Debnath Aninda, Alam Md, Goyal Mohit, Khokhar Anita, Lukhmana Shveta
Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, Delhi, IND.
Cureus. 2023 May 17;15(5):e39116. doi: 10.7759/cureus.39116. eCollection 2023 May.
Introduction Workplace violence (WPV) is a significant problem for healthcare professionals across the world, regardless of whether they work in developed or developing countries. Studies have shown that in India, up to 75% of doctors have experienced some form of violence in the workplace. The purpose of the present study was to examine the extent of violence against doctors and its impact on patient management. Methodology This cross-sectional study was conducted in a tertiary care hospital in New Delhi in June 2022. A total of 326 resident doctors from six departments were selected using stratified random sampling. Data were collected using a semi-structured interview schedule and a pre-validated questionnaire. Statistical analysis was done using Stata 17, and ethical clearance was obtained from the Institute Ethical Committee. Result Workplace violence was prevalent among healthcare professionals, with 80.4% (95% confidence interval (CI): 75.6%-84.5%) experiencing verbal abuse and 21.7% (95% CI: 17.4%-84.5%) experiencing physical violence. Perceived delays in treatment and patient deaths were the most common causes of violence. Most participants were hesitant to report WPV due to time-consuming reporting processes and a lack of organisational support. WPV had a negative impact on doctors' mental and personal well-being, with 73.3% reporting its negative impact. WPV has led to a decrease in the provision of surgical and medical interventions. Conclusion The study findings suggest that a significant proportion of doctors in a tertiary care hospital in Delhi encounter some form of workplace violence. Despite the high incidence of WPV, reporting of these events remains low due to inadequate support and deficient reporting procedures within healthcare organisations. The negative impact of WPV is not limited to the physicians' psycho-social well-being but extends to their approach to patient care as well. Therefore, taking appropriate actions to prevent WPV is crucial for ensuring the safety and well-being of healthcare professionals and improving patient outcomes.
引言
工作场所暴力（WPV）是全球医护人员面临的一个重大问题，无论他们在发达国家还是发展中国家工作。研究表明，在印度，高达75%的医生在工作场所经历过某种形式的暴力。本研究的目的是调查针对医生的暴力程度及其对患者管理的影响。
方法
这项横断面研究于2022年6月在新德里的一家三级护理医院进行。采用分层随机抽样从六个科室选取了326名住院医生。使用半结构化访谈提纲和预先验证的问卷收集数据。使用Stata 17进行统计分析，并获得了研究所伦理委员会的伦理批准。
结果
工作场所暴力在医护人员中很普遍，80.4%（95%置信区间（CI）：75.6%-84.5%）的人遭受过言语辱骂，21.7%（95%CI：17.4%-84.5%）的人遭受过身体暴力。感知到的治疗延误和患者死亡是暴力最常见的原因。由于报告过程耗时且缺乏组织支持，大多数参与者不愿报告工作场所暴力事件。工作场所暴力对医生的心理和个人幸福感产生了负面影响，73.3%的人报告了其负面影响。工作场所暴力导致手术和医疗干预的提供减少。
结论
研究结果表明，德里一家三级护理医院中相当一部分医生遭遇过某种形式的工作场所暴力。尽管工作场所暴力发生率很高，但由于医疗保健机构内支持不足和报告程序不完善，这些事件的报告率仍然很低。工作场所暴力的负面影响不仅限于医生的心理社会幸福感，还延伸到他们对患者护理的态度。因此，采取适当行动预防工作场所暴力对于确保医护人员的安全和幸福感以及改善患者治疗效果至关重要。
