Workplace Violence in Health Care

Wyatt, Ronald; Anderson-Drevs, Kim; Male, Lynn M. Van

doi:10.1001/jama.2016.10384

Cited by 53 publications

(24 citation statements)

References 2 publications

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“…One noteworthy result of the study was the relatively low prevalence of sexual harassment and racial harassment, although even these rates of incidence are alarming in that prevalence studies may have the risk of under-reporting and recall bias [ 27 ]. More significantly, some respondents may consider the risk of WPV as part of their job [ 21 , 28 , 29 ] and may not report it for fear of retaliation [ 25 ], fear of blame, excessive paperwork, and to go through a time-consuming reporting process [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

“…A cross-sectional study investigating prevalence estimates for WPV towards physicians in China in 123 public hospitals in Shanghai, Hubei and Gansu Provinces ( n = 1656 stratified random samples) [ 31 ] came up with an overall prevalence of over 90% of WPV (verbal abuse, 92.8%; threatened assaults, 88.1%; and actual physical assault, 81.0%). In another comparable case, a recent large-scale cross-sectional study of 6300 nurses in Minnesota found an incidence of physical assault by patients and visitors of 13.2 per 100 healthcare professionals (95% CI 12.2–14.3) in the past year [ 17 , 21 ]. This study used a nested-control design to compare 310 cases across 946 control subjects.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, existing research tends to focus on specific professions (that is, only potentially one of these two jobs), recording their experience in cross-sectional designs. WPV can be taken to arise out of poor communication between co-workers and patients [ 20 ], a failure to observe patients vigilantly, settings’ non-compliance with WPV prevention policies, and inadequate assessment of patients’ aggravators and other behaviors [ 21 ]. To date, very little research compares prevalence estimates for WPV for different medical-related professionals.…”

Section: Introductionmentioning

confidence: 99%

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Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau

Cheung

Lee

Yip³

2017

IJERPH

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This paper sets out to estimate the prevalence of workplace violence in relation to socio-demographic characteristics of physicians and nurses working in healthcare settings in Macau. Background: Concerted efforts worldwide to reduce workplace violence (WPV) have not yet removed medical-related professionals from the threat of patients’, family members’, and colleagues’ physical and other assaults in Southeast Asia. Methods: The study employs a cross-sectional design to estimate the prevalence and examines the socio-economic and psychological correlates of WPV among medical doctors and nurses in Macau. The data collection period spanned from August to December 2014. Multiple logistic regression examines the prevalence rates of WPV and its associated factors in doctors and nurses. Results: A total of 107 doctors (14.9%) and 613 nurses (85.1%) participated in the study; 57.2% had suffered WPV in the preceding year. The most common forms of workplace violence were verbal abuse (53.4%), physical assault (16.1%), bullying/harassment (14.2%), sexual harassment (4.6%), and racial harassment (2.6%). Most violence was perpetrated by patients and their relatives, colleagues, and supervisors. Conclusions: WPV remains a significant concern in healthcare settings in Macau. Macau’s local health authority should consider putting in place a raft of zero-tolerance policies designed to prevent it.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau

Cheung

Lee

Yip³

2017

IJERPH

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“…Such a comprehensive approach should include unified guidelines for violence prevention, promotion of legislation, managerial support, and an effective reporting system. These measures which would include staff across all levels, continuous training programs as well as installation of security cameras, metal detectors, etc., should be instituted, [ 1 , 35 ]. In addition, guidelines need to relate to micro contingencies.…”

Section: Discussionmentioning

confidence: 99%

Workplace violence in a tertiary care Israeli hospital - a systematic analysis of the types of violence, the perpetrators and hospital departments

