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1.
Artículo en Español | PAHO-IRIS | ID: phr-53140

RESUMEN

[RESUMEN]. Objetivo. Conocer la frecuencia de la violencia, tanto física como verbal, hacia los profesionales de enfermería, a nivel mundial en los servicios de emergencias y su impacto en la salud y en el contexto laboral. Métodos. La investigación fue realizada mediante una revisión integrativa, en febrero de 2020, de las bases bibliográfícas MEDLINE, LILACS, CINAHL y SciELO, utilizando los descriptores “Nurses”, “Workplace Violence”, “Physical Aggression”, “Psychological Aggression”, “Stress, Psychological”, “Psychological Trauma”, “Aggression”, “Health Impact Assessment”, “Health Impact”, “Impacts on Health”, “Impact Assessment, Health” y “Occupational Health”. Resultados. De los artículos localizados, 18 fueron incluidos en el análisis. Los estudios confirmaron que los profesionales de la salud más afectados por la violencia eran los profesionales de enfermería y el tipo más común fueron las agresiones verbales, seguidas por la violencia física. El área intrahospitalaria más común donde ocurrían dichas agresiones era el servicio de emergencias. El impacto en la salud de los profesionales de enfermería se correlacionó con el estrés, el agotamiento emocional, la ansiedad y el miedo, entre otros síntomas. Con respecto al impacto laboral, se evidenciaron relaciones indirectas significativas vinculadas con la reducción de la productividad. Todos estos aspectos llevaban a los profesionales de enfermería a considerar el abandono de sus trabajos en los servicios de emergencias. Conclusiones. Los resultados permitieron identificar un perfil de riesgo de violencia contra los profesionales de enfermería en los servicios de emergencias evidenciado por la alta incidencia de violencia física y verbal que repercutió en la disminución de la productividad en su trabajo y la aparición de síntomas relacionados al síndrome de burnout.


[ABSTRACT]. Objective. Learn the worldwide frequency of physical and verbal violence against emergency service nurses, and its health and occupational impact. Methods. An integrative review study was conducted in February 2020 of the MEDLINE, LILACS, CINAHL, and SciELO bibliographic databases, using the descriptors “Nurses,” “Workplace Violence,” “Physical Aggression,” “Psychological Aggression,” “Stress, Psychological,” “Psychological Trauma,” “Aggression,” “Health Impact Assessment,” “Health Impact,” “Impacts on Health,” “Impact Assessment, Health,” and “Occupational Health.” Results. Of the articles located, 18 were included in the analysis. The studies confirmed that the health workers most affected by violence were nurses, and the most common types of violence were verbal aggression, followed by physical violence. In the hospital, these assaults most often occurred in the emergency service. The correlated impact on nurses’ health included stress, emotional exhaustion, anxiety, and fear, among other symptoms. With regard to occupational impact, significant indirect accounts related to the reduction in productivity were evident. All these aspects led nurses to consider leaving their jobs in emergency services. Conclusions. The results enabled identifying a risk profile for violence against nurses in emergency services, seen in the high incidence of physical and verbal violence that led to reduced productivity on the job and the onset of symptoms of burnout syndrome.


[RESUMO]. Objetivo. Conhecer a frequência mundial da violência física e verbal contra os profissionais de enfermagem nos serviços de emergência e seu impacto na saúde e no trabalho. Métodos. A pesquisa foi realizada em fevereiro de 2020 por meio de uma revisão integrativa nas bases de dados MEDLINE, LILACS, CINAHL e SciELO utilizando os seguintes descritores: “Nurses”, “Workplace Violence”, “Physical Aggression”, “Psychological Aggression”, “Stress, Psychological”, “Psychological Trauma”, “Aggression”, “Health Impact Assessment”, “Health Impact”, “Impacts on Health”, “Impact Assessment, Health” e “Occupational Health”. Resultados. Dentre os artigos identificados, 18 foram incluídos na análise. Os estudos confirmaram que os profissionais da saúde mais afetados pela violência são os profissionais de enfermagem. Agressões verbais e violência física são as formas mais comuns de violência. O local dentro do hospital onde mais ocorrem as agressões é o serviço de emergência. O impacto na saúde dos profissionais de enfermagem está associado ao estresse, esgotamento emocional, ansiedade e medo, entre outros sintomas. Da perspectiva do trabalho, evidencia-se uma relação indireta significativa com queda de produtividade. Todos estes aspectos fazem com que os profissionais de enfermagem considerem desistir de trabalhar nos serviços de emergência. Conclusões. Os resultados do estudo permitem identificar um perfil de risco de violência contra os profissionais de enfermagem nos serviços de emergência, evidenciado pela alta incidência de violência física e verbal que repercute com queda de produtividade no trabalho e surgimento de sintomas relacionados à síndrome de burnout.


