Evaluation of aggression in Australian after‐hours doctor home‐visit services

Ifediora, Christian

doi:10.1111/jep.12868

Cited by 6 publications

(32 citation statements)

References 20 publications

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“…A total of 21 studies 2,3,6,7,9,11,13,15–23,30–34 were included for meta‐analysis. Twelve (57%) were conducted with US HHWs.…”

Section: Resultsmentioning

confidence: 99%

“…Parsing its prevalence rate into separate rates of physical violence and threat (ie, nonphysical violence in our review) was not feasible, and we needed to categorize it as physical violence. Five terms, sexual harassment, 6,7,9,11,19,31,32,34 sexual abuse, 9,16,17,19,22,23 sexual aggression, 32 sexual violence, 9,11 and sexual assault, 9,33,34 were used in the included studies to capture sexual violence. Although the first two tend to describe nonphysical, and the latter two physical sexual violence, this distinction was not always clear, and we categorized them into either category using our discretion based on the information in the article.…”

Section: Discussionmentioning

confidence: 99%

“…It is unknown why the rates are higher among professionals than paraprofessionals. The home visits made by professional HHWs (eg, physicians, nurses, physical therapists, social workers, etc) are on an intermittent basis (eg, 30-60 minutes visit once a week) or as needed, short-term (eg, for 1-2 months), and to provide skilled services such as treatment (eg, acute medical visit by physicians, administration of intravenous therapy by nurses, gait training by physical therapists), teaching (eg, teaching on selfinjection of insulin by nurses), and assessments (eg, fall risk 6,7,9,11,19,31,32,34 sexual abuse, 9,16,17,19,22,23 sexual aggression, 32 sexual violence, 9,11 and sexual assault, 9,33,34 were used in the included studies to capture sexual violence. Although the first two tend to describe nonphysical, and the latter two physical sexual violence, this distinction was not always clear, and we categorized them into either category using our discretion based on the information in the article.…”

Section: Discussionmentioning

confidence: 99%

“…Patients are the largest source of violence in healthcare settings 5 . Studies have shown that a significant number of healthcare professionals and paraprofessional workers worldwide experience some type of violence from their patients, families, or relatives during delivery of care in the home setting 3,6–10 . HHWs face unique challenges that may put them at a high risk of experiencing type II violence.…”

Section: Introductionmentioning

confidence: 99%

“…5 Studies have shown that a significant number of healthcare professionals and paraprofessional workers worldwide experience some type of violence from their patients, families, or relatives during delivery of care in the home setting. 3,[6][7][8][9][10] HHWs face unique challenges that may put them at a high risk of experiencing type II violence. For example, they work alone in the patient's home and are exposed to multiple hazards such as perpetrators' access to weapons, drug-related activities, and family violence without the standard security service that is present in hospitals and residential care settings.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Byon

Lee

Choi

et al. 2020

American J Industrial Med

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Background Home healthcare workers (HHWs) provide medical and nonmedical services to home‐bound patients. They are at great risk of experiencing violence perpetrated by patients (type II violence). Establishing the reliable prevalence of such violence and identifying vulnerable subgroups are essential in enhancing HHWs’ safety. We, therefore, conducted meta‐analyses to synthesize the evidence for prevalence and identify vulnerable subgroups. Methods Five electronic databases were searched for journal articles published between 1 January 2005 and 20 March 2019. A total of 21 studies were identified for this study. Meta‐analyses of prevalence were conducted to obtain pooled estimates. Meta‐regression was performed to compare the prevalence between professionals and paraprofessionals. Results Prevalence estimates for HHWs were 0.223 for 12 months and 0.302 for over the career for combined violence types, 0.102 and 0.171, respectively, for physical violence, and 0.364 and 0.418, respectively, for nonphysical violence. The prevalence of nonphysical violence was higher than that of physical violence for professionals in 12 months (0.515 vs 0.135) and over the career (0.498 vs 0.224) and for paraprofessionals in 12 months (0.248 vs 0.086) and over the career (0.349 vs 0.113). Professionals reported significantly higher nonphysical violence for 12‐month prevalence than paraprofessionals did (0.515 vs 0.248, P = .015). Conclusion A considerable percentage of HHWs experience type II violence with higher prevalence among professionals. Further studies need to explore factors that can explain the differences in the prevalence between professionals and paraprofessionals. The findings provide support for the need for greater recognition of the violence hazard in the home healthcare workplace.

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“…A total of 21 studies 2,3,6,7,9,11,13,15–23,30–34 were included for meta‐analysis. Twelve (57%) were conducted with US HHWs.…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Byon

Lee

Choi

et al. 2020

American J Industrial Med

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Determinants of violence towards care workers working in the home setting: A systematic review

Phoo

Reid

2022

American J Industrial Med

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Background: Home care is a rapidly growing industry. Violence towards home care workers is common, while also likely underreported. This violence adversely affects the physical and mental health of both workers and care recipients. The current study aims to identify and appraise recent evidence on the determinants of violence towards care workers working in the home setting.Methods: Six electronic databases: the Cumulative Index to Nursing and Allied Health Literature (CINAHL), EMBASE, Informit, Medline, PsycINFO, and Web of Science, were systematically searched. A systematic review was conducted in accordance with the Joanna Briggs Institute manual for evidence synthesis.Results: A total of 18 papers met the inclusion criteria. All were cross-sectional surveys. The majority of studies were from the United States. The most commonly investigated associations were those between the medical history of clients, workers' apprehension of violence, worker-client relationship, or care plans, and any form of violence or verbal abuse. Conclusion:Violence was common in clients with cognitive disorders, substance abuse disorder, and limited mobility; toward workers who feared that violence might happen; toward those who had very close or very distant worker-client relationships; and when care plans were not inclusive of clients' needs. The current review highlights a gap in evidence on determinants of violence towards care workers working in the home setting, and suggests potential areas to be addressed to reduce such violence.

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Research on Abuse in Home Care: A Scoping Review

Balkaran

Linton

Doupe

et al. 2023

Trauma, Violence, & Abuse

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Home care is the preferred care option for most people who need support; yet abuse exists in these settings toward both home care workers and clients. There are no existing reviews that assess the scope of current research on abuse in home care, and tangentially related reviews are dated. For these reasons, a scoping review is warranted to map the current state of research on abuse in home care and examine current interventions in this field. Databases selected for searching were Medline and EMBASE on OVID, Scopus, and the following databases in EBSCOhost: Academic Search Complete, AgeLine, and Cumulative Index to Nursing and Allied Health Literature. Records were included if: (a) they were written in English; (b) the participants were home care workers or clients age 18 years or older; (c) they were published in journals; (d) they undertook empirical research; and (e) they were published within the last 10-year period. Following Graham et al. (2006), the 52 included articles are categorized as either knowledge inquiry or as intervention studies. We find three themes among knowledge inquiry studies: (1) prevalence and types of abuse in home care, (2) abuse in the context of living with dementia, and (3) working conditions and abuse. Analysis from the intervention studies suggest that not all organizations have specific policies and practices to prevent abuse, and no existing interventions to protect the well-being of clients were identified. Findings from this review can inform up-to-date practice and policymaking to improve the health and well-being of home care clients and workers.

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Evaluation of aggression in Australian after‐hours doctor home‐visit services

Cited by 6 publications

References 20 publications

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Prevalence of type II workplace violence among home healthcare workers: A meta‐analysis

Determinants of violence towards care workers working in the home setting: A systematic review

Research on Abuse in Home Care: A Scoping Review

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