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沙特阿拉伯塔伊夫市医院急诊医师遭受工作场所暴力:一项横断面调查。

Workplace violence toward emergency medicine physicians in the hospitals of Taif city, Saudi Arabia: a cross-sectional survey.

机构信息

Department of Emergency Medicine, Taif University, Taif, Saudi Arabia.

College of Medicine, Taif University, Taif, Saudi Arabia.

出版信息

BMC Emerg Med. 2022 Apr 7;22(1):59. doi: 10.1186/s12873-022-00620-w.

Abstract

BACKGROUND

Workplace violence against health care workers is an emerging concern in various global health settings and the documentation of physical and verbal attacks against physicians in tertiary hospitals in Saudi Arabia is uncommon. This study aimed to determine the incidence of workplace violence against physicians in the emergency department of selected tertiary hospitals in Taif City, Saudi Arabia from June to July 2021. Associations between the incidence of violence and interventions and type of physicians and years of experience were also investigated.

METHODOLOGY

Using a cross-sectional design, a total of 96 physicians were recruited to answer the World Health Organization Questionnaire on Violence against Health Care Workers last June to July 2021.

RESULTS

It was found out that 75 physicians (78.1%) experienced verbal violence while 14 physicians (14.6%) experienced physical violence. Most of the workplace violence happened within hospital premises (84.4%). Despite having an experience of verbal and physical violence, only 44.8% of the respondents reported the incidents. The most common instigators were patients (55.21%), their relatives (78.00%), external colleagues (9.37%) and staff members (6.25%). Most respondents took no action, or reported the incidence to the police or senior staff member. The incidence of workplace violence and type of physician showed significant association. The number of years of practice in emergency medicine also exhibited statistically significant association with the incidence of verbal attack, frequency of violence, and location of incident.

CONCLUSION

There is high incidence of workplace violence among physicians in tertiary hospitals, and younger physicians with less experience in emergency medicine were the most susceptible to both verbal and physical violence. There is a need to strengthen policies to protect physicians against workplace violence.

摘要

背景

工作场所暴力侵害医护人员是全球各种卫生环境中的一个新出现的问题,在沙特阿拉伯的三级医院记录针对医生的身体和言语攻击并不常见。本研究旨在确定 2021 年 6 月至 7 月在沙特阿拉伯塔伊夫市选定的三级医院急诊科医生遭受工作场所暴力的发生率。还调查了暴力发生率与干预措施以及医生类型和工作年限之间的关联。

方法

采用横断面设计,共招募了 96 名医生,让他们在 2021 年 6 月至 7 月期间回答世界卫生组织的《卫生保健工作者暴力行为问卷》。

结果

发现 75 名医生(78.1%)经历过言语暴力,14 名医生(14.6%)经历过身体暴力。大多数工作场所暴力发生在医院内(84.4%)。尽管经历了言语和身体暴力,但只有 44.8%的受访者报告了这些事件。最常见的挑衅者是患者(55.21%)、他们的亲属(78.00%)、外部同事(9.37%)和工作人员(6.25%)。大多数受访者没有采取任何行动,或者向警方或高级工作人员报告了事件。工作场所暴力的发生率与医生的类型之间存在显著关联。在急诊医学领域的工作年限也与言语攻击的发生率、暴力的频率和事件发生的地点呈显著相关。

结论

在三级医院中,医生遭受工作场所暴力的发生率很高,经验较少的年轻医生更容易遭受言语和身体暴力。需要加强政策,保护医生免受工作场所暴力的侵害。

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