Asunto(s)
Violencia Laboral , Enfermeras y Enfermeros , Evaluación del Impacto en la Salud , Salud Laboral , Servicios Médicos de Urgencia , Violencia Laboral , Enfermeras y Enfermeros , Evaluación del Impacto en la Salud , Salud Laboral , Servicios Médicos de Urgencia , Violencia Laboral , Enfermeras y Enfermeros , Evaluación del Impacto en la Salud , Salud Laboral , Servicios Médicos de Urgencia
2.
Texto & contexto enferm ; 29: e20180432, Jan.-Dec. 2020.
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1059134

RESUMEN

ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.


RESUMEN Objetivos: identificar las situaciones de violencia en la rutina laboral de los profesionales de salud de la Estrategia de Salud de la Familia y describir las conductas que adoptan estos profesionales ante las situaciones de violencia identificadas. Método: estudio cualitativo, descriptivo y exploratorio que tuvo como escenario a una Clínica de Salud Familiar del municipio de Río de Janeiro. Participaron 18 profesionales de la salud. Los datos se recolectaron a través de entrevistas semiestructuradas y se los sometió a análisis de contenido. Resultados: surgieron tres categorías temáticas: Situaciones de violencia laboral en la Estrategia de Salud de la Familia; Consecuencias de la violencia laboral en la Estrategia de Salud de la Familia y Desempeño de los enfermeros como líderes de los equipos de Salud de la Familia y las estrategias adoptadas ante la violencia laboral. Conclusiones: se identificaron situaciones de violencia interpersonal y colectiva, ejemplificadas por el contacto con la violencia armada en el campo de acción, discriminación racial, violencia entre pares y violencia sufrida por el usuario, como ser la violencia doméstica, que afecta directamente al profesional. Se destaca la importancia del desempeño de los enfermeros como líderes de los equipos de la Estrategia de Salud de la Familia, con vistas a manejar las situaciones de violencia laboral, muchas veces desatendidas.


RESUMO Objetivos: identificar as situações de violência no cotidiano de trabalho dos profissionais de saúde da Estratégia de Saúde da Família e descrever as condutas adotadas por esses profissionais perante as situações de violência identificadas. Método: estudo qualitativo, descritivo e exploratório cujo cenário foi uma Clínica da Família do município do Rio de Janeiro. Participaram 18 profissionais da saúde. Os dados foram coletados através de entrevistas semiestruturadas e submetidos à análise de conteúdo. Resultados: emergiram três categorias temáticas: Situações de violência no trabalho na Estratégia de Saúde da Família; Consequências da violência no trabalho na Estratégia de Saúde da Família; Atuação do enfermeiro como líder da Equipe de Saúde da Família e as estratégias adotadas perante a violência no trabalho. Conclusões: foram identificadas situações de violência interpessoal e a violência coletiva, exemplificadas pelo contato com a violência armada no território, discriminação racial, violência entre os pares e violência sofrida pelo usuário, como a violência doméstica, afetando diretamente o profissional. Destaca-se a importância da atuação do enfermeiro como líder da equipe da Estratégia de Saúde da Família vislumbrando o gerenciamento das situações de violência no trabalho, muitas vezes negligenciadas.


