionals.…”

Section: Resultsmentioning

confidence: 99%

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Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

Civilotti

Berlanda

Iozzino

2021

IJERPH

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The aim of this scoping review is to synthesize the available evidence on the prevalence rates of healthcare workers being victims of violence perpetrated by patients and visitors in Italy. PubMed, Scopus, Web of Science and CINAHL were systematically searched from their inception to April 2021. Two authors independently assessed 1182 studies. All the scientific papers written in English or in Italian reporting primary quantitative and/or qualitative data on the prevalence of aggression or sexual harassment perpetrated by patients or visitors toward healthcare workers in Italy were included. Thirty-two papers were included in the review. The data extracted were summarized in a narrative synthesis organized in the following six thematic domains: 1. Methodology and study design; 2. Description of violent behavior; 3. Characteristics of health care staff involved in workplace violence (WPV); 4. Prevalence and form of WPV; 5. Context of WPV; and 6. Characteristics of violent patients and their relatives and/or visitors. The proportion of studies on WPV differed greatly across Italian regions, wards and professional roles of the healthcare workers. In general, the prevalence of WPV against healthcare workers in Italy is high, especially in psychiatric and emergency departments and among nurses and physicians, but further studies are needed in order to gather systematic evidence of this phenomenon. In Italy, and worldwide, there is an urgent need for governments, policy-makers and health institutions to prevent, monitor and manage WPV towards healthcare professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

Civilotti

Berlanda

Iozzino

2021

IJERPH

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“…Similarly, fellow patients may feel intimidated and suffer from an environment perceived as unsafe and potentially traumatizing [8]. Second, workplace violence contributes to burnout among mental health workers and can lead to loss of qualified staff [9]. Third, violence is inevitably intertwined with the ugly face of psychiatry, the use of coercion.…”

Section: Introductionmentioning

confidence: 99%

Incidents of aggression in German psychiatric hospitals: Is there an increase?

2021

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Introduction In a meta-analysis of international studies, 17% of admitted patients in psychiatric hospitals had exhibited violent behavior toward others. Reported data from studies in Germany were considerably lower until recent years. However, studies examining only single hospitals, as well as the quality of the data itself, have raised questions as to the validity of these findings. Indeed, a debate currently exists as to whether there has, in fact, been an increase of violent incidents in German mental institutions. Methods In a group of 10 hospitals serving about half the population of the Federal State of Baden-Wuerttemberg with 11 million inhabitants, the Staff Observation Aggression Scale–Revised (SOAS-R) was introduced into patients’ electronic charts as part of routine documentation. Data recording was strongly supported by staff councils and unions. A completed data set is now available for the year 2019. For one hospital, data are available since 2006. Due to some doubts with respect to fully covering self-directed aggression, we restricted the analysis to aggression toward others and toward objects. Results In 2019, 17,599 aggressive incidents were recorded in 64,367 admissions (1,660 staying forensic psychiatric inpatients included). 5,084 (7.90%) of the admitted cases showed aggressive behavior toward others. Variation between hospitals was low to modest (SD = 1.50). The mean SOAS-R score was 11.8 (SD between hospitals 1.20%). 23% of the incidents resulted in bodily harm. The percentage of patients showing violent behavior was highest among patients with organic disorders (ICD-10 F0) and lowest among patients with addictive or affective disorders (F1, F3, F4). Forensic psychiatry had the highest proportion of cases with aggressive behavior (20.54%), but the number of incidents per bed was lower than in general adult psychiatry and child and adolescent psychiatry (indicating a lower risk for staff). In the hospital with longer-term recordings available, an increase could be observed since 2010, with considerable variation between years. Conclusions This is the most robust estimate of the frequency of violent incidents in German psychiatric hospitals thus far. The incidence is about half of what has been reported internationally, probably due to sample selection bias in previous studies and a relatively high number of hospital beds in Germany. Available data suggest an increase of violent incidents over the last ten years; however, it is unclear to which extent this is due to increased reporting.

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“…Although the two were correlated, job stressors correlated highly with intention but provider characteristics correlated more with departures. Among 183 Italian inpatient mental health providers, Aguglia et al (2) found that experiencing workplace violence contributed to burnout. Hilton et al (3) found an increase in trauma symptoms among 761 psychiatric inpatient mental health staff on their exposure to critical events as well as chronic stressors.…”

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confidence: 99%

Burnout: Old Wine in New Bottles

Adler

2020

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Workplace Violence and Burnout Among Mental Health Workers

Cited by 25 publications

References 6 publications

Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review

Incidents of aggression in German psychiatric hospitals: Is there an increase?

Burnout: Old Wine in New Bottles

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