Flores-Cohaila Javier A, Miranda-Chavez Brayan, Copaja-Corzo Cesar
Grupo de Investigación en Healthcare Simulation & Medical Education (HeSIM), Facultad de Ciencias de la Salud, Universidad Científica del Sur, Lima, Perú.
Centro de Estudios e Investigación en Educación Médica y Bioética, EDUCAB-UPT, Facultad de Ciencias de la Salud, Universidad Privada de Tacna, Tacna, Perú.
PLoS One. 2025 May 7;20(5):e0321845. doi: 10.1371/journal.pone.0321845. eCollection 2025.
The prevalence of workplace violence in healthcare is 50-60%. While it has been linked to decreased job satisfaction, diminished quality of care, and economic burdens on healthcare systems, there are still major gaps. Previous studies ignored the Latin American perspective. Moreover, they neither offered causal evidence nor measured its impact on psychological outcomes. The objective was to evaluate the impact of workplace violence on psychological and work-related outcomes.
A secondary analysis of Peru's 2016 National Healthcare Satisfaction Survey was conducted. This was a large-scale survey that used a stratified two-stage cluster sample design with a sample size of 5098 healthcare workers across all regions of Peru. Propensity score matching and Poisson regression models were used to assess the effect of self-reported workplace violence on outcomes, including depressive symptoms, burnout, sleep problems, work-life balance, and intention to quit.
Among 4,951 healthcare workers, workplace violence prevalence was 41.91% higher in physicians (47.4%) than nurses (37.8%). WV had a moderate effect on sleep problems (aPR: 2.06, 95% CI: 1.45 to 2.97) and depressive symptoms (aPR: 1.65, 95% CI: 1.47-1.86). It showed small to moderate effects on burnout dimensions and intention to quit (aPR: 1.26, 95% CI: 1.13-1.41). The impact on work-life balance was small to negligible.
Workplace violence affects 4 in 10 Peruvian healthcare workers and is associated with adverse psychological and work-related outcomes. These findings highlight the need for improved reporting systems, targeted interventions such as policy development and training programs, and ensure adequate reporting systems.
医疗保健领域工作场所暴力的发生率为50%-60%。虽然它与工作满意度下降、护理质量降低以及医疗保健系统的经济负担有关，但仍存在重大差距。以往的研究忽视了拉丁美洲的视角。此外，它们既没有提供因果证据，也没有衡量其对心理结果的影响。目的是评估工作场所暴力对心理和工作相关结果的影响。
对秘鲁2016年全国医疗保健满意度调查进行二次分析。这是一项大规模调查，采用分层两阶段整群抽样设计，样本包括秘鲁所有地区的5098名医护人员。倾向得分匹配法和泊松回归模型用于评估自我报告的工作场所暴力对结果的影响，包括抑郁症状、倦怠、睡眠问题、工作与生活平衡以及离职意愿。
在4951名医护人员中，医生（47.4%）的工作场所暴力发生率比护士（37.8%）高41.91%。工作场所暴力对睡眠问题（调整后风险比：2.06，95%置信区间：1.45至2.97）和抑郁症状（调整后风险比：1.65，95%置信区间：1.47-1.86）有中度影响。它对倦怠维度和离职意愿有小到中度影响（调整后风险比：1.26，95%置信区间：1.13-1.41）。对工作与生活平衡的影响小到可以忽略不计。
工作场所暴力影响十分之四的秘鲁医护人员，并与不良心理和工作相关结果相关。这些发现凸显了改进报告系统、开展政策制定和培训项目等针对性干预措施以及确保建立适当报告系统的必要性。
