Global Health Institute, North South University, Dhaka, Bangladesh.
Department of Public Health, North South University, Dhaka, Bangladesh.
Glob Health Res Policy. 2023 Aug 22;8(1):33. doi: 10.1186/s41256-023-00316-z.
Workplace violence (WPV) is an emerging problem for health workers (HWs) and a global concern in health systems. Scientific literatures infer that WPV against HWs is often attributed to workplace injuries and absenteeism, leading to a series of adverse consequences. Therefore, this study aimed to investigate the prevalence of workplace injuries and absenteeism due to WPV among Bangladeshi HWs and its association with factors related to health facilities, work environments, and rotating shift work.
This study used participants who had experienced WPV, including medical doctors, nurses, or any form of medical staff. A total of 468 victim HWs were added in the analytical exploration. Participants were generated from our previous cross-sectional study of 1081 Bangladeshi HWs. A logistic regression model was used to find the association between workplace injuries and absenteeism due to WPV among HWs and associated factors.
The prevalence of workplace injuries and absenteeism due to WPV among HWs were 14.10% (95% CI 11.23-7.57) and 22.44% (95% CI 18.87-26.45), respectively. Injury incidence was higher among males (17.67%) and young HWs (20.83%). Workplace absenteeism was more common among male HWs (25%) and those working in public hospitals (23.46%). The magnitude of injuries and absenteeism varied significantly by hospital departments. Workplace injury was significantly higher among HWs who worked in the emergency (AOR = 21.53, 95% CI 2.55-181.71), intensive care (AOR = 22.94, 95% CI 2.24-234.88), surgery (AOR = 17.22, 95% CI 1.96-151.39), and gynecology & obstetrics departments (AOR = 22.42, 95% CI 2.25-223.07) compared with other departments. The burden of work-related absenteeism was significantly associated with HWs who worked in the emergency (AOR = 4.44, 95% CI 1.56-12.61), surgery (AOR = 4.11, 95% CI 1.42-11.90), and gynecology and obstetrics departments (AOR = 5.08, 95% CI 1.47-17.50).
This study observed a high prevalence of workplace injuries and absenteeism among HWs due to WPV across hospital departments, including emergency, surgery, intensive care and gynecology & obstetrics units. Policymakers should incorporate suitable strategies into Bangladesh's national health policy to combat violence in healthcare settings.
工作场所暴力 (WPV) 是卫生工作者 (HWs) 面临的一个新问题，也是卫生系统的全球性关注问题。科学文献推断，HWs 遭受的 WPV 通常归因于工作场所受伤和缺勤，导致一系列不良后果。因此，本研究旨在调查 WPV 对孟加拉国 HWs 的工作场所受伤和缺勤的流行率及其与与医疗机构、工作环境和轮班工作相关的因素之间的关联。
本研究使用了经历过 WPV 的参与者，包括医生、护士或任何形式的医务人员。共有 468 名遭受 WPV 的受害 HWs 被纳入分析。参与者来自我们之前对 1081 名孟加拉国 HWs 的横断面研究。使用逻辑回归模型来发现 HWs 因 WPV 导致的工作场所受伤和缺勤与相关因素之间的关联。
HWs 因 WPV 导致的工作场所受伤和缺勤的流行率分别为 14.10%（95%CI 11.23-7.57）和 22.44%（95%CI 18.87-26.45）。男性（17.67%）和年轻 HWs（20.83%）受伤发生率更高。男性 HWs（25%）和在公立医院工作的 HWs（23.46%）更常缺勤。医院科室之间受伤和缺勤的程度差异显著。HWs 在急诊（AOR=21.53，95%CI 2.55-181.71）、重症监护（AOR=22.94，95%CI 2.24-234.88）、外科（AOR=17.22，95%CI 1.96-151.39）和妇产科（AOR=22.42，95%CI 2.25-223.07）工作的 HWs 中受伤的发生率明显更高。HWs 在急诊（AOR=4.44，95%CI 1.56-12.61）、外科（AOR=4.11，95%CI 1.42-11.90）和妇产科（AOR=5.08，95%CI 1.47-17.50）工作的 HWs 中与工作相关的缺勤负担显著相关。
本研究观察到 WPV 对跨医院科室 HWs 的工作场所受伤和缺勤的高流行率，包括急诊、外科、重症监护和妇产科。决策者应将适当的策略纳入孟加拉国国家卫生政策，以打击医疗保健环境中的暴力行为。
