Thomas Julie A, Thomas Joel J, Paul Annie B, Acharya Sourya, Shukla Samarth, Rasheed Aamil, Pratapa Sree K
MBBS Student, Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.
Department of Internal Medicine, Datta Meghe Institute of Medical Sciences, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra, India.
J Family Med Prim Care. 2019 Dec 10;8(12):4015-4020. doi: 10.4103/jfmpc.jfmpc_830_19. eCollection 2019 Dec.
Medical vandalism has become a major matter of concern in today's world. The number of violent mob attacks on doctors and other medical personnel is on the rise. This trend is having a negative impact on the proper functioning of healthcare system thus affecting the quality of care and treatment. The aim of this study is to assess the awareness and opinions of the stakeholders in healthcare facilities about vandalism in today's medical practice.
A cross-sectional survey study was conducted in Acharya Vinoba Bhave Rural Hospital among 360 participants, comprising of nurses, patient's relatives, security personnel and non-medical staff in the Emergency Care Units and wards. A detailed questionnaire was prepared and used to assess the opinion of the subjects covering various aspects of medical vandalism such as prevalence of vandalism, experiences of vandalism at work, various factors causing medical vandalism, initiatives taken by the respondents to curb vandalism and awareness about various laws implemented by the government that help prevent vandalism.
Majority of the participants were of the opinion that medical vandalism was prevalent in India. Overcrowding of patients, inadequate skilled healthcare providers and occurrence of sudden death in casualty are among the major factors that trigger vandalism. This issue has been on the rise in both government and private setups, and nurses seem to be the major victims of such cruelness. 80% of the subjects admitted that verbal abuse was more common than physical abuse.
Although violence against all healthcare professionals has been recorded since historical times, the current scenario of the country is disturbing. Immediate measures need to be taken to curb vandalism. Various laws need to be implemented to strictly punish those who create violence. Likewise, institutions must ensure the availability of adequate staff and facilities to reduce events that make the bystanders aggressive.
医疗破坏行为已成为当今世界主要的关切问题。针对医生和其他医务人员的暴力暴民袭击事件数量正在上升。这一趋势对医疗保健系统的正常运作产生负面影响，从而影响护理和治疗质量。本研究的目的是评估医疗保健机构中利益相关者对当今医疗实践中破坏行为的认识和看法。
在阿查里亚·维诺巴·巴韦农村医院对360名参与者进行了横断面调查研究，参与者包括急诊科和病房的护士、患者亲属、安保人员和非医务人员。编制了一份详细问卷，用于评估受试者对医疗破坏行为各个方面的看法，如破坏行为的发生率、工作中的破坏行为经历、导致医疗破坏行为的各种因素、受访者为遏制破坏行为所采取的举措以及对政府实施的有助于预防破坏行为的各项法律的认识。
大多数参与者认为医疗破坏行为在印度很普遍。患者过度拥挤、缺乏熟练的医疗保健提供者以及急诊室突然死亡事件是引发破坏行为的主要因素。这个问题在政府和私立机构中都在增加，护士似乎是这种暴行的主要受害者。80%的受试者承认言语虐待比身体虐待更常见。
虽然自古以来就有针对所有医疗保健专业人员的暴力行为记录，但该国目前的情况令人不安。需要立即采取措施遏制破坏行为。需要实施各种法律来严厉惩罚那些制造暴力的人。同样，各机构必须确保有足够的工作人员和设施，以减少使旁观者产生攻击性的事件。
