Anand Tanu, Grover Shekhar, Kumar Rajesh, Kumar Madhan, Ingle Gopal Krishna
Maulana Azad Medical College and associated hospitals, New Delhi 110002, India.
Natl Med J India. 2016 Nov-Dec;29(6):344-348.
Healthcare workers particularly doctors are at high risk of being victims of verbal and physical violence perpetrated by patients or their relatives. There is a paucity of studies on work-related violence against doctors in India. We aimed to assess the exposure of workplace violence among doctors, its consequences among those who experienced it and its perceived risk factors.
This study was done among doctors working in a tertiary care hospital in Delhi. Data were collected by using a self-administered questionnaire containing items for assessment of workplace violence against doctors, its consequences among those who were assaulted, reporting mechanisms and perceived risk factors.
Of the 169 respondents, 104 (61.4%) were men. The mean (SD) age of the study group was 28.6 (4.2) years. Sixty-nine doctors (40.8%) reported being exposed to violence at their workplace in the past 12 months. However, there was no gender-wise difference in the exposure to violence (p=0.86). The point of delivery of emergency services was reported as the most common place for experiencing violence. Verbal abuse was the most common form of violence reported (n=52; 75.4%). Anger, frustration and irritability were the most common symptoms experienced by the doctors who were subjected to violence at the workplace. Only 44.2% of doctors reported the event to the authorities. 'Poor communication skills' was considered to be the most common physician factor responsible for workplace violence against doctors.
A large proportion of doctors are victims of violence by their patients or relatives. Violence is being under-reported. There is a need to encourage reporting of violence and prepare healthcare facilities to tackle this emerging issue for the safety of physicians.
医护人员尤其是医生,面临着患者或其亲属实施言语和身体暴力的高风险。在印度,针对医生的工作场所暴力相关研究匮乏。我们旨在评估医生遭受工作场所暴力的情况、暴力对受害者的影响以及他们所感知的风险因素。
本研究在德里一家三级护理医院工作的医生中开展。通过使用一份自填式问卷收集数据,问卷包含评估针对医生的工作场所暴力、暴力对受害者的影响、报告机制以及感知风险因素的项目。
169名受访者中,104名(61.4%)为男性。研究组的平均(标准差)年龄为28.6(4.2)岁。69名医生(40.8%)报告在过去12个月内在工作场所遭受过暴力。然而,在遭受暴力方面不存在性别差异(p = 0.86)。急诊服务的交付点被报告为遭受暴力最常见的场所。言语辱骂是报告的最常见暴力形式(n = 52;75.4%)。愤怒、沮丧和易怒是在工作场所遭受暴力的医生最常出现的症状。只有44.2%的医生向当局报告了该事件。“沟通技巧差”被认为是导致针对医生的工作场所暴力的最常见医生因素。
很大一部分医生是患者或其亲属暴力行为的受害者。暴力事件报告不足。有必要鼓励报告暴力事件,并让医疗机构做好应对这一新兴问题的准备,以保障医生的安全。