scholarly journals Workplace Violence towards Healthcare Workers: An Italian Cross-Sectional Survey

2021 ◽  
Vol 11 (4) ◽  
pp. 758-764
Author(s):  
Nicola Ielapi ◽  
Michele Andreucci ◽  
Umberto Marcello Bracale ◽  
Davide Costa ◽  
Egidio Bevacqua ◽  
...  

Background. Workplace violence (WPV) is a major healthcare problem with important consequences in healthcare areas and may impact negatively not only healthcare workers but also the quality and safety of patient care. Objectives: This an observational online web-based survey using Google® Modules, specifically aiming to investigate the phenomenon of WPV in Italian healthcare services. Methods. Data collection for this study lasted one month, with the questionnaire available from 1 May 2021 to 31 May 2021. Continuous variables were considered as either mean ± standard deviation (SD) or median and interquartile range (IQR) based on their distribution. Comparison between groups was assessed by unpaired t-test or Mann–Whitney U test according to variable distribution. Categorical variables were analyzed using the chi-squared test. Results. The study population consisted of 203 healthcare workers, represented by nurses (61.6%), medical doctors (16.8%), patient care assistants (4.9%), and others (16.7%). Female gender was associated with a 2.6 times higher risk for the presence of aggression (p = 0.034), and nurse as a job with about 4 times increased risk for the presence of aggression (p = 0.006). The risk for aggression increased by 5% for each year of work experience. Conclusions. WPV is still matter of concern in Italian healthcare services. A strong organizational effort is demanded from healthcare institutions in order prevent internal and external violence in healthcare settings.

Author(s):  
Clement Kevin Edet ◽  
Agiriye M. Harry ◽  
Anthony Ike Wegbom ◽  
Benjamin O. Osaro

Introduction: Since the onset of COVID-19 pandemic there has been concerns about the imminent collapse of the health system if healthcare workers are physically, mentally, and socially affected to the point where service delivery is compromised. Therefore, this study investigated the fear, psychosomatic symptoms, and satisfaction of the Primary Healthcare Workers (PHCWs) during the first wave of the COVID-19 pandemic in Rivers State Nigeria. Methods: A facility cross-sectional survey was conducted involving the primary healthcare workers. Descriptive analysis of mean with standard deviation were reported for continuous variables, frequency and percentage were used to report categorical variables. Results: A total of 412 PHCWs participated in the study (mean age: 39.5±7.5). 223 (54.4%) were sure of going to work, while 260 (63.4%) were afraid of contracting the COVID-19 virus. However, 294 (71.7%) were not stigmatized and 256 (62.4%) were satisfied with their capacity for work. Also, 333 (81.2%), 357(87.3%), and 271(66.6%) were not satisfied with, transportation, money to meet their daily needs, and work environment, respectively. Perceived psychosomatic symptoms by respondents were chest pain (50.0%), stomach upset (38.0%), lump in the throat (40.0%), no feeling of hunger (52.0%), and shortness of breath (32.0%). Anxiety and stress symptoms experienced were inability to concentrate (38.2%), got angry easily (24.9%), worried (48.5%), low mood, anxiety, or depression (24.1%) and afraid of encountering security personnel on their way to work (67.6%). Conclusions: We observed perceived fears, psychosomatic, anxiety, and stress symptoms, as well as low satisfaction among the primary healthcare workers. We suggest that the government and health care agencies should put in place measures that will improve the psychological well-being and mental health of the PHCWs during the pandemic.


Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 661
Author(s):  
Salah T. Al Awaidy ◽  
Zayid K. Al Mayahi ◽  
Malak Kaddoura ◽  
Ozayr Mahomed ◽  
Nathalie Lahoud ◽  
...  

Background: Seasonal influenza infections are a major cause of morbidity and mortality worldwide. Healthcare workers (HCWs) are an important target group for vaccination against influenza due to their increased risk of infection and their potential to transmit the infection to their patients, families and communities. The aim of this study was to assess the potential hesitancy and its associated factors towards influenza vaccination amongst HCWs in the South Al Batinah governorate in Oman. Methods: A cross-sectional survey of 390 HCWs with direct or indirect patient contact was conducted in May and June 2019 using a self-administered questionnaire. Associations between HCW characteristics and vaccination status were examined using bivariate and multivariate analyses to identify the likelihood of vaccination against seasonal influenza among HCWs. Results: Overall, 60% of HCWs were vaccinated in the 2018/2019 season; vaccine uptake among nurses was 52% and uptake was higher among women. Self-protection and protection of the community were the most cited reasons for vaccine acceptance, with side effects being the main reason for hesitancy. Vaccinated respondents had a higher mean knowledge score (7.18; standard deviation SD: 2.14) than unvaccinated respondents (6.30; SD: 2.2). Odds of vaccination were highest among respondents who believed influenza vaccine should be mandatory for HCWs (Odds ratio (OR): 2.04 [1.30–3.18]), those working in the general medicine, emergency medicine, or intensive care units (OR: 1.92 [1.20–3.10]), nurses and doctors (OR: 1.75 [1.09–2.79]) and those who believe that HCWs should receive an influenza vaccine (OR: 1.35 [1.07–2.77]). Conclusions: The study provides valuable insights into the enablers and barriers of influenza vaccination practices among HCWs and may inform interventions to increase acceptance of vaccination.


