Workplace violence by specialty among Peruvian medical residents

Nieto-Gutiérrez, Wendy; Toro-Huamanchumo, Carlos J.; Taype-Rondán, Álvaro; Timaná-Ruiz, Raúl; Alva-Díaz, Carlos; Jumpa-Armas, David; Escobedo-Palza, S; Médico, Conareme Consejo Nacional de Residentado

doi:10.1371/journal.pone.0207769

Cited by 13 publications

(18 citation statements)

References 34 publications

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“…This is a descriptive, cross-sectional study, carried out between August and September of 2020. Inclusion criteria were: (1) physicians or residents (physicians training to become specialists 19 ) (2) attending COVID-19 patients in a COVID-19 category health facility in Peruvian territory and (3) willing to fill a self-administered online questionnaire. The participants were invited to participate by mail and WhatsApp and were provided with a link to the questionnaire.…”

Section: Methodsmentioning

confidence: 99%

“…In Peru, despite policies to identify, prevent, and control occupational risk factors, 14 the high frequency of WPV against health workers persists both in hospitals 15 , 16 , 17 , 18 , 19 , 20 and primary care services. 21 , 22 Morales et al found an 11.1% prevalence of physical violence and a 35.7% prevalence of psychological violence in primary care workers, 22 while another study found that 80% of the physicians interviewed had been victims of WPV throughout their working lives in primary care services.…”

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confidence: 99%

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Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Toia¹,

Carpio²,

Mayta‐Tristán³

et al. 2021

The Joint Commission Journal on Quality and Patient Safety

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Background The COVID-19 pandemic is an unprecedented challenge to health systems that has revealed shortcomings and increased unmet demands. Such situations might exacerbate workplace violence (WPV) against doctors, as has been reported in several parts of the world. Methods To identify the frequency and characteristics of WPV suffered by physicians attending COVID-19 patients in Peru, a descriptive, cross-sectional study was conducted with an online survey of 200 physicians. Results Of the survey respondents, 84.5% had suffered some type of violence 97.5% of these suffered non-physical violence. Suffering more than one incidence of violence was reported by 75.7% of respondents. The primary aggressor was a patient's family member or caregiver. Violence occurred most frequently in critical areas inside the health service facility, such as COVID-19 triage, tents, and hospital units, although it also occurred during teleconsultations. Multiple shortcomings of the health services were perceived as the main trigger of violence. Being a female physician (odds ratio [OR] = 2.8 [1.06–5.83]) and working in a COVID-19 ICU (OR = 5.84 [1.60–21.28]) were the main factors associated with WPV. Conclusion Violence against physicians attending COVID-19 patients in Peru is common; the perceived factors that contribute most to violence are linked to deficiencies in health services.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Toia¹,

Carpio²,

Mayta‐Tristán³

et al. 2021

The Joint Commission Journal on Quality and Patient Safety

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“…The most prevalent types of unwanted behaviors reported by residents include inappropriate verbal comments [1][2][3][4][5] and work as punishment [1,4]. The dominant sources of IHD have been staff physicians, nurses and other health care providers [1,2,[4][5][6], other residents [1,4], and patients [1,[4][5][6]. Among residents, gender has been identified as the perceived basis of IHD [4,[7][8][9][10][11], with more females experiencing gender discrimination.…”

Section: Introductionmentioning

confidence: 99%

Intimidation, harassment, and discrimination during family medicine residency training: a mixed methods study

