Статті в журналах: "Violence in hospitals"

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Yu, Li Qun, Xiao Xia Tang, Jian Hui Wu, and Shi Chen. "The Comparative Study of Workplace Violence in Both the State-Owned Hospitals and Private Hospitals." Applied Mechanics and Materials 50-51 (February 2011): 982–86. http://dx.doi.org/10.4028/www.scientific.net/amm.50-51.982.

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To understand the prevalence of workplace violence of the state-owned hospitals and private hospitals and to compare the characteristics of them in Tangshan city. Cluster sampling method were used to investigate the three state-owned hospitals and five private hospitals， medical staff who suffer violence in the workplace from April 2008 to April 2009 in Tangshan city. The incidence rate of workplace violence in state-owned hospitals(62.98%) was higher than private hospitals（13.55％）. The type of the violence is mainly psychological violence both in state-owned hospitals and private hospitals. And state-owned hospitals’ incidence of psychological violence (46.48％) was higher than private hospitals（13.55％）. Both state-owned hospitals and private hospitals， the violence mainly occurred during daytime hours. Violence of state-owned hospital most occurred in wards（47.92%）， while private hospitals most occurred in medical rooms（32.35%）. The most important reasons for workplace violence in State-owned hospitals and private hospitals were the perpetrators of alcohol (42.81%) and patients without improvement or self-opinion that there is no improvement（57.35％）, respectively. Private Hospitals’ incidence of workplace violence is lower than the state-owned hospitals’ in Tangshan city， According to the characteristics of various hospitals， we should implement interventions to reduce the incidence of violence in the hospital.

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Ma, Yuanshuo, Yongchen Wang, Yu Shi, Lei Shi, Licheng Wang, Zhe Li, Guoqiang Li, Yafeng Zhang, Lihua Fan, and Xin Ni. "Mediating role of coping styles on anxiety in healthcare workers victim of violence: a cross-sectional survey in China hospitals." BMJ Open 11, no. 7 (July 2021): e048493. http://dx.doi.org/10.1136/bmjopen-2020-048493.

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ObjectiveThe purposes of this study were to evaluate the rate of workplace violence in county hospitals in China and its impact on healthcare workers and to explore the relationship between hospital violence, coping styles and anxiety to provide effective procedures for reducing anxiety among healthcare workers.MethodsThe study used stratified sampling to select 1200 healthcare workers from 30 county hospitals in China to conduct a questionnaire survey. Of these, 1030 were valid questionnaires, and the effective response rate was 85.83%. We collected demographic characteristics of our participants and administered the following scales to them: Workplace Violence, Trait Coping Style, Self-rating Anxiety. Data were statistically analysed.ResultsThe results showed that 67.28% of healthcare workers in county hospitals in China had experienced workplace violence in the previous 12 months, with prevalent verbal violence (66.12%) followed by physical violence (15.24%). Workplace violence in hospitals was negatively related to positive coping (r=−0.091, p<0.01) but positively related to negative coping (r=0.114, p<0.001) and anxiety (r=0.298, p<0.001). Positive and negative coping was negatively (r=−0.085, p<0.01) and positively (r=0.254, p<0.001) associated with anxiety respectively. Positive and negative coping influenced both hospital workplace violence and anxiety in healthcare workers who were victims of violence. Compared with positive coping, the mediating effect of negative coping was stronger (95% CI −0.177 to –0.006).ConclusionsThe incidence of workplace violence among healthcare workers in county-level hospitals in China is relatively high, and there is a correlation between hospital violence, coping styles and anxiety. Positive and negative coping play a mediating role in the impact of hospital violence on healthcare workers’ anxiety. Therefore, hospital administrators should actively promote healthcare workers’ transition to positive coping strategies and minimise the negative impact of anxiety on them.

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Beithou, Nabil. "Workplace Violence on Physicians and Nurses: Causes and Pre-Violence Suggested Solutions." Journal of Biomedical Research & Environmental Sciences 3, no. 7 (July 2022): 848–51. http://dx.doi.org/10.37871/jbres1523.

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One of the important occupational health problems is violence. Violence is more prevalent among physicians and nurses in psychiatric and emergency departments in Jordan public hospitals. Causes of this phenomenon are associated with different causatives such as hospitals facilities (including beds, medication, oxygen… etc.), hospital staff, ministry of health and patients with their families. In this work violence on physicians and nurses in Jordan hospitals is analyzed based on the causes of violence. Solutions are searched upon the causatives of these actions not only on education, training and toughening punishment. Results of this work showed that 58.3 % of violence is due to hospital facilities and staff, 25% government actions and 17.7 % due to patients and their families. This work suggests investing more in healthcare institutions, provide more skilled staff, introduce a management procedure following incidents, preventive policies and improving health institutional facilities by applying programs for medicine inventory control, human factors and management techniques.

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Dexter, Erin, and Michael J. Vitacco. "Strategies for Assessing and Preventing Inpatient Violence in Forensic Hospitals: A Call for Specificity." European Psychologist 25, no. 2 (April 2020): 146–54. http://dx.doi.org/10.1027/1016-9040/a000393.

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Abstract. Violence within inpatient forensic hospitals is a significant and enduring problem that leads to harm to staff and patients and causes significant expenditures. This paper provides comprehensive recommendations for developing and implementing violence reduction strategies within forensic settings that are predicated on appropriate evaluation for violence risk. This paper posits that proper strategies must take into account subtypes of violence and classifying risk with systematic and continuous evaluations. Treatment interventions should be geared to patients most at-risk for violence. By recognizing the dynamic nature of violence, hospital administrators can work closely with institution staff to provide support for improving the environment of forensic hospitals. By employing empirically based treatment interventions on both acute and long-term units, forensic hospitals can provide a safer environment.

