Ending violence against healthcare workers in India: A bill for a billion

Nair, Aatmika; Zadey, Siddhesh

doi:10.1016/j.lansea.2022.100064

Cited by 9 publications

(15 citation statements)

References 4 publications

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“…1,2 According to the World Health Organization, any form of abuse, threat or assault imposing an explicit or implicit threat on the safety, well-being or health of workers, also during commuting from and to work, falls under the term 'workplace violence'. 3 Despite the assumed efforts of HCW and the advantages of technological and scientific advancements in the medical field, multiple factors still hinder the quality of care provided. 2 Such hindrances include poor infrastructure, ineffective governmental policies, high costs, commercialization of healthcare and political pressure, potentially sparking tensions and conflicts.…”

Section: Sirmentioning

confidence: 99%

“…2 Globally, workplace violence has unfortunately become an inevitable component embedded within healthcare 2 where it has become four times more common amongst HCWs when compared to other professions. 2 Moreover, recent studies suggest this problem is much more widespread than is officially reported, 2 accounting for three incidents of violence per 10,000 HCW, five times greater than the global rate, 3 and hugely higher compared to China and the United Kingdom, which have both taken strict legal actions against violence. 3 A cross-sectional study in Chennai showed greater prevalence amongst males than females.…”

Section: Sirmentioning

confidence: 99%

“…2 Moreover, recent studies suggest this problem is much more widespread than is officially reported, 2 accounting for three incidents of violence per 10,000 HCW, five times greater than the global rate, 3 and hugely higher compared to China and the United Kingdom, which have both taken strict legal actions against violence. 3 A cross-sectional study in Chennai showed greater prevalence amongst males than females. 1 Most incidents reported were psychological.…”

Section: Sirmentioning

confidence: 99%

See 2 more Smart Citations

The unsettling reality of violence against healthcare workers: Past, present and future

Jain,

Sulaiman,

Saurabh

2024

Trop Doct

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Section: Sirmentioning

confidence: 99%

Section: Sirmentioning

confidence: 99%

Section: Sirmentioning

confidence: 99%

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The unsettling reality of violence against healthcare workers: Past, present and future

Jain,

Sulaiman,

Saurabh

2024

Trop Doct

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“…Countries like Nepal, the United Kingdom, and China have 4, 57, and 850 times lesser incidents rates, respectively. [ 12 ] Many reports say that patients’ relatives and surrounding mobs often perpetrate violence. Factors contributing to violence include negative media portrayal, perception of financial or political gain by perpetrators, perceived negligence on duties by doctors, long waiting times for patients, inadequate grievance redressal systems, and perceived inadequate legal remedy.…”

Section: Magnitude Of the Problem Of Medical Negligence In Indiamentioning

confidence: 99%

Consequences of medical negligence and litigations on health care providers – A narrative review

Madan,

Das,

Patley

et al. 2024

Indian Journal of Psychiatry

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Medical professionals face high stress due to the type of work they do and the prolonged working hours. Frequent burnout results due to the challenging nature of their work. Added to the stress of work, malpractice lawsuits add to their burden. In India, most doctors work in compromised settings with poor infrastructure and manpower but are expected to follow the best practices. In court, they are judged with the Bolam and Bolitho tests being essential considerations. Several tragic incidents have been reported, including depression, anger issues, and even suicide deaths of healthcare professionals (HCPs) after accusations of negligence and subsequent inquiry. Such incidents demonstrate the multitude of challenges an HCP faces in day-to-day practice. It is crucial to find ways to tackle these problems and enhance the capacity of HCP to handle such demanding circumstances. Malpractice litigation can significantly impact the mental health of HCPs. It is common to experience emotional turmoil when faced with a lawsuit. Second victim syndrome (SVS) is a term used to describe a set of symptoms experienced by HCPs who make an error leading to injury to a patient. However, it also happens if he is traumatized by the consequences of violence during healthcare services or a lawsuit or defamation article in newspaper/social media. Following a litigation crisis in their career, many HCPs go through various stages of grief, including shock, denial, anger, bargaining, depression, and acceptance. At times, death by suicide of the HCPs is well known. SVS is known to profoundly affect the personal, family, economic, professional (defensive practice), and social life of HCPs. HCPs should accept the allegations of negligence as an occupational hazard and prepare for the eventual litigation at least once in a lifetime by knowing about the medical laws, HCP’s rights, becoming aware of the emotional turmoil of the lawsuit, preparing to cope with the lawsuit, and seeking help from colleagues and indemnity insurance. Frequent training of the HCPs is strongly recommended to know about the changing laws and also to undergo periodic professional competence enhancement to reduce the incidents of errors amounting to medical negligence. Medical and hospital administration should debrief after any incident and conduct internal investigations to identify systemic flaws and prevent future recurrence, resolve issues within their control at their level, and manage media (mainstream and social media) appropriately. If established, a reporting system with online and offline services will ease the internal administrative investigation process and take appropriate, timely actions. During the crisis, HCPs should have adequate and appropriate insurance or indemnity coverage and mental health support systems.

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“…9,10 Unrealistic expectations and dishonest promises promote disappointments and may result in violence against medical practitioners, already highlighted in Tropical Doctor. [11][12][13] Surgeons like other practitioners can only perform optimally if they are safe from physical, verbal and sexual abuse and violence in their workplace. Furthermore, work-life balance is essential to prevent burnout.…”

mentioning

confidence: 99%

Advocacy for surgeons: Ensuring excellence in patient care

Zadey,

Sharma,

Cotton

2024

Trop Doct

Self Cite

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Ending violence against healthcare workers in India: A bill for a billion

Cited by 9 publications

References 4 publications

The unsettling reality of violence against healthcare workers: Past, present and future

The unsettling reality of violence against healthcare workers: Past, present and future

Consequences of medical negligence and litigations on health care providers – A narrative review

Advocacy for surgeons: Ensuring excellence in patient care

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