อุบัติการณ์ ปัจจัยที่เกี่ยวข้อง และผลกระทบของความรุนแรงในสถานที่ทำงานของพยาบาลในโรงเรียนแพทย์แห่งหนึ่งในประเทศไทย

Sidthipongsa S; Sasithornsonthi J; Aekplakorn W; Wongrathanandha C; Manonai J

Authors

Sidthipongsa S Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Sasithornsonthi J Occupational Health, Safety and Environment Section, Faculty of Medicine Ramathibodi, Mahidol University, Thailand
Aekplakorn W Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
Wongrathanandha C Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand
Manonai J Department of Obstetrics and Gynecology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand

Keywords:

ความรุนแรงในสถานที่ทำงาน, พยาบาล, โรงเรียนแพทย์, Workplace violence, Nurses, Medical school

Abstract

Objectives To determine the prevalence of, risk factors for and impacts of workplace violence experienced by nurses in a medical school in Thailand.

Methods A cross-sectional study was conducted of registered nurses in a medical school hospital in Thailand in 2020. Each participant completed a self-reported online questionnaire (ILO/WHO/ICN/PSI Geneva 2003 modification). Multiple logistic regression analysis was used to examine the risk factors for workplace physical violence and verbal abuse.

Results A total of 816 nurses were recruited. The reported prevalence of workplace violence against nurses in the previous 12 months was 39% (verbal abuse 38%, physical violence 8%). The most common perpetrators of verbal abuse were colleagues (32%) and patients (29%), while patients were the primary source of physical violence (84%). Risk factors associated with any form of workplace violence included young age (20-39 years), higher education (masters or doctoral degree), perceived insufficient number of staff, and working in an emergency unit (p < 0.05). Five percent of the victims reported absences from work resulting from verbal abuse. Among victims of physical violence, 18% received injuries of which 8% required medical treatment.

Conclusions Workplace violence against nurses is a common occupational hazard that affects their physical and psycho-logical well-being. Implementation of programs, e.g., training for younger nurses on violence management skills, reporting systems as well as efforts to ensure a safe work environment should be strengthened.

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