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Background
Violence in the healthcare workplace has been a global concern for over two decades, with a high prevalence of violence towards healthcare workers reported. Workplace violence has become a healthcare quality indicator and embedded in quality improvement initiatives of many healthcare organizations. The Centre for Addiction and Mental Hea...
Citations
... However, there is almost negligible or poor evidence that interventions focusing on the perpetrator of aggression result in a reduction in WV [123]. In relationships with potentially aggressive patients, training in behavioral skills has been shown to be more efficacious than traditional methods for improving staff performance and competence [124]. To be effective in promoting a safe environment, staff competence must be combined with supportive leadership [125]. ...
Introduction. Violence against healthcare workers (HCWs) is a widespread, underreported, and inadequately prevented problem. Only a few companies have efficient systems for assessing the extent of the phenomenon. Methods. In 2005, the health surveillance service of a public health company introduced a system that monitored violence experienced by HCWs by means of three items from the Violent Incident Form (VIF) integrated with departmental in-depth analyses using the participatory ergonomics group technique. Results. In 2005, the annual rate of physical assaults was 8.2%, that of threats was 12.0%, and the harassment rate was 19.6%. Over the past twenty years of observation (2005–2024), the percentage of workers who reported experiencing a physical attack in the previous year at their periodic medical examination has fluctuated between 5.8% and 11.1%, except for the years 2020 and 2021 when, during the COVID-19 pandemic, the rate was 3.9% and 3.2%, respectively. During the same pandemic period, the annual threat rate, which ranged from 9.4% to 20.1%, dropped to 7.7%, while the prevalence of harassment, which was between 13.5 and 19.6, fell to 7.2%. HCWs believe that (i) limiting visitor access, (ii) a better balance of the demand for services, and (iii) a better attitude towards HCWs were the causes of the reduced rate of violence during the pandemic. Conclusions. Recording the violence experienced during health surveillance is an economical, reliable, and sustainable risk assessment method.
... However, there is almost negligible or poor evidence that interventions focusing on the perpetrator of aggression result in a reduction of WV [111]. In relationships with potentially aggressive patients, training in behavioral skills has been shown to be more efficacious than traditional methods for improving staff performance and competence [112]. To be effective in promoting a safe environment, staff competence must be combined with supportive leadership [113]. ...
Violence against healthcare workers (HCWs) is a widespread, underreported and inadequately prevented problem. Only a few companies have efficient systems for assessing the extent of the phenomenon. In 2005, the health surveillance service of a public health company introduced a system that monitored violence experienced by HCWs by means of three items from the Violent Incident Form (VIF), integrated with departmental in-depth analyses using the participatory ergonomics group technique. In 2005, the annual rate of physical assaults was 8.2%, that of threats 12.0%, while the harassment rate was 19.6%. Over the past twenty years of observation (2005-2024), the percentage of workers who reported experiencing a physical attack in the previous year at their periodic medical examination, has fluctuated between 5.8% and 11.1%, except for the years 2020 and 2021 when, during the COVID-19 pandemic, the rate was 3.9% and 3.2%, respectively. During the same pandemic period, the annual threat rate that ranged from 9.4% to 20.1%, dropped to 7.7%, while the prevalence of harassment, that was between 13.5 and 19.6, fell to 7.2%. HCWs believe that (i) limiting visitor access (ii) a better balance of the demand for services and (iii) a better attitude towards HCWs were the causes of the reduced rate of violence during the pandemic. Recording the violence experienced during health surveillance is an economical, reliable and sustainable risk assessment method.