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尽管印度针对医护人员的暴力行为高发,但相关报告却很少。

Low reporting of violence against health-care workers in India in spite of high prevalence.

作者信息

Garg Ruchi, Garg Neeraj, Sharma D K, Gupta Shakti

机构信息

Assistant Professor, IHMR University, Jaipur, India.

Command Project Officer (CPO), Medical Branch, HQ, South Western Command, India.

出版信息

Med J Armed Forces India. 2019 Apr;75(2):211-215. doi: 10.1016/j.mjafi.2018.11.011. Epub 2019 Apr 5.

Abstract

BACKGROUND

Violence against health-care workers has become a great issue in health-care organizations. This study was conceptualized with the aim to know the prevalence of violence and to identify gap between rate of reporting of an incident of violence at a tertiary care hospital in India.

METHODS

The study was descriptive and cross-sectional; a validated questionnaire was used as a tool. Reported incidents of violence against workers were collected. P value <0.05 was considered statistically significant in the analysis. A Z test for proportion at 95% confidence interval was applied to analyze the level of difference between prevalence, rate of reporting, and their level of awareness.

RESULTS

Of 394 respondents, 136(34.5%) workers had experienced workplace violence in the last 12 months. It was found that total 32 incidents of workplace violence were reported to the concerned authority. The reporting rate of violence is significantly low (23.5%), in spite of high prevalence (34.5%). Level of awareness regarding the reporting mechanism and regulations for the safeguard of health-care workers against workplace violence is only 24.6 %.

CONCLUSION

This study concluded that the prevalence of violence among health-care workers is quite high, but the reporting rate is significantly low. The low rate of reporting is because of lack of awareness about the reporting mechanism of workplace violence. It is recommended that sensitizing workshops should be conducted to increase the level of awareness, which will result in reduction in the prevalence of violence and building a safe and secured workplace for health-care providers.

摘要

背景

针对医护人员的暴力行为已成为医疗机构中的一个重大问题。本研究旨在了解暴力行为的发生率,并找出印度一家三级医疗机构暴力事件报告率之间的差距。

方法

本研究为描述性横断面研究;使用经过验证的问卷作为工具。收集报告的针对工作人员的暴力事件。分析中P值<0.05被认为具有统计学意义。应用95%置信区间的比例Z检验来分析发生率、报告率及其知晓水平之间的差异程度。

结果

在394名受访者中,136名(34.5%)工作人员在过去12个月中经历过工作场所暴力。发现总共向有关当局报告了32起工作场所暴力事件。尽管发生率很高(34.5%),但暴力事件的报告率却很低(23.5%)。关于医护人员免受工作场所暴力侵害的报告机制和保障规定的知晓水平仅为24.6%。

结论

本研究得出结论,医护人员中暴力行为的发生率相当高,但报告率却很低。报告率低是因为对工作场所暴力报告机制缺乏认识。建议举办宣传讲习班以提高知晓水平,这将导致暴力行为发生率降低,并为医护人员营造一个安全可靠的工作场所。

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