Agrawal Smriti, Pandey Khushbu, Mishra Vartika, Gupta Pallavi, Srivastava Nikhil
Department of Obstetrics & Gynaecology, DR Ram Manohar Lohia Institute of Medical Sciences Lucknow (Previously Additional professor at KGMU Lucknow), Lucknow, India.
Vijayant Khand, Lucknow (Previously Senior Resident at KGMU Lucknow), Lucknow, India.
J Obstet Gynaecol India. 2023 Oct;73(Suppl 1):69-74. doi: 10.1007/s13224-023-01809-0. Epub 2023 Aug 9.
Workplace violence is defined by the World Health Organization (WHO) as incidents where staff is abused, threatened or assaulted in work settings. In emergency predominated branch like obstetrics, there is a need to study the magnitude and impact of violence against healthcare workers (HCW). Materials and Methodology: This cross-sectional study was conducted in the Department of Obstetrics at 2 centres in Lucknow district, for a period of 6 months. The study population included trainee residents, senior residents, nursing staff and consultants. Standard definitions from the WHO were used to define the types of violence. The validated questionnaire was designed in English with 25 questions to understand the incidence of workplace violence, prevention policy, reporting and follow-ups of incidents and impact of violence.
With a response rate of 90%, 274 HCW participated in the study. In total, 172 HCW (62.7%) either faced physical or verbal assault. In 70% of incidents, patient, their relatives or public were perpetrators of violence, and the rest 30% incidents were by colleagues or management. Majority of the incidents were in emergency areas. Only 22% of the abused reported to the concerned authorities. At least 123 (71.5%) HCW were extremely dissatisfied with the action taken. Action was taken against only 9.8% of the perpetrators. None of the respondents received any training to handle workplace violence.
There is an alarming high prevalence of workplace violence by patients and colleagues. Adequate training to handle these incidents, improvement of working environment and unconditional support from management will bring a positive work experience.
The online version contains supplementary material available at 10.1007/s13224-023-01809-0.
世界卫生组织(WHO)将工作场所暴力定义为工作人员在工作环境中受到虐待、威胁或攻击的事件。在产科等以急症为主的科室,有必要研究针对医护人员暴力行为的程度和影响。
本横断面研究在勒克瑙地区2个中心的产科进行,为期6个月。研究人群包括实习住院医师、高级住院医师、护理人员和顾问。采用世界卫生组织的标准定义来界定暴力类型。经过验证的问卷用英文设计,包含25个问题,以了解工作场所暴力的发生率、预防政策、事件报告与后续跟进以及暴力的影响。
应答率为90%,274名医护人员参与了研究。总共有172名医护人员(62.7%)遭受过身体或言语攻击。在70%的事件中,患者、其亲属或公众是暴力实施者,其余30%的事件是由同事或管理层所为。大多数事件发生在急症区域。只有22%的受虐者向相关当局报告。至少123名(71.5%)医护人员对所采取的行动极其不满。仅对9.8%的施暴者采取了行动。没有受访者接受过任何处理工作场所暴力的培训。
患者和同事实施的工作场所暴力发生率高得惊人。提供足够的培训以处理这些事件、改善工作环境以及管理层给予无条件支持将带来积极的工作体验。
在线版本包含可在10.1007/s13224 - 023 - 01809 - 0获取的补充材料。