Characteristics and Trends of Workplace Violence Towards Frontline Health Workers Under Comprehensive Interventions in a Chinese Infectious Disease Hospital

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Oct 16

PMID 39408091

Authors

Yiming Huang

Min Zhang

Chuning He

Fuyuan Wang

Yujie Liu

Jing Wu

Qianqian Luo

Na Chen

Yuting Tang

Affiliations

Soon will be listed here.

Abstract

Objectives: This study investigated workplace violence (WPV) toward frontline health workers under comprehensive interventions to improve the occupational safety and health management system in a Chinese infectious disease hospital.

Methods: The risk assessment of WPV using an international questionnaire was conducted in 2018 and 2021 to compare the perceived levels of exposure to WPV and intervention measures before and after the intensification of anti-violence measures in the hospital context. Additionally, qualitative data were collected in 2021 through semi-structured and unstructured interviews, providing complementary information about WPV toward frontline health workers (HWs).

Results: After establishing the occupational safety and health management system (OSHMS), the total incidence rate of WPV decreased from 60.90% in 2018 to 34.44% in 2021. Psychological violence declined significantly from 60.90% in 2018 to 33.89% in 2021. The endorsement of precautionary measures increased significantly from 2018 to 2021, including patient screening recognition, patient protocol, shift or rota changes, etc. A thematic analysis of several subthemes shows that HWs had an in-depth understanding of WPV, recognizing its multifaceted consequences in the context of complex risk factors.

Conclusions: This study demonstrates a significant decrease in WPV, psychological violence, verbal abuse, bullying/mobbing, and ethnic discrimination after implementing the comprehensive OSHMS.

References

Cannavo M, La Torre F, Sestili C, La Torre G, Fioravanti M . Work Related Violence As A Predictor Of Stress And Correlated Disorders In Emergency Department Healthcare Professionals. Clin Ter. 2019; 170(2):e110-e123. DOI: 10.7417/CT.2019.2120. View

Xu J, Cao Y, Wang Y, Qiao Q . Judicial judgment and media sensation of violence against medical staff in China: A fuzzy set qualitative comparative analysis (fsQCA). PLoS One. 2021; 16(10):e0259014. PMC: 8535389. DOI: 10.1371/journal.pone.0259014. View

Li M, Shu Q, Huang H, Bo W, Wang L, Wu H . Associations of occupational stress, workplace violence, and organizational support on chronic fatigue syndrome among nurses. J Adv Nurs. 2020; 76(5):1151-1161. DOI: 10.1111/jan.14312. View

Amoadu M, Ansah E, Sarfo J . Preventing workplace mistreatment and improving workers' mental health: a scoping review of the impact of psychosocial safety climate. BMC Psychol. 2024; 12(1):195. PMC: 11003102. DOI: 10.1186/s40359-024-01675-z. View

Wu Y, Wang J, Liu J, Zheng J, Liu K, Baggs J . The impact of work environment on workplace violence, burnout and work attitudes for hospital nurses: A structural equation modelling analysis. J Nurs Manag. 2020; 28(3):495-503. DOI: 10.1111/jonm.12947. View

Vidal-Alves M, Pina D, Ruiz-Hernandez J, Puente-Lopez E, Paniagua D, Martinez-Jarreta B . (Un)Broken: Lateral violence among hospital nurses, user violence, burnout, and general health: A structural equation modeling analysis. Front Med (Lausanne). 2022; 9:1045574. PMC: 9729731. DOI: 10.3389/fmed.2022.1045574. View

Ferri P, Stifani S, Accoto A, Bonetti L, Rubbi I, Di Lorenzo R . Violence Against Nurses in the Triage Area: A Mixed-Methods Study. J Emerg Nurs. 2020; 46(3):384-397. DOI: 10.1016/j.jen.2020.02.013. View

Kirk L, Terry S, Lokuge K, Watterson J . Effectiveness of secondary and tertiary prevention for violence against women in low and low-middle income countries: a systematic review. BMC Public Health. 2017; 17(1):622. PMC: 5496243. DOI: 10.1186/s12889-017-4502-6. View

Kumari A, Kaur T, Ranjan P, Chopra S, Sarkar S, Baitha U . Workplace violence against doctors: Characteristics, risk factors, and mitigation strategies. J Postgrad Med. 2020; 66(3):149-154. PMC: 7542052. DOI: 10.4103/jpgm.JPGM_96_20. View

10.

