Prevalence and predictors of occupational violence and aggression towards GPs: a cross-sectional study

Koritsas, Stella; Coles, Jan; Boyle, Malcolm; Stanley, Janet

doi:10.3399/096016407782604848

Cited by 56 publications

(64 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some studies investigating bullying arising from patients, colleagues and supervisors among medical doctors during training, residents, emergency physicians, ambulance personnel [17], young doctors and specialists with long career experience exist; including studies conducted in the United States [18][19][20][21], in some European countries [22][23][24][25] as well as in Japan [26]. Harassment and abuse of family physicians in the workplace by patients or colleagues is also an emerging issue in health care environment in Canada [27,28], USA [29], and Australia [30]. Similar studies in the former eastern European countries, after transition from Soviet republics to market economies, are scarce, even though studies on variations of workplace bullying around the globe concluded that the risk of such problems is particularly high in these countries.…”

Section: Introductionmentioning

confidence: 99%

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Malinauskienė¹,

Einarsen²

2014

IJOMEH

View full text Add to dashboard Cite

Objectives:The study investigated associations between workplace bullying and post-traumatic stress symptoms as compared to and controlled for associations between the latter and other psychosocial stress factors at work and in everyday life. The study employed a representative sample of Lithuanian family physicians, hence investigated a particularly resourceful occupational group in a geographical region earlier found to have a high risk context for exposure to bullying at work. Material and Methods: With a response rate of 89.2%, a total of 323 family physicians filled in an anonymous questionnaire on workplace bullying, post-traumatic symptomatology (IES-R), other psychosocial stressors at work and in everyday life, personal health resources (sense of coherence), behavioral characteristics and demographic variables. The statistical software SPSS 14.0, Windows was used in the analysis. Associations were tested using a multivariate logistic regression analysis. Results: A high prevalence of bullying was found among family physicians in Lithuania, with 13% of them experiencing severe workplace bullying and 17.3% experiencing more occasional incidents of bullying. The prevalence of post-traumatic stress symptoms was also high with 15.8% scoring above the standardized cut-off thresholds for post-traumatic stress disorder. The odds ratio (OR) of severe bullying for post-traumatic stress after adjustment for age and gender was 8.05 (95% confidence intervals (CI): 3.80-17.04). In the fully adjusted model it increased to 13.88 (95% CI: 4.68-41.13) indicating cumulative effects of all the investigated stressors. Conclusions: Workplace bullying is particularly prevalent among Lithuanian family physicians, as are the symptoms of post-traumatic distress. Strong associations between post-traumatic stress and exposure to severe bullying indicate that bullying is a significant source of mental health.

show abstract

Section: Introductionmentioning

confidence: 99%

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Malinauskienė¹,

Einarsen²

2014

IJOMEH

View full text Add to dashboard Cite

show abstract

“…[3][4][5]21,22 As identified previously, 3 female medical clinicians are more vulnerable to experiencing workplace aggression from all sources in Australia than males overall. However, when stratified by doctor type, higher rates of external and internal aggression were detected for female than male specialists only.…”

Section: Discussionmentioning

confidence: 94%

“…5,7,21,24,25 In novel findings, increasing hours worked in the public and NGO sector were weakly associated with external aggression, negatively for males but positively for females, whereas for internal aggression increasing hours worked in private practice for both males and females was weakly protective for aggression exposure. In addition, for male clinicians, having a poor support network of other doctors was positively associated with external aggression, whereas for both male and female clinicians, having a poor support network of other doctors was positively associated with internal aggression.…”

Section: Sex Differences In Aggression In Medical Work Australian Heamentioning

confidence: 89%

“…1,3,5,7,21,22 For hospital nonspecialists and specialists in training, similarly very high rates of exposure to external and internal aggression were reported by both males and females. Controlling for doctor type, greater age for males and greater experience working in medicine for females were consistently negatively associated with external and internal aggression exposure.…”

Section: Sex Differences In Aggression In Medical Work Australian Heamentioning

confidence: 94%

See 1 more Smart Citation

Differences in risk and protective factors for workplace aggression between male and female clinical medical practitioners in Australia

