Vitale Ermanno, Vella Francesca, Matera Serena, Mazzeo Silvia, Farrauto Chiara, Filetti Veronica, Rapisarda Venerando, Farruggio Giorgia, Vitale Noemi Maria, Uccelli Eleonora, Fakhrou Abdulnaser, Rapisarda Lucia, Bertolazzi Giorgio, Matera Davide, Caponnetto Pasquale
Department of Medicine and Surgery, University of Enna "Kore", Enna, Italy.
Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Front Public Health. 2025 Jul 22;13:1607011. doi: 10.3389/fpubh.2025.1607011. eCollection 2025.
The aim of this study was to assess the prevalence and psychological impact of workplace violence (WPV) among healthcare workers (HCWs) in a large university hospital in Southern Italy, and to identify occupational and demographic risk factors.
A cross-sectional observational study was conducted from January to December 2023. A total of 997 HCWs voluntarily completed a validated, anonymous questionnaire based on the "Workplace Violence in the Health Sector" (WVHS) tool. The instrument assessed exposure to different types of WPV (physical, verbal, bullying, sexual and racial harassment) and its emotional and occupational consequences. Statistical analyses included descriptive statistics, linear regression and ANOVA ( < 0.05).
27% of HCWs reported experiencing at least one form of WPV in the past 12 months. Verbal violence was the most common (85%), followed by bullying (26%). Nurses, resident doctors, younger workers, and those working night shifts were more frequently affected. Victims showed higher use of psychotropic drugs and psychotherapy ( < 0.001).
WPV is highly prevalent and underreported in healthcare settings, with significant mental health repercussions. The findings highlight the need for preventive strategies, institutional support, and the key role of occupational physicians in early identification and intervention.
本研究旨在评估意大利南部一家大型大学医院医护人员（HCWs）遭受工作场所暴力（WPV）的患病率及其心理影响，并确定职业和人口统计学风险因素。
于2023年1月至12月进行了一项横断面观察性研究。共有997名医护人员自愿根据“卫生部门工作场所暴力”（WVHS）工具完成了一份经过验证的匿名问卷。该工具评估了遭受不同类型工作场所暴力（身体暴力、言语暴力、欺凌、性骚扰和种族骚扰）的情况及其情感和职业后果。统计分析包括描述性统计、线性回归和方差分析（P<0.05）。
27%的医护人员报告在过去12个月中至少经历过一种形式的工作场所暴力。言语暴力最为常见（85%），其次是欺凌（26%）。护士、住院医生、年轻员工以及夜班工作人员受影响的频率更高。受害者使用精神药物和心理治疗的比例更高（P<0.001）。
工作场所暴力在医疗环境中非常普遍且报告不足，对心理健康有重大影响。研究结果强调了预防策略、机构支持的必要性，以及职业医生在早期识别和干预中的关键作用。
