Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

Fuentes, María del Carmen Pérez; Jurado, María del Mar Molero; Martínez, África Martos; Márquez, María del Mar Simón; Ruíz, Nieves Fátima Oropesa; Linares, José Jesús Gázquez

doi:10.1136/bmjopen-2019-034143

Cited by 9 publications

(8 citation statements)

References 68 publications

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“…Thus, our study provides results on this rather unexplored topic, which needs further research. Our findings on the occupational characteristics of HCW throughout the study period revealed that workers younger than 30 years had a significantly higher rate of WPA, likely because they have a shorter length of service and less training; this finding is consistent with other publications mentioning older age as a protective factor against the likelihood of experiencing WPA during the pandemic ( 18 , 23 ). In addition, the incidence among nurses and aides was significantly higher than that among other professional categories (among female nurses and aides, the incidence was higher but not statistically significant), which is consistent with the scientific literature ( 27 ).…”

Section: Discussionsupporting

confidence: 91%

“…These results are similar to the reported incidence (5.7%) of a cross-sectional study among Italian HCWs during the first year of the pandemic ( 22 ) but are significantly lower than those reported by other studies. For instance, a study in Spain showed that 10% of nurses experienced WPA ( 23 ); a study based on an Italian HCW cohort found a 12-month incidence of new WPA of around 24% ( 24 ); and a meta-analysis conducted in 2019 ( 8 ) found a 12-month prevalence of WPA among HCW of 48.1% in Europe. These differences may be partly explained by the considerable variability in the definitions of aggression, the procedure for recording aggression, and the questionnaires used in the various literature studies, which all hamper comparisons.…”

Section: Discussionmentioning

confidence: 99%

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Workplace aggression against healthcare workers in a Spanish healthcare institution between 2019 and 2021: The impact of the COVID-19 pandemic

Díaz

Utzet

Mirabent

et al. 2023

Front. Public Health

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ObjectivesDescribe the incidence of first aggressions among healthcare workers (HCWs) before and during the COVID-19 pandemic in a Spanish healthcare institution, according to workers' socio-occupational characteristics and analyze the impact of the pandemic on it.MethodsA cohort involving HCWs who worked in the institution for at least 1 week each year from 1 January 2019 to 31 December 2021. Adjusted relative risks (aRR) were estimated using generalized estimating equations and negative binomial models to calculate the differences in WPA between the different time periods. All analyses were stratified by gender.ResultsAmong women, the incidence was 6.8% (6.0; 7.8) during the pre-COVID-19 period, 6.0% (5.2; 7.0) during the COVID-19 baseline and 5.1% (4.3; 5.9) during the COVID-19 endline; and 4.6% (3.4; 6.1), 5.3% (4.1; 6.8) and 4.4% (3.5; 5.8), respectively, among men. Among men, the incidence of WPA was 4.6 (3.4; 6.1), 5.3 (4.1; 6.8), and 4.4% (3.5; 5.8), respectively. These incidences were significantly higher among male nurses and aides [11.1 (8.0; 15.4), 12.3 (8.9; 16.6), and 9.3% (6.5; 13.3) during each period] and psychiatric center workers [women: 14.7 (11.2; 19.0), 15.4 (11.8; 19.8), and 12.4% (9.2; 16.6); men: 12.3 (7.2; 20.0), 17.8 (11.6; 26.2), and 14.3% (8.8; 22.4)]. Among women, the risk of WPA was 23% lower in the post-COVID-19 period compared to before the pandemic [aRR = 0.77 (0.64; 0.93)], while the risk during the COVID-19 baseline was not significantly different [aRR = 0.89 (0.74; 1.06)].ConclusionsThe COVID-19 pandemic led to an unexpected decrease in first-time WPA against HCWs. However, ~5% of HCWs experienced at least one incidence of aggression in the last follow-up year. Healthcare managers should continue to increase the prevention of aggression against HCWs, especially among vulnerable groups with a higher level of incidence.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Workplace aggression against healthcare workers in a Spanish healthcare institution between 2019 and 2021: The impact of the COVID-19 pandemic

