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Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.

ABSTRACT: BACKGROUND:Workplace violence (WPV) against healthcare workers is known as violence in healthcare settings and referring to the violent acts that are directed towards doctors, nurses or other healthcare staff at work or on duty. Moreover, WPV can cause a large number of adverse outcomes. However, there is not enough evidence to test the link between exposure to WPV against doctors, psychological stress, sleep quality and health status in China. OBJECTIVES:This study had three objectives: (1) to identify the incidence rate of WPV against doctors under a new classification, (2) to examine the association between exposure to WPV, psychological stress, sleep quality and subjective health of Chinese doctors and (3) to verify the partial mediating role of psychological stress. DESIGN:A cross-sectional online survey study. SETTING:The survey was conducted among 1740 doctors in tertiary hospitals, 733 in secondary hospital and 139 in primary hospital across 30 provinces of China. PARTICIPANTS:A total of 3016 participants were invited. Ultimately, 2617 doctors completed valid questionnaires. The effective response rate was 86.8%. RESULTS:The results demonstrated that the prevalence rate of exposure to verbal abuse was the highest (76.2%), made difficulties (58.3%), smear reputation (40.8%), mobbing behaviour (40.2%), intimidation behaviour (27.6%), physical violence (24.1%) and sexual harassment (7.8%). Exposure to WPV significantly affected the psychological stress, sleep quality and self-reported health of doctors. Moreover, psychological stress partially mediated the relationship between work-related violence and health damage. CONCLUSION:In China, most doctors have encountered various WPV from patients and their relatives. The prevalence of three new types of WPV have been investigated in our study, which have been rarely mentioned in past research. A safer work environment for Chinese healthcare workers needs to be provided to minimise health threats, which is a top priority for both government and society.

SUBMITTER: Sun T

PROVIDER: S-EPMC5728267 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.

Sun Tao T Gao Lei L Li Fujun F Shi Yu Y Xie Fengzhe F Wang Jinghui J Wang Shuo S Zhang Shue S Liu Wenhui W Duan Xiaojian X Liu Xinyan X Zhang Zhong Z Li Li L Fan Lihua L

BMJ open 20171207 12

<h4>Background</h4>Workplace violence (WPV) against healthcare workers is known as violence in healthcare settings and referring to the violent acts that are directed towards doctors, nurses or other healthcare staff at work or on duty. Moreover, WPV can cause a large number of adverse outcomes. However, there is not enough evidence to test the link between exposure to WPV against doctors, psychological stress, sleep quality and health status in China.<h4>Objectives</h4>This study had three obje ...[more]

PMID: 29222134

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Project description:ObjectivesThe aim of this study is to describe the current state of workplace violence (WPV) and compassionate behaviour towards nurses and to explain how they affect nurses' stress, sleep quality and subjective health status.DesignA cross-sectional online survey study.SettingThe survey was conducted across eight provinces in China.ParticipantsA total of 1024 nurses were recruited to complete an online questionnaire survey from February to May 2016 in China.ResultsApproximately 75.4% participants had experienced some form of violence. Most of the participants experienced WPV such as verbal violence (65.2%), made difficulties (54.5%), tarnished reputation (37.5%), mob behaviour (34.9%), intimidation behaviour (18.8%), physical violence (14.6%) and sexual harassment (5.9%). In this study, 92.4% participants experienced compassionate behaviour from their coworkers (84.9%), supervisors (67.3%), and from their patients (65.3%). The results show that the exposure to WPV behaviour significantly affected the psychological stress (?=0.295, p<0.01), sleep quality (?=-0.198, p<0.01) and subjective health status (?=-0.252, p<0.01) of nurses. The exposure to compassionate behaviour significantly affected the psychological stress (?=-0.229, p<0.01), sleep quality (?=0.326, p<0.01) and subjective health status (?=0.342, p<0.01) of nurses. The results of the mediation analysis showed that psychological stress is a partial mediator in the relationship between violence and sleep quality (?=-0.458, p<0.01) and between violence and subjective health (?=-0.425, p<0.01). Moreover, psychological stress also partially mediated the relationship between compassionate behaviour and sleep quality (?=-0.473, p<0.01), and between compassionate behaviour and subjective health (?=-0.405, p<0.01).ConclusionIn China, most nurses have experienced different forms of WPV from patients and/or their relatives, as well as experiencing various forms of compassionate behaviour from their coworkers, supervisors and/or patients. This study investigates the prevalence of the different types of WPV and compassionate behaviour. Several aspects of harm to nurses from exposure to violence is confirmed. We found that WPV can damage nurses' health outcomes, while compassionate behaviours were beneficial to their health outcomes. A harmonious nursing environment should be provided to minimise threats to nurses' health status.

Project description:ObjectiveThis study aimed to assess the risk factors associated with workplace violence towards health workers (HWs) in a Chinese hospital.MethodsWe conducted a cross-sectional survey in a Chinese secondary hospital in 2019 using an international survey questionnaire, and collected valid data from 1028 HW respondents via mobile phone. Alongside analysing the potential association between exposure to violence and respondents' characteristics, we compared the workplace violence between this survey and a baseline survey in the same hospital using the same questionnaire in 2018, and investigated the existing measures.ResultsA total of 5.45% of respondents had encountered physical violence while 41.63% had experienced psychological violence. Women (OR=3.45, 95%?CI 1.87 to 6.38), those working in outpatient and emergency departments (OR=7.96, 95%?CI 2.27 to 27.95), and those with extremely high concern about workplace violence (OR=7.94, 95%?CI 1.04 to 60.85) were significantly more likely to suffer physical violence. Working in the outpatient and emergency department (OR=2.03, 95%?CI 1.23 to 3.34), having direct physical contact/interaction with patients (OR=2.98, 95%?CI 1.62 to 5.49), and extremely high worry about workplace violence (OR=6.47 95%?CI 3.38 to 12.40) significantly increased the risk of psychological violence. When the results of the baseline survey were compared with those in this survey, it was shown that physical violence declined significantly from 8.79% in 2018 to 5.45% in 2019, while psychological violence declined significantly from 47.14% in 2018 to 41.63% in 2019. The most recognised measures were security measures (81.03%) while the least recognised measures were check-in procedures for staff (11.19%).ConclusionWorkplace violence towards HWs is a global problem with country-specific features. In our study, workplace violence in the hospital is of great concern. While demonstrating the effectiveness of measures in some degree, there is significant room for improvement. To achieve the vision of 'zero violence' in the health sector, aligned comprehensive measures should be systematically adopted.

Dataset Information

Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.

Publications

Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.

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