Asunto(s)
Humanos , Adulto , Persona de Mediana Edad , Adulto Joven , Violencia , Salud de la Familia , Personal de Salud , Atención Primaria de Salud , Rol de la Enfermera , Violencia Laboral , Liderazgo , Enfermeras y Enfermeros
3.
Rev. enferm. UERJ ; 28: e45789, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1128451

RESUMEN

Objetivo: identificar a ocorrência da violência na Estratégia de Saúde da Família e analisar as repercussões para a saúde dos trabalhadores e ao atendimento. Método: estudo qualitativo, descritivo, realizado com 27 trabalhadores de uma unidade de Estratégia de Saúde da Família localizada no município do Rio de Janeiro em 2018. Trabalhou-se com a técnica de entrevista semiestruturada mediante roteiro e para a categorização dos depoimentos a análise de conteúdo temática. Projeto de pesquisa aprovado pelo Comitê de Ética em Pesquisa. Resultados: identificou-se a violência psicológica perpetrada por usuários através de ameaças, xingamentos e intimidações e a urbana com a exposição dos profissionais a tiros, assaltos e brigas durante as visitas domiciliares ocasionando repercussões na saúde mental dos trabalhadores e prejuízos para a qualidade do atendimento. Conclusão: a violência ocupacional é um risco a integridade física e psíquica dos trabalhadores e a qualidade do atendimento.


Objective: to identify the occurrence of violence in Brazil's Family Health Strategy and to analyze the repercussions on workers' health and on care. Method: this qualitative, descriptive study was conducted in 2018 with 27 workers from a Family Health Strategy unit in the city of Rio de Janeiro, using the semi-structured, scripted interview technique, and thematic content analysis to categorize interviewee discourse. The project was approved by the research ethics committee. Results: the violence identified was psychological, as perpetrated by users in threats, name calling and intimidation, and urban, in health personnel's exposure to gunfire, robbery, and fights during home visits, which had repercussions on the workers' mental health and impaired the quality of care. Conclusion: occupational violence is a risk to health workers' physical and mental integrity and to the quality of care.


Objetivo: identificar la ocurrencia de violencia en la Estrategia de Salud de la Familia de Brasil y analizar las repercusiones en la salud y la atención de los trabajadores. Método: este estudio cualitativo descriptivo se realizó en 2018 con 27 trabajadores de una unidad de Estrategia de Salud de la Familia en la ciudad de Río de Janeiro, utilizando la técnica de entrevista semiestructurada, guionizada y análisis de contenido temático para categorizar el discurso del entrevistado. El proyecto fue aprobado por el comité de ética en investigación. Resultados: la violencia identificada fue psicológica, perpetrada por los usuarios en amenazas, insultos e intimidación, y urbana, en la exposición del personal de salud a disparos, robos y peleas durante las visitas domiciliarias, lo que repercutió en la salud mental de los trabajadores y perjudicó la calidad de atención. Conclusión: la violencia laboral es un riesgo para la integridad física y mental de los trabajadores de la salud y para la calidad de la atención.


Asunto(s)
Humanos , Grupo de Atención al Paciente , Riesgos Laborales , Salud Laboral , Estrategia de Salud Familiar , Violencia Laboral , Calidad de la Atención de Salud , Brasil , Centros de Salud , Investigación Cualitativa
4.
Med Lav ; 111(5): 388-398, 2020 Oct 31.
Artículo en Inglés | MEDLINE | ID: mdl-33124610

RESUMEN

INTRODUCTION: Healthcare workers are particularly vulnerable to third-party workplace violence. The experience of work-related stress, by threatening the psychological balance of healthcare workers, making them less effective in managing the relationship with patients and their family members, may significantly contribute to third-party violence. OBJECTIVE: To investigate whether stress-related psychosocial situations at work as defined by the widely known Demand-Control model, and the level of work-related social support, act as risk factors for third-party violence among healthcare workers. Specifically, we explored whether the risk of violence is higher in situations associated with higher levels of work-related stress (i.e., active or passive situations, and especially the high strain situation) when compared to a work situation related to lower levels of stress (i.e., low strain situation). We also explored whether the risk of violence is lower at higher levels of social support. METHOD: Cross-sectional study on 633 healthcare workers. Psychosocial work situations and third-party workplace violence have been operationalized by using well validated scales. RESULTS: Logistic regressions including a number of relevant covariates (e.g., gender, job role, night shift work) revealed that, compared to a low strain situation, an active or passive situation had an increased risk for workplace violence. However, the highest risk was observed for a high strain situation (i.e., the situation associated with the highest level of work-related stress). High social support acted as a protective factor. CONCLUSION: Healthcare workers' experience of stress at work may make them more vulnerable to third-party violence. Ensuring better psychosocial working conditions may contribute to the prevention of workplace violence and its consequences.


