Lombardi Brianna, Jensen Todd, Galloway Evan, Fraher Erin
Carolina Health Workforce Research Center, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, United States.
Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, United States.
Health Aff Sch. 2024 Oct 23;2(12):qxae134. doi: 10.1093/haschl/qxae134. eCollection 2024 Dec.
Issues of workplace violence (WPV) in health care have garnered increasing attention due to the impact on the health care worker's well-being and retention. Yet, our understanding of whether and how WPV rates vary between health care facilities and occupations is limited, particularly information on growth over time. This information is needed to develop and target policies and interventions toward health care workers and settings most at risk. We examined trends in WPV among health care occupations and facilities over the past decade (2011-2021/2022), utilizing data from the Bureau of Labor Statistics' Survey of Occupational Injuries and Illness. Findings reveal a 30% increase in WPV across all health care facility types between 2011 and 2021/2022; however, there was no difference in the average rate of WPV for health care occupations over the same time period. The increase in WPV for health care facilities began long before the pandemic, suggesting larger systemic issues are likely driving WPV. Existing state and organizational efforts aim to mitigate WPV, yet targeted interventions are crucial. Understanding variations across occupations and facilities will inform tailored strategies to safeguard health care workers.
由于对医护人员的幸福感和留职率产生影响，医疗保健领域的工作场所暴力（WPV）问题日益受到关注。然而，我们对WPV发生率在不同医疗保健机构和职业之间是否存在差异以及如何存在差异的了解有限，尤其是关于随时间增长的信息。制定针对风险最高的医护人员和工作环境的政策及干预措施需要这些信息。我们利用美国劳工统计局职业伤害和疾病调查的数据，研究了过去十年（2011年至2021年/2022年）医疗保健职业和机构中WPV的趋势。研究结果显示，2011年至2021年/2022年期间，所有类型的医疗保健机构中WPV增加了30%；然而，同一时期医疗保健职业的WPV平均发生率没有差异。医疗保健机构中WPV的增加早在疫情之前就开始了，这表明可能是更大的系统性问题导致了WPV。现有的州和组织层面的努力旨在减轻WPV，但有针对性的干预措施至关重要。了解不同职业和机构之间的差异将为保护医护人员的定制策略提供依据。