Hills¹

2017

Aust. Health Review

View full text Add to dashboard Cite

Objectives. The aim of the present study was to investigate differences in prevalence, as well as risk and protective factors, for exposure to workplace aggression between male and female clinicians in Australian medical practice settings.Methods. In a cross-sectional, self-report study in the third wave of the Medicine in Australia: Balancing Employment and Life survey (2010-11), 16 327 medical practitioners were sampled, with 9449 (57.9%) respondents working in clinical practice. Using backward stepwise elimination, parsimonious logistic regression models were developed for exposure to aggression from external (patients, patients' relatives or carers and others) and internal (co-workers) sources in the previous 12 months.Results. Overall, greater proportions of female than male clinicians experienced aggression from external (P < 0.001) and internal (P < 0.01) sources in the previous 12 months. However, when stratified by doctor type, greater proportions of male than female general practitioners (GPs) and GP registrars experienced external aggression (P < 0.05), whereas greater proportions of female than male specialists experienced external (P < 0.01) and internal (P < 0.01) aggression. In logistic regression models, differences were identified in relation to age for males and experience working in medicine for females with external and internal aggression; working in New South Wales (vs Victoria) and internal aggression for females; a poor medical support network and external aggression, and perceived unrealistic patient expectations with internal aggression for males; warning signs in reception and waiting areas with external aggression for males; and optimised patient waiting conditions with external and internal aggression for females.Conclusions. Differences in risk and protective factors for exposure to workplace aggression between male and female clinicians, including in relation to state and rural location, need to be considered in the development and implementation of efforts to prevent and minimise workplace aggression in medical practice settings.What is known about the topic? Workplace aggression is prevalent in clinical medical settings, but there are conflicting reports about sex-based differences in the extent of exposure, and little evidence on differences in risk and protective factors for exposure to workplace aggression. What does this paper add? Differences in workplace aggression exposure rates between male and female clinicians are highlighted, including when stratified by doctor type. New evidence is reported on differences and similarities in key personal, professional and work-related factors associated with exposure to external and internal aggression. What are the implications for practitioners? In developing strategies for the prevention and minimisation of workplace aggression, consideration must be given to differences between male and female clinicians, including with regard to personality, age and professional experience, as well as work locations, conditions and settin...

show abstract

“…El estudio de los factores asociados a la VL resulta complejo, puesto que entrelaza diversos aspectos del profesional de salud, del paciente y de los sistemas de salud (7,10,(12)(13)(14) tales como la edad, la especialidad médica y el sexo del médico (7,12) , así como el estado de salud, el sexo del paciente o el efecto de sustancias como el alcohol (7,(12)(13)(14) . No obstante, los aspectos concernientes al sistema de salud han sido poco investigados (7) , más aun en escenarios con sistemas de salud fragmentados como el peruano (15) .…”

Section: Introductionunclassified

Violencia laboral externa tipo amenaza contra médicos en servicios hospitalarios de Lima Metropolitana, Perú 2014

Tuya-Figueroa

Mezones‐Holguín

Monge

et al. 2016

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

Palabras clave: Violencia laboral; Relaciones médico-paciente; Servicios de salud; Perú (fuente: DeCS BIREME). EXTERNAL WORKPLACE VIOLENCE AGAINST DOCTORS IN HOSPITAL SERVICES IN LIMA METROPOLITANA, PERU 2014 ABSTRACTObjectives.To calculate the frequency and factors associated with external workplace violence (EWV) against doctors in health inpatient services in the metropolitan area of Lima (Spanish: Lima Metropolitana), Peru. Materials and methods. A cross-sectional analytic study, which included doctors from the Ministry of Health (MINSA), Social Security (EsSalud), and the private subsector, was carried out. The frequency of EWV was measured throughout the entire professional practice during the previous 12 months and during the last month. Variables related to the doctor, assailant, and health service were measured. Raw and adjusted prevalence ratios (PR) were calculated by means of a Poisson-family generalized linear model with non-parametric bootstrapping. Results. A total of 406 doctors participated; 31.5% were victims of EWV at least once during their professional practice, with 19.9% over the past 12 months and 7.6% during the last month. The chances of being threatened in the last 12 months increased if the doctor was male (adjusted PR [aPR]: 1.7; 95% confidence interval [CI] = 1.1-2.8), had graduated from a Peruvian university outside of the metropolitan area of Lima (aPR: 1.5; 95% CI = 1.1-2.4), worked at MINSA (aPR: 7.9; 95% CI = 2.24-50.73) or EsSalud (RR: 8.68; 95% CI = 2.26-56.17), and worked in the emergency (aPR: 1.9; 95% CI = 1.2-3.6) or operating room (aPR: 1.6; 95% CI = 1.1-2.3). Age, years of professional practice, or being a medical resident were not associated with EWV. Conclusion. In the hospitals studied, a large number of doctors have been victims of EWV. Working in public services increases the possibility of violence. Implementation of support, identification, and primary prevention strategies in hospitals is recommended.

show abstract

Prevalence and predictors of occupational violence and aggression towards GPs: a cross-sectional study

Cited by 56 publications

References 11 publications

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Workplace bullying and post-traumatic stress symptoms among family physicians in Lithuania: An occupation and region specific approach

Differences in risk and protective factors for workplace aggression between male and female clinical medical practitioners in Australia

Violencia laboral externa tipo amenaza contra médicos en servicios hospitalarios de Lima Metropolitana, Perú 2014

Contact Info

Product

Resources

About