Díaz

Utzet

Mirabent

et al. 2023

Front. Public Health

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“…Nurses also act as counselors to help victims of violence in reducing the impact of trauma experienced as a result of violence. In addition, nurses also play a role in empowering society by forming peer-support groups and as facilitators whose function is to prevent violence against children [21].…”

Section: Introductionmentioning

confidence: 99%

RETRACTED: Cognitive Behavior Therapy by Nurses in Reducing Symptoms of Post-Traumatic Stress Disorder on Children as Victims of Violence: A Scoping Review

et al. 2023

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Violence against children can cause psychological problems such as post-traumatic syndrome disorder (PTSD). The negative impact of violence on children is psychological and physical problems and risk of suicide. Nurses have a role to provide comprehensive nursing care such as cognitive behavior therapy for reducing PTSD symptoms. The purpose of this study was to describe the methods of cognitive behavior therapy to reduce symptoms of PTSD in children who are victims of violence. This study used the scoping review method. The databases use for the literature review in this study were CINAHL, PubMed, and Scopus. The keywords used in English were “cognitive behavioral therapy OR CBT” AND “violence OR abuse” AND “post-traumatic stress disorder OR PTSD” AND “child OR children”. The inclusion criteria were full text, randomized control trial or quasi-experimental research design, English language, the sample was children, and the publication period was for the last 10 years (2013–2022). We found 10 articles discussing CBT intervention on children who experienced victim abuse to reduce symptoms of PTSD. Most of the articles in this study used randomized control trial design. Several samples in this study are from the USA. The total sample was 47–320 respondents. This study showed three methods of CBT, namely psychoeducation, self-management, and coping strategies. CBT interventions can be carried out face-to-face or online. The activities carried out by the participants were relaxing, participating in training, counseling, problem-solving discussions, and therapy to improve sleep quality. Cognitive behavioral therapy is an intervention that can be carried out to reduce the traumatic impact on child victims of violence by taking into account the characteristics and development of the children.

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“…Other physical responses, including sleep disturbances, gastrointestinal problems and headaches, can also result from verbal abuse (del Carmen Pérez-Fuentes et al, 2020). Additionally, verbal abuse has been linked to negative organisational outcomes including loss of staff productivity, reduced morale, absenteeism and increased employee turnover intention (Anjum, Ming, Siddiqi, & Rasool, 2018;Lamothe et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Workplace verbal abuse, nurse‐reported quality of care and patient safety outcomes among early‐career hospital nurses

2020

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Aims To examine the differences in early‐career nurses’ verbal abuse experiences based on their sociodemographic characteristics, and to investigate the associations of verbal abuse experiences with nurse‐reported care quality and patient safety outcomes. Background Few studies have examined the relationships between early‐career nurses’ verbal abuse experiences and nurse‐reported patient care quality and safety outcomes. Methods Cross‐sectional survey data from 799 early‐career hospital nurses in the United States were analysed. Items assessed verbal abuse experiences from patients or their families, physicians and other employees. Associations between verbal abuse experiences and nurse‐reported care quality and patient safety outcomes were examined using multiple logistic regression analyses. Results There were significant differences in verbal abuse experiences by age, gender and work unit. Nurses who experienced verbal abuse, regardless of the perpetrator, were less likely to report high‐quality care and a favourable safety grade. Nurses who experienced verbal abuse specifically from physicians or other employees were also less likely to feel comfortable reporting safety problems. Conclusion Managing verbal abuse may be important for improving patient care quality and safety. Future intervention study is needed to reduce verbal abuse. Implications for Nursing Management To optimize patient safety, managers should thoroughly monitor verbal abuse and organisations’ need to establish clear expectations and ramifications for when verbal abuse occurs.

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Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

Cited by 9 publications

References 68 publications

Workplace aggression against healthcare workers in a Spanish healthcare institution between 2019 and 2021: The impact of the COVID-19 pandemic

Workplace aggression against healthcare workers in a Spanish healthcare institution between 2019 and 2021: The impact of the COVID-19 pandemic

RETRACTED: Cognitive Behavior Therapy by Nurses in Reducing Symptoms of Post-Traumatic Stress Disorder on Children as Victims of Violence: A Scoping Review

Workplace verbal abuse, nurse‐reported quality of care and patient safety outcomes among early‐career hospital nurses

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