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Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020
Objectives This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV). Methods We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal...
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| Published in: | Journal of occupational health 2022-01, Vol.64 (1), p.e12341-n/a |
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| creator | Jia, Chen Han, Yijing Lu, Wenping Li, Ruofan Liu, Weizheng Jiang, Jianan |
| description | Objectives
This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).
Methods
We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.
Results
WPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P |
| doi_str_mv | 10.1002/1348-9585.12341 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9262320</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2685035473</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6821-fe37a35b5f9b4feb8f8c7124f65c50d3c7f9e4cc96d58fc7badeaff6c33bdd93</originalsourceid><addsrcrecordid>eNqFkbtuFDEUhkeIiIRATYcs0VBkE1_GM54GCa2AEEUKRXrLc-Z4x9Gsvdgzi7bjCWh4Q54E725YJWmofDmfP53jvyjeMHrOKOUXTJRq1kglzxkXJXtWnBxunj_YHxcvU7qjVHChxIviWMhasYY2J8WvbxHXZkAPeEagN9HAiNGl0UE6I8Z3BIJP-H3aEokES9YYWzPsSqt-kxzkw9qFnYKYhXE-jaRHM4w9mIgkjcZa4jyZ985jQtKHtHKjGRLppuj8gnDK6J-fvznl9FVxZHMFX9-vp8Xt50-388vZ9c2Xr_OP1zOoFGczi6I2QrbSNm1psVVWQc14aSsJknYCattgCdBUnVQW6tZ0mLuoQIi26xpxWnzYa1dTu8QO0I_RDHoV3dLEjQ7G6ccV73q9CGvd8IoLTrPg_b0ghvw3adRLlwCHwXgMU9K8UpIKWdYio--eoHdhij5Pp3ktFedVzctMXewpiCGliPbQDKN6G7Xehqm3Yepd1PnF24czHPh_2Wag2gM_3ICb__n01c0l35v_AiuAt8I</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2758226724</pqid></control><display><type>article</type><title>Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020</title><source>ABI/INFORM global</source><source>J-STAGE (Japan Science & Technology Information Aggregator, Electronic) - Open Access English articles</source><source>Publicly Available Content (ProQuest)</source><source>Oxford Open</source><source>PubMed Central</source><creator>Jia, Chen ; Han, Yijing ; Lu, Wenping ; Li, Ruofan ; Liu, Weizheng ; Jiang, Jianan</creator><creatorcontrib>Jia, Chen ; Han, Yijing ; Lu, Wenping ; Li, Ruofan ; Liu, Weizheng ; Jiang, Jianan</creatorcontrib><description>Objectives
This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).
Methods
We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.
Results
WPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42–15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05).
Conclusions
Medical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict‐resolution measures.</description><identifier>ISSN: 1348-9585</identifier><identifier>ISSN: 1341-9145</identifier><identifier>EISSN: 1348-9585</identifier><identifier>DOI: 10.1002/1348-9585.12341</identifier><identifier>PMID: 35781909</identifier><language>eng</language><publisher>Australia: John Wiley & Sons, Inc</publisher><subject>Age groups ; Aggression ; Casualties ; China ; China - epidemiology ; Crime ; Delivery of Health Care ; Emergency medical care ; Emergency medical services ; Frequency distribution ; Gender ; Health care ; Health services ; healthcare staff ; Hospitals ; Humans ; Incentives ; Internal medicine ; Internet ; Keywords ; Male ; Medical imaging ; Medical personnel ; Middle Aged ; Nurses ; Occupational health ; Oncology ; online search ; Original ; Otolaryngology ; Patients ; Physical Abuse ; Prevalence ; Regression analysis ; Search engines ; Security ; Security personnel ; Substance abuse treatment ; Surgery ; Violence ; Workplace Violence</subject><ispartof>Journal of occupational health, 2022-01, Vol.64 (1), p.e12341-n/a</ispartof><rights>2022 The Authors. published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.</rights><rights>2022 The Authors. Journal of Occupational Health published by John Wiley & Sons Australia, Ltd on behalf of The Japan Society for Occupational Health.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6821-fe37a35b5f9b4feb8f8c7124f65c50d3c7f9e4cc96d58fc7badeaff6c33bdd93</citedby><cites>FETCH-LOGICAL-c6821-fe37a35b5f9b4feb8f8c7124f65c50d3c7f9e4cc96d58fc7badeaff6c33bdd93</cites><orcidid>0000-0001-8337-5446</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9262320/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2758226724?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,11667,25731,27901,27902,36037,36038,36989,36990,44339,44566,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35781909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jia, Chen</creatorcontrib><creatorcontrib>Han, Yijing</creatorcontrib><creatorcontrib>Lu, Wenping</creatorcontrib><creatorcontrib>Li, Ruofan</creatorcontrib><creatorcontrib>Liu, Weizheng</creatorcontrib><creatorcontrib>Jiang, Jianan</creatorcontrib><title>Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020</title><title>Journal of occupational health</title><addtitle>J Occup Health</addtitle><description>Objectives
This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).