2012 ◽  
Vol 68 (1) ◽  
Author(s):  
K Mostert-Wentzel ◽  
LJ Masenyetse ◽  
N Dinat ◽  
A Botha ◽  
LD Jonkers ◽  
...  

How do physiotherapists in Gauteng Province,who are members of the South African Society of Physiotherapy(SASP), view social responsibility?A cross-sectional survey was conducted after ethics approval.All 1 098 Gauteng members of the SASP were invited via a thirdpartye-mail to reach the a priori minimum sample size of 97. Theweb-based questionnaire was developed from literature, an earlierSASP survey and a position paper of the American Physical TherapyAssociation (APTA). Five experts validated the instrument.The Likert scale scores indicating agreement with indicatorsof social responsibility were totalled to form a composite socialresponsibility score. The chi-square test for independence was used to determine associations between the categorisedcomposite social responsibility score and categorical variables. Mean difference of continuous variables betweenthe categorised core for two groups were tested using the two-sample t-test. All variables with a P-value less than0.05 were included in the logistic regression analysis to investigate predictors of the necessity of social responsibility.The survey was completed by 163 participants. Of the sample, 96.9% viewed social responsibility as important.Subjects agreed most with “advocating for the health needs of society” (74,2%) and the least with “political activism”(6.1%). Compulsory community service positively influenced 74.6%.Most physiotherapists in the study viewed social responsibility as important and were involved in volunteering.There is scope to broaden the understanding among physiotherapists of what social responsibility entails.


2021 ◽  
Vol 9 ◽  
Author(s):  
Abdulaziz Hussain Albahri ◽  
Shatha Ahmed Alnaqbi ◽  
Shahad Ahmed Alnaqbi ◽  
Asma Obaid Alshaali ◽  
Shaikha Mohammad Shahdoor

Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to challenge healthcare services worldwide. Healthcare workers (HCWs) are key to the continued effort to overcome the pandemic. This study aims to evaluate the knowledge, attitude, and practices of HCWs toward COVID-19 in primary health centers in Dubai.Methods: This cross-sectional study was conducted at four primary health centers in Dubai, including two fever clinics, from July 5th to July 11th, 2020. A self-administered online questionnaire was distributed to nurses and physicians working in these centers, which evaluated their knowledge, attitude, and practices regarding COVID-19 and their associations with the participants' demographic factors. A total score of 80% and above constituted a level of sufficiency in each section. Additionally, Mann-Whitney U test and multivariable logistic regression were used to analyze the variables.Results: A total of 176 HCWs completed the questionnaire, with a 91.2% (176/193) response rate. They were predominantly female (158/176, 90.0%), nurses (128/176, 72.7%), and non-Emiratis (150/176, 85.2%). While official health organizations were the primary source of information for 91.5% (161/176) of participants, only 38.1% (67/176) reported using scientific journals as one of their sources. Overall, 57.4% (101/176) of participants had a sufficient overall level of knowledge. Moreover, knowledge regarding signs, symptoms, and at-risk groups was generally satisfactory. However, knowledge about the virus, testing, transmission, and the isolation of contacts with positive cases was identified correctly by less than two-thirds of the participants. Half of the participants (89/176, 50.6%) expressed their concern about personally acquiring the infection, 112/176 (63.6%) worried about their relatives acquiring it, and 72/176 (40.9%) expressed some hesitancy to take the COVID-19 vaccine once available. Overall, only 58/176 (33.0%) HCWs had a sufficient overall positive attitude score. Nurses, compared to physicians, and non-Emiratis compared to Emiratis' HCWs, had statistically higher mean scores for attitude (U = 2,212, p < 0.01; and U = 1164.5, p < 0.01, respectively). The majority of participants (156/176, 88.6%) reported acceptable infection control practices.Conclusion: Given the gaps identified in the knowledge and attitude, we recommend further training to improve the skills of primary HCWs, with encouragement to practice evidence-based medicine. Additionally, further exploration regarding vaccine hesitancy is warranted.


2019 ◽  
Author(s):  
Theresa Steeb ◽  
Anja Wessely ◽  
Sebastian Mastnik ◽  
Titus Josef Brinker ◽  
Lars Einar French ◽  
...  

