Endler Margit, Ramirez-Negrin Atziri, Sohail Rubina
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health, University of Cape Town, Cape Town, South Africa.
Int J Gynaecol Obstet. 2025 Jan;168(1):377-386. doi: 10.1002/ijgo.15985. Epub 2024 Nov 2.
To quantify and qualify the experience of workplace violence (WPV) in a global sample of providers in obstetrics and gynecology (OBGYN).
We performed a mixed-methods analysis on data from a global survey. Survey content was designed around categorical and open-ended questions in relation to WPV; the occurrence and character, the physical and psychological consequences, training and support structures, and perceived triggers of the experience of WPV. Quantitative data were analyzed using descriptive statistics and text data using mixed deductive-inductive content analysis. These data were integrated using convergent joint display.
Between October 2023 and January 2024, survey responses were collected from 77 individual countries. Among the final sample, 764/1016 (75.2%) had experienced WPV, 699/1016 (68.8%) verbal, and 123/1016 (12.1%) physical violence. The violence affected physical health, psychological health, or job satisfaction for 106/764 (13.9%), 36/7642 (47.4%), and 222/764 (29.1%) of individuals respectively; 216/764 (28.3%) received support. Main WPV triggers were staff shortages, lack of security personnel, and long waiting times, identified by 38.8%, 37.5%, and 37.3% of respondents respectively. Qualitative data indicated that violence caused severe and long-lasting suffering. Catalysts for WPV were often reported as complex interplays between unmet or unrealistic expectations and insufficient resources. Lack of support for WPV was explained as violence being "part of the job" and a culture of assumed resilience among providers.
WPV against OBGYN providers seems to be ubiquitous, arises from a complex interplay of factors, and causes significant injury while receiving insufficient mitigation and support.
对全球妇产科医护人员工作场所暴力（WPV）的经历进行量化和定性分析。
我们对一项全球调查的数据进行了混合方法分析。调查内容围绕与WPV相关的分类问题和开放式问题展开；WPV的发生情况和特征、身体和心理后果、培训和支持结构以及感知到的触发因素。定量数据采用描述性统计进行分析，文本数据采用混合演绎-归纳内容分析。这些数据通过收敛联合展示进行整合。
在2023年10月至2024年1月期间，收集了来自77个国家的调查回复。在最终样本中，764/1016（75.2%）的人经历过WPV，699/1016（68.8%）遭受过言语暴力，123/1016（12.1%）遭受过身体暴力。暴力分别对106/764（13.9%）、36/7642（47.4%）和222/764（29.1%）的人的身体健康、心理健康或工作满意度产生了影响；216/764（28.3%）的人获得了支持。主要的WPV触发因素是人员短缺、缺乏安保人员和等待时间过长，分别有38.8%、37.5%和37.3%的受访者提到。定性数据表明，暴力造成了严重且持久的痛苦。WPV的催化剂通常被报告为未满足或不切实际的期望与资源不足之间的复杂相互作用。对WPV缺乏支持被解释为暴力是“工作的一部分”以及医护人员中存在一种假定的复原力文化。
针对妇产科医护人员的WPV似乎普遍存在，源于多种因素的复杂相互作用，造成了重大伤害，同时却未得到充分缓解和支持。
