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尼泊尔加德满都一所三级医院医护人员工作场所暴力及其相关因素。

Workplace violence and its associated factors among health care workers of a tertiary hospital in Kathmandu, Nepal.

机构信息

Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.

School of Health and Society, University of Wollongong, Sydney, Australia.

出版信息

PLoS One. 2023 Jul 27;18(7):e0288680. doi: 10.1371/journal.pone.0288680. eCollection 2023.

Abstract

Workplace violence (WPV) is a globally prevailing public health concerns among healthcare workers. Workplace violence includes occupational abuse (physical, sexual, verbal and psychological), threats or harm among health workers, and workplace harassment. It is important to identify the prevalence of workplace violence at the workplace. Therefore, this study aimed to assess workplace violence and its associated factors among healthcare workers at a tertiary hospital in Kathmandu, Nepal. A descriptive cross-sectional study was carried out among 369 health care workers in a tertiary hospital in Kathmandu. A semi-structured questionnaire was used for data collection. Data was entered and analyzed using SPSS v20. Descriptive statistics were used to assess workplace violence and other independent variables. Bivariate and multivariate logistic regression model was used to examine the factors associated with workplace violence. The prevalence of verbal violence was highest among doctors (34.3%) and nurses (52.8%) followed by bullied/mobbed among doctors (11.9%) and nurses (17%) any time in the past. Experience of any type of workplace violence in the past among doctor was 45.5% and among nurses was 54% while 35.8% doctors and 46.8% nurses had experienced it in the past 12 months. Patients and relatives of patient were major perpetrator for physical and verbal violence while management and staff members were major perpetrators for bullying/mobbing. Participants marital status, work experience, posted department, nature of work shift, frequency of night shift and working hours per week showed statistically significant association with the experience of workplace violence within past 12 months (p<0.05) in binary logistic regression analysis. There is a crucial need to establish evidence-based actions to prevent violence in the workplace and promote a healthy workplace setting. Placing adequate staffs at emergency and medical departments and providing training to cope with the stressful emergency situations would help in minimizing workplace violence among health workers.

摘要

工作场所暴力(WPV)是全球范围内医疗保健工作者普遍关注的公共卫生问题。工作场所暴力包括职业虐待(身体、性、言语和心理)、医护人员之间的威胁或伤害,以及工作场所骚扰。重要的是要确定工作场所的工作场所暴力发生率。因此,本研究旨在评估尼泊尔加德满都一家三级医院医护人员的工作场所暴力及其相关因素。在加德满都的一家三级医院进行了一项描述性横断面研究。使用半结构式问卷收集数据。使用 SPSS v20 输入和分析数据。使用描述性统计评估工作场所暴力和其他自变量。使用双变量和多变量逻辑回归模型检查与工作场所暴力相关的因素。医生(34.3%)和护士(52.8%)言语暴力发生率最高,其次是医生(11.9%)和护士(17%)任何时候在过去都受到欺负/骚扰。过去任何类型的工作场所暴力经历,医生为 45.5%,护士为 54%,而过去 12 个月中,医生为 35.8%,护士为 46.8%。患者及其家属是身体和言语暴力的主要肇事者,而管理层和工作人员是欺负/骚扰的主要肇事者。参与者的婚姻状况、工作经验、所属科室、工作班次性质、夜班频率和每周工作时间在过去 12 个月内与工作场所暴力经历(p<0.05)的二元逻辑回归分析显示具有统计学意义。有必要采取基于证据的行动,防止工作场所暴力,促进健康的工作场所环境。在急诊和医疗部门配备足够的人员,并提供应对紧张紧急情况的培训,将有助于减少医护人员的工作场所暴力。

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