Study of workplace violence, its risk factors and perceptions about workplace security in doctors of Paithan
Keywords:Workplace violence, Assault on doctors, Communication
Background: Of all work settings, hospitals carry the greatest risk of verbal abuse and threats, with 73% of staff on medical premises suffering abuse. The scenario in Indian subcontinent is also not so bright. Doctors are frequently assaulted in India as well where doctors are shot, even stabbed. Thus this study was undertaken to know the exact prevalence of such incidences in Paithan taluka of Aurangabad district.
Methods: A community based cross-sectional study was done in the Paithan taluka of Aurangabad district in Maharashtra from October 2015 to December 2015. All the doctors in the urban as well as rural areas of Paithan were interviewed to know their experiences about episodes of workplace violence (WPV) during last 12 months as well as their lifetime experiences. Some of the factors associated with the WPV were also asked along with the perceived reasons for such type of incidences.
Results: The prevalence of workplace violence in the last 12 months was found to be 63.41%, whereas the lifetime prevalence was found to be 78.05%. It was observed that 21.95% of the doctors were demanded for extortion money and 11.27% experienced intentional destruction of their hospital property. Workplace violence was seen to be significantly more associated with younger doctors, highly educated doctors, doctors in government service and doctors with comparatively lesser practice experience. Lack of communication was perceived by the doctors as the most common reason for these incidences.
Conclusions: Workplace violence is emerging as a bane to the medical profession and has to be dealt with urgently. Poor communication with patients along with other factors should be dealt with to mitigate this problem.
Di Martino V. Relationship of Work Stress and Workplace Violence in the Health Sector. Geneva: ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in the Health Sector. 2003.
Krug EG, Mercy JA, Dahlberg LL, Zwi AB. World report on violence and health. Lancet. 2002;360(9339):1083-8.
Roche M, Diers D, Duffield C, Catling-Paull C. Violence toward nurses, the work environment, and patient outcomes. J Nurs Scholarsh. 2010;42(1):13–22.
Hobbs FDR. Fear of aggression at work among general practitioners who have suffered a previous episode of aggression. Br J Gen Pract. 1994;44(386):390–4.
Zahid MA1, Al-Sahlawi KS, Shahid AA, Awadh JA, Abu-Shammah H. Violence against doctors: 2. Effects of violence on doctors working in accident and emergency departments. Eur J Emerg Med. 1999;6(4):305-9.
Myerson S. Violence to general practitioners and fear of violence. Fam Pract. 1991;8(2):145–7.
Hobbs FDR. General practitioners’ changes to practice due to aggression at work. Fam Pract. 1994;11(1):75–9.
Martino V di. Framework Guidelines for Addressing Workplace Violence in the Health Sector: The training Manual. Geneva: International Labour Organization; 2005: 1-122.
Carmi-Iluz T, Peleg R, Freud T, Shvartzman P. Verbal and physical violence towards hospital- and community-based physicians in the Negev: an observational study. BMC Health Serv Res. 2005;5(1):54.
Koukia E, Mangoulia P, Gonis N, Katostaras T. Violence against health care staff by patient’s visitor in general hospital in Greece: Possible causes and economic crisis. Open J Nurs. 2013;03(08):21–7.
Ness GJ, House A, Ness AR. Aggression and violent behaviour in general practice: population based survey in the north of England. BMJ. 2000;320(7247):1447–8.
Kitaneh M, Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res. 2012;12(1):1–9.
Xing K, Zhang X, Jiao M, Cui Y, Lu Y, Liu J, et al. Concern about Workplace Violence and Its Risk Factors in Chinese Township Hospitals: A Cross-Sectional Study. Int J Environ Res Public Health. 2016;13(8):811.