Prevalence and determinants of violence against healthcare workers in multiple settings: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20243638Keywords:
Healthcare personnels, Physical violence, Sexual harassments, Verbal abuseAbstract
Background: The quality of clinical care hinges on the doctor-patient relationship. The murder of Dr. Vandana Das highlights the urgent need to address violence against healthcare workers (HCWs). This study aimed to ascertain the prevalence of violence among HCWs, examine reporting mechanisms, and comprehend the repercussions of such incidents.
Methods: A cross-sectional study was conducted among HCWs at Pushpagiri Medical College Hospital and Taluk headquarters hospital, Pulinkunnu. A semi-structured questionnaire derived from surveys on workplace violence in the health sector by PSI (Public Services International), ILO (International Labour Office), ICN (International Council of Nurses), and WHO was used to measure violence.
Results: Among 185 participants, 150 were from private settings and 35 from government settings. In government settings, 14.3% experienced physical violence, and 31.4% faced verbal violence. In private settings, 9.3% encountered physical violence, 39.3% experienced verbal violence, and 2.7% reported sexual harassment. Incidents of physical violence were more frequent among HCWs with 6-10 years of experience and those working with adult patients. Verbal violence was more common among staff working in shifts and with adult and elderly patients.
Conclusions: Verbal violence was the most prevalent, affecting 37% of HCWs, often from patients’ relatives or bystanders. Contributing factors included staff shortages, patient non-compliance, long waiting times, communication issues, and work overload. Addressing violence against HCWs requires improved staffing, communication, security measures, and stringent legislation to safeguard HCWs’ well-being and patient care quality.
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References
Khan MN, Haq ZU, Khan M, Wali S, Baddia F, Rasul S, et al. Prevalence and determinants of violence against health care in the metropolitan city of Peshawar: a cross sectional study. BMC Public Health. 2021;21:1-1.
Shaikh S, Baig LA, Hashmi I, Khan M, Jamali S, Khan MN, et al. The magnitude and determinants of violence against healthcare workers in Pakistan. BMJ Glob Health. 2020;5(4).
Sharma S, Gautam PL, Sharma S, Kaur A, Bhatia N, Singh G, et al. Questionnaire-based evaluation of factors leading to patient-physician distrust and violence against healthcare workers. Indian J Crit Care Med. 2019;23(7):302.
Kumar M, Verma M, Das T, Pardeshi G, Kishore J, Padmanandan A. A study of workplace violence experienced by doctors and associated risk factors in a tertiary care hospital of South Delhi, India. J Clin Diagn Res. 2016;10(11):LC06.
Lim MC, Jeffree MS, Saupin SS, Giloi N, Lukman KA. Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Ann Med Surg. 2022;78.
Shafran-Tikva S, Chinitz D, Stern Z, Feder-Bubis P. Violence against physicians and nurses in a hospital: How does it happen? A mixed-methods study. Israel J Health Polic Res. 2017;6:1-2.
Khiyani S, Mishra S, Sahu R, Das A, Pathak A. Pattern of violence among healthcare workers in a tertiary care government hospital and a multi-specialty private hospital in Sagar, India: a cross-sectional study. Cureus. 2023;15(11).
Kunnath R, Thayyil J, Suresh N, Soman S. Workplace violence faced by medical doctors in Kerala, India. Cureus. 15(11):e48887.
Ori J, Devi NS, Singh AB, Thongam K, Padu J, Abhilesh R. Prevalence and attitude of workplace violence among the post graduate students in a tertiary hospital in Manipur. J Med Soc. 2014;28:25-8.
Anand T, Grover S, Kumar R, Kumar M, Ingle GK. Workplace violence against resident doctors in a tertiary care hospital in Delhi. Nat Med J India. 2016;29(6):344-8.
Ghosh K. Violence against doctors: a wake-up call. Indian J Med Res. 2018;148(2):130-3.