Asunto(s)
Violencia Laboral , Estudios Transversales , Sector de Atención de Salud , Personal de Salud , Humanos , Factores de Riesgo , Apoyo Social , Estrés Psicológico/epidemiología , Encuestas y Cuestionarios , Lugar de Trabajo
5.
Cochrane Database Syst Rev ; 9: CD011860, 2020 09 08.
Artículo en Inglés | MEDLINE | ID: mdl-32898304

RESUMEN

BACKGROUND: Workplace aggression constitutes a serious issue for healthcare workers and organizations. Aggression is tied to physical and mental health issues at an individual level, as well as to absenteeism, decreased productivity or quality of work, and high employee turnover rates at an organizational level. To counteract these negative impacts, organizations have used a variety of interventions, including education and training, to provide workers with the knowledge and skills needed to prevent aggression.  OBJECTIVES: To assess the effectiveness of education and training interventions that aim to prevent and minimize workplace aggression directed toward healthcare workers by patients and patient advocates. SEARCH METHODS: CENTRAL, MEDLINE, Embase, six other databases and five trial registers were searched from their inception to June 2020 together with reference checking, citation searching and contact with study authors to identify additional studies. SELECTION CRITERIA: Randomized controlled trials (RCTs), cluster-randomized controlled trials (CRCTs), and controlled before and after studies (CBAs) that investigated the effectiveness of education and training interventions targeting aggression prevention for healthcare workers. DATA COLLECTION AND ANALYSIS: Four review authors evaluated and selected the studies resulting from the search. We used standard methodological procedures expected by Cochrane. We assessed the certainty of evidence using the GRADE approach. MAIN RESULTS: We included nine studies-four CRCTs, three RCTs, and two CBAs-with a total of 1688 participants. Five studies reported episodes of aggression, and six studies reported secondary outcomes. Seven studies were conducted among nurses or nurse aides, and two studies among healthcare workers in general. Three studies took place in long-term care, two in the psychiatric ward, and four in hospitals or health centers. Studies were reported from the United States, Switzerland, the United Kingdom, Taiwan, and Sweden. All included studies reported on education combined with training interventions. Four studies evaluated online programs, and five evaluated face-to-face programs. Five studies were of long duration (up to 52 weeks), and four studies were of short duration. Eight studies had short-term follow-up (< 3 months), and one study long-term follow-up (> 1 year). Seven studies were rated as being at "high" risk of bias in multiple domains, and all had "unclear" risk of bias in a single domain or in multiple domains. Effects on aggression Short-term follow-up The evidence is very uncertain about effects of education and training on aggression at short-term follow-up compared to no intervention (standardized mean difference [SMD] -0.33, 95% confidence interval [CI] -1.27 to 0.61, 2 CRCTs; risk ratio [RR] 2.30, 95% CI 0.97 to 5.42, 1 CBA; SMD -1.24, 95% CI -2.16 to -0.33, 1 CBA; very low-certainty evidence). Long-term follow-up Education may not reduce aggression compared to no intervention in the long term (RR 1.14, 95% CI 0.95 to 1.37, 1 CRCT; low-certainty evidence). Effects on knowledge, attitudes, skills, and adverse outcomes Education may increase personal knowledge about workplace aggression at short-term follow-up (SMD 0.86, 95% CI 0.34 to 1.38, 1 RCT; low-certainty evidence). The evidence is very uncertain about effects of education on personal knowledge in the long term (RR 1.26, 95% CI 0.90 to 1.75, 1 RCT; very low-certainty evidence). Education may improve attitudes among healthcare workers at short-term follow-up, but the evidence is very uncertain (SMD 0.59, 95% CI 0.24 to 0.94, 2 CRCTs and 3 RCTs; very low-certainty evidence). The type and duration of interventions resulted in different sizes of effects. Education may not have an effect on skills related to workplace aggression (SMD 0.21, 95% CI -0.07 to 0.49, 1 RCT and 1 CRCT; very low-certainty evidence) nor on adverse personal outcomes, but the evidence is very uncertain (SMD -0.31, 95% CI -1.02 to 0.40, 1 RCT; very low-certainty evidence). Measurements of these concepts showed high heterogeneity. AUTHORS' CONCLUSIONS: Education combined with training may not have an effect on workplace aggression directed toward healthcare workers, even though education and training may increase personal knowledge and positive attitudes. Better quality studies that focus on specific settings of healthcare work where exposure to patient aggression is high are needed. Moreover, as most studies have assessed episodes of aggression toward nurses, future studies should include other types of healthcare workers who are also victims of aggression in the same settings, such as orderlies (healthcare assistants). Studies should especially use reports of aggression at an institutional level and should rely on multi-source data while relying on validated measures. Studies should also include days lost to sick leave and employee turnover and should measure outcomes at one-year follow-up. Studies should specify the duration and type of delivery of education and should use an active comparison to prevent raising awareness and reporting in the intervention group only.


