Violence of users towards health and non-health professionals in Hospital Emergency Services: descriptive-comparative cross-sectional study
e202107096
Keywords:
Aggression, User violence, Workplace violence, Hospital Emergency Department, Health professionals, Non-healthcare professionalsAbstract
Background: Workplace violence is a public health problem that affects professionals in the hospital emergency services, being this environment where there is an intense interaction with users and / or relatives who require critical and / or special care. Given this, the aim of this study was to evaluate the exposure to user violence perceived by different health and non-health professionals in Emergency Services belonging to eleven Spanish hospitals.
Methods: The design was an associative, descriptive-comparative cross-sectional strategy developed in 2019 with a sample of 584 healthcare and non-healthcare professionals from eleven Spanish hospital emergency services in eight Spanish autonomous communities. Non-parametric statistics were used for between-group comparisons, post-hoc analysis and the calculation of the effect size.
Results: 100% of respondents acknowledged having suffered workplace violence at least once in the last year. Specifically, at least eight out of every ten professionals were exposed to non-physical violence (range 85.1%-100%). The group that most perceived this violence was administration, followed by nursing, medicine and auxiliary nursing care technician (T.C.A.E) (H=28.881; p=0.001). While the manifestations of physical violence affected approximately three out of ten professionals (range 22.6%-29.5%), it is more present in the Auxiliary Nursing Care Technicians (T.C.A.E), followed by medical and nursing health professionals, as well as non-health professionals, orderlies and administration (H=9.800; p=0.05).
Conclusions: Our study shows the high prevalence of a medium or low intensity violent behavior in spanish Emergency Services. In addition, it allows to deepen in the different manifestations of violence received by the main professional groups of these services.
Downloads
References
Organización Internacional del Trabajo - Organización Mundial de la Salud. Directrices marco para afrontar la violencia laboral en el sector de la salud. Génova; 2002.
Peek-Asa C, Casteel C, Allareddy V, Nocera M, Goldmacher S, Ohagan E et al. Workplace violence prevention programs in hospital emergency departaments. J Occup Environ Med. 2007;49(7):756-763. https://doi.org/10.1097/JOM.0b013e318076b7eb
Llor-Estebán B, Sánchez-Muñoz M, Ruíz-Hernández JA, Jiménez- Barbero JA. User violence towards nuring professionals in mental health service and emergency units. Eur J Psychol Appl Legal Context. 2017;9:33-40. https://doi.org/10.1016/j.ejpal.2016.06.002
López-García C, Ruiz-Hernández JA, Llor-Zaragoza L, Llor-Zaragoza P, Jiménez-Barbero JA. User violence and psychological well-being in primary health-care professionals. Eur J of Psychol Appl Legal Context. 2018;10(2):57-63. https://doi.org/10.5093/ejpalc2018a6
Ruiz-Hernández JA, Sánchez-Muñoz M, Jiménez-Barbero JA, Pina D, Galían-Muñoz I, Llor-Esteban B et al. User violence in mental health services: Adaptation of an instrument. Healthcare-workers’ Aggressive Behavior Scale-Users-Mental Health Version (HABS-U-MH). PloS One. 2019);14(3):e0212742. https://doi.org/10.1371/journal.pone.0212742
Organización Colegial de Enfermería. Consejo General de Enfermería. Estudio sobre agresiones a la profesión enfermera. [Online]; 2012 (consultado 21-01-2020). Disponible en: http:/www.Index-f.com/lascasas/documentos/lc0446.pdf
Di Martino V, Hoel H, Cooper C. Preventing violence and harassment in the workplace. Luxemburgo: European Foundation for the Improvement of Living and Wworking Conditions; 2003.
Pérez-Fuentes MC, Molero-Jurado MM, Gazque-Linares JJ, Simón- Márquez MM. Analysis of burnout predictors in nursing. Risk and protective psychological factors. Eur J Psychol Appl Legal Context. 2019;11(1):33-40. https://doi.org/10.5093/ejpalc2018a13
Dewa CS, Loong D, Bonato S, Thanh NX, Jacobs P. How does burnout affect physician productivity? A systematic literature review. BMC Health Serv Res. 2014;14:325. https://doi.org/10.1186/1472-6963-14-325
Waschgler K, Ruiz-Hernández JA, Llor-Esteban B, García-Izquierdo M. Patients’ aggressive behaviours towards nurses: Development and psychometric properties of the Hospital Aggressive Behaviour Scale- Users. J Adv Nurs. 2013;69:1418-1427. https://doi.org/10.1111/jan.12016
Gutiérrez L, Hernández MJ, Molina L. Agresiones externas al personal sanitario de un servicio público de salud (2008-2012). Arch Prev Riesgos Lab. 2016;19(3):166-174. http://dx.doi.org/10.12961/aprl.2016.19.03.3
Chagoyen-Barroso T. Violencia laboral externa en el ámbito de urgencias generales del Hospital Universitario Virgen del Rocío de Sevilla. Med Segur Trab. 2016;62(242):25-48.
Li Y, Li R, Qiu D, Xiao S. Prevalence of workplace physical violence against health care professionals by patients and visitors: A systematic review and meta-analysis. Int J Environ Res Public Health. 2020;17:299- 318. https://doi.org/10.3390/ijerph17010299
Dharmawardene M, Givens J, Wachholtz A, Makowski S, Tjia J. A systematic review and meta-analysis of meditative interventions for informal caregivers and health professionals. BMJ Support Palliat Care. 2016;6(2):160–169. http://dx.doi.org/10.1136/bmjspcare-2014-000819
Dreison KC, Luther L, Bonfils KA, Sliter MT, McGrew JH, Salyers MP. Job burnout in mental health providers: A meta-analysis of 35 years of intervention research. J Occup Health Psych. 2018;23(1):18–30. https://doi.org/10.1037/ocp0000047
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Juan Manuel Cánovas Pallarés, David Pina López, José Antonio Ruiz-Hernández, Inmaculada Galián-Muñoz, Manuel Pardo Ríos, Bartolomé Llor-Esteban, Esteban Puente-López
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.