VIOLENCE AND ABUSE FACED BY JUNIOR PHYSICIANS IN THE EMERGENCY DEPARTMENT FROM PATIENTS AND THEIR CARETAKERS: A NATIONWIDE STUDY FROM PAKISTAN
VIOLENCE AND ABUSE FACED BY JUNIOR PHYSICIANS IN THE EMERGENCY DEPARTMENT FROM PATIENTS AND THEIR CARETAKERS: A NATIONWIDE STUDY FROM PAKISTAN
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DOI：
10.1016/j.jemermed.2011.01.029
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发表时间：
2012-06-01
影响因子：
1.5
通讯作者：
Imam, Sardar Zakariya
中科院分区：
文献类型：
--
作者：
Mirza, Nabil Mahmood;Amjad, Ali Imran;Imam, Sardar Zakariya
背景：在全球范围内，急诊科（ED）的医生受到病人和来访者的暴力。这已被证明对病人护理和医生的表现有负面影响。研究目的：本研究旨在确定发展中国家这一问题的严重程度，检查ED暴力对医生满意度和表现的影响，并确定潜在的病因和潜在的解决方案。方法和背景：这项全国性的横断面研究调查了巴基斯坦九家主要三级医院急诊科的在职医生（n = 675）。结果：该研究揭示了一个重要的问题，76.9%的医生在过去两个月内遭受过患者或其看护人的语言（65.0%）或身体（11.9%）虐待。男性医生比女性医生更容易成为此类事件的受害者（p < 0.05），过去2个月内在急诊科度过60小时以上的医生也是如此（p < 0.0001）。分别有40.7%和44.3%的医生报告工作满意度下降和工作绩效质量下降。与资深医师相比，初级实习医师更有可能报告工作绩效受损（p = 0.014）。患者缺乏教育，急诊科过度拥挤，缺乏安全人员的覆盖被认为是需要注意解决问题的主要领域。结论：该研究首次在发展中国家进行了全国性的流行病学研究，为该问题的全球普遍性提供了进一步的证据。(C) 2012爱思唯尔公司
Background: Across the globe, physicians in the emergency department (ED) are subject to violence by patients and visitors. This has been shown to have negative effects on patient care and physician performance. Study Objectives: This study was conducted to determine the magnitude of the problem in a developing country, to examine the effects of ED violence on physician satisfaction and performance, and to identify underlying etiologies and potential solutions. Methods and Setting: This nationwide cross-sectional study examined physicians-in-training (n = 675) in the EDs of nine major tertiary care hospitals in Pakistan. Results: The study reveals a significant problem, with 76.9% of physicians facing verbal (65.0%) or physical (11.9%) abuse from patients or their caretakers in the previous 2 months. Male physicians were more likely than female physicians to be victims of such episodes (p < 0.05), as were physicians who had spent more than 60 h in the ED in the past 2 months (p < 0.0001). Reduced job satisfaction and a decline in the quality of job performance were reported by 40.7% and 44.3% of physicians, respectively. Junior trainee physicians were more likely to report impairment in job performance when compared to their senior colleagues (p = 0.014). Patients' lack of education, overcrowding in the ED, and lack of coverage by security staff were identified as the major areas that need attention to address the problem. Conclusion: This study provides further evidence of the global prevalence of the problem, with the first nationwide epidemiological study performed in a developing country. (C) 2012 Elsevier Inc.