Methods
We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.
Results
WPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42–15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05).
Conclusions
Medical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict‐resolution measures.</description><subject>Age groups</subject><subject>Aggression</subject><subject>Casualties</subject><subject>China</subject><subject>China - epidemiology</subject><subject>Crime</subject><subject>Delivery of Health Care</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Frequency distribution</subject><subject>Gender</subject><subject>Health care</subject><subject>Health services</subject><subject>healthcare staff</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Incentives</subject><subject>Internal medicine</subject><subject>Internet</subject><subject>Keywords</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical personnel</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Occupational health</subject><subject>Oncology</subject><subject>online search</subject><subject>Original</subject><subject>Otolaryngology</subject><subject>Patients</subject><subject>Physical Abuse</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Search engines</subject><subject>Security</subject><subject>Security personnel</subject><subject>Substance abuse treatment</subject><subject>Surgery</subject><subject>Violence</subject><subject>Workplace Violence</subject><issn>1348-9585</issn><issn>1341-9145</issn><issn>1348-9585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>M0C</sourceid><sourceid>PIMPY</sourceid><recordid>eNqFkbtuFDEUhkeIiIRATYcs0VBkE1_GM54GCa2AEEUKRXrLc-Z4x9Gsvdgzi7bjCWh4Q54E725YJWmofDmfP53jvyjeMHrOKOUXTJRq1kglzxkXJXtWnBxunj_YHxcvU7qjVHChxIviWMhasYY2J8WvbxHXZkAPeEagN9HAiNGl0UE6I8Z3BIJP-H3aEokES9YYWzPsSqt-kxzkw9qFnYKYhXE-jaRHM4w9mIgkjcZa4jyZ985jQtKHtHKjGRLppuj8gnDK6J-fvznl9FVxZHMFX9-vp8Xt50-388vZ9c2Xr_OP1zOoFGczi6I2QrbSNm1psVVWQc14aSsJknYCattgCdBUnVQW6tZ0mLuoQIi26xpxWnzYa1dTu8QO0I_RDHoV3dLEjQ7G6ccV73q9CGvd8IoLTrPg_b0ghvw3adRLlwCHwXgMU9K8UpIKWdYio--eoHdhij5Pp3ktFedVzctMXewpiCGliPbQDKN6G7Xehqm3Yepd1PnF24czHPh_2Wag2gM_3ICb__n01c0l35v_AiuAt8I</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Jia, Chen</creator><creator>Han, Yijing</creator><creator>Lu, Wenping</creator><creator>Li, Ruofan</creator><creator>Liu, Weizheng</creator><creator>Jiang, Jianan</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7TA</scope><scope>7TB</scope><scope>7U7</scope><scope>7WY</scope><scope>7WZ</scope><scope>7XB</scope><scope>87Z</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JG9</scope><scope>K60</scope><scope>K6~</scope><scope>KB0</scope><scope>KR7</scope><scope>L.-</scope><scope>L6V</scope><scope>M0C</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8337-5446</orcidid></search><sort><creationdate>202201</creationdate><title>Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020</title><author>Jia, Chen ; Han, Yijing ; Lu, Wenping ; Li, Ruofan ; Liu, Weizheng ; Jiang, Jianan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6821-fe37a35b5f9b4feb8f8c7124f65c50d3c7f9e4cc96d58fc7badeaff6c33bdd93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age groups</topic><topic>Aggression</topic><topic>Casualties</topic><topic>China</topic><topic>China - epidemiology</topic><topic>Crime</topic><topic>Delivery of Health Care</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Frequency distribution</topic><topic>Gender</topic><topic>Health care</topic><topic>Health services</topic><topic>healthcare staff</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Incentives</topic><topic>Internal medicine</topic><topic>Internet</topic><topic>Keywords</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Occupational health</topic><topic>Oncology</topic><topic>online search</topic><topic>Original</topic><topic>Otolaryngology</topic><topic>Patients</topic><topic>Physical Abuse</topic><topic>Prevalence</topic><topic>Regression analysis</topic><topic>Search engines</topic><topic>Security</topic><topic>Security personnel</topic><topic>Substance abuse treatment</topic><topic>Surgery</topic><topic>Violence</topic><topic>Workplace