A survey of workplace violence against physicians in the hospitals, Myanmar

Kasai, Yuichi; Mizuno, Tetsutaro; Sakakibara, Toshihiko; Thu, Si; Kyaw, Thein Aung; Htun, Kyaw Aung

doi:10.1186/s13104-018-3240-x

Cited by 13 publications

(10 citation statements)

References 8 publications

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“…The prevalence of physical violence in this study was 4.6%, which was lower than that of previous studies in China6 27 35 36 but still higher than other countries 37. Our study also found high rates of physical violence threats and exposure to Yi Nao.…”

Section: Discussioncontrasting

confidence: 78%

Workplace violence and its aftermath in China’s health sector: implications from a cross-sectional survey across three tiers of the health system

Yang

Wang

et al. 2019

BMJ Open

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ObjectivesTo determine the prevalence of physical violence and threats against health workers and the aftermath in tertiary, secondary and primary care facilities in China.DesignA cross-sectional questionnaire study.Setting5 tertiary hospitals, 8 secondary hospitals and 32 primary care facilities located in both urban and rural areas of Zhejiang Province, China, were chosen as the study sites.ParticipantsA total of 4862 health workers who have contact with patients completed a survey from July 2016 to July 2017.Outcome measuresThe prevalence of physical violence, threats and Yi Nao, specific forms of physical violence and their aftermath were measured by a self-designed and verified questionnaire. Multivariable logistic regression models were used to examine the association between perceived organisational encouragement of reporting workplace violence (WPV) and physical violence, threats and Yi Nao after controlling for age, sex, level of facility, professional ranking and type of health worker.ResultsAmong all respondents, 224 (4.6%) were physically attacked and 848 (17.4%) experienced threats in the past year. Respondents in secondary hospitals were more likely to experience physical violence (AOR=3.29, 95% CI 2.21 to 4.89), threats (AOR=1.61, 95% CI 1.32 to 1.98) and Yi Nao (AOR=2.47, 95% CI 2.10 to 2.91), compared with primary care providers. Lack of organisational policies to report WPV was associated with higher likelihood of physical violence (AOR=3.64, 95% CI 2.57 to 5.18) and threats (AOR=2.21, 95% CI 1.76 to 2.78). Among physical violence cases, only 29.1% reported the attack to police mainly because most felt it useless to do so (58.8%). Only 25.7% were investigated and 72.4% of attackers received no punishment. Of all those attacked or threatened, 59.4% wanted to quit current post and 76.0% were fearful of dealing with urgent or severe cases.ConclusionsProper management of the aftermath of violence against health workers is inadequate. Formal guidelines for reporting and managing WPV are urgently needed.

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Section: Discussioncontrasting

confidence: 78%

Workplace violence and its aftermath in China’s health sector: implications from a cross-sectional survey across three tiers of the health system

Yang

Wang

et al. 2019

BMJ Open

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“…Compared to a previous investigation in Myanmar, we found a much higher prevalence of both verbal (47.6%) and physical assault (4.8%) experiences among our sample [8]. These results suggest that, like many other previous studies in LMICs, WPV poses a serious challenge to healthcare workers in Myanmar.…”

Section: Discussioncontrasting

confidence: 69%

“…The prevalence of WPV against healthcare groups around the world has been previously studied, revealing a wide range of reported experiences [6,7]. Only one prior study had reported WPV experiences among physicians in Myanmar, and it had revealed very low rates of both verbal assault (8.7%) and physical assault (1.0%) in the cohort studied [8]. While this study had been large (n = 196) and included respondents from public and private hospitals in three major cities, it had been performed at urban centers using an unvalidated instrument.…”

Section: Introductionmentioning

confidence: 99%

Experiences of Workplace Violence Among Healthcare Providers in Myanmar: A Cross-sectional Survey Study

