Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis

We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference...

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Veröffentlicht in:Occupational and environmental medicine (London, England) Jg. 76; H. 12; S. 927 - 937
Hauptverfasser: Liu, Jianxin, Gan, Yong, Jiang, Heng, Li, Liqing, Dwyer, Robyn, Lu, Kai, Yan, Shijiao, Sampson, Opoku, Xu, Hongbin, Wang, Chao, Zhu, Yi, Chang, Yuanyuan, Yang, Yudi, Yang, Tingting, Chen, Yawen, Song, Fujian, Lu, Zuxun
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England BMJ Publishing Group Ltd 01.12.2019
BMJ
BMJ Publishing Group LTD
Schlagworte:
Abuse
Aggression
Assaults
Cultural differences
Emergency medical services
Epidemiology
Exposure
Health care
Health care policy
Health Personnel
Heterogeneity
Hospitals
Humans
Medical personnel
Mental health
Meta-analysis
Nurses
Occupational exposure
Physicians
Prevalence
Professionals
Quality
Regression analysis
Risk factors
Schedules
Sexual harassment
Statistical analysis
Studies
Subgroups
Systematic review
Violence
Workers
Workplace violence
Workplace Violence - statistics & numerical data
United States > US
epidemiology
risk factors
violence
ISSN:1351-0711, 1470-7926, 1470-7926
Online-Zugang:Volltext
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Zusammenfassung:We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference lists of all included studies. Two authors independently assessed studies for inclusion. Data were double-extracted and discrepancies were resolved by discussion. The overall percentage of healthcare worker encounters resulting in the experience of WPV was estimated using random-effects meta-analysis. The heterogeneity was assessed using the I 2 statistic. Differences by study-level characteristics were estimated using subgroup analysis and meta-regression. We included 253 eligible studies (with a total of 331 544 participants). Of these participants, 61.9% (95% CI 56.1% to 67.6%) reported exposure to any form of WPV, 42.5% (95% CI 38.9% to 46.0%) reported exposure to non-physical violence, and 24.4% (95% CI 22.4% to 26.4%) reported experiencing physical violence in the past year. Verbal abuse (57.6%; 95% CI 51.8% to 63.4%) was the most common form of non-physical violence, followed by threats (33.2%; 95% CI 27.5% to 38.9%) and sexual harassment (12.4%; 95% CI 10.6% to 14.2%). The proportion of WPV exposure differed greatly across countries, study location, practice settings, work schedules and occupation. In this systematic review, the prevalence of WPV against healthcare workers is high, especially in Asian and North American countries, psychiatric and emergency department settings, and among nurses and physicians. There is a need for governments, policymakers and health institutions to take actions to address WPV towards healthcare professionals globally.
Bibliographie:ObjectType-Article-1
ObjectType-Evidence Based Healthcare-3
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ObjectType-Undefined-3
ISSN:1351-0711
1470-7926
1470-7926
DOI:10.1136/oemed-2019-105849