2021

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Background The importance of wellbeing of family medicine residents is recognized in accreditation requirements which call for a supportive and respectful learning environment; however, concerns exist about learner mistreatment in the medical environment. The purpose of this study was to to describe family medicine graduates’ perceived experience with intimidation, harassment and discrimination (IHD) during residency training. Methods A mixed-methods study was conducted on a cohort of family medicine graduates who completed residency training during 2006–2011. Phase 1, the quantitative component, consisted of a retrospective survey of 651 graduates. Phase 2, the qualitative component, was comprised of 11 qualitative interviews. Both the survey and the interviews addressed graduates’ experience with IHD with respect to frequency and type, setting, perpetrator, perceived basis for IHD, and the effect of the IHD. Results The response rate to the survey was 47.2%, with 44.7% of respondents indicating that they experienced some form of mistreatment/IHD during residency training, and 69.9% noting that it occurred more than once. The primary sources of IHD were specialist physicians (75.7%), hospital nurses (47.8%), and family physicians (33.8%). Inappropriate verbal comments were the most frequent type of IHD (86.8%). Graduates perceived the basis of the IHD to be abuse of power (69.1%), personality conflict (36.8%), and family medicine as a career choice (30.1%), which interview participants also described. A significantly greater proportion IMGs than CMGs perceived the basis of IHD to be culture/ethnicity (47.2% vs 10.5%, respectively). The vast majority (77.3%) of graduates reported that the IHD experience had a negative effect on them, consisting of decreased self-esteem and confidence, increased anxiety, and sleep problems. As trainees, they felt angry, threatened, demoralized, discouraged, manipulated, and powerless. Some developed depression or burnout, took medication, or underwent counselling. Conclusions IHD continued to be prevalent during family medicine residency training, with it occurring most frequently in the hospital setting and specialty rotations. Educational institutions must work with hospital administrators to address issues of mistreatment in the workplace. Residency training programs and the medical establishment need to be cognizant that the effects of IHD are far-reaching and must continuously work to eradicate it.

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“…Lamentablemente, la violencia contra los trabajadores de la salud es cada vez más frecuente, diversos reportes en Estados Unidos [2] , China [3] , India [4] , España [5] , Bélgica [6] estiman que al menos uno de cada dos médicos ha tenido una experiencia de violencia en el lugar de trabajo en su vida, la cual puede ser verbal, psicológica, física o sexual. El Perú no es ajeno a ello, diferentes estudios [7][8][9][10][11][12][13][14][15][16][17] han demostrado que el personal de salud y en particular los médicos sufren de violencia por parte de familiares o pacientes en los hospitales o centros de salud del país. La experiencia de vida de algún hecho violento varía entre el 31,5 al 100% de casos, y en los últimos doce meses varía entre 19,9 a 70,1%.…”

unclassified

“…Haber sufrido de un episodio de violencia física en los últimos doce meses varía entre 3,3 hasta 25,7%. Se ha reportado hechos de violencia tanto en internos [11,12] , serumistas [18] , residentes [15] y asistentes [7,9,10,13,14,16] , así como en otros profesionales de la salud [8,17] (Tabla 1).…”

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Violencia contra el personal de salud en el Perú: del discurso a la acción

Mayta‐Tristán

Raa-Ortiz

2019

Acta Med Peru

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La violencia, en cualquiera de sus formas, es un acto inaceptable caracterizado por la pérdida elemental del respeto por la dignidad e integridad de la persona humana. Cuando esta agresión se dirige contra el personal de salud en funciones, quienes se exponen diariamente en la loable labor de asistir, curar y acompañar a una persona que necesita de ellos para recuperar o mantener su salud, no debe ser tolerada y se tiene que buscar los mecanismos necesarios para protegerlos [1]. Lamentablemente, la violencia contralos trabajadores de la salud es cada vez más frecuente, diversos reportes en Estados Unidos [2], China [3], India [4], España [5], Bélgica [6] estiman que al menos uno de cada dos médicos ha tenido una experiencia de violencia en el lugar de trabajo en su vida, la cual puede ser verbal, psicológica, física o sexual.

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Workplace violence by specialty among Peruvian medical residents

Cited by 13 publications

References 34 publications

Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Workplace Violence Against Physicians Treating COVID-19 Patients in Peru: A Cross-Sectional Study

Intimidation, harassment, and discrimination during family medicine residency training: a mixed methods study

Violencia contra el personal de salud en el Perú: del discurso a la acción

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