Asunto(s)
Agresión , Personal de Salud/educación , Violencia Laboral/prevención & control , Sesgo , Estudios Controlados Antes y Después , Exposición a la Violencia/prevención & control , Humanos , Asistentes de Enfermería/educación , Personal de Enfermería/educación , Ensayos Clínicos Controlados Aleatorios como Asunto
6.
J Nurs Adm ; 50(10): 515-520, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32889973

RESUMEN

OBJECTIVE: The aim of this study was to evaluate the impact of inpatient nursing specialties on the perceptions of workplace violence. BACKGROUND: The association between nursing specialty and the perception of workplace violence has not been identified. METHODS: An evaluation of inpatient nurses' perceptions of workplace violence at a single health system was conducted using a modified Survey of Violence Experienced by Staff instrument. RESULTS: Of the respondents, 87.2% experienced workplace violence, of which 96.3% was patient related. Patient-initiated verbal abuse, threats, and physical assault frequency differed significantly based on specialty. Post hoc comparisons further elucidate the differences in specialty populations. CONCLUSION: Workplace violence is a nursing concern; however, the frequency in which workplace violence occurs differs based on specialty. The frequency of threats and injuries to nursing staff was significantly higher in medical and trauma units.


Asunto(s)
Actitud del Personal de Salud , Pacientes Internos , Personal de Enfermería en Hospital/psicología , Especialidades de Enfermería , Violencia Laboral , Estudios Transversales , Femenino , Florida , Humanos , Masculino
8.
Artículo en Chino | MEDLINE | ID: mdl-32892588

RESUMEN

Objective: To investigate the workplace violence and compassion fatigue of nurses in emergency department and to explore the relationship between the two. Methods: The general information questionnaire, workplace violence scale and professional quality of life scale were used to investigate 957 emergency department nurses of 28 Level II hospitals and above. Results: The scores of each dimension of the professional quality of life scale for nurses in the emergency department were: compassion satisfaction score was 29.91±7.82, the burnout score was 26.63±5.66, and the second trauma score was 23.17±5.94. The total score of compassion fatigue is 49.80±10.42. The incidence of workplace violence was 77.6%. Workplace violence was negatively correlated with compassion satisfaction (r=-0.250, P<0.01) , and positively correlated with burnout, secondary trauma, and total compassion fatigue (r=0.349、0.340、0.384, P<0.01) . Whether there is only non-physical violence in the compassion satisfaction, burnout, secondary trauma, compassion fatigue total score is not statistically significant. Conclusion: Compassion fatigue is more serious in emergency department nurses, and the incidence of workplace violence is higher. Workplace violence has a positive effect on compassion fatigue. Nursing managers should actively prevent workplace violence and improve the working environment, thus reducing empathy fatigue.


Asunto(s)
Agotamiento Profesional/epidemiología , Desgaste por Empatía/epidemiología , Servicio de Urgencia en Hospital , Violencia Laboral , Estudios Transversales , Humanos , Satisfacción en el Trabajo , Calidad de Vida , Encuestas y Cuestionarios
9.
J Am Dent Assoc ; 151(10): 764-769, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32979955

