Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies.
Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies.
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DOI：
10.4103/jpgm.jpgm_96_20
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发表时间：
2020-07
影响因子：
1.6
通讯作者：
Baitha U
中科院分区：
文献类型：
--
作者：
Kumari A;Kaur T;Ranjan P;Chopra S;Sarkar S;Baitha U
工作场所暴力是医生面临的一个主要职业问题，严重影响医生的身心健康。这最终影响到国家的医疗服务。患者主导的言语暴力事件在亚洲国家更为普遍，特别是在急诊科、精神科病房和重症监护室，主要由初级医生和住院医生面临。暴力侵害医生的一些常见前兆是病人及其护理人员的不满和冲动控制力低下、管理不善、沟通不畅、基础设施问题，特别是私立和公立医院之间的服务差异，以及媒体对医生的负面描述。风险因素的评估，工作场所暴力方案的制定和实施，以及解决暴力事件的漏报问题被认为是一些成功的组织缓解战略。关于管理工作场所暴力的建议包括制定参与性的、基于性别的、基于文化的、非歧视性的和系统的战略，以处理与暴力有关的问题。本文旨在全面回顾工作场所暴力侵害医生的情况，讨论暴力侵害的发生率、程度、预测因素、对身心健康的影响以及干预策略，以制定切实可行的行动来打击工作场所暴力。
Workplace violence is a major occupational issue concerning doctors that has a significant impact on their physical and psychological well-being. This ultimately affects the health care services of the country. Patient-led episodes of verbal violence are more prevalent in Asian countries, especially in the emergency department, psychiatric wards, and intensive care units, mostly faced by junior doctors and residents. Some common precursors of violence against doctors are patients and their attendants' dissatisfaction and low impulse control, poor administration, miscommunication, infrastructural issues especially differences in services between private and public hospitals, and negative media portrayal of doctors. The assessment of risk factors, development and implementation of workplace violence programs, and addressing underreporting of violent episodes have been suggested as some successful organizational mitigation strategies. Recommendations on the management of workplace violence include the development of participative, gender-based, culture-based, nondiscriminatory, and systematic strategies to deal with issues related to violence. This article aims to present a comprehensive review of workplace violence against doctors, discussing the prevalence, degree of violence, predictors, impact on physical and psychological health and intervention strategies to devise practical actions against workplace violence.