Workplace violence towards workers in the emergency departments of Palestinian hospitals: a cross-sectional study
Workplace violence towards workers in the emergency departments of Palestinian hospitals: a cross-sectional study
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DOI：
10.1186/s12960-015-0018-2
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发表时间：
2015-05-07
影响因子：
4.5
通讯作者：
Abu Hamra, Asma'a
中科院分区：
文献类型：
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作者：
Hamdan, Motasem;Abu Hamra, Asma'a
背景：医院急诊科工作场所暴力是一个普遍存在的问题。本研究的目的是评估的特点（水平和类型），相关的风险因素，原因和后果WPV对工人在巴勒斯坦EDs.Methods：一个横断面研究进行了14个可用的39个ED在巴勒斯坦：8从西岸和6从加沙地带。在2013年7月至9月期间使用自填问卷收集数据。多因素Logistic回归模型被用来检查与暴露于WPV的危险因素。结果：共444名参与者（响应率74.5%）：161（32.0%）护士，142（32%）医生，和141（31.7%）行政人员。大多数（76.1%）在过去12个月内经历过一种WPV：35.6%受到身体攻击，71.2%受到非身体攻击（69.8%受到口头虐待，48.4%受到威胁，8.6%受到性骚扰）。身体暴力和非身体暴力的施暴者主要是患者的家属/探视者（分别为85.4%和79.5%）。等待时间长、缺乏预防措施以及患者及其家属的期望未得到满足是WPV的主要原因。多因素回归分析表明，（OR = 2.29 CI 95% 1.309-4.036），临床医生（护士和医生）（OR = 1.65 CI 95%0.979 -2.797）与管理组比较，经验不足的艾德人员（OR = 2.39CI95%1.141 -5.006）暴露于WPV的危险性显著高于对照组（P < 0.05）。暴力行为的报案率很低（40%），这在很大程度上是由于没有采取足够的行动和担心后果。暴力已被证明有相当大的后果，工人的福祉，病人护理，和工作retrievation.Conclusions：暴力侵害工人在巴勒斯坦ED是非常普遍的。暴力的影响是相当大的。多种因素导致暴力，然而，ED的内部系统相关的因素是最容易改变的。应注意加强预防暴力的政策和措施，改进事件报告制度。
Background: Workplace violence (WPV) in hospital emergency departments (EDs) is a common problem. The objective of this study was to assess the characteristics (level and type), associated risk factors, causes, and consequences of WPV against workers in Palestinian EDs.Methods: A cross-sectional study was conducted in 14 out of the available 39 EDs in Palestine: 8 from the West Bank and 6 from the Gaza Strip. Data were collected using a self-administered questionnaire between July-September 2013. Multivariate logistic regression models were used to examine risk factors associated with exposure to WPV.Results: A total of 444 participants (response rate 74.5%): 161 (32.0%) nurses, 142 (32%) physicians, and 141 (31.7%) administrative personnel. The majority (76.1%) experienced a type of WPV in the past 12 months: 35.6% exposed to physical and 71.2% to non-physical assaults (69.8% verbal abuses, 48.4% threats, and 8.6% sexual harassments). Perpetrators of physical and non-physical violence were mainly patients' families/visitors (85.4% and 79.5%, respectively). Waiting time, lack of prevention measures, and unmet expectations of patients and their families are the main reasons for WPV. The multivariate regression analysis showed that younger personnel (OR = 2.29 CI 95% 1.309-4.036), clinicians (nurses and physicians) (OR = 1.65 CI 95% 0.979-2.797) comparing with administrative, and less experienced ED personnel (OR = 2.39 CI 95% 1.141-5.006) are significantly at higher risk of exposure to WPV (P < 0.05). Low level (40%) of violence reporting is evident, largely attributed to not enough actions being taken and fear of consequences. Violence has been shown to have considerable consequences for workers' well-being, patient care, and job retention.Conclusions: Violence against workers in Palestinian EDs is highly common. The effects of violence are considerable. Multiple factors cause violence; however, EDs' internal-system-related factors are the most amenable to change. Attention should be given to strengthening violence prevention policy and measures and improving incident-reporting system.