RESUMEN

BACKGROUND: Workplace violence toward health care professionals is both widespread and widely overlooked. Only 4 studies of aggression toward dentists have been published-none in the United States-with the prevalence of aggression ranging from 29% through 80%. The purpose of this study was to provide an initial estimate of rates of patient aggression in dental practices in the United States. METHODS: The authors surveyed 98 dentists recruited from the faculty and alumni network of a college of dentistry. Participants completed a confidential online survey assessing whether they had experienced any of 21 specific types of aggressive behaviors from their patients. RESULTS: Past-year aggression prevalence was 22.2%, 55.0%, and 44.4% for physical, verbal, and reputational aggression, respectively. Career prevalence was 45.5%, 74.0%, and 68.7% for physical, verbal, and reputational aggression, respectively. Rates did not differ by sex, race, ethnicity, specialty, age, years practicing, or average number of patients treated per day. CONCLUSIONS: Participants reported levels of physical, verbal, and reputational aggression at rates comparable with those of other health care professionals in the United States and abroad. Additional research with larger representative samples of dentists in the United States is necessary to confirm these prevalence estimates. Future research should also investigate predictors and outcomes of patient aggression and prevention and intervention strategies. PRACTICAL IMPLICATIONS: Substantial rates of patient aggression highlight the need to address this problem in dental practices. The authors discuss implications for the dental profession, including proactive steps that could be taken to reduce patient aggression in dental offices.


Asunto(s)
Agresión , Violencia Laboral , Odontólogos , Personal de Salud , Humanos , Prevalencia , Estados Unidos/epidemiología
10.
PLoS One ; 15(9): e0239193, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32946495

RESUMEN

INTRODUCTION: The incidents of violence against doctors, leading to grievous injury and even death, seem to be on an increasing trend in recent years. There is a paucity of studies on workplace violence against doctors and its effect, in India. The present study was conducted to assess workplace violence faced by doctors, its effect on the psycho-social wellbeing of the treating doctor and, subsequently, on patient management. METHODS: The present nationwide cross-sectional study was conducted from November 2019 -April 2020. The sample size was calculated assuming the prevalence of workplace violence as 50%, with 20% non-response. Doctors, working in private and/or public set-up, with ≥1 year clinical experience, were included. A pre-tested study tool- Google form-was sent to study participants via social media platforms. The Microsoft Excel spreadsheet was downloaded from google drive and data was analysed using STATA-12 statistical software. RESULTS: A total of 617 responses were received from doctors all over India; out of which 477 (77.3%) doctors had ever faced workplace violence. "Actual or perceived non-improvement or deterioration of patient's condition" (40.0%), followed by "perception of wrong treatment given" (37.3%) were the main causes of workplace violence; and the family members/relatives were the major perpetrators (82.2%). More than half of the participants reported "loss of self-esteem", "feeling of shame" and "stress/depression/anxiety/ideas of persecution" after the incident. Management by surgical interventions (p-value<0.001) and handling of emergency/complicated cases (p-value<0.001) decreased significantly with an increase in severity of workplace violence; while the suggestion of investigations and referrals increased (p-value<0.001). CONCLUSIONS: Workplace violence has a significant effect on the psycho-social well-being of doctors, as well as on patient management; which may escalate discontent and distrust among the general public, thereby increasing incidents of workplace violence-in a self-propagating vicious cycle.


Asunto(s)
Médicos , Violencia Laboral/estadística & datos numéricos , Adulto , Estudios Transversales , Femenino , Hospitales , Humanos , India , Masculino , Atención al Paciente , Encuestas y Cuestionarios
12.
Artículo en Chino | MEDLINE | ID: mdl-32746573

RESUMEN

Objective: To investigate the status and influencing factors of quality of nursing work life in a class Ⅲ hospital in Jinan. Methods: From 1st december 2018 to 31th March 2019, 658 nurses were selected from a class Ⅲ hospital in Jinan of Shandong province by convenience sampling method. 700 questionnaires were gived out and recoveried, with 658 effective questionaires and the effective recovery rate was 94.0%. The data of nursing work life quality, type of workplace violence, frequency of workplace violence and general social demographic were collected. Results: The mean total score of the quality of nursing work life was (174.61±27.61) . The lowest subscale is work life-home life (61.9%) . There were no statistical difference in the total scores of nurses with different ages and working years (P> 0.05) , while the frequency of night shift, and working hours per day had significant impact on the quality of nursing work life (P< 0.05) . The total score of nurses who were not suffered from workplace violence was much higher than the nurses who were suffered from language violence or physical assault (P<0.05) , the higher the frequency of the violence, the score of the quality of nursing work life was lower (P<0.05) . Conclusion: The quality of nursing work life of nureses who suffer from workplace violence is in a bad situation, nursing managers should give different intervention measures according to the personal characteristics of nurses to improve the quality of nursing work life.


