Kumar Nadikuda Sunil, Munta Kartik, Kumar J Raj, Rao S Manimala, Dnyaneshwar M, Harde Yogesh
Department of Critical Care Medicine, Yashoda Multi-Speciality Hospital, Somajiguda, Hyderabad, India.
Indian J Crit Care Med. 2019 Jul;23(7):295-301. doi: 10.5005/jp-journals-10071-23202.
Workplace violence (WPV) has been defined as, "violent acts including physical assault and threats of assault directed toward personnel at work or on duty". Healthcare staff are at highest risk of WPV among the professionals and it is more common among the critical care services. Prevalence of WPV among doctors all over the world is around 56-80% and in Indian scenario, it is around 40.8-75%. There is scarcity of studies on WPV among doctors from India. To our knowledge, this is the first of its kind survey conducted to know about the incidence of WPV amongst critical care physicians in India.
This survey was conducted after taking due ethical committee clearance amongst critical care physicians attending a critical care conference. The purpose of the study was informed to the participants and a pretested, self-administered, semi-structured questionnaire was distributed among them for their voluntary and anonymous response.
Out of 160 delegates who were given the questionnaire, 118 responses were collected and their forms were analyzed. Maximum responses (84%) received were of age group 20-40 years. Seventy-two percent respondents experienced WPV during their work hours. Most common type of violence reported was verbal violence (67%). Sixty-five percent respondents reported that poor communication was the leading cause of WPV. Due to WPV, most of the respondents (60%) had to change their place and pattern of work. Proper communication (76%) was the most common measure among multiple measures suggested by respondents for avoiding WPV. Eighty-three (98%) respondents opined that conflict management should be part of regular curriculum in medical education.
Improving the communication skills amongst critical care physicians, teaching doctors about conflict management in their regular curriculum of medical education, spreading awareness in public about patient rights and taking initiatives in propagating an idea to "Fight against the diseases and not against the doctors" are the key measures to combat WPV.
Kumar NS, Munta K, Kumar JR, Rao SM, Dnyaneshwar M, Harde Y. A Survey on Workplace Violence Experienced by Critical Care Physicians. Indian J Crit Care Med 2019;23(7):295-301.
工作场所暴力(WPV)被定义为“包括身体攻击以及针对工作或值班人员的攻击威胁在内的暴力行为”。在各类职业中,医护人员遭受工作场所暴力的风险最高,在重症监护服务领域更为常见。全球医生遭受工作场所暴力的比例约为56%-80%,在印度,这一比例约为40.8%-75%。印度针对医生遭受工作场所暴力的研究较少。据我们所知,这是首次针对印度重症监护医生遭受工作场所暴力发生率开展的此类调查。
本调查在获得伦理委员会适当批准后,对参加重症监护会议的重症监护医生进行。研究目的告知了参与者,并向他们发放了经过预测试的、自我填写的半结构化问卷,以获取他们自愿且匿名的回复。
在收到问卷的160名代表中,收集到118份回复并对其表格进行了分析。收到的回复中最多的(84%)是年龄在20-40岁的人群。72%的受访者在工作时间遭受过工作场所暴力。报告的最常见暴力类型是言语暴力(67%)。65%的受访者表示沟通不畅是工作场所暴力的主要原因。由于工作场所暴力,大多数受访者(60%)不得不改变工作地点和工作模式。在受访者提出的多种避免工作场所暴力的措施中,适当沟通(76%)是最常见的措施。83名(98%)受访者认为冲突管理应成为医学教育常规课程的一部分。
提高重症监护医生的沟通技巧、在医学教育常规课程中教授医生冲突管理、向公众宣传患者权利以及积极倡导“与疾病作斗争而非与医生作对”的理念,是应对工作场所暴力的关键措施。
Kumar NS, Munta K, Kumar JR, Rao SM, Dnyaneshwar M, Harde Y. 一项关于重症监护医生遭受工作场所暴力的调查。《印度重症监护医学杂志》2019;23(7):295-301。