Physical Violence against General Practitioners and Nurses in Chinese Township Hospitals: A Cross-Sectional Survey.

Autor: Xing K; Department of Health Policy and Hospital Management, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Jiao M; Department of Health Policy and Hospital Management, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Ma H; Harbin Medical University, Harbin, Heilongjiang province, China., Qiao H; Endocrine and Metabolic Diseases 5 Wards, The 2nd Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang province, China., Hao Y; Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Li Y; Department of Health Policy and Hospital Management, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Gao L; Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Sun H; Department of Medical Demography, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Kang Z; Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Liang L; Department of Medical Demography, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China., Wu Q; Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin, Heilongjiang province, China.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2015 Nov 16; Vol. 10 (11), pp. e0142954. Date of Electronic Publication: 2015 Nov 16 (Print Publication: 2015).
DOI: 10.1371/journal.pone.0142954
Abstrakt: Purpose: The purpose of this study is to identify risk factors of physical violence in Chinese township hospitals.
Methods: A cross-sectional survey was used in a sample of 442 general practitioners and 398 general nurses from 90 township hospitals located in Heilongjiang province, China (response rate = 84.8%).
Results: A total of 106 of the 840 (12.6%) respondents reported being physically attacked in their workplace in the previous 12 months. Most perpetrators were the patients' relatives (62.3%), followed by the patient (22.6%); 73.6% of perpetrators were aged between 20 and 40 years. Of the physical violence incidents, about 56.6% (n = 60) resulted in a physical injury, and 45.4% of respondents took two or three days of sick leave. Reporting workplace violence in hospitals to superiors or authorities was low (9.4%). Most respondents (62.8%) did not receive training on how to avoid workplace violence. Logistic regression analyses indicated that general nurses, aged 35 years or younger, and with a higher-level professional title were more likely to experience physical violence. Healthcare workers with direct physical contact (washing, turning, lifting) with patients had a higher risk of physical violence compared to other health care workers. Procedures for reporting workplace violence were a protective factor for physical violence; when in place, reporting after psychological violence (verbal abuse, bullying/mobbing, harassment, and threats) was more protective than waiting until an instance of physical violence (beating, kicking, slapping, stabbing, etc.).
Conclusions: Physical violence in Chinese township hospitals is an occupational hazard of rural public health concern. Policies, procedures, and intervention strategies should be undertaken to manage this issue.
Databáze: MEDLINE
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