Lindquist¹,

Feltes²,

Niknam³

et al. 2020

Cureus

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Background Healthcare providers face enormous threats to personal safety from workplace violence (WPV). Prior investigations estimate a highly varied prevalence of WPV in the United States and around the world, including both verbal and physical assault. Little is known about WPV in Myanmar. Only a single prior study has evaluated WPV experiences among physicians in Myanmar, reporting an unusually low prevalence of verbal (8.7%) and physical (1.0%) assault. Given this much lower prevalence compared with similar studies in other low-and middle-income countries (LMICs), we embarked on a study to identify the prevalence of WPV in a separate cohort of healthcare providers in Myanmar. Methods This was a cross-sectional analysis of WPV prevalence among healthcare providers who attended a national emergency medicine conference in Myanmar in November 2018. The survey instrument was adapted from a validated survey from the Joint Program on Workplace Violence in the Healthcare Sector (International Labour Office, International Council of Nurses, World Health Organization, and Public Services International), which had been used in other global settings. Results Sixty-three participants completed the survey questionnaire, including 35 women (55.6%) and 26 men (41.3%). Among them, 25 (39.7%) were primary care providers. Overall, the combined prevalence of WPV in the previous 12 months was found to be 47.6% (n = 30; 95% CI: 34.9-60.6%). The prevalence of verbal assault was 47.6% (n = 30; 95% CI: 34.9-60.6%), and that of physical assault was 4.8% (n = 3; 95% CI: 1.0-13.3%). Twenty-four participants (42.4%) reported that they were encouraged to report violence in the workplace, and five (8.1%) reported they had received training on how to manage WPV. Respondents who were 30-34 years in age and those working in private facilities were significantly less likely to report WPV on univariate analysis.

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“…24,27 Similar incidents of violent outrage towards doctors have been reported from primary to tertiary care services in Bangladesh, 28 Nepal, 29 Pakistan, 25,30 and Myanmar. 31 As a consequence of these violent outbursts, many health care professionals were brutally injured, and few even lost their lives. 32 India has a high burden of WPV similar to other LMICs.…”

Section: Introductionmentioning

confidence: 99%

Prevalence, Characteristics, and Associated Factors of Workplace Violence Against Healthcare Professionals in India: A Systematic Review and Meta-analysis

Hossain

Sharma

Tasnim

et al. 2020

Preprint

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Background: Workplace violence (WPV) against doctors, nurses, and other healthcare professionals is a growing public health concern affecting health systems in low- and middle-income countries. In India, incidents of WPV against health workforce have become common in recent years. However, there is no synthesized evidence on the nationwide burden of WPV in healthcare. This study aims to systematically evaluate the current evidence on the prevalence, characteristics, and associated factors of WPV against healthcare professionals in India. Methods: We systematically searched seven major databases and additional sources to retrieved published literature on WPV in India. We included empirical studies without any time restriction, which reported the prevalence of WPV against healthcare professionals in India. Following data extraction, we estimated the pooled prevalence of WPV using random-effects model in meta-analysis. The characteristics and associated factors of WPV were narratively synthesized from these empirical studies. Results: Among 1065 articles retrieved from multiple sources, 15 studies met our inclusion and exclusion criteria. The pooled prevalence of WPV among 2849 participants in those 15 studies was 63% (95% confidence interval [CI], 54%-72%). In the subgroup analyses, the pooled prevalence for male and female was 64% (95% CI, 51%-78%) and 54% (95% CI, 47%-62%) respectively. Moreover, pooled prevalence in 12-months and lifetime was 55% (95% CI, 43%-67%) and 69% (95% CI, 61%-78%) respectively. Among the participants, the prevalence of verbal violence (52%; 95% CI, 45%-60%) was higher than physical violence (8%; 95% CI, 5%-11%). The emergency department was a common location of WPV, whereas the patients' attendants were perpetrators in most studies. Major factors associated with WPV included ineffective patient-provider communication, less experience of the healthcare professionals, overcrowding, shortage of resources, long waiting hours, lack of security measures, dissatisfaction about health services, high cost of care, the negative role of media, and other socio-behavioral problems among the patients and healthcare professionals. Conclusion: WPV is highly prevalent among healthcare professionals in India. Critical challenges within the healthcare and social context necessitate further research, better policymaking, and multipronged interventions to address the same and prevent WPV against healthcare professionals in India.

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A survey of workplace violence against physicians in the hospitals, Myanmar

Cited by 13 publications

References 8 publications

Workplace violence and its aftermath in China’s health sector: implications from a cross-sectional survey across three tiers of the health system

Workplace violence and its aftermath in China’s health sector: implications from a cross-sectional survey across three tiers of the health system

Experiences of Workplace Violence Among Healthcare Providers in Myanmar: A Cross-sectional Survey Study

Prevalence, Characteristics, and Associated Factors of Workplace Violence Against Healthcare Professionals in India: A Systematic Review and Meta-analysis

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