Asunto(s)
Personal de Enfermería en Hospital , Violencia Laboral , Estudios Transversales , Humanos , Encuestas y Cuestionarios , Lugar de Trabajo
13.
Univ. salud ; 22(2): 137-147, mayo-ago. 2020. tab, graf
Artículo en Español | LILACS, COLNAL | ID: biblio-1115963

RESUMEN

Introducción: El clima laboral se relaciona con el acoso psicológico en el trabajo. No obstante, son escasos los estudios encontrados sobre la relación entre clima y violencia laboral en el contexto universitario. Objetivo: Analizar la relación entre el clima y la violencia laboral en funcionarios de una universidad pública. Materiales y métodos: Estudio descriptivo correlacional con diseño transversal, con la participación de 410 funcionarios. Se utilizó el Cuestionario de Clima Laboral del Departamento Administrativo de la Función Pública de Colombia y el Inventario de Violencia y Acoso Psicológico en el Trabajo. Resultados: Se encontró que existe una relación negativa entre el clima y la violencia laboral (r=-0,441, p<0,005), en esta se resaltan estrechas asociaciones entre la dimensión obstáculos al desempeño laboral, y estilo de liderazgo, administración del talento humano y clima general. Conclusiones: La presencia de violencia laboral se relaciona con bajos niveles de favorabilidad de clima laboral y viceversa. Los comportamientos característicos de obstáculos al desempeño laboral y los referentes a "manipulación para inducir al castigo" son los que aportan en mayor medida a esta desfavorabilidad. Este tipo de violencia, sin una debida intervención puede llegar a convertirse en acoso psicológico en el trabajo.


Introduction: Work environment isaffected by psychological harassment in the workplace. However, there are few studies on the relationship between workplace climate and violence in the university context. Objective: To analyze the relationship between workplace climate and violence in public university employees. Materials and Methods: A descriptive correlational study with a cross-sectional design was conducted with 410 workers. The Work Climate Questionnaire of the Administrative Department of Public Service of Colombia and the Inventory of Violence and Psychological Harassment at Work were used. Results: It was found that there is a negative relationship between climate and violence in the workplace (r = -0.441, p <0.005), in which two close associations are highlighted: (i) the dimension of work performance obstacles and the leadership style; and (ii) human talent management and general climate. Conclusions: The presence of workplace violence is related to low levels of a favorable work environment and vice versa. The characteristic behaviors of the dimension world performance obstacles and those related to the variable manipulation to induce punishment are the ones that contribute the most to this unfavorable association. This type of violence, without proper intervention, can become psychological harassment at work.


Asunto(s)
Relaciones Laborales , Organizaciones , Violencia Laboral , Grupos Profesionales
14.
Nurs Philos ; 21(3): e12312, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32662232

RESUMEN

Pandemic infection by COVID-19 could be changing the public image of the nursing profession in Italy. Recently, as in any western country, we were being registered with an increase in the number of violence against healthcare professionals. Nevertheless, due to pandemic in the social media, the nursing profession is remembered for competence, determination, courage, and humanity, and it is continually remercied by people, politicians, and journalists. In this paper, we will conduct a phenomenological argument that proposes both phenomena can be explained by Paul Ricoeur's courses of recognition. In cases of violence, patients and their family members reacting because they feel betrayed for a real or alleged injustice-primarily not to be listened to by health professionals. Nurses and other professionals are often unable to take the right grade of involvement for understanding patient's needs. On the other hand, during COVID-19 pandemic, patients and family members perceive the extraordinary daily work of caring, and they react thanking. The principle of the gift is implicated in both cases: the crisis of gift received or donated can be explaining violence; gratitude and thanks can be explaining by gratuitousness of care.


Asunto(s)
Actitud Frente a la Salud , Infecciones por Coronavirus/enfermería , Relaciones Enfermero-Paciente , Pandemias , Neumonía Viral/enfermería , Violencia Laboral/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Humanos , Italia/epidemiología , Neumonía Viral/epidemiología
15.
Nursing ; 50(8): 57-60, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32701893

RESUMEN

The term horizontal violence (HV) is synonymous with nurse-to-peer incivility or bullying. This article examines why HV continues to plague the nursing profession and discusses tools and strategies for eliminating this toxic behavior from the workplace.