BACKGROUND In the emerging era of digitalization and electronic health, skin cancer–related apps represent useful tools to support dermatologic consultation and examination. Yet, little is known about how patients perceive the value of such apps. OBJECTIVE The aim of this study was to investigate patient attitudes and their awareness toward skin cancer–related apps. METHODS A cross-sectional study including 200 patients from the oncological outpatient unit was conducted at the University Hospital (LMU Munich, Germany) between September and December 2018. Patients were asked to complete a self-administered questionnaire on the popularity and usefulness of health-related and skin cancer–related apps. A descriptive analysis was performed with the expression of categorical variables as frequencies and percentages. For continuous variables, the median and range were indicated. Contingency tables and chi-square tests were performed to investigate associations between sociodemographic data and selected items of the questionnaire. RESULTS A total of 98.9% (195/197) of patients had never used skin cancer–related apps or could not remember. In 49.7% (93/187) of cases, patients were unsure about the usefulness of skin cancer apps, whereas 42.6% (78/183) thought that skin cancer apps could supplement or support the professional skin examination performed by a physician. However, 47.9% (90/188) were interested in acquiring more information by their dermatologists about skin cancer apps. Young age (P=.002), male gender (P=.02), a previous history of melanoma (P=.004), and higher educational level (P=.002) were significantly associated with a positive attitude. Nevertheless, 55.9% (105/188) preferred a printed patient brochure on skin cancer to downloading and using an app. CONCLUSIONS The experience and knowledge of skin cancer–related apps was surprisingly low in this population, although there was a high general interest in more information about such apps. Printed patient brochures were the preferred information source.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S92-S92
Author(s):  
D. Junqueira ◽  
K. Zhou ◽  
S. Couperthwaite ◽  
J. Meyer ◽  
B. Rowe

Introduction: Despite being legal in Canada, the vaporized liquid of vaping systems contains several chemicals presenting unknown risks to lung health and little is known about their use in patients visiting the emergency department (ED). This study explores associations between exposure to inhaled products and respiratory presentations in the ED. Methods: A cross-sectional lung health survey among patients presenting to a Canadian ED was conducted, exploring the association between inhaled toxic exposures (e.g., vaping, cannabis and cigarette smoking) and visits related to respiratory symptoms. Eligible participants were ambulatory (CTAS 2 to 5), stable, adults (≥ 17 years) visiting the ED from July to November, 2019. Results are described as frequencies and percentages (categorical variables) and medians with interquartile range (IQR, continuous variables). Univariate and multivariate logistic regression models report associations as odds ratios (OR) with 95% confidence intervals (CIs). The Health Research Ethics Board approved the study. Results: From 1433 eligible patients, 1024 (71%) completed the survey. The median age was 43.5 (IQR: 29, 60), and 51% were female. Overall, 177 (17%) reported ≥1 respiratory symptoms and 83 (8%) reported using any vaping products. In a univariate regression analysis, exposure to vaping was positively associated with ED visits related to respiratory symptoms (OR 2.11, 95% CI: 1.26 to 3.54). In the multivariate model, vaping and a previous diagnosis of ≥1 respiratory conditions showed positive association with respiratory-related ED visits (OR 1.86, 95% CI: 1.03 to 3.33; and OR 2.13, 95% CI: 1.50 to 3.02, respectively). There was evidence of an additive effect of the combined exposure to cigarettes and vaping and respiratory-related ED visits (OR 3.22, 95% CI: 1.61 to 6.43). Smoking cannabis and cigarettes alone were not associated with increased risk of respiratory-related visits. Conclusion: Using vaping products increased the occurrence of respiratory-related ED visits, particularly in people with pre-existing lung conditions. A dose-response relationship exists where the risk is highest in patients inhaling a combination of toxins. Contrary to previous assumptions, the use of vaping products has a negative impact on lung health.


Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 298
Author(s):  
Pamela Barbadoro ◽  
Aura Brighenti ◽  
Giorgia Acquaviva ◽  
Alessandro Catalini ◽  
Francesca Diotallevi ◽  
...  

Influenza epidemics pose a great overload over health-care facilities with an increase in the burden of disease for patients and healthcare costs. Despite a well-established amount of research in the area, vaccination rates show room for improvement and more research is needed in finding systematic interventions useful in improving healthcare workers (HCWs) vaccination coverage (VC). The purpose of this study was to describe the self-reported frequency of influenza immunization in HCWs and to identify demographic, socioeconomic, lifestyle, and health factors associated with this practice in Italy. Data about 5823 workers participating in the Italian national survey about health and healthcare services utilization are analyzed in the present study. Overall, 18.8% of HCWs reported being vaccinated against seasonal flu. In the multilevel regression, older workers had a higher likelihood of vaccine uptake (OR: 6.07; 95% CI 4.72–7.79), similar to those with chronic conditions or poor self-perceived health status (OR: 2.18 95% CI 1.17–4.09). On the other hand, the results highlighted a lower rate of VC in female HCWs (OR: 0.73 95% CI 0.61–0.86). Data confirm the low compliance towards flu immunization among Italian HCWs and highlight an important gap to be investigated in women.


