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2019年沙特阿拉伯东部省达曼和胡拜尔初级保健中心针对医护人员的暴力行为

Violence Against Healthcare Workers at Primary Care Centers in Dammam and Al Khobar, Eastern Province, Saudi Arabia, 2019.

作者信息

Alsmael Mustafa M, Gorab Ali H, AlQahtani Areej M

机构信息

Family Medicine Academy, First Health Cluster, Ministry of Health, Dammam, Saudi Arabia.

First Health Cluster, Ministry of Health, Al Khobar, Saudi Arabia.

出版信息

Int J Gen Med. 2020 Sep 22;13:667-676. doi: 10.2147/IJGM.S267446. eCollection 2020.

Abstract

PURPOSE

Workplace violence is common throughout the world. It causes many serious problems in the healthcare sector, where it significantly impacts healthcare workers, the services provided, and organizations as a whole. However, few studies have investigated these issues in Saudi Arabia. This study examined the prevalence of violence against healthcare workers at primary care centers in Dammam and Al Khobar, in the Eastern Province of Saudi Arabia. The study also assessed the types, perpetrators, perceived causes, and consequences related to such violence. Here, the aim was to understand how healthcare workers responded to violence and gauge their awareness of a reporting system.

PATIENTS AND METHODS

A total of 360 healthcare workers (180 each from primary care centers in Dammam and Al Khobar) were invited to complete structured, self-administered questionnaires. As such, this study employed a cross-sectional analytical design.

RESULTS

The prevalence of workplace violence among all participating health workers was 46.9%, with approximately 90% of these workers reporting verbal violence, 34.3% having been subject to intimidation, and 3% reporting physical violence. Approximately 75% reported that violent events were initiated by patients, while 45.6% reported that the events were initiated by patients' companions. Healthcare workers' reactions included reporting events to their supervisors or the police, but 46.7% said they did nothing; the most common reason was perceived inefficacy. Finally, only 36.4% of all participants were aware of a violence reporting system.

CONCLUSION

This study showed that healthcare workers were commonly exposed to different forms of violence, but often either did not react to it or did not report it. Further, there was relatively little awareness of how to manage and report workplace violence, thus indicating the need for healthcare workers to receive relevant education and training. A national program should also be established to track and prevent workplace violence.

摘要

目的

工作场所暴力在全球普遍存在。它在医疗保健部门引发了许多严重问题,对医护人员、所提供的服务以及整个机构都产生了重大影响。然而,在沙特阿拉伯,很少有研究对这些问题进行调查。本研究调查了沙特阿拉伯东部省达曼和胡拜尔的初级保健中心针对医护人员的暴力行为发生率。该研究还评估了此类暴力行为的类型、施暴者、感知到的原因以及后果。在此,目的是了解医护人员对暴力行为的反应方式,并衡量他们对报告系统的认知程度。

患者与方法

共邀请了360名医护人员(达曼和胡拜尔的初级保健中心各180名)填写结构化的自填式问卷。因此,本研究采用横断面分析设计。

结果

所有参与研究的医护人员中,工作场所暴力的发生率为46.9%,其中约90%的医护人员报告遭受过言语暴力,34.3%受到过恐吓,有3%报告遭受过身体暴力。约75%的人报告暴力事件由患者引发,而45.6%的人报告事件由患者的同伴引发。医护人员的反应包括向主管或警方报告事件,但46.7%的人表示他们什么也没做;最常见的原因是认为这样做没有效果。最后,所有参与者中只有36.4%知晓暴力报告系统。

结论

本研究表明,医护人员普遍面临不同形式的暴力,但往往要么不对此做出反应,要么不进行报告。此外,对于如何管理和报告工作场所暴力的认知相对较少,因此表明医护人员需要接受相关教育和培训。还应制定一项国家计划来追踪和预防工作场所暴力。

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Violence against health workers in Family Medicine Centers.家庭医疗中心针对医护人员的暴力行为。
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