Fisekovic Kremic Marina B, Terzic-Supic Zorica J, Santric-Milicevic Milena M, Trajkovic Goran Z
Primary Health Center New Belgrade, Djordja Cutukovica 48a, Zemun, 11070 Belgrade, Serbia.
Zdr Varst. 2016 Jul 28;56(1):11-17. doi: 10.1515/sjph-2017-0002. eCollection 2017 Mar 1.
Workplace violence is a serious and multidimensional problem that adversely affects professional and personal lives of employees. The aim of this study was to assess the prevalence and characteristics of verbal violence as a part of psychological violence among employees in primary health care in Belgrade, and to identify contributing factors of verbal violence in the workplace.
In this cross-sectional study, the final analysis included 1526 employees, using multi-stage sampling. Data were collected using the questionnaire Workplace Violence in the Health Sector Country Case Studies Research, developed by ILO/ICN/WHO/PSI. Descriptive statistics and logistic regression analysis were used to analyse the data. The general response rate was 86.8% (1526/1757).
It was found that 47.8% of the participants were subjected to verbal violence. The main source of verbal violence was patient/client, 55.6% of employees did not report the incident. Among those who did not report the incident, 74.9% believed that reporting violence was useless. The interaction with patients (OR, 1.45; 95% CI, 1.02-2.06) and work between 6pm and 7am (OR, 1.27; 95% CI, 1.01-1.60) were significant contributing factors of verbal violence.
The results are indicative of a high prevalence of verbal violence against employees in primary health centres, which could have undesirable consequences. Conducting a better organizational measure and encouraging employees to report workplace violence could reduce the prevalence of verbal violence.
工作场所暴力是一个严重的多维度问题，会对员工的职业和个人生活产生不利影响。本研究的目的是评估贝尔格莱德初级卫生保健机构员工中作为心理暴力一部分的言语暴力的发生率和特征，并确定工作场所言语暴力的促成因素。
在这项横断面研究中，采用多阶段抽样，最终分析纳入了1526名员工。使用国际劳工组织/国际护士理事会/世界卫生组织/公共服务国际组织编制的《卫生部门工作场所暴力国别案例研究调查问卷》收集数据。采用描述性统计和逻辑回归分析对数据进行分析。总体回应率为86.8%（1526/1757）。
发现47.8%的参与者遭受过言语暴力。言语暴力的主要来源是患者/客户，55.6%的员工未报告该事件。在未报告该事件的员工中，74.9%的人认为报告暴力行为没有用。与患者的互动（比值比，1.45；95%置信区间，1.02 - 2.06）以及下午6点至早上7点之间的工作（比值比，1.27；95%置信区间，1.01 - 1.60）是言语暴力的重要促成因素。
结果表明初级卫生保健中心针对员工的言语暴力发生率很高，这可能会产生不良后果。采取更好的组织措施并鼓励员工报告工作场所暴力可以降低言语暴力的发生率。
