Grover Sandeep, Dalton Nobel, Avasthi Ajit
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2020 Jan-Jun;29(1):38-46. doi: 10.4103/ipj.ipj_79_20. Epub 2020 Nov 7.
This study aimed to evaluate the magnitude and factors associated with violence against doctors.
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.
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.
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.
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。
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。
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。
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。