Sachdeva Seema, Jamshed Nayer, Aggarwal Praveen, Kashyap Suman R
Department of Nursing, All India Institute of Medical Sciences, New Delhi, India.
Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Emerg Trauma Shock. 2019 Jul-Sep;12(3):179-184. doi: 10.4103/JETS.JETS_81_18.
Workplace violence (WPV) is a serious issue worldwide. Violence against emergency department (ED) staffs causes significant physical and mental distress which affects work productivity and patient care.
We seek amount and type of WPV perceived by the emergency physicians and nurses, their reporting agencies, and impact of violence on them.
It was a cross-sectional study conducted at a tertiary health care center. Data were collected based on 24-item questionnaire between January and December 2017. Descriptive statistics was used to describe characteristics of participants and exposure to violence. Chi-square and Fisher's exact tests were used for bivariate analysis while logistic regression analysis was to analyze the impact of violence with participant characteristics. < 0.05 was used to judge the clinical significance.
Two hundred and thirty-five participants (123 doctors and 112 nurses) completed the survey. About 67% of the participants (158/235) reported verbal abuse (VA), physical assault (PA) was reported by 17% (40/235), while confrontation was reported by 11% (27/235). Family members were the main perpetrator for VA (75%) and PA (35%). Regarding reporting, the violent incidences were mostly reported to ED security and ED faculty. Individuals with comparatively less age group, less experience, and male gender were more exposed to abuse both VA and PA at < 0.05. Nurses and junior residents reported more abuse than senior residents ( < 0.05). Majority of the participants had reported lack of job satisfaction due to Verbal abuse ( = 0.01).
WPV is common in ED of the current setting. It results in significant physiological and psychological effects on health-care providers.
工作场所暴力（WPV）是一个全球性的严重问题。针对急诊科（ED）工作人员的暴力行为会导致严重的身心困扰，进而影响工作效率和患者护理。
我们旨在了解急诊医生和护士所感知到的工作场所暴力的数量和类型、他们的报告机构，以及暴力对他们的影响。
这是一项在三级医疗保健中心进行的横断面研究。于2017年1月至12月期间，基于一份包含24个条目的问卷收集数据。描述性统计用于描述参与者的特征以及暴力暴露情况。卡方检验和Fisher精确检验用于双变量分析，而逻辑回归分析则用于分析暴力与参与者特征之间的影响。P < 0.05用于判断临床意义。
235名参与者（123名医生和112名护士）完成了调查。约67%的参与者（158/235）报告遭受过言语虐待（VA），17%（40/235）报告遭受过身体攻击（PA），11%（27/235）报告有过冲突。家庭成员是言语虐待（75%）和身体攻击（35%）的主要肇事者。关于报告情况，暴力事件大多报告给了急诊科安保人员和急诊科教员。年龄相对较小、经验较少的男性个体遭受言语虐待和身体攻击的情况更为常见（P < 0.05）。护士和初级住院医师报告遭受的虐待比高级住院医师更多（P < 0.05）。大多数参与者报告称，由于言语虐待，他们对工作不满意（P = 0.01）。
在当前环境下，工作场所暴力在急诊科很常见。它会对医疗服务提供者产生重大的生理和心理影响。
