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患者对牙科工作人员的暴力行为:在学院诊所环境中的一项调查。

Patient-initiated violence against dental staff: a survey in faculty clinic settings.

作者信息

Fux-Noy Avia, Getter Oriane, Shmueli Aviv, Halperson Elinor, Moskovitz Moti

机构信息

Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Department of Pediatric Dentistry, Hadassah Medical Center, Jerusalem, Israel.

出版信息

Front Public Health. 2025 Jul 8;13:1630346. doi: 10.3389/fpubh.2025.1630346. eCollection 2025.

Abstract

BACKGROUND

Workplace violence against healthcare personnel is an increasing concern. However, there is limited research on this issue within the dental field.

AIM

This study aimed to examine the prevalence and characteristics of patient-initiated violence against dental staff.

METHODS

A cross-sectional survey design was utilized, involving a convenience sample of dental clinic staff at Hadassah Medical Center, Jerusalem, Israel. Participants filled out an anonymous questionnaire that assessed patient aggression in three categories: physical violence, verbal abuse, and reputational harm. Additionally, demographic information such as gender, age, role, and years of experience was collected.

RESULTS

The response rate was 29%. Of the 103 respondents, 73% were females, 79% were dentists; 95% reported experiencing verbal violence, 27% physical violence, and 53% reputational harm at least once in their career. Male staff reported significantly higher rates of reputational harm compared to female staff ( = 0.025). Dentists experienced significantly more reputational harm than dental auxiliaries ( = 0.004). No significant differences were found based on clinic specialization or years of experience.

CONCLUSION

Dental clinic staff frequently experience high levels of verbal, physical, and reputational violence. It is essential to conduct larger, nationally representative studies in Israel to confirm these findings. Future research should examine the causes and consequences of patient-initiated violence and explore effective prevention and intervention strategies.

摘要

背景

针对医护人员的职场暴力日益受到关注。然而,牙科领域对此问题的研究有限。

目的

本研究旨在调查患者对牙科工作人员实施暴力的发生率及特征。

方法

采用横断面调查设计,以以色列耶路撒冷哈达萨医疗中心牙科诊所工作人员的便利样本为研究对象。参与者填写一份匿名问卷,该问卷从身体暴力、言语辱骂和名誉损害三个类别评估患者的攻击行为。此外,还收集了性别、年龄、职位和工作年限等人口统计学信息。

结果

回复率为29%。在103名受访者中,73%为女性,79%为牙医;95%的人报告在其职业生涯中至少经历过一次言语暴力,27%经历过身体暴力,53%经历过名誉损害。男性工作人员报告的名誉损害发生率显著高于女性工作人员(P = 0.025)。牙医比牙科辅助人员经历的名誉损害显著更多(P = 0.004)。根据诊所专科或工作年限未发现显著差异。

结论

牙科诊所工作人员经常遭受高水平的言语、身体和名誉暴力。在以色列开展规模更大、具有全国代表性的研究以证实这些发现至关重要。未来的研究应调查患者发起暴力行为的原因和后果,并探索有效的预防和干预策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0f/12279712/eb40115cdac4/fpubh-13-1630346-g001.jpg

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