Evaluation of the users violence in primary health care: Adaptation of an instrument

Abstract

Background/Objetivo: According to the World Health Organization, one out of every four violent workplace acts takes place in the health setting. The aims of the study are to study the prevalence of workplace violence in primary healthcare (PHC) professionals by adapting the Healthcare-worker's Aggresive Behaviour Scale-Users (HABS-U), to establish the frequency of exposure to hostile indicators and to determine which professional group is most exposed. Method: Study through qualitative and quantitative methodology in PHC professionals of the Region of Murcia (Spain). In the qualitative phase in-depth interviews were conducted and during the quantitative phase the instrument was used to 574 professionals of 39 PHC centres. Results: The resulting scale shows excellent psychometric properties and correlates significantly with job satisfaction, burnout components, the factors of empathy and psychological well-being. There was a 90.2% prevalence of user violence, and non-medical personnel were found to be the professional group most exposed. Conclusion: The distribution of user violence is not homogeneous among the different professional groups of PHC. The adaptation of the scale may be useful for detection of user violence, as well as to evaluate the efficacy of intervention programs.

User violence in mental health services: Adaptation of an instrument. Healthcare-workers’ Aggressive Behavior Scale-Users-Mental Health Version (HABS-U-MH)

“…For the development of this study, we applied the HABS-U to the area of Mental Health, obtaining a scale whose factors (Physical and Non-physical violence) are similar to those reported in previous studies. Also, when comparing our scale with the original scale (HABS-U) [24], developed within the hospital setting, and with the adaptation to the Primary Care population (HABS-U-PHC) [23], we found a set of common items that are maintained, preserving the initial factor structure. In each of the above adaptations, new items are added that reflect the characteristics of the different populations to which it was applied.…”

“…The internal consistency of the scale adapted to Mental Health has improved in comparison with the former two scales, as it obtained a higher alpha in Factor II, Physical violence (α = 0.84), versus the HABS-U of Wachsler, Ruiz-Hernández, Llor-Esteban, and Jimenez-Barbero [24], which had an alpha of 0.76, and the HABS-U-PHC of Ruiz Hernández et al . [23], which had an alpha of .68. This can be explained because violent behaviors involving physical aggression are more frequent in the Mental Health area, as is widely reflected in the existing literature [8, 10–13] and shown by the inclusion of one more item in the Physical violence subscale than in the two previous instruments.…”

“…High violence within Mental Health services, as well as the great variability of data due to the diverse methodologies, instruments and evaluation criteria used in the studies [11, 21] led us to study it through a specific scale. Therefore, this research is a continuation of previous studies examining user violence in the hospital setting [7, 20, 22] and in Primary Care [23] through the adaptation of the Healthcare Workers’ Aggressive Behavior Scale-Users (HABS-U ) [24].…”

Exposure to service user violence and job satisfaction among nursing staff in public hospitals in Murcia Region

“…Este estudio se ha centrado en los profesionales de enfermería en el ámbito hospitalario, pero el riesgo de insatisfacción también se da en otros profesionales sanitarios y no sanitarios, así como en centros no hospitalarios 30 , por lo proponemos la ampliación del trabajo primero al resto de profesionales sanitarios y al resto de tipo de asistencias y posteriormente, al resto del sector servicios, incluyendo todos aquellos puestos que requieren el contacto directo con público. Igualmente, solo hemos incluido en el estudio la relación entre la violencia y la satisfacción laboral, siendo recomendable investigar la relación entre violencia y aspectos como el nivel de burnout o las afecciones psicopatológicas del trabajador.…”

Violence directed against pediatric health workers in the workplace: a reality that should not be ignored

“…| Vol. 7 N° 1 | Enero -Junio 2017 [11][12][13] diversos estudios, desde 25% a 90% dependiendo de los autores. En nuestra investigación la prevalencia reconocida por los encuestados fue de 90%, siendo la agresión verbal la más 11 frecuente, al igual que el estudio brasilero .…”