Pompeii L, Schoenfisch A, Lipscomb H, Dement J, Smith C, Upadhyaya M . Physical assault, physical threat, and verbal abuse perpetrated against hospital workers by patients or visitors in six U.S. hospitals. Am J Ind Med. 2015; 58(11):1194-204. DOI: 10.1002/ajim.22489. View

11.

Nelson S, Leslie K, McCormick A, Gonsalves J, Baumann A, Thiessen N . Workplace Violence Against Nurses in Canada: A Legal Analysis. Policy Polit Nurs Pract. 2023; 24(4):239-254. PMC: 10563371. DOI: 10.1177/15271544231182583. View

12.

McKay D, Heisler M, Mishori R, Catton H, Kloiber O . Attacks against health-care personnel must stop, especially as the world fights COVID-19. Lancet. 2020; 395(10239):1743-1745. PMC: 7239629. DOI: 10.1016/S0140-6736(20)31191-0. View

13.

Zhang S, Zhao Z, Zhang H, Zhu Y, Xi Z, Xiang K . Workplace violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2023; 30(30):74838-74852. PMC: 10199297. DOI: 10.1007/s11356-023-27317-2. View

14.

Banga A, Mautong H, Alamoudi R, Faisal U, Bhatt G, Amal T . ViSHWaS: Violence Study of Healthcare Workers and Systems-a global survey. BMJ Glob Health. 2023; 8(9). PMC: 10496720. DOI: 10.1136/bmjgh-2023-013101. View

15.

Yao Y, Wang W, Wang F, Yao W . General self-efficacy and the effect of hospital workplace violence on doctors' stress and job satisfaction in China. Int J Occup Med Environ Health. 2014; 27(3):389-99. DOI: 10.2478/s13382-014-0255-y. View

16.

Matta M, Gupta S, Alfonso J, Carrero M, Agahari I, Sabouret P . Prevalence and patterns of gender disparity in workplace violence among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Public Health. 2024; 235:76-83. DOI: 10.1016/j.puhe.2024.06.037. View

17.

Chen Y, Wang P, Zhao L, He Y, Chen N, Liu H . Workplace Violence and Turnover Intention Among Psychiatrists in a National Sample in China: The Mediating Effects of Mental Health. Front Psychiatry. 2022; 13:855584. PMC: 9240432. DOI: 10.3389/fpsyt.2022.855584. View

18.

Tian Y, Yue Y, Wang J, Luo T, Li Y, Zhou J . Workplace violence against hospital healthcare workers in China: a national WeChat-based survey. BMC Public Health. 2020; 20(1):582. PMC: 7189471. DOI: 10.1186/s12889-020-08708-3. View

19.

Bensley L, Nelson N, Kaufman J, SILVERSTEIN B, Kalat J, Shields J . Injuries due to assaults on psychiatric hospital employees in Washington State. Am J Ind Med. 1997; 31(1):92-9. DOI: 10.1002/(sici)1097-0274(199701)31:1<92::aid-ajim14>3.0.co;2-2. View

20.

Lu X, Hou C, Bai D, Yang J, He J, Gong X . Prevalence, associated factors, and nursing practice-related outcomes of workplace violence towards nursing students in clinical practice: A systematic review and meta-analysis. Nurse Educ Today. 2023; 133:106074. DOI: 10.1016/j.nedt.2023.106074. View