Author(s):  
Yuki Chatani ◽  
Kyoko Nomura ◽  
Haruko Hiraike ◽  
Akiko Tsuchiya ◽  
Hiroko Okinaga

Healthcare workers have a high risk of burnout. This study aimed to investigate if the numbers of physical symptoms are associated with burnout among healthcare workers. We conducted a cross-sectional survey at a large university in Tokyo, Japan, in 2016. Participants were 1080: 525 faculties and 555 hospital workers. We investigated 16 physical symptoms perceived more than once per week and examined the association between the number of physical symptoms and Copenhagen Burnout Inventory (CBI); work-related (WBO), personal (PBO), and client-related (CBO) burnout. All CBI scores were higher among hospital workers than among faculties: WBO (43 vs. 29), PBO (50 vs. 33), CBO (33 vs. 29). Moreover, the higher the number of physical symptoms perceived, the higher the degree of burnout scores became (trend p-values < 0.001), except for CBO among faculties. Job strain (all except for CBO among hospital workers) and work–family conflict were associated with an increased risk of burnout. Being married (WBO and CBO among faculties), having a child (except for PBO and CBO among faculties), and job support (faculty and hospital workers with WBO and faculties with PBO) were associated with a decreased risk of burnout. Multiple physical symptoms might be useful for identifying high risk individuals for burnout.


2019 ◽  
Vol 9 (3) ◽  
pp. 352-361 ◽  
Author(s):  
Benedicte Sørensen Strøm ◽  
Knut Engedal ◽  
Lasse Andreassen

Background: Despite the increased prevalence of dementia in India, reports indicate little awareness of the disease. Symptoms are often misinterpreted or neglected, which could lead to late diagnosis, reducing the choices available regarding future care. Considering that most nurses caring for the elderly will work with people with dementia in the future, there is concern surrounding their ability to meet the needs of these patients, requiring them to obtain the necessary knowledge and positive attitudes for treatment. Aims: To describe the knowledge of and attitudes toward dementia among nursing staff working in residential care facilities for elderly populations in India. Methods: A cross-sectional survey was conducted in 3 nursing homes in India in which 15 nursing staff conducted self-assessments of their knowledge and attitudes toward dementia using the Alzheimer’s Disease Knowledge Scale (ADKS) and the Attitude toward Alzheimer’s Disease and Related Dementias Scale (DAS) for each respective assessment. Descriptive statistics were used to describe staffs’ attitudes and knowledge concerning dementia. Continuous variables were presented as means ± SD, while the categorical variables were presented as percentages. Results: Although the majority of the participants answered that Alzheimer’s disease cannot be cured, about half reported that people with dementia, in rare cases, can recover from the disease. While all participants agreed that people with dementia can feel when others are kind to them, almost half disagreed that people living with dementia can enjoy life. Conclusion: These findings reveal that nursing staff have limited knowledge of dementia, but their attitudes toward people living with dementia tend to be positive.


2021 ◽  
Vol 7 (2) ◽  
pp. 07-11
Author(s):  
Adeela Asad ◽  
Noureen Farooq ◽  
Sarah Kafeel ◽  
Taimoor Hassan ◽  
Muhammad Zubair

Introduction: Upper crossed syndrome is a common postural dysfunctional pattern that describes the dysfunctional tone of the musculature of the shoulder girdle/ cervicothoracic region of the body. Objective: To determine association of Upper Crossed Syndrome and Neck pain among general population in Islamabad. Materials & Methods: A cross sectional survey was conducted from December 2017 to February 2018 in Rawal General and Dental Hospital Islamabad, and National Institute of Rehabilitation Sciences Islamabad after approval of synopsis from Advanced Studies and Research Board. Convenience sampling was used to collect data from male and female participants having neck pain after obtaining informed consent. The questionnaires provided for a subjective assessment from the patient and an objective measure for the clinician. REEDCO scale was used to analyze the proper alignment of head, neck and shoulder, while wall push test was used to assess the abnormal protrusion of scapula. Data were analyzed for descriptive and inferential statistics by SPSS 20; continuous variables were expressed as mean ± SD, and categorical variables as frequency and percentage. A p≤0.05 denoted significance. Results: The occurrence of upper crossed syndrome was 24.1%.  Out of 340 respondents, 143 (42.06%) had poor posture whereas 197 respondent (57.94%) had good posture. There was strong association between posture and upper crossed syndrome (p˂0.05). Conclusion: Most patients with neck pain are exposed to the risk of adopting poor posture which can lead to Upper Crossed Syndrome in future; hence the importance of postural awareness among general population of Islamabad.


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