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3
The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker Health Approach in a Hospital.医疗机构工作场所暴力管理:医院全员健康方法中的多学科团队。
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Violence against health personnel before and during the COVID-19 pandemic.针对卫生人员的暴力行为在新冠疫情前和疫情期间都有发生。
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在 COVID-19 免疫接种中心工作的卫生专业人员遭受暴力的影响。

Health professionals who have worked in COVID-19 immunization centers suffer the effects of violence.

机构信息

Department of Medicine, University of Udine, Udine, Italy.

Clinical Risk, Quality and Accreditation Unit, Friuli Centrale Healthcare University Trust, Udine, Italy.

出版信息

Front Public Health. 2023 Sep 20;11:1264301. doi: 10.3389/fpubh.2023.1264301. eCollection 2023.

DOI:10.3389/fpubh.2023.1264301
PMID:37799152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10548233/
Abstract

BACKGROUND

The phenomenon violence against health professionals has received increasing attention in recent years because of its frequency and significant impact on victims' mental health and disruption of health services. Despite this attention, little is known about the incidence of workplace violence in the highly politicized immunization services. Therefore, we decided to examine the prevalence of workplace violence in the COVID-19 immunization campaign, the risk and protective factors, and the impact on victims' mental health.

METHODS

Between March and April 2022, we conducted an anonymous online survey among health professionals working in COVID-19 vaccination centers in the Friuli-Venezia Giulia Region (Italy). We used the Questionnaire for Workplace Violence in Healthcare Settings and the Impact of Event Scale-Revised.

RESULTS

Of the 200 participants, 93 (46.5%) reported being victims of an act of violence during the vaccination campaign, 60 of them verbally and 7 physically. In 35.5% of cases, the IES score indicated a possible post-traumatic stress reaction in the victim. Opinions on measures to prevent violence and support workers in the workplace differed according to the sex of the health professional, with women emphasizing the need for self-defense training and improvement of security arrangements ( < 0.001).

CONCLUSION

One-third of health professionals involved in the COVID-19 immunization campaign reported that their mental health was affected by workplace violence. Public health professionals dealing with politicized and debated issues such as immunization should receive more attention, as should the implementation of a more structured and multidisciplinary approach to the problem within healthcare organizations.

摘要

背景

近年来,由于针对卫生专业人员的暴力行为频繁发生且对受害者的心理健康和卫生服务造成严重影响,该现象受到了越来越多的关注。尽管人们对此予以关注,但针对在高度政治化的免疫服务环境中工作场所暴力的发生率,人们知之甚少。因此,我们决定调查 COVID-19 免疫接种活动中工作场所暴力的发生率、风险和保护因素,以及对受害者心理健康的影响。

方法

2022 年 3 月至 4 月期间,我们对意大利弗留利-威尼斯朱利亚地区(意大利)COVID-19 疫苗接种中心工作的卫生专业人员进行了一项匿名在线调查。我们使用了医疗保健环境中的工作场所暴力问卷和修订后的事件影响量表。

结果

在 200 名参与者中,有 93 名(46.5%)报告在接种疫苗期间成为暴力行为的受害者,其中 60 名受到言语暴力,7 名受到身体暴力。在 35.5%的情况下,IES 评分表明受害者可能出现创伤后应激反应。对于预防暴力和支持工作人员的措施的看法因卫生专业人员的性别而异,女性强调需要自卫训练和改善安全安排(<0.001)。

结论

参与 COVID-19 免疫接种活动的三分之一卫生专业人员报告说,他们的心理健康受到工作场所暴力的影响。公共卫生专业人员在处理免疫等政治化和有争议的问题时应得到更多关注,还应在卫生组织内实施更具结构化和多学科的方法来解决该问题。