Asunto(s)
Acoso Escolar/prevención & control , Incivilidad/prevención & control , Relaciones Interprofesionales , Enfermeras y Enfermeros/psicología , Grupo Paritario , Violencia Laboral/prevención & control , Humanos
16.
J Postgrad Med ; 66(3): 149-154, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32675451

RESUMEN

Workplace violence is a major occupational issue concerning doctors that has a significant impact on their physical and psychological well-being. This ultimately affects the health care services of the country. Patient-led episodes of verbal violence are more prevalent in Asian countries, especially in the emergency department, psychiatric wards, and intensive care units, mostly faced by junior doctors and residents. Some common precursors of violence against doctors are patients and their attendants' dissatisfaction and low impulse control, poor administration, miscommunication, infrastructural issues especially differences in services between private and public hospitals, and negative media portrayal of doctors. The assessment of risk factors, development and implementation of workplace violence programs, and addressing underreporting of violent episodes have been suggested as some successful organizational mitigation strategies. Recommendations on the management of workplace violence include the development of participative, gender-based, culture-based, nondiscriminatory, and systematic strategies to deal with issues related to violence. This article aims to present a comprehensive review of workplace violence against doctors, discussing the prevalence, degree of violence, predictors, impact on physical and psychological health and intervention strategies to devise practical actions against workplace violence.


Asunto(s)
Médicos/psicología , Violencia Laboral/estadística & datos numéricos , Adulto , Agresión/psicología , Servicio de Urgencia en Hospital , Femenino , Humanos , Unidades de Cuidados Intensivos , Masculino , Factores de Riesgo , Lugar de Trabajo , Violencia Laboral/psicología
18.
Artículo en Inglés | MEDLINE | ID: mdl-32512930

RESUMEN

The study aimed to develop and evaluate a violence prevention program for nursing students to improve communication self-efficacy, problem-focused coping style, emotion-focused coping style, and the ability to cope with violence. Using an eight-session violence prevention program, the study was designed as quasi experimental, with a pretest, posttest, and follow-up assessment with a nonequivalent control group. Nursing students from the fourth year of a university were selected as participants; 22 students were assigned to the experimental group and 23 to the control group. Data analysis included Chi-square, Fisher's exact test, Levene's Test, Mann-Whitney U-test, and repeated measures ANOVA. Results showed that the experimental group showed significantly higher posttest scores for the problem-focused coping style (F = 20.77, p < 0.001), intra-individual and interaction effects for the emotion-focused coping style (F = 12.03, p < 0.001), and the ability to cope with violence (U = 70, p < 0.001) than the control group. Thus, the workplace violence prevention program was effective for nursing students.


Asunto(s)
Adaptación Psicológica , Estudiantes de Enfermería , Violencia Laboral , Humanos , Autoeficacia , Universidades , Violencia Laboral/prevención & control
20.
Artículo en Inglés | MEDLINE | ID: mdl-32545730

RESUMEN

Visiting nurses are commonly exposed to workplace violence, but there is a lack of research on violence against these nurses. The purpose of this study was to identify visiting nurses' workplace violence experiences during home visits. This study used a mixed method design. Survey data of 357 home visiting nurses from public health centers were collected for the quantitative data, and a focus group interview was conducted with six visiting nurses for the qualitative data. The quantitative data were analyzed using logistic regression, and the qualitative data were analyzed using content analysis. Younger, temporary visiting nurses and those who had previously been exposed to violent clients had a higher risk of workplace violence. The violence visiting nurses faced included not only violence during the visits but also unpredicted danger and harassment after the visit. After experiencing a violent event, visiting nurses' attitudes and emotions changed toward nursing services. Visiting nurses were likely to deal with violence at the individual level given the insufficient organizational support system. An organizational-level safety management system should be established based on the characteristics of workplace violence risks and the nurses' experiences in this study.


Asunto(s)
Enfermeros de Salud Comunitaria , Violencia Laboral , Lugar de Trabajo , Estudios Transversales , Femenino , Visita Domiciliaria , Humanos , Masculino , Salud Pública , República de Corea , Encuestas y Cuestionarios , Violencia Laboral/prevención & control
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