Circumstances, Patterns, and Reporting of Incidents of Workplace Violence among Resident Doctors Posted at Selected Departments of a Tertiary-Care Hospital in Kolkata, India

Authors

  • Mousumi Datta Department of Community Medicine, Medical College Kolkata, West Bengal University of Health Sciences, Kolkata, West Bengal 700073, India.
  • Adwitiya Das Department of Community Medicine, Medical College Kolkata, West Bengal University of Health Sciences, Kolkata, West Bengal 700073, India.

DOI:

https://doi.org/10.31584/jhsmr.2021815

Keywords:

doctors, hospitals, India, workplace violence

Abstract

Objective: Violence at work is a major cause of workplace inequality, discrimination, stigmatization, and conflict. The present study intends to describe the pattern of workplace violence (WPV) in a tertiary-level hospital in India with the objectives of discovering the magnitude of self-reported violence, its type, and the circumstances surrounding and response to such incidents.

Material and Methods: The study is of a descriptive type. Its participants were either undergraduate or postgraduate residents at the selected hospital. The data collection tool was and a questionnaire adapted from that used in the World Health Organization’s Workplace Violence in the Health Sector Survey. The period of data collection was one month.

Results: Three hundred and twenty two completed questionnaires were analyzed; 76.1% of respondents experienced violence at their workplace. The incidents of psychological violence were higher than those of a physical nature (63.1% vs. 42.9%, respectively). Psychological violence was significantly higher during day shifts and in outdoor or emergency room settings, while physical violence was common during night shifts and in indoor wards. Repeat incidents were more commonly associated with psychological violence. Even though most incidents were not reported, 96.0% of respondents considered WPV a major concern, and the improvement of security measures was most widely suggested as a solution to prevent violence at work.

Conclusion: The high incidence of WPV in a tertiary healthcare setting reported in this study is in agreement with the findings of similar studies. Improving security measures and doctor- patient communication may help reduce such occurrences. Designing a robust reporting system and conducting regular and thorough audits of violent incidents can help boost the morale of healthcare staffs as well as plan preventive strategies.

References

ILO, ICN, WHO. Framework guidelines for addressing workplace violence in the health sector, Joint programme on work place violence in health sector. Geneva: Publications Bureau International Labour Office; 2002.

Martino V. ILO, ICN, WHO. Workplace violence in health sector. Country case studies Brazil, Bulgaria, Lebanon, Portugal, South Africa, Thailand and an additional Australian study Synthesis report. Workplace violence in the health sector. Geneva: Publications Bureau International Labour Office; 2002.

Nordin H. Fakta om vaold och hot I arbetet, Solna, Occupational Injury Information System. Solna: Swedish Board of Occupational Safety and Health; 1995.

International Council of Nurses. Guidelines on coping with violence in the workplace. Geneva: Publications Bureau International Labour Office; 1999.

Kivimaki K, Elovainio M, Vathera J. Workplace Bullying and sickness absence in hospital staff. Occup Environ Med 2000;57:656-60.

Occupational Safety and Health Administration. Guidelines for preventing workplace violence for healthcare and social service workers. Washington DC: OSHA; 2015.

Gates D, Gillespie G, Kowalenko T, Succop P, Sanker M, Farra S. Occupational and demographic factors associated with violence in the emergency department. Adv Emerg Nurs J 2011;33:303-13.

Kowalenko T, Gates D, Gillespie G, Succop P, Mentzel TK. Prospective study of violence against ED workers. Am J Emerg Med 2013;31:197-205.

Speroni KG, Fitch T, Dawson E, Dugan L, Atherton M. Incidence and cost of nurse workplace violence perpetrated by hospital patients or patient visitors. J Emerg Nurs 2014;40: 218-28.

Behnam M, Tillotson RD, Davis SM, Hobbs GR. Violence in the emergency department: A national survey of emergency medicine residents and attending physicians. J Emerg Med 2011;40:565-79.

