Elsaid Noha M Abu Bakr, Ibrahim Omneya, Abdel-Fatah Zeinab F, Hassan Hend A, Hegazy MennatAllah H, Anwar Marwa M, Soliman Hanan H
Department of Public Health, Community, Environmental and Occupational Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Department of Basic Medical Sciences, Faculty of Medicine, King Salman International University, South Sinai, Egypt.
Egypt J Forensic Sci. 2022;12(1):45. doi: 10.1186/s41935-022-00304-3. Epub 2022 Oct 14.
Healthcare workers are on the front lines of COVID-19 and are subject to risks. A rise in the cases of violence and aggressiveness against HCWs has been observed worldwide, adding to the already existing burnout. The purpose of this research is to determine the prevalence of workplace violence, its risk variables, and the pattern of violence directed towards healthcare workers in the context of COVID-19 pandemic. The research used a cross-sectional analytic design. Purposive sampling was utilized to identify research participants using an online survey. Form's link was distributed to accessible social media groups such as Facebook and WhatsApp from July 2020 to the end of October 2020. A self-administered structured survey was adapted from the World Health Organization survey questionnaire about violence in healthcare settings. The Google Form's link was distributed to the social media groups until the total sample of 405 was collected.
During the COVID-19 pandemic, workplace violence against Egyptian healthcare workers was prevalent (63.2%). The most prevailing type of violence among the exposed participants was verbal violence (87.9%). Violence is more common in the (< 40 years old) age group (80.9% of exposed healthcare workers). Violence was more statistically significant against females (60.5% of the exposed healthcare workers) (-value = 0.023). Regarding the work specialty, violence was more committed against physicians (84.3% of exposed healthcare workers) than nurses (12.8% of exposed healthcare workers). The primary perpetrators of violence were the patient's family (74.6%). The majority of the exposed HCWs (96%) reported no physical injury from the violent event, and 71.5% deemed the violent incident preventable. The majority (90.6%) of HCWs exposed to violent incidents declared non-reporting.
Effective risk communication at all levels of society is critical for reducing fear, stigma, and ultimately workplace violence, as recent assaults on healthcare institutions demonstrate. To reduce violence and safeguard the safety of the medical profession, the government, health policymakers, media organizations, and community engagement groups must collaborate for healthcare workers' safety.
医护人员处于新冠疫情的前线,面临各种风险。在全球范围内,针对医护人员的暴力和攻击事件有所增加,这加剧了原本就存在的职业倦怠。本研究的目的是确定工作场所暴力的发生率、其风险变量以及在新冠疫情背景下针对医护人员的暴力模式。该研究采用横断面分析设计。通过在线调查,采用目的抽样法确定研究参与者。问卷链接于2020年7月至10月底分发给如脸书和WhatsApp等可访问的社交媒体群组。一份自填式结构化调查问卷改编自世界卫生组织关于医疗环境中暴力行为的调查问卷。谷歌表单链接分发给社交媒体群组,直至收集到405份样本。
在新冠疫情期间,埃及医护人员遭受工作场所暴力的情况普遍存在(63.2%)。在受暴力影响的参与者中,最常见的暴力类型是言语暴力(87.9%)。暴力在(<40岁)年龄组中更为常见(占受暴力影响医护人员的80.9%)。针对女性的暴力在统计学上更显著(占受暴力影响医护人员的60.5%)(p值=0.023)。在工作专业方面,针对医生的暴力行为(占受暴力影响医护人员的84.3%)比护士(占受暴力影响医护人员的12.8%)更多。暴力的主要肇事者是患者家属(74.6%)。大多数受暴力影响的医护人员(96%)报告称暴力事件未造成身体伤害,71.5%的人认为暴力事件是可以预防的。大多数(90.6%)遭受暴力事件的医护人员表示未报告。
正如近期对医疗机构的袭击事件所表明的,社会各层面有效的风险沟通对于减少恐惧、污名化以及最终减少工作场所暴力至关重要。为了减少暴力并保障医疗行业的安全,政府、卫生政策制定者、媒体组织和社区参与团体必须合作以保障医护人员的安全。