Workplace Violence against emergency residents and nurses in emergency departments of Tikur Anbessa Specialized hospital and AaBET(Addis Abeba Burn, Emergency ,and Trauma)Hospital.
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Date
2018-06
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Addis Abeba University
Abstract
Background: Violence is a common day to day occurrence in the Emergency
Department, locally as well as globally. It has negative effects on health care
workers career, and therefore on the quality of care patient receives; however, it is
under studied, and down played problem. Its extent is not equally felt across all
stakeholders.
Objectives: Explore the incidence, characteristics, associated factors and inciting
causes of workplace violence experienced by the Emergency Residents and
Nurses and explore the formal reporting of these incidences in TASH and AaBET
hospital Adult Medical, surgical and trauma ED in the last 05 months.
Methods: Cross sectional Survey study was performed on Emergency physicians
and Nurses in Adult Emergency Departments in Tikur Anbessa and AaBET
Hospitals. Standardized questionnaire developed by the WHO, which is modified
and applied it to the current project, was used to collect data.
Results: A total of 181 subjects were studied. Most of them (>70%) were BSc.
Nurses. In the last 05 months, 86.75% of health care workers were subjected to
violence; and furthermore, 86.6% were subjected to psychological violence and
19.9% to physical violence. For physical violence, being married and more year
of experience were found to be victimized by 1.66 times and 5.18 times less likely
than living with a partner and a less year of experience. However, for
psychological violence, being single was 3.070 times less chance of being
attacked psychologically than being married. Overall, relatives were the most
common perpetrators. Only 13.9% of the physically attacked and 5.1% of the
psychologically attacked have reported their assault; and in only 22.2% of the
physical assault and 10.9% of the psychological assault were formal investigation
done. More than half of the psychological violence and more than two thirds of
the physical violence victims claimed it could have been prevented. The
commonest reasons from the ED related reasons for the attack were
overcrowding, inadequate security and negative media coverage.
Conclusion: Violence was shown to be a rampant event in the ED and
underreporting makes it undermined. However, it is shown to be preventable.
Recommendation: Preventive strategies should be thoroughly sought and applied.
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Keywords
ED, WPV, Residents, reporting