Arnetz JE, Hamblin L, Ager J, Luborsky M, Upfal MJ, Russel J, et al. Underreporting of workplace violence. Comparison of self-report and actual documentation of hospital incidents. Workplace Health Saf 2015;63:200-10.

The Joint Commission. Physical and verbal violence against health care workers. Sentinel Event Alert 2018;59:1-9.

Arbury S, Hodgson M, Zankowski D, Lipscomb J. Workplace violence training programs for health care workers: an analysis of program elements. Workplace Health Saf 2017;65:266-72.

Medical Council of India. List of colleges teaching MBBS [homepage on the Internet]. New Delhi: MCI; 2018 [cited 2020 Mar 19]. Available from: https://www.mciindia.org/CMS/ information-desk/for-students-to-study-in-india/list-ofcollege- teaching-mbbs

Ranjan R, Meenakshi, Singh M, Pal R, Das JK, Gupta S. Epidemiology of violence against medical practitioners in a developing country (2006-2017). J Health Res Rev 2018;5: 153-60.

Singh G, Singh A, Chaturvedi S, Khan S. Workplace violence against resident doctors: a multicentric study from government medical colleges of Uttar Pradesh. Indian J Public Health 2019;63:143-6.

Kumar M, Verma M, Das T, Pardeshi G, Kishore J, Padmanandan A. A study of workplace violence experienced by doctors and associated risk factors in a tertiary care hospital of South Delhi, India. J Clin Diagn Res. 2016;10:LC06-10.

ILO, ICN, WHO, PSI. Joint programme on work place violence in health sector. Workplace violence in the health sector country case studies research instruments; survey questionnaire, English. Geneva: Publications Bureau International Labour Office; 2003.

Gohil RK, Singh PK, Saxena N, Patel G. Work place violence against resident doctors of a tertiary care hospital in Delhi, India. Int Surgery J 2019;6:975-81.

Anand T, Grover S, Kumar R, Kumar M, Ingle GK. Workplace violence against resident doctors in a tertiary care hospital in Delhi. Natl Med J India 2016;29:344-8.

Ori J, Devi NS, Singh AB, Thongam K, Padu J, Abhilesh R. Prevalence and attitude of workplace violence among the post graduate students in a tertiary hospital in Manipur. J Med Soc 2014;28:25-8.

Lu L, Dong M, Wang SB, Zhang L, Ng CH, Ungvari GS et al. Prevalence of workplace violence against healthcare professionals in China: a comprehensive meta-analysis of observational surveys. Trauma Violence Abuse 2020; 21:498- 509.

Lanza ML, Zeiss RA, Rierdan J. Non-physical violence: a risk factor for physical violence in health care settings. AAOHN J 2006;54:397-402.

Boafo IM, Hancock P, Gringart E. Sources, incidence and effects of non-physical workplace violence against nurses in Ghana. Nurs Open 2016;3:99-109.

William Reddy. The management of violence against staff in the healthcare sector. In: European Agency for Safety and Health at Work. European week for safety and health at work 2002. Luxembourg: Office for Official Publications of the European Communities; 2002;p.47-50.

Morken T, Johansen IH, Alsaker K. Dealing with workplace violence in emergency primary health care: a focus group study. BMC Fam Pract 2015;16:1-7.

Shafran-Tikva S, Chinitz D, Stern Z, Feder-Bubis P. Violence against physicians and nurses in a hospital: How does it happen? A mixed-methods study. Isr J Health Policy Res 2017; 6:59.

Martinez AJS. Managing workplace violence with evidence based interventions: a literature review. J Psychosoc Nurs Ment Health Serv 2016;54:31-6.

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Published

2021-05-31

How to Cite

1.
Datta M, Das A. Circumstances, Patterns, and Reporting of Incidents of Workplace Violence among Resident Doctors Posted at Selected Departments of a Tertiary-Care Hospital in Kolkata, India. J Health Sci Med Res [Internet]. 2021 May 31 [cited 2024 Apr. 27];40(1):35-43. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/255336

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