Author(s): Hamdan M, Abu Hamra A, Hamdan M, Abu Hamra A
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Abstract BACKGROUND: Workplace violence (WPV) in hospital emergency departments (EDs) is a common problem. The objective of this study was to assess the characteristics (level and type), associated risk factors, causes, and consequences of WPV against workers in Palestinian EDs. METHODS: A cross-sectional study was conducted in 14 out of the available 39 EDs in Palestine: 8 from the West Bank and 6 from the Gaza Strip. Data were collected using a self-administered questionnaire between July-September 2013. Multivariate logistic regression models were used to examine risk factors associated with exposure to WPV. RESULTS: A total of 444 participants (response rate 74.5\%): 161 (32.0\%) nurses, 142 (32\%) physicians, and 141 (31.7\%) administrative personnel. The majority (76.1\%) experienced a type of WPV in the past 12 months: 35.6\% exposed to physical and 71.2\% to non-physical assaults (69.8\% verbal abuses, 48.4\% threats, and 8.6\% sexual harassments). Perpetrators of physical and non-physical violence were mainly patients' families/visitors (85.4\% and 79.5\%, respectively). Waiting time, lack of prevention measures, and unmet expectations of patients and their families are the main reasons for WPV. The multivariate regression analysis showed that younger personnel (OR = 2.29 CI 95\% 1.309-4.036), clinicians (nurses and physicians) (OR = 1.65 CI 95\% 0.979-2.797) comparing with administrative, and less experienced ED personnel (OR = 2.39 CI 95\% 1.141-5.006) are significantly at higher risk of exposure to WPV (P < 0.05). Low level (40\%) of violence reporting is evident, largely attributed to not enough actions being taken and fear of consequences. Violence has been shown to have considerable consequences for workers' well-being, patient care, and job retention. CONCLUSIONS: Violence against workers in Palestinian EDs is highly common. The effects of violence are considerable. Multiple factors cause violence; however, EDs' internal-system-related factors are the most amenable to change. Attention should be given to strengthening violence prevention policy and measures and improving incident-reporting system.
This article was published in Hum Resour Health
and referenced in Advanced Practices in Nursing