Kumari A, Kaur T, Ranjan P, Chopra S, Sarkar S, Baitha U
Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India.
Department of Medicine, AIIMS, New Delhi, India.
J Postgrad Med. 2020 Jul-Sep;66(3):149-154. doi: 10.4103/jpgm.JPGM_96_20.
Workplace violence is a major occupational issue concerning doctors that has a significant impact on their physical and psychological well-being. This ultimately affects the health care services of the country. Patient-led episodes of verbal violence are more prevalent in Asian countries, especially in the emergency department, psychiatric wards, and intensive care units, mostly faced by junior doctors and residents. Some common precursors of violence against doctors are patients and their attendants' dissatisfaction and low impulse control, poor administration, miscommunication, infrastructural issues especially differences in services between private and public hospitals, and negative media portrayal of doctors. The assessment of risk factors, development and implementation of workplace violence programs, and addressing underreporting of violent episodes have been suggested as some successful organizational mitigation strategies. Recommendations on the management of workplace violence include the development of participative, gender-based, culture-based, nondiscriminatory, and systematic strategies to deal with issues related to violence. This article aims to present a comprehensive review of workplace violence against doctors, discussing the prevalence, degree of violence, predictors, impact on physical and psychological health and intervention strategies to devise practical actions against workplace violence.
工作场所暴力是一个与医生相关的重大职业问题，对他们的身心健康有重大影响。这最终会影响该国的医疗服务。在亚洲国家，尤其是在急诊科、精神科病房和重症监护病房，由患者引发的言语暴力事件更为普遍，主要受害者是初级医生和住院医生。针对医生暴力行为的一些常见先兆包括患者及其陪护人员的不满和低冲动控制能力、管理不善、沟通不畅、基础设施问题，尤其是私立医院和公立医院服务的差异，以及媒体对医生的负面报道。评估风险因素、制定和实施工作场所暴力预防计划以及解决暴力事件报告不足的问题，已被建议作为一些成功的组织缓解策略。关于工作场所暴力管理的建议包括制定参与性、基于性别、基于文化、非歧视性和系统性的策略，以处理与暴力相关的问题。本文旨在全面综述针对医生的工作场所暴力，讨论其发生率、暴力程度、预测因素、对身心健康的影响以及干预策略，以制定应对工作场所暴力的实际行动。
