ViSHWaS: Violence Study of Healthcare Workers and Systems-a global survey.

Autor:	Banga A; Department of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, India., Mautong H; Department of Medicine, Universidad de Especialidades Espíritu Santo, Samborondon, Ecuador., Alamoudi R; Department of Pharmaceutical Services, King Fahd Armed Forces Hospital, Jeddah, Makkah, Saudi Arabia., Faisal UH; Department of Urology, All India Institute of Medical Sciences, Kalyani, India., Bhatt G; Department of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, Rishikesh, India., Amal T; Department of Medicine, Maulana Azad Medical College, New Delhi, India., Mendiratta A; Department of Internal medicine, Parkview Medical Center, Pueblo, Colorado, USA., Bollu B; Department of General medicine, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, India., Kutikuppala LVS; Department of General Surgery, Konaseema Institute of Medical Sciences and Research Foundation Hospital, Amalapuram, Andhra Pradesh, India., Lee J; Department of Medicine, David Tvildiani Medical University, Tbilisi, Georgia., Simadibrata DM; Department of Medicine, Universitas Indonesia, Depok, Indonesia.; Nuffield Department of Population Health, University of Oxford, Oxford, UK., Huespe I; Department of Intensive Care Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina., Khalid A; Department of Gastroenterology, Postgraduate Medical Education, Harvard Medical School, Boston, Massachusetts, USA., Rais MA; Department of Dental Surgery, University of Algiers 1, Alger, Algeria., Adhikari R; Department of Internal medicine, Franciscan Health Lafayette East, Lafayette, Indiana, USA., Lakhani A; Department of Internal medicine, Shantabaa Medical College and General Hospital, Amreli, Gujarat, India., Garg P; Department of Cardiology, Medanta The Medicity, Gurgaon, Haryana, India., Pattnaik H; Department of Undergraduate Medicine, Lady Hardinge Medical College, New Delhi, Delhi, India., Gandhi R; Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA., Pandit R; Department of Internal medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA., Ahmad F; Public Health Reference Laboratory Department, Khyber Medical University, Peshawar, Pakistan., Camacho-Leon G; Division de estúdios para graduados, Universidad del Zulia, Maracaibo, Venezuela., Ciza N P; Department of Psychiatry, Kampala International University, Kampala, Uganda., Barrios N; Department of Medicine, Universidad de San Carlos de Guatemala, Guatemala, Guatemala., Meza K; Department of Internal medicine, Dana-Farber Cancer Institute, Boston, Massachusetts, USA., Okonkwo S; Department of Family Health, Society for Family Health Nigeria, Abuja, Nigeria., Dhabuliwo A; Department of Pediatrics, Kawempe National Refferal hospital, Kampala, Uganda., Hamza H; Department of Pharmacy, Girne American University, Girne, Cyprus., Nemat A; Microbiology Department, Kabul University of Medical Sciences Abu Ali Ibn Sina, Kabul, Afghanistan., Essar MY; Department of Global Health, McMaster University, Hamilton, ON, Canada., Kampa A; Department of Development, Mayo Clinic, Rochester, Minnesota, USA., Qasba RK; Department of Medicine, Green Life Medical College and Hospital, Dhanmondi, Bangladesh., Sharma P; Department of Nephrology, MercyOne Clinton, Clinton, Iowa, USA., Dutt T; Department of Psychiatry, Hennepin County Medical Center, Minneapolis, Minnesota, USA., Vekaria P; Department of Internal medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USA.; Internal Medicine, Prisma Health Upstate, Greenville, South Carolina, USA., Bansal V; Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA., Nawaz FA; Department of Psychiatry, Al Amal Psychiatric Hospital, Al Aweer, Dubai, UAE., Surani S; Department of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USA.; Department of Pulmonary, and Critical Care & Sleep Medicine, Texas A&M University, College Station, Texas, USA., Kashyap R; Department of Gastroenterology, Postgraduate Medical Education, Harvard Medical School, Boston, Massachusetts, USA kashyapmd@gmail.com.; Department of Research, WellSpan Health, York, Pennsylvania, USA.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2023 Sep; Vol. 8 (9).
DOI:	10.1136/bmjgh-2023-013101
Abstrakt:	Objective: To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education. Methods: The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ 2 test was performed to determine the association between gender and different violence forms. Results: A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26-35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26-65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55-65 age group, which lost statistical significance. Conclusion: This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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