DAMAGED HEARTS: A GLOBAL SURVEY OF WORKPLACE VIOLENCE AMONG CARDIOLOGY PROFESSIONALS

IF 5.9 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American journal of preventive cardiology Pub Date : 2025-09-01 DOI:10.1016/j.ajpc.2025.101108

Akshat Banga MBBS, MD , Hans Mautong MD , Aisha Khalid MD , Gaurang Bhatt MBBS , Angelo Caputi MD , Salim Surani MD , Faisal A. Nawaz MD , Rahul Kashyap MBBS, MBA

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引用次数: 0

Abstract

Therapeutic Area

Other

Background

Workplace Violence (WPV) against healthcare workers (HCWs) is an escalating public health issue that can negatively impact providers and patient care. Cardiology professionals (CPs) may be particularly vulnerable due to the high-stakes nature of their work; however, data regarding this issue is limited. We aim to explore the prevalence and risk factors of WPV among CPs.

Methods

The Violence Study of Healthcare Workers and Systems (ViSHWaS) is a global crosssectional study conducted from June to August 2022. A validated questionnaire on WPV was distributed using social media. We only retrieved data from HCWs who worked in cardiology settings. Univariate and multivariate analyses were done to determine WPV risk factors. The study was IRB-exempted.

Results

Responses from 126 CPs across 39 countries were included, with 51.6% male respondents and 45.2% aged 26–35. India (15.1%), the USA (14.3%), and Nepal (6.4%) were the top responders. Participants were cardiology fellows (30.9%), cardiologists (25.4%), registered nurses (14.3%), advanced practice providers (12.7%), and other types of professionals (auxiliary staff, pharmacists, researchers) (16.7%). Most participants (73.6%) worked at a public hospital. WPV prevalence was 49.2%. Verbal (47.6%) and emotional violence (30.9%) were the most common types, while the patient and/or caregiver were the most common aggressors. Among CPs who experienced WPV or witnessed it on others (n=88), 60.2% felt less motivated/ had decreased job satisfaction, and 18.19% were willing to quit their job. Univariate logistic regression did not identify female gender and working at a public hospital as significant predictors for WPV. However, after adjusting for age and type of profession in the multivariate model, the female gender was associated with a decreased risk of WPV (OR=0.40, p=0.033); while working in a public hospital was associated with an increased risk of WPV (OR=2.89, p=0.034).

Conclusions

WPV is prevalent among CPs. While female CPs may be protected from WPV, working in a public hospital may increase its risk. Most CPs who experienced WPV feel less motivated to work and may consider quitting, highlighting the need for effective prevention strategies.

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心脏受损：对心脏病专业人员工作场所暴力的全球调查

针对医护人员的工作场所暴力（WPV）是一个不断升级的公共卫生问题，可能对提供者和患者护理产生负面影响。心脏病专业人员（CPs）可能特别容易受到伤害，因为他们的工作具有高风险的性质；然而，关于这个问题的数据是有限的。我们的目的是探讨WPV在cp中的患病率和危险因素。方法卫生保健工作者和系统暴力研究（ViSHWaS）是一项全球横断面研究，于2022年6月至8月进行。通过社交媒体分发了一份有效的WPV问卷。我们只检索了在心脏科工作的医护人员的数据。进行单因素和多因素分析以确定WPV的危险因素。该研究获得了irb豁免。结果来自39个国家126名CPs的回复，其中51.6%为男性，45.2%为26-35岁。印度（15.1%）、美国（14.3%）和尼泊尔（6.4%）是回应最多的国家。参与者包括心脏病学研究员（30.9%）、心脏病专家（25.4%）、注册护士（14.3%）、高级执业医师（12.7%）和其他类型的专业人员（辅助人员、药剂师、研究人员）（16.7%）。大多数参与者（73.6%）在公立医院工作。WPV患病率为49.2%。言语暴力（47.6%）和情感暴力（30.9%）是最常见的类型，而患者和/或护理者是最常见的攻击者。在经历过或目睹过他人被殴打的CPs （n=88）中，60.2%的人感到工作积极性下降/工作满意度下降，18.19%的人愿意辞职。单变量logistic回归没有发现女性性别和在公立医院工作是WPV的重要预测因素。然而，在多变量模型中调整年龄和职业类型后，女性与WPV风险降低相关（OR=0.40, p=0.033）；而在公立医院工作与WPV风险增加相关（OR=2.89, p=0.034）。结论swpv在CPs中普遍存在。虽然女性儿科医生可能会受到保护，但在公立医院工作可能会增加其风险。大多数经历过WPV的cp感到工作积极性下降，并可能考虑戒烟，这突出了有效预防策略的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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