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本文引用的文献

1
Determinants of aggression against all health care workers in a large-sized university hospital.大型综合医院内针对所有医护人员的攻击行为的决定因素。
BMC Health Serv Res. 2020 Mar 16;20(1):215. doi: 10.1186/s12913-020-05084-x.
2
Manifestations of verbal and physical violence towards doctors: a comparison between hospital and community doctors.言语和身体暴力对医生的表现:医院医生与社区医生的比较。
BMC Health Serv Res. 2019 Nov 26;19(1):888. doi: 10.1186/s12913-019-4700-2.
3
Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis.医护人员遭受工作场所暴力的流行率:系统评价和荟萃分析。
Occup Environ Med. 2019 Dec;76(12):927-937. doi: 10.1136/oemed-2019-105849. Epub 2019 Oct 13.
4
Perception of Workplace Violence in the Emergency Department.急诊科对工作场所暴力的认知
J Emerg Trauma Shock. 2019 Jul-Sep;12(3):179-184. doi: 10.4103/JETS.JETS_81_18.
5
A Survey on Workplace Violence Experienced by Critical Care Physicians.重症监护医师工作场所暴力经历的调查
Indian J Crit Care Med. 2019 Jul;23(7):295-301. doi: 10.5005/jp-journals-10071-23202.
6
Prevalence of Type II and Type III Workplace Violence against Physicians: A Systematic Review and Meta-analysis.针对医生的II型和III型工作场所暴力的患病率:一项系统评价和荟萃分析。
Int J Occup Environ Med. 2019 Jul;10(3):99-110. doi: 10.15171/ijoem.2019.1573.
7
Workplace violence against resident doctors: A multicentric study from government medical colleges of Uttar Pradesh.医疗机构工作场所暴力对实习医生的影响:北方邦政府医学院的一项多中心研究。
Indian J Public Health. 2019 Apr-Jun;63(2):143-146. doi: 10.4103/ijph.IJPH_70_18.
8
The impact of workplace violence on job satisfaction, job burnout, and turnover intention: the mediating role of social support.工作场所暴力对工作满意度、工作倦怠和离职意向的影响:社会支持的中介作用。
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9
Impact and Prevalence of Physical and Verbal Violence Toward Healthcare Workers.医护人员遭受身体和言语暴力的影响和流行率。
Psychosomatics. 2018 Nov;59(6):584-590. doi: 10.1016/j.psym.2018.04.007. Epub 2018 May 9.
10
Workplace violence against resident doctors in a tertiary care hospital in Delhi.德里一家三级护理医院针对住院医生的工作场所暴力行为。
Natl Med J India. 2016 Nov-Dec;29(6):344-348.

三级护理医院中针对医生的工作场所暴力行为。

Workplace violence against doctors in a tertiary care hospital.

作者信息

Grover Sandeep, Dalton Nobel, Avasthi Ajit

机构信息

Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ind Psychiatry J. 2020 Jan-Jun;29(1):38-46. doi: 10.4103/ipj.ipj_79_20. Epub 2020 Nov 7.

DOI:10.4103/ipj.ipj_79_20
PMID:33776274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7989456/
Abstract

AIM

This study aimed to evaluate the magnitude and factors associated with violence against doctors.

MATERIALS AND METHODS

An online survey of doctors working in a tertiary care hospital in India was done by using the modified version of the workplace violence (WPV) in the Health Sector Questionnaire, developed by the World Health Organization.

RESULTS

Out of the 353 participants, 193 doctors (54.6%) reported being exposed to violence at their workplace in the past 6 months. Participants from the medical branches (57.8%), senior residents (60.3%), and those who were posted in emergency services (79.4%) and night duty (56.1%) reported more violence. The most common type of WPV was verbal abuse (91.2%), and the perpetrators were relatives of the patients (51.7%). The possible perceived reasons for WPV were patient overload (69.7%), prolonged duty hours and excessive workload (69.7%), and long waiting periods for patients/caregivers (66.9%). The majority of the participants considered that recruiting an adequate number of professional and paraprofessional staff (75.6%) can lead to a reduction in WPV.

CONCLUSIONS

The present study suggests that more than half of the doctors working in a tertiary care hospital in India face WPV. There is a lack of specific redressal mechanism to address WPV. Accordingly, there is a need to develop a mechanism for reporting of WPV and to implement preventive strategies at the individual level and at the system level. There is need for strengthening and implementing laws and making new policies to reduce WPV.

摘要

目的

本研究旨在评估针对医生的暴力行为的严重程度及相关因素。

材料与方法

采用世界卫生组织编制的《卫生部门工作场所暴力调查问卷》的修改版,对印度一家三级护理医院的医生进行了在线调查。

结果

在353名参与者中,193名医生(54.6%)报告在过去6个月内在工作场所遭受过暴力。来自医学科室的参与者(57.8%)、高级住院医师(60.3%)以及被分配到急诊服务部门(79.4%)和值夜班(56.1%)的医生报告遭受的暴力更多。工作场所暴力最常见的类型是言语辱骂(91.2%),施暴者为患者亲属(51.7%)。工作场所暴力可能的感知原因是患者过多(69.7%)、工作时间过长和工作量过大(69.7%)以及患者/护理人员等待时间过长(66.9%)。大多数参与者认为招聘足够数量的专业和辅助专业人员(75.6%)可减少工作场所暴力。

结论

本研究表明,在印度一家三级护理医院工作的医生中,超过一半面临工作场所暴力。缺乏解决工作场所暴力的具体补救机制。因此,需要建立工作场所暴力报告机制,并在个人层面和系统层面实施预防策略。需要加强和实施法律并制定新政策以减少工作场所暴力。