{"title":"印度针对医生的工作场所暴力的流行、模式、肇事者和可能的缓解策略:一项横断面调查。","authors":"Naveen Paliwal, Pooja Bihani, Rishabh Jaju, Sadik Mohammed, Sharmili Sinha, Ankit Vyas","doi":"10.4103/ijoem.ijoem_257_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Workplace violence (WPV) against healthcare professionals in India is alarmingly high, exceeding global averages, with emergency departments and intensive care units being high-risk areas. This study aimed to determine the prevalence and risk factors of WPV among doctors, evaluate reporting practices, assess its psychosocial impact, and evaluate existing prevention measures.</p><p><strong>Methodology: </strong>A descriptive, cross-sectional survey was conducted using a semi-structured questionnaire distributed via Google Forms through snowball sampling. The questionnaire, validated for content, included demographic information, details of WPV encountered in the past 12 months, its consequences, reporting practices, and mitigation strategies. Statistical analysis, including descriptive statistics and Spearman rank correlation, was performed using SPSS version 19.</p><p><strong>Results: </strong>Out of 658 respondents, 60.9% reported experiencing WPV, predominantly verbal abuse. Perpetrators were mainly patients' visitors, and common causes included dissatisfaction with services and poor communication. Night hours, operation theatres, ICUs, and emergency rooms were high-risk locations. A significant portion (48%) did not report incidents due to perceived inaction and lack of organizational support. WPV negatively impacted psychosocial well-being in over half of the affected doctors. Deficiencies in training and grievance redressal systems were reported, with a strong recommendation for communication skills training.</p><p><strong>Conclusion: </strong>WPV is highly prevalent among Indian doctors, with verbal abuse being the most common form. Poor communication and lack of reporting mechanisms exacerbate the issue. Integrating communication training into medical curricula and establishing robust reporting systems are crucial for mitigating WPV and supporting healthcare professionals.</p>","PeriodicalId":43585,"journal":{"name":"Indian Journal of Occupational and Environmental Medicine","volume":"29 2","pages":"118-123"},"PeriodicalIF":0.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318559/pdf/","citationCount":"0","resultStr":"{\"title\":\"Prevalence, Pattern, Perpetrators, and Probable Mitigation Strategies for Workplace Violence Targeting Doctors in India: A Cross-Sectional Survey.\",\"authors\":\"Naveen Paliwal, Pooja Bihani, Rishabh Jaju, Sadik Mohammed, Sharmili Sinha, Ankit Vyas\",\"doi\":\"10.4103/ijoem.ijoem_257_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Workplace violence (WPV) against healthcare professionals in India is alarmingly high, exceeding global averages, with emergency departments and intensive care units being high-risk areas. This study aimed to determine the prevalence and risk factors of WPV among doctors, evaluate reporting practices, assess its psychosocial impact, and evaluate existing prevention measures.</p><p><strong>Methodology: </strong>A descriptive, cross-sectional survey was conducted using a semi-structured questionnaire distributed via Google Forms through snowball sampling. The questionnaire, validated for content, included demographic information, details of WPV encountered in the past 12 months, its consequences, reporting practices, and mitigation strategies. Statistical analysis, including descriptive statistics and Spearman rank correlation, was performed using SPSS version 19.</p><p><strong>Results: </strong>Out of 658 respondents, 60.9% reported experiencing WPV, predominantly verbal abuse. Perpetrators were mainly patients' visitors, and common causes included dissatisfaction with services and poor communication. Night hours, operation theatres, ICUs, and emergency rooms were high-risk locations. A significant portion (48%) did not report incidents due to perceived inaction and lack of organizational support. WPV negatively impacted psychosocial well-being in over half of the affected doctors. Deficiencies in training and grievance redressal systems were reported, with a strong recommendation for communication skills training.</p><p><strong>Conclusion: </strong>WPV is highly prevalent among Indian doctors, with verbal abuse being the most common form. Poor communication and lack of reporting mechanisms exacerbate the issue. Integrating communication training into medical curricula and establishing robust reporting systems are crucial for mitigating WPV and supporting healthcare professionals.</p>\",\"PeriodicalId\":43585,\"journal\":{\"name\":\"Indian Journal of Occupational and Environmental Medicine\",\"volume\":\"29 2\",\"pages\":\"118-123\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318559/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Occupational and Environmental Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/ijoem.ijoem_257_24\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/26 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Occupational and Environmental Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ijoem.ijoem_257_24","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/26 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
导言:印度针对医护人员的工作场所暴力(WPV)高得惊人,超过全球平均水平,急诊科和重症监护室是高风险地区。本研究旨在确定医生中WPV的患病率和危险因素,评估报告实践,评估其心理社会影响,并评估现有的预防措施。方法:采用半结构化问卷,通过谷歌表格进行滚雪球抽样,进行描述性横断面调查。调查问卷的内容经过验证,包括人口统计信息、过去12个月遇到的野生脊灰的详细情况、其后果、报告做法和缓解战略。采用SPSS version 19进行统计分析,包括描述性统计和Spearman秩相关分析。结果:在658名受访者中,60.9%的人表示经历过WPV,主要是言语虐待。肇事者主要为患者来访者,常见的原因包括对服务不满意和沟通不畅。夜间、手术室、icu和急诊室是高危地点。很大一部分(48%)由于认为不作为和缺乏组织支持而没有报告事件。WPV对半数以上受影响医生的心理社会健康产生负面影响。据报告,培训和申诉制度存在缺陷,强烈建议进行沟通技巧培训。结论:WPV在印度医生中非常普遍,言语虐待是最常见的形式。沟通不畅和缺乏报告机制加剧了这一问题。将沟通培训纳入医学课程和建立健全的报告系统对于减轻WPV和支持医疗保健专业人员至关重要。
Prevalence, Pattern, Perpetrators, and Probable Mitigation Strategies for Workplace Violence Targeting Doctors in India: A Cross-Sectional Survey.
Introduction: Workplace violence (WPV) against healthcare professionals in India is alarmingly high, exceeding global averages, with emergency departments and intensive care units being high-risk areas. This study aimed to determine the prevalence and risk factors of WPV among doctors, evaluate reporting practices, assess its psychosocial impact, and evaluate existing prevention measures.
Methodology: A descriptive, cross-sectional survey was conducted using a semi-structured questionnaire distributed via Google Forms through snowball sampling. The questionnaire, validated for content, included demographic information, details of WPV encountered in the past 12 months, its consequences, reporting practices, and mitigation strategies. Statistical analysis, including descriptive statistics and Spearman rank correlation, was performed using SPSS version 19.
Results: Out of 658 respondents, 60.9% reported experiencing WPV, predominantly verbal abuse. Perpetrators were mainly patients' visitors, and common causes included dissatisfaction with services and poor communication. Night hours, operation theatres, ICUs, and emergency rooms were high-risk locations. A significant portion (48%) did not report incidents due to perceived inaction and lack of organizational support. WPV negatively impacted psychosocial well-being in over half of the affected doctors. Deficiencies in training and grievance redressal systems were reported, with a strong recommendation for communication skills training.
Conclusion: WPV is highly prevalent among Indian doctors, with verbal abuse being the most common form. Poor communication and lack of reporting mechanisms exacerbate the issue. Integrating communication training into medical curricula and establishing robust reporting systems are crucial for mitigating WPV and supporting healthcare professionals.
期刊介绍:
The website of Indian Journal of Occupational and Environmental Medicine aims to make the printed version of the journal available to the scientific community on the web. The site is purely for educational purpose of the medical community. The site does not cater to the needs of individual patients and is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.