Workplace Violence with Stress and Quality of Life among Healthcare Workers in a Tertiary Care Hospital
Workplace Violence among Healthcare Workers
Keywords:
ความรุนแรงในสถานที่ทำงาน, ความเครียด, คุณภาพชีวิต, บุคลากรทางการแพทย์Abstract
Medical workplace violence is the one of occupational hazard which brings physical and psychological harms such as stress, depression and poor well-being. The purpose of this cross-sectional study was to assess the relevance of workplace violence to stress and quality of life among healthcare workers (HCW). The data were collected from October 2018 to February 2019 by using Medical Workplace Violence (MWPV) Questionnaire, Stress Test Questionnaire (ST-5) and World Health Organization-Five Well-Being Index (Thai version) in 645 volunteers of HCW. Data was analyzed with statistics program and presented as frequency, percentage, mean and standard deviation. The relevance of workplace violence to stress and quality of life was analyzed with the Pearson chi-square test, determining a confidence level of 95% CI, not straddling 1.The results from 645 HCW showed that the prevalence of MWPV was 28.7%. Verbal violence, bullying, physical violence and sexual harassment accounted for 26.4%, 5.7%, 2.0% and 0.2% respectively. The majority of HCW had low stress level at 58.5%, while fair well-being group showed at 80.3%. HCW who had experienced at least one of workplace violence incident in one year had risk of stress (ST5 > 7) 4.56 times (95% CI 2.935-7.081) compared with non-experienced group. Furthermore, risk of poor well-being (WHO5 < 13) 1.88 times (95% CI 1.24-2.88) compared with the group who had never been violenced. In conclusion, HCW who have been exposed to violence are at risk of stress and poor health which can contribute to mental health problems. It is important to manage violence prevention in the workplace.
References
2. Saimai W,Thanjira S,Prasretsookjinda N. Workplace violence face by nursing personnel in Emergency Department. Rama Nurs J 2010;6(1):121-35.
3. Cikriklar HI, Yurumez Y, Gungor B, Askin R, YucelM, Baydemir C. Violence against Emergency Department employees and the attitude of employees towards violence. Hong Kong Med J 2016;22(5):464-71.
4. Choi SH,Lee H, Workplace violence against nurses in Korea and its impact on professional quality of life and turnover intention. J Nurs Manag 2017;25(7):508-18.
5. Li Z, Yan CM, Shi L, Mu HT, Li X, Li AQ, et al. Workplace violence against medical staff of Chinese children's hospitals: A cross-sectional study. PLoS One [online]. 2017 [cited 2019 March 30];13;12(6): e0179373. Available from: https://journals.
plos.org/plosone/article/file?id=10.1371/journal. pone.0179373 &type=printable
6. Phungprasert S. Guideline for preventing workplace violence in hospital. vol2. Reviseded. Nontaburi: Department of Medical Service, Ministry of Public Health;2018.
7. Chang HE, Cho SH. Workplace violence and job outcomes of newly licensed nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2016;10(4):271-6.
8. Taniguchi T, Takaki J, Hirokawa K, Fujii Y, Harano K. Associations of workplace bullying and harassment with stress reactions: A two-year follow-up study. Ind Health 2016;54(2):131-8.
9. Pekurinen V, Willman L, Virtanen M, Kivimaki M, Vahtera J, Valimaki M. Patient aggression and the well-being of nurses:A cross-sectional survey study in psychiatric and non-psychiatric settings.Environ Res Public Health [online]. 2017
[cited 2019 March 30];14(10):1245. Available from: https://www.mdpi.com/1660-4601/14/10/1245
10. Eneroth M, Gustafsson Senden M, Schenck Gustafsson K, Wall M, Fridner A. Threats or violence from patients was associated with turnover intention among foreign-bornGPs-a comparison of four workplace factors
associated with attitudes of wanting to quit one's job as a GP. Scand J Prim Health Care 2017;35(2):208-13.
11. Lee BJ, Park SG, Min KB, Min JY, Hwang SH, Leem JH, et al. The relationship between working condition factors and well-being. Ann Occup Environ Med [online]. 2014 [cited 2019 March 3];26:34. Available from:https://aoemj.biomedcentral.com/track/pdf/10.1186/s40557-014-0034-z
12. Silpakit A. Srithanya stress scale. J Ment Health Thai 2008;16(3):177-85.
13. Department of Mental Health, Ministry of Public Health. Guideline for mental health assessment for health care personnel in community hospital. Nontaburi: Bureau of Mental Health Promotion and Development;2015.
14. Kvorning J. WHO-5 Questionnaires [Internet]. 2018 [cited 2018 May 27]. Available from: https://www.psykiatriregionh. dk/who-5/who-5-questionnaires/Pages/default.aspx
15. Phongsri P. Project analysis technic. vol 3. Bangkok: Dharmasarn Printing Co.,Ltd.;2003.
16. Vanichbuncha K. Statistic for research. Bangkok: Faculty of Commerce and Accountancy, Chulalongkorn University;2006.
17. Fute M, Mengesha ZB, Wakgari N, Tessema GA. High prevalence of workplace violence among nurses working at public health facilities in Southern Ethiopia. BMC Nurs[online]. 2015 [cited 2019 April 1];14:9.
Available from: https://bmcnurs.biomedcentral.com/track/pdf/10.1186/s12912-015-0062-1
18. Patcharatanasan N, Lertmaharit S. The prevalence characteristics and related factors of workplace violence in healthcare workers in Emergency Departments of government hospitals in Region 6 Health Provider. JPMAT 2018;8(2)212-25.
19. KitanehM ,Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: A cross-sectional study. BMC Health Serv Res [online]. 2012 [cited 2019 April 1];12(1):469. Available from:https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-469
20. Tonso MA, Prematunga RK, Norris SJ, Williams L, Sands N, Elsom SJ. Workplace violence in mental health: A Victorian Mental Health Workforce Survey. Int J Ment Health Nurs2016;25(5):444-51.
21. Cheung T, Lee PH, Yip PSF. Workplace violence toward physicians and nurses:Prevalence and correlates in Macau. Int JEnviron Res Public Health [online]. 2017 [cited 2019 April 1];14(8):879. Available
from: https://www.mdpi.com/1660-4601/14/8/879/htm
22. Sumpuntapong A, Na Nongkai S, Sujirarat D. Stress of nurse and nursing assistants in Medical Unit a government university hospital. J Boromarajonani Coll Nurs Bangkok 2015;31(1):94-100.
23. Song KW, Choi WS, Jee HJ, Yuh CS, Kim YK, Kim L, et. al. Correlation of occupational stress with depression, anxiety, and sleep in Korean dentists: A cross-sectional study. BMC Psychiatry [online]. 2017 [cited 2019 March 31];17(1):398. Available from: https://bmcpsychiatry.biomedcentral.com/track/pdf/10.1186/s12888-017-1568-8
24. Itzhaki M, Bluvstein I, PelesBortz A, Kostistky H, Bar Noy D, Filshtinsky V, et al. Mental health nurse's exposure to workplace violence leads to job stress, which leads to reduced professional quality of life. Front Psychiatry [online]. 2018 [cited 2019 March 30];9:59. Available from: https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00059/full
25. Lee HS, Kim GH, Jung SW, Lee JH, Lee KJ, Kim JJ. The association between perceived discriminations and well-being in Korean employed workers: The 4th Korean Working Conditions Survey. Ann Occup Environ Med [online]. 2017 [cited 2019 April
1];29:46. Available from: https://aoemj.biomedcentral.com/track/pdf/10.1186/s40557-017-0205-9.