Prevalence of workplace violence against general practitioners: A systematic review and meta‐analysis

Author(s):  
Kunming Tian ◽  
Xue Xiao ◽  
Rong Zeng ◽  
Wenqi Xia ◽  
Jing Feng ◽  
...  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Xing Shen ◽  
Heng Jiang ◽  
Hongbin Xu ◽  
Jun Ye ◽  
Chuanzhu Lv ◽  
...  

Abstract Background General practitioners (GPs) are the foundation of any primary healthcare system. Their quality and quantity are directly associated with the effectiveness and quality of the health services of a nation. GPs’ shortage and turnover have become an important issue in developed and developing countries. An accurate estimate of turnover intention prevalence among GPs would have important health policy implications, but the overall prevalence is unknown. We aimed to summarize the global prevalence of turnover intention and associated factors among GPs. Methods We systematically reviewed the PubMed, Embase, Web of Science and China National Knowledge Infrastructure (CNKI) databases from their inception up to May 2020, as well as the reference lists of all included studies. We included observational studies that reported data on turnover intention or their prevalence rate among GPs could be calculated based on the information provided. The prevalence rate of the turnover intentions was estimated using a random-effects meta-analysis. The heterogeneity was evaluated using I2 statistic. Differences by study level characteristics were estimated via subgroup analysis and meta-regression. Results A total of 25 cross-sectional studies were included (a total of 27,285 participants). The prevalence of turnover intention was 0.47 (95% CI: 0.39–0.55). Those having a lower level of salary (OR = 1.38, 95% CI: 1.13–1.63) and job satisfaction (OR = 1.35, 95% CI: 1.12–1.70) or having lower level of morale (OR = 2.68, 95% CI: 1.56–3.80) had a higher intention. In contrast, GPs with a lower level of professional title had a lower turnover intention (OR = 0.81, 95% CI: 0.65–0.98). Conclusions In this systematic review, approximately half of the GPs had the intention to leave their current posts worldwide. The factors associated with turnover intention were higher professional title, lower income level, lower job satisfaction and lower morale.


2018 ◽  
Vol 33 (6) ◽  
pp. 1148-1175 ◽  
Author(s):  
Milad Azami ◽  
Moslem Moslemirad ◽  
Mohammad Hossein YektaKooshali ◽  
Shoboo Rahmati ◽  
Ali Soleymani ◽  
...  

Nurses are exposed to workplace violence more than other healthcare professionals. This study aims to examine the prevalence of different types of workplace violence against Iranian nurses. A systematic review and meta-analysis were designed according to the PRISMA statement. To avoid bias, all stages of the research were done independently by two researchers. Eligible studies were retrieved from comprehensive search of several electronic databases included Magiran, Barakat Knowledge Network System, IranDoc, Regional Information Center for Science and Technology (RICST), Scientific Information Database (SID), Iranian National Library, PubMed/Medline, Cochrane Library, Scopus, Science Direct, ISI Web of Knowledge, CINAHL, and Google Scholar until April 2017. A random effects model was applied to combine studies. Data were analyzed using Comprehensive Meta-Analysis software version 2. In 26 studies, 10,858 nurses entered the meta-analysis process. The mean age and work experience of the nurses were 33.5 ± 7.5 and 10.85 ± 10.1 years, respectively. The prevalence of workplace verbal, physical, sexist, and racist violence and threat against Iranian nurses was 80.8% (95% confidence interval [CI] [74.2, 86.0]), 24.8% (95% CI [17.4, 34.0]), 6.7% (95% CI [4.9, 9.2]), 14.6% (95% CI [10.1, 20.7]), and 44% (95% CI [30.1, 58.8]), respectively. The prevalence of verbal and physical violence against the emergency department nurses was 89.7% (95% CI [69.4, 97.1]) and 21.0% (95% CI [12.6, 32.9]), respectively. The highest prevalence of verbal, physical, sexist, and racist violence was from patient’s relative (42.3%, 95% CI [30.7, 54.7]), patients (12.6%, 95% CI [5.9, 25.0]), healthcare workers (5.1%, 95% CI [2.4, 10.4]), and patients (2.3%, 95% CI [0.9, 5.4]), respectively. Given the high prevalence of violence against the nurses in Iran, it is highly necessary to take certain intervention measures and design new policies.