Violence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jia, Chen</creatorcontrib><creatorcontrib>Han, Yijing</creatorcontrib><creatorcontrib>Lu, Wenping</creatorcontrib><creatorcontrib>Li, Ruofan</creatorcontrib><creatorcontrib>Liu, Weizheng</creatorcontrib><creatorcontrib>Jiang, Jianan</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Toxicology Abstracts</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>ProQuest Agriculture & Environmental Science Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Materials Research Database</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Civil Engineering Abstracts</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ProQuest Engineering Collection</collection><collection>ABI/INFORM global</collection><collection>ProQuest Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content (ProQuest)</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering collection</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of occupational health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jia, Chen</au><au>Han, Yijing</au><au>Lu, Wenping</au><au>Li, Ruofan</au><au>Liu, Weizheng</au><au>Jiang, Jianan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020</atitle><jtitle>Journal of occupational health</jtitle><addtitle>J Occup Health</addtitle><date>2022-01</date><risdate>2022</risdate><volume>64</volume><issue>1</issue><spage>e12341</spage><epage>n/a</epage><pages>e12341-n/a</pages><issn>1348-9585</issn><issn>1341-9145</issn><eissn>1348-9585</eissn><abstract>Objectives
This study investigated the characteristics of workplace violence (WPV) against Chinese healthcare staff and their casualties after severe physical violence (PV).
Methods
We scrutinized medical WPV incidents reported online and analyzed information on timing, location, violence, criminal incentives, and casualties following severe PV in China from 2010 to 2020.
Results
WPVs were mostly committed by young and middle‐aged male family members of the patients, especially in the emergency department (49.1%), and mostly associated with dissatisfaction with treatment effect (28.9%) in general. High medical costs (62.5%) were the leading cause of verbal violence (VV), whereas men predominantly committed PV (OR = 4.217, 95% CI: 1.439–12.359) owing to dissatisfaction with the healthcare staff's attitude (P < 0.001). The victims were security personnel in most cases (81.1%). Nurses were generally more likely to experience PV (P < 0.05), while doctors were more likely to experience lethal PV (OR = 4.732, 95% CI: 1.42–15.772), which mostly happened in oncology (P < 0.05) and committed by visitors (P < 0.001). Slight injuries and mortality were more likely to be inflicted by being rejected for unreasonable demands and disappointed with the treatment effect (P < 0.05).
Conclusions
Medical WPV has numerous reasons, locations, and diverse victims and offenders. Some severe WPVs have serious consequences. Therefore, it is recommended for the concerned authorities to adopt effective steps for appropriate legislative, security, and conflict‐resolution measures.</abstract><cop>Australia</cop><pub>John Wiley & Sons, Inc</pub><pmid>35781909</pmid><doi>10.1002/1348-9585.12341</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-8337-5446</orcidid><oa>free_for_read</oa></addata></record> |
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| source | ABI/INFORM global; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) - Open Access English articles; Publicly Available Content (ProQuest); Oxford Open; PubMed Central |
| subjects | Age groups Aggression Casualties China China - epidemiology Crime Delivery of Health Care Emergency medical care Emergency medical services Frequency distribution Gender Health care Health services healthcare staff Hospitals Humans Incentives Internal medicine Internet Keywords Male Medical imaging Medical personnel Middle Aged Nurses Occupational health Oncology online search Original Otolaryngology Patients Physical Abuse Prevalence Regression analysis Search engines Security Security personnel Substance abuse treatment Surgery Violence Workplace Violence |
| title | Prevalence, characteristics, and consequences of verbal and physical violence against healthcare staff in Chinese hospitals during 2010–2020 |
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