Workplace violence towards workers in the emergency departments of Palestinian hospitals: A cross-sectional study

dc.contributor.authorHamdan, Motasem
dc.contributor.authorAbu Hamra, Asma’a
dc.date.accessioned2018-09-16T08:05:26Z
dc.date.available2018-09-16T08:05:26Z
dc.date.issued2015-05-07
dc.description.abstractBackground: 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.en_US
dc.description.sponsorshipWe are grateful to the MoH and hospital managers who provided permission to conduct the study in their hospitals. We also greatly appreciate the personnel of the EDs who participated in the study and committed their time to complete the surveys. We also acknowledge the review comments received from Dr. Niveen Abu-Rmeileh on the draft of the manuscript.en_US
dc.identifier.issn1478-4491
dc.identifier.urihttps://dspace.alquds.edu/handle/20.500.12213/909
dc.language.isoen_USen_US
dc.publisherBMCen_US
dc.subjectWorkplace violenceen_US
dc.subjectEmergency departmentsen_US
dc.subjectRisk factorsen_US
dc.subjectCausesen_US
dc.subjectEffectsen_US
dc.titleWorkplace violence towards workers in the emergency departments of Palestinian hospitals: A cross-sectional studyen_US
dc.typeArticleen_US
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