Nelson Sioban, Ayaz Basnama, Baumann Andrea L, Dozois Graham
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
PLOS Glob Public Health. 2024 Jul 2;4(7):e0003336. doi: 10.1371/journal.pgph.0003336. eCollection 2024.
Workplace violence (WPV) impacts all levels of the health workforce, including the individual provider, organization, and society. While there is a substantial body of literature on various aspects of WPV against the health workforce, gender-based WPV (GB-WPV) has received less attention. Violence in both the workplace and broader society is rooted in gendered socio-economic, cultural, and institutional factors. Developing a robust understanding of GB-WPV is crucial to explore the differing experiences, responses, and outcomes of GB-WPV with respect to gender. We conducted a scoping review and report on the prevalence and risk factors of GB-WPV in healthcare settings globally. The review followed the Preferred Reporting Items for Systematic and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). We registered the scoping review protocol on the Open Science Framework on January 14, 2022, at https://osf.io/t4pfb/. A systematic search was conducted of empirical literature in five health and social science databases. Of 13667, 226 studies were included in the analysis. Across the studies, more women than men experienced non-physical violence, including verbal abuse, sexual harassment, and bullying. Men experienced more physical violence compared to women. Younger age, less experience, shifting duties, specific clinical settings, lower professional status, organizational hierarchy, and minority status were found to be sensitive to gender, reflecting women's structural disadvantages in the workplace. Given the high prevalence and impact of GB-WPV on women, we provided recommendations to address systemic issues in clinical practice, academia, policy, and research.
工作场所暴力(WPV)影响着各级卫生保健工作者,包括个体从业者、机构和社会。虽然有大量关于针对卫生保健工作者的工作场所暴力各个方面的文献,但基于性别的工作场所暴力(GB-WPV)受到的关注较少。工作场所和更广泛社会中的暴力都植根于性别化的社会经济、文化和制度因素。深入了解GB-WPV对于探究GB-WPV在性别方面不同的经历、应对措施和结果至关重要。我们进行了一项范围综述,并报告了全球医疗环境中GB-WPV的患病率和风险因素。该综述遵循系统评价和元分析扩展版的首选报告项目(PRISMA-ScR)。我们于2022年1月14日在开放科学框架(https://osf.io/t4pfb/)上注册了范围综述方案。在五个健康和社会科学数据库中对实证文献进行了系统检索。在13667篇文献中,有226项研究纳入分析。在这些研究中,经历非身体暴力(包括言语虐待、性骚扰和欺凌)的女性多于男性。与女性相比,男性经历的身体暴力更多。研究发现,年龄较小、经验较少、职责变动、特定临床环境、职业地位较低、组织层级以及少数群体身份对性别敏感,反映了女性在工作场所的结构性劣势。鉴于GB-WPV的高患病率及其对女性的影响,我们提出了应对临床实践、学术界、政策和研究中系统性问题的建议。