ÖzetDünyada ve Türkiye'de sağlık çalışanlarına yönelik şiddet artarak önemli bir iş sağlığı problemi haline gelmektedir. Sağlık kurumlarındaki şiddet "Hasta, hasta yakınları ya da herhangi bir bireyden gelen, sağlık çalışanı için risk oluşturan; tehdit davranışı, sözel tehdit, ekonomik istismar, fiziksel saldırı, cinsel saldırıdan oluşan durum" olarak tanımlanmıştır. Çalışmamızda İstanbul Tıp Fakültesi Adli Tıp Anabilim Dalı Polikliniği'ne başvuran sağlık çalışanlarına yönelik şiddetin değerlendirilmesi amaçlanmaktadır. Hasta/yakını tarafından şiddet görme nedeni ile başvuran 5 sağlık çalışanı değerlendirildi. Olgular 26-47 yaşlarında olup, yaş ortalamaları 30.8 yıl idi. Olguların biri erkek, üçü doktor, biri hemşire, diğeri de hasta bakıcıydı. Muayenelerinde dört olguda olaya bağ-lı fiziksel şiddet bulgusu, dört olguda ise ruhsal travma bulgusu saptanmıştır. Sağlık politikaları değişiklikleri ile sağlık çalışanı ve hastaların karşı karşıya getirilmesi, basında tıbbi uygulama hatalarının ele alınış biçimi ve güvenli çalışma koşullarının sağlana-maması sonucunda sağlık çalışanı adeta sistemin tüm aksaklık-larının sorumlusu, şiddetin hedefi olmuştur. Sağlık çalışanlarının %72.6'sının çalıştıkları süre boyunca herhangi bir şiddet türüne maruz kaldığı, %72.4'ünün son 12 ay içerisinde şiddete uğradığı bildirilmektedir. Çalışmada sorunun yaygınlığı, ciddiyeti yanı sıra çözüm önerileri tartışılmıştır.Anahtar Kelimeler: Şiddet; Sağlık Hizmetleri; Adli Tıp. AbstractThe violence against health workers has been increasing worldwide and in Turkey and is becoming a significant occupational health problem. The violence at healthcare settings is defined as "the threat behavior, verbal threat, economic abuse, physical aggression or sexual assault committed by the patient, patient's relatives, or another individual, and causes risk for healthcare workers". Our objective isevaluating the violence against healthcare workers who presented to outpatient clinics of Department of Forensic Medicine at Istanbul Faculty of Medicine. Five healthcare workers who presented due to the committed violence by the patient/patient's relative were evaluated. The patients were aged between 26-47 years, and the mean age was 30.8 years. One patient was male. Three were physicians, one was a nurse, and the other was a caregiver. Physical violence in four patients, and psychiatric trauma in four patients were detected during the forensic examinations. Health workers have almost become the main responsible for the defects in the system, and the target for the violence due to the confrontation of health workers and patients after the changes in health policy, the way of the media in handling the medical practice errors, and the failure to meet safe working conditions. It has been reported that 72.6% of the health workers were exposed to violence during their working period, and 72.4% were exposed to violence in the last 12 months. Resolution suggestions, and the prevalence and severity of the problem were discussed in the present study.
Stalking is defined as the act of determining the person as a target and following and communicating with the person repeatedly without his/her consent, creating concern for her safety. Compared to forensic medicine applications, it’s a group that is relatively common in the field of psychiatry, and reporting the results of forensic medical evaluation is rarely done in this respect. The case applied to the clinic with the allegation of mobbing, and besides it’s a rare case in forensic medicine practice due to the characteristics of the event she experienced, it was aimed to discuss the evaluation to be made in such cases in terms of stalking. The 33-year-old female case, working in a company as senior manager, stated that she didn’t accept the proposal of a male employee in another city and in the same position as her, to be her girlfriend and she was verbally threatened by this person afterwards, wandered around her workplace and home and followed her for a long time. In her mental evaluation; It was found that the person was subjected to psychological violence and stalking harassment; the verbal threats and behaviors of the aggressor had a traumatic effect on her mental health for a long time and the action she was exposed to permanently deteriorated the mental health of the person. Stalking is addressed in different areas within the framework of mobbing or violence against women. Considering that in cases of stalking harassment, which doesn’t have a specific legal provision, it may result in the most severe form of violence against women due to its consequences, besides studies on prevention and legal regulation, as highlighted in the case presented, the identification of trauma and forensic medical documentation and also the need for psychiatric follow-up and support in terms of treatment should be considered.
Amaçİstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi'nde 24 saat hizmet veren Travma ve Acil Cerrahi Polikliniği'nde düzenlenen adli raporların genelge, rehber, tıbbi yaklaşım ve tıp etiği çerçevesinde değerlendirilmesi ve bu kapsamda adli rapor standardizasyonunun tartışılması amaçlanmıştır. Gereç ve Yöntem 01.07.2014-30.06.2017 tarihleri arasında çalışmacılar tarafından İstanbul Üniversitesi, İstanbul Tıp Fakültesi Travma ve Acil Cerrahi Polikliniği'nde başvuran erişkin ve çocuk olgulara ait adli olgular ve adli raporların değerlendirilmesi yapıldı.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.