Department of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, India.
Department of Medicine, Universidad de Especialidades Espíritu Santo, Samborondon, Ecuador.
BMJ Glob Health. 2023 Sep;8(9). doi: 10.1136/bmjgh-2023-013101.
To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education.
The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ test was performed to determine the association between gender and different violence forms.
A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26-35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26-65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55-65 age group, which lost statistical significance.
This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction.
深入了解医疗系统中暴力事件的性质、风险因素、影响以及现有的报告和预防措施。全球范围内医护人员（HCWs）遭受暴力事件的报告严重不足，这突显了提高公众认识和教育的必要性。
使用通过 Research Electronic Data Capture（REDCap）表单创建的调查问卷，进行了一项名为“医疗保健工作者和系统暴力研究”的调查。调查于 2022 年 6 月 6 日至 8 月 9 日期间进行。逻辑回归分析评估了暴力事件的预测因素，包括性别、年龄、工作年限、机构类型、受访者职业和夜班频率。采用卡方检验确定了性别与不同暴力形式之间的关联。
共分析了来自 79 个国家的 5405 份回复。印度、美国和委内瑞拉是排名前三的国家。女性受访者占 53%。大多数（45%）受访者年龄在 26-35 岁之间。医学生（21%）、顾问（20%）、住院医师/研究员（15%）和护士（10%）是回复率最高的人群。近 55%的 HCWs 报告了亲身经历过暴力事件，16%的 HCWs 报告了同事遭受的暴力事件。在超过 50%的情况下，肇事者是患者或其家属，而主管煽动的暴力事件占 16%。大约 80%的人表示，在 COVID-19 大流行期间，暴力事件的发生率要么保持不变，要么有所增加。在经历过暴力事件的 HCWs 中，55%的人表示此后工作动力降低或对工作更不满意，25%的人表示愿意辞职。单变量分析显示，年龄在 26-65 岁之间的 HCWs、护士、医生、辅助人员、在公共环境中工作、工作年限超过 1 年、经常上夜班的人员遭受暴力的风险显著增加。这些结果在多变量分析中仍然显著，除了 55-65 岁年龄组，该组失去了统计学意义。
这项全球横断面研究表明，大多数 HCWs 都经历过暴力事件，并且在 COVID-19 大流行期间，暴力事件的发生率要么增加，要么保持不变。这导致了工作满意度降低。
