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在劳动分娩单位工作会增加阿姆哈拉地区转诊医院工作场所暴力的几率:横断面研究。

Working in labor and delivery unit increases the odds of work place violence in Amhara region referral hospitals: Cross-sectional study.

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Debre Tabore University, Debre Tabore, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

PLoS One. 2021 Oct 20;16(10):e0254962. doi: 10.1371/journal.pone.0254962. eCollection 2021.

Abstract

BACKGROUND

Workplace violence is any act of negative behavior that causes, physically and psychologically harm to health professionals face in the workplace. The prevalence of workplace violence becomes a challenging occupational issue with increasing nature worldwide. In spite of the seriousness and the impact of the problem, little is known about its magnitude and determinants in the study area and even in Ethiopia.

OBJECTIVE

The study aimed to assess the magnitude of workplace violence and its associated factors among health care providers working for the last one year at Obstetrics and gynecology department in Amhara Regional State Referral Hospitals, Ethiopia 2019.

METHODS

Institutional based cross-sectional study was conducted from October 1st to 30th, 2019. 503 study participants were incorporated in the study. A pre-tested structured questionnaire was used to collect the data. Data were entered into EPI info version 7.2.3.1 and analyzed using SPSS version 23. Binary Logistic regression model was fitted to identify factors associated with workplace violence considering the association to be significant p- value <0.05.

RESULT

This study revealed that 44.5%of the health care providers had reported workplace violence (95% CI: 40.2-48.7). Of this majority of the Victims were experienced a verbal type of violence 200 (88.1%), followed by physical 14 (6.2%), sexual 11 (4.8%), and racial two (0.8%). Factors of workplace violence in this research with statically significant, were: working in labor ward (AOR = 7.4,95% CI: 2.9-18.7), Female sex of participant (AOR = 2.4, 95% CI:1.4-4), work experience less than 5 years(AOR 8.5, 95%CI:7.3-33.3) and numbers of staff less than5 in a shift (AOR = 5.3 95% CI:3.8-39.8) and 5-10 staff in a shift (AOR = 3.3, 95% CI:2.7-25).

CONCLUSION AND RECOMMENDATIONS

The prevalence of workplace violence among obstetrics and gynecology department health professionals in Amhara regional state referral hospitals was high. Developing an incident resolution protocol and legislations to encourage health professionals to prompt report violent acts and judicial punishment of perpetrators will be useful to combat workplace violence at obstetrics and gynecology department.

摘要

背景

工作场所暴力是指在工作场所对健康专业人员造成身体和心理伤害的任何不良行为。工作场所暴力的普遍性已成为全球范围内日益严峻的职业挑战问题。尽管问题的严重性和影响很大,但在研究区域甚至在埃塞俄比亚,人们对其规模和决定因素知之甚少。

目的

本研究旨在评估在过去一年中在阿姆哈拉州地区转诊医院妇产科工作的卫生保健提供者遭受工作场所暴力的程度及其相关因素。

方法

2019 年 10 月 1 日至 30 日,进行了一项基于机构的横断面研究。共纳入 503 名研究参与者。使用经过预测试的结构化问卷收集数据。将数据输入 EPI info 版本 7.2.3.1,并使用 SPSS 版本 23 进行分析。采用二元逻辑回归模型,确定与工作场所暴力相关的因素,考虑到关联有统计学意义,p 值<0.05。

结果

这项研究显示,44.5%的卫生保健提供者报告遭受过工作场所暴力(95%置信区间:40.2-48.7)。在大多数受害者中,200 人(88.1%)经历了言语暴力,其次是 14 人(6.2%)经历了身体暴力,11 人(4.8%)经历了性暴力,2 人(0.8%)经历了种族暴力。在这项研究中,与工作场所暴力具有统计学显著相关的因素包括:在产房工作(AOR=7.4,95%CI:2.9-18.7)、参与者为女性(AOR=2.4,95%CI:1.4-4)、工作经验少于 5 年(AOR=8.5,95%CI:7.3-33.3)、每班工作人员少于 5 人(AOR=5.3,95%CI:3.8-39.8)和每班 5-10 名工作人员(AOR=3.3,95%CI:2.7-25)。

结论和建议

阿姆哈拉州地区转诊医院妇产科卫生专业人员工作场所暴力的发生率很高。制定事件解决协议和法规,鼓励卫生专业人员及时报告暴力行为,并对犯罪者进行司法处罚,将有助于打击妇产科的工作场所暴力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2543/8528509/d8dc5f32ff9b/pone.0254962.g001.jpg

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