2019 ◽  
Vol 13 ◽  
Author(s):  
Nicola Magnavita ◽  
Enrico Di Stasio ◽  
Ilaria Capitanelli ◽  
Erika Alessandra Lops ◽  
Francesco Chirico ◽  
...  

2019 ◽  
Vol 76 (12) ◽  
pp. 927-937 ◽  
Author(s):  
Jianxin Liu ◽  
Yong Gan ◽  
Heng Jiang ◽  
Liqing Li ◽  
Robyn Dwyer ◽  
...  

We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference lists of all included studies. Two authors independently assessed studies for inclusion. Data were double-extracted and discrepancies were resolved by discussion. The overall percentage of healthcare worker encounters resulting in the experience of WPV was estimated using random-effects meta-analysis. The heterogeneity was assessed using the I2 statistic. Differences by study-level characteristics were estimated using subgroup analysis and meta-regression. We included 253 eligible studies (with a total of 331 544 participants). Of these participants, 61.9% (95% CI 56.1% to 67.6%) reported exposure to any form of WPV, 42.5% (95% CI 38.9% to 46.0%) reported exposure to non-physical violence, and 24.4% (95% CI 22.4% to 26.4%) reported experiencing physical violence in the past year. Verbal abuse (57.6%; 95% CI 51.8% to 63.4%) was the most common form of non-physical violence, followed by threats (33.2%; 95% CI 27.5% to 38.9%) and sexual harassment (12.4%; 95% CI 10.6% to 14.2%). The proportion of WPV exposure differed greatly across countries, study location, practice settings, work schedules and occupation. In this systematic review, the prevalence of WPV against healthcare workers is high, especially in Asian and North American countries, psychiatric and emergency department settings, and among nurses and physicians. There is a need for governments, policymakers and health institutions to take actions to address WPV towards healthcare professionals globally.


PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0202211 ◽  
Author(s):  
Klaus Linde ◽  
Oxana Atmann ◽  
Karin Meissner ◽  
Antonius Schneider ◽  
Ramona Meister ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Nada O. Binmadi ◽  
Jazia A. Alblowi

Abstract Background Occupational violence is considered unlawful in professional environments worldwide. In the healthcare industry, including dentistry, the safety of workers is essential, and it is of the utmost importance to ensure patient and employee safety and provide quality care. This study aimed to evaluate the prevalence of violence and associated workplace policies among oral healthcare professionals. Additionally, it aimed to identify the factors associated with violence and their impact on oral healthcare workers. Methods A systematic review and analysis of the literature was conducted using PubMed, ScienceDirect, Scopus, Web of Science, Cochrane Library and ProQuest. Original articles written in English and published between January 1992 and August 2019 were included in the analysis. Results A total of 980 articles were found, and eight were selected for analysis. The violence experienced by healthcare workers included both physical and non-physical forms, such as shouting, bullying, and threatening; it also included sexual harassment. The impact of violence on workers manifested as impaired quality of work, psychological problems, and, although rare, quitting the job. With regard to dental healthcare, awareness of occupational violence policies among dental professionals has not been previously reported in the literature. Conclusions The increasing incidence of occupational violence against oral healthcare workers indicates the need for the implementation of better protective measures to create a safe working environment for dental professionals. There is a current need for increasing awareness of workplace violence policies and for the detection and reporting of aggression and violence at dental facilities.


Public Health ◽  
2021 ◽  
Vol 196 ◽  
pp. 186-197
Author(s):  
B. Aljohani ◽  
J. Burkholder ◽  
Q.K. Tran ◽  
C. Chen ◽  
K. Beisenova ◽  
...  

2018 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sahar Dalvand ◽  
Reza Ghanei Gheshlagh ◽  
Fereshteh Najafi ◽  
Hossein Zahednezhad ◽  
Kourosh Sayehmiri

Sign in / Sign up

Export Citation Format

Share Document