Kumar M, Verma M, Das T, Pardeshi G, Kishore J, Padmanandan A. A study of workplace violence experienced by doctors and associated risk factors in a tertiary care hospital of south Delhi, India. J Clin Diagn Res. 2016;10(11):LC06-10.
Douglas K, Enikanoselu O. Workplace violence among nurses in general hospitals in Osun State, Nigeria. Niger J Med. 2019;28:510.
El-Zoghby SM, Ibrahim ME, Zaghloul NM, Shehata SA, Farghaly RM. Impact of workplace violence on anxiety and sleep disturbances among Egyptian medical residents: a cross-sectional study. Hum Res Health. 2022;20(1):84.
Banga A, Mautong H, Alamoudi R, Faisal UH, Bhatt G, Amal T, et al. ViSHWaS: violence study of healthcare workers and systems- a global survey. BMJ Glob Health. 2023;8(9):e013101.
Kaur A, Ahamed F, Sengupta P, Majhi J, Ghosh T. Pattern of workplace violence against doctors practising modern medicine and the subsequent impact on patient care, in India. PLoS One. 2020;15(9):e0239193.
Bajpai V. The challenges confronting public hospitals in India, their origins, and possible solutions. Adv Public Health. 2014;2014:1-27.
Indian Express. Kerala Staff pattern in hospitals to be revised. 2016. Available from: https://www.newindianexpress. com/kerala/2016/Oct/07/staff-pattern-in-hospitals-to-be-revised-1525809.html. Accessed on 12 June 2024.
Economic review 2017. Health and Sanitation- Medical and Public Health. Available from: https://spb.kerala.gov.in/economic-review/ER2017/web_e/ch421.php?id=41&ch=421. Accessed on 12 June 2024.
Davey K, Ravishankar V, Mehta N, Ahluwalia T, Blanchard J, Smith J, Douglass K. A qualitative study of workplace violence among healthcare providers in emergency departments in India. Int J Emerg Med. 2020;13:1-9.
Sharma S, Gautam PL, Sharma S, Kaur A, Bhatia N, Singh G, et al. Questionnaire-based evaluation of factors leading to patient-physician distrust and violence against healthcare workers. Indian J Crit Care Med. 2019;23(7):302.
Shaikh S, Baig LA, Hashmi I, Khan M, Jamali S, Khan MN, et al. The magnitude and determinants of violence against healthcare workers in Pakistan. BMJ Glob Health. 2020;5(4).
Munta K, Harde Y, Kumar NS, Kumar JR, Rao SM, Dnyaneshwar M. A survey on workplace violence experienced by critical care physicians. Indian J Crit Care Med. 2019;23(7):295-301.
Kaur A, Ahamed F, Sengupta P, Majhi J, Ghosh T. Pattern of workplace violence against doctors practising modern medicine and the subsequent impact on patient care, in India. PLoS One. 2020;15(9):e0239193.
Garg R, Garg N, Sharma DK, Gupta S. Low reporting of violence against health-care workers in India in spite of high prevalence. Med J Armed Forces India. 2019;75(2):211-5.
Lim MC, Jeffree MS, Saupin SS, Giloi N, Lukman KA. Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Ann Med Surg. 2022;78:103727.
Somani R, Muntaner C, Hillan E, Velonis AJ, Smith P. A systematic review: effectiveness of interventions to de-escalate workplace violence against nurses in healthcare settings. Saf Health Work. 2021;12(3):289-95.
Jones CB, Sousane Z, Mossburg S. Addressing Workplace Violence and Creating a Safer Workplace. PSNet. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services; 2023.
Adkoli BV, Boratne AV, Mishra A. The hands that heal must not bleed: recommendations to curb the violence against healthcare workers in India. SBV J Basic Clin Appl Health Sci. 2021;4(4):81-6.
The Hindu Bureau. Bill to protect hospitals, health-care workers passed in Assembly. The Hindu. Available from: https://www.thehindu.com/news/ national/kerala/bill-to-protect-hospitals-health-care-workers-passed-in-assembly/article67296214.ece. September 11, 2023. Accessed on 10 June 2024.