Shafran-Tikva

Zelker

Stern

et al. 2017

Isr J Health Policy Res

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BackgroundWorldwide, there is a widespread and disturbing pattern of violence towards healthcare workers. However, violent occurrences in Israeli hospitals have often been unrecognized and underreported. Moreover, most studies have not sufficiently differentiated among the different types of violence.To examine the different types of violence experienced by nurses and physicians, the types of perpetrators and the specialty fields involved.MethodsA quantitative questionnaire was used to assess the incidence of a “basket” of violent behaviors, divided into eight types of violent manifestations. The study population consisted of 729 physicians and nurses in a variety of hospital divisions and departments (surgery, oncology, intensive care, ambulatory services including day care, and emergency room) in a large general hospital. Six hundred seventy-eight of them responded to the survey for a response rate of 93%; about two thirds of respondents (446) were nurses and about one third (232) were physicians. The questionnaires were completed during staff meetings and through subsequent follow-up efforts.ResultsIn the 6 months preceding the survey, the respondents experienced about 700 incidents of passive aggressive behavior, 680 of verbal violence and 81 of sexual harassment. Types of violence differed between patients and companions; for example, the latter exhibited more verbal, threatening and passive aggressive behaviors. Violence was reported in all departments (ranging from 52–96%), with the departments most exposed to violence being the emergency room and outpatient clinics. Nurses in the emergency room were 5.5 times at a higher risk of being exposed to violence than nurses in the internal medicine department. Nurses were exposed to violence almost twice as much as physicians. There was a positive association between the physician’s rank and his/her exposure to violence. A multiple regression model found that being older reduced the risk of being exposed to violence, for both physicians and nurses.ConclusionsThese findings suggest that uniform definitions of a range of different violent behaviors and assessments of their prevalence are important to creating an improved discourse about hospital violence in both research and operational settings. The study findings could assist policy makers in the Israeli healthcare system in implementing interventions on a national level and can promote leaders’ commitment to violence prevention and management. This is an important contribution, as executive commitment is necessary and critical for the necessary organizational changes to occur.

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“…The increasing number of violent events at emergency department (ED) and work-related stress have greatly contributed to burnouts and shortage of emergent physicians [2,3]. Since it is much convenient for patients visiting ED with low-cost payments, the growing population has nearly overloaded all hospitals in Taiwan and increased the burdens of physician care [4,5].…”

Section: Introductionmentioning

confidence: 99%

Application of Integrated Medical Care Model (Hospitalist) in Emergency Department and its Efficiency and Outcome: 4 years' Experience in Taiwan

Weng¹,

Huang²,

Zhang³

et al. 2017

Health Care Current Reviews

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Background: The hospitalist model (HOS) setting at wards can improve quality of patient care and shorten length of stay, however, their efficacy at emergency department (ED) is still lacking in Taiwan.Objective: To realize if HOS is working at ED in a designed academic care program.Design/setting: Before-and-after intervention of HOS in a 1200-bed tertiary medical center in Taiwan. Measurement:A three-shift duty with 8 internal subspecialists was adapted for their working schedule in 3:1:1 physicians round. From 2012~2016, 4 years data was collected retrospectively such as length of stay, over-waiting (>48 h) period, mortality, 6 and 24 h deterioration after hospitalization and satisfaction questionnaire were analyzed before and after HOS intervention was compared.Results: There was no significant difference in patient number, age and sex before and after HOS program at ED. In total, 4 years data analyzed (520,409 ED visitors, 111,949 hospitalized) was shown that decline of waiting time, over-waiting (>48 h), mortality rate, post-hospitalized 6 and 24 h transferring to intensive care unit were statistically significant (ANOVA, p ≦ 0.05 individually). In average 55-60 patients per month discharged from holistic care unit without admission. Satisfactory questionnaire for pre-hospitalized care in disease explanation, service attitudes, symptom relief and overall impression about healthcare reached 90% in two times survey (427 and 459 sample sizes).Conclusion: HOS at ED can lessen over-crowded conditions, shorten pre-hospitalized length, decline mortality, and improve quality of care and patient satisfaction. Although data comes from a single medical center, it still shows good efficiency and outcome since HOS implemented at emergency. of care model, hospitalist program-HOS, was launched by the hospital administrators to solve the over-crowded situations and cared pre-hospitalized patients in advance at ED. Application of Integrated MedicalThe HOS was established in United Stated (US) in 1996 and the field of hospital medicine has grown rapidly worldwide recently. At present hospitalists on staffs reach 50,000 physicians, more than cardiologists, in almost all medical centers in US [9][10][11][12]. The advantages of HOS include a more rapid, effective and precise dealing with problems no matter in diagnoses, prescription of medications, therapeutic strategies or the communications with patients by sharing decision making with attending physicians rather than by residency in advance [13,14]. Several studies have reported that HOS model at wards provides shorter length of stay and improves quality of care [11,[14][15][16]. From patient point of views,

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Workplace Violence in Health Care

Cited by 53 publications

References 2 publications

Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau

Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau

Workplace violence in a tertiary care Israeli hospital - a systematic analysis of the types of violence, the perpetrators and hospital departments

Application of Integrated Medical Care Model (Hospitalist) in Emergency Department and its Efficiency and Outcome: 4 years' Experience in Taiwan

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