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Ramsay, Sarah. "Violence prevalent in UK hospitals." Lancet 352, no. 9128 (August 1998): 632. http://dx.doi.org/10.1016/s0140-6736(05)79595-7.

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Schipperheijn, J. A., and F. J. Dunne. "Managing violence in psychiatric hospitals." BMJ 303, no. 6794 (July 13, 1991): 71–72. http://dx.doi.org/10.1136/bmj.303.6794.71-a.

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Stark, C., and B. Kidd. "Managing violence in psychiatric hospitals." BMJ 303, no. 6800 (August 24, 1991): 470–71. http://dx.doi.org/10.1136/bmj.303.6800.470-c.

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Szabo, Katalin A., Christopher L. White, Stephen E. Cummings, Raziya S. Wang, and Cameron D. Quanbeck. "Inpatient aggression in community hospitals." CNS Spectrums 20, no. 3 (February 26, 2015): 223–30. http://dx.doi.org/10.1017/s1092852914000820.

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Physical violence is a frequent occurrence in acute community psychiatry units worldwide. Violent acts by patients cause many direct injuries and significantly degrade quality of care. The most accurate tools for predicting near-term violence on acute units rely on current clinical features rather than demographic risk factors. The efficacy of risk assessment strategies to lower incidence of violence on acute units is unknown. A range of behavioral and psychopharmacologic treatments have been shown to reduce violence among psychiatric inpatients.

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Wada, Koji, and Yukiko Suehiro. "Violence Chain Surrounding Patient-to-Staff Violence in Japanese Hospitals." Archives of Environmental & Occupational Health 69, no. 2 (November 9, 2013): 121–24. http://dx.doi.org/10.1080/19338244.2012.750587.

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Jain, Gaurav, Pawan Agarwal, Dhananjaya Sharma, Vikesh Agrawal, and Sanjay K. Yadav. "Workplace violence towards resident doctors in Indian teaching hospitals: A quantitative survey." Tropical Doctor 51, no. 3 (April 28, 2021): 463–65. http://dx.doi.org/10.1177/00494755211010005.

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Violence at work is becoming an alarming phenomenon worldwide affecting the millions of health care workers. This study was conducted to assess the violence towards Resident doctors in Indian teaching hospitals. Google forms questionnaire was developed and circulated electronically to resident doctors working in India. Data were collected and managed using the Google forms electronic tool. Vast majority (86%) of respondents reported having experienced violence with no difference among two genders. Prevalence of violence was maximum (35.5%) in general surgery. Verbal threat and abuse was the commonest (∼94%) form of violence. Mostly these acts of violence happened in Emergency/Trauma room. The most common reasons for violence in hospital were patient's death. Over 94% residents accepted that they had never received any training to deal with work place violence. Majority (80%) of the respondents favoured better communication, strict Laws and strengthening of security measures in hospital to prevent WPV. Workplace violence prevention should be addressed aggressively and comprehensively in health care. A workplace violence prevention program should be a required component of all health care organizations.

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Vasconcellos, Ilmeire Ramos Rosembach de, Rosane Härter Griep, Marcia Tereza Luz Lisboa, and Lúcia Rotenberg. "Violence in daily hospital nursing work." Acta Paulista de Enfermagem 25, spe2 (2012): 40–47. http://dx.doi.org/10.1590/s0103-21002012000900007.

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OBJECTIVE: To describe the frequency of referred verbal, physical and sexual violence and factors associated with verbal violence in nursing teams' work at public hospitals. METHODS: Cross-sectional study, involving 1509 workers at three public hospitals in Rio de Janeiro City - (RJ). Bivariate analysis and logistic regression were applied. Significance was set at 5%. RESULTS: The frequencies of verbal, physical and sexual violence amounted to 982 (65.1%), 46 (3%) and 87 (5.7%), respectively. After applying multivariate analysis, higher chances of referred verbal violence were observed among women, younger professionals, with higher education levels, nurses, who were contracted and receive low levels of social support at work. CONCLUSION: Verbal violence is frequent in the hospital work environment and associated with different characteristics. A less hostile environment needs to be built for nursing workers.

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Hamblin, Lydia E., Lynnette Essenmacher, Joel Ager, Mark Upfal, Mark Luborsky, Jim Russell, and Judith Arnetz. "Worker-to-Worker Violence in Hospitals." Workplace Health & Safety 64, no. 2 (October 8, 2015): 51–56. http://dx.doi.org/10.1177/2165079915608856.

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Rocha, J. "Victims of violence flood Rio's hospitals." BMJ 309, no. 6966 (November 26, 1994): 1394. http://dx.doi.org/10.1136/bmj.309.6966.1394.

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De Sousa, Avinash. "Assaults & Violence within Psychiatric Hospitals." Indian Journal of Psychological Medicine 28, no. 1 (January 2006): 117–23. http://dx.doi.org/10.1177/0975156420060114.

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Pandey, Manisha, Tulsi Ram Bhandari, and Ganesh Dangal. "Workplace Violence and its Associated Factors among Nurses." Journal of Nepal Health Research Council 15, no. 3 (January 1, 2018): 235–41. http://dx.doi.org/10.3126/jnhrc.v15i3.18847.

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Background: Workplace violence among nurses is prevalent worldwide. If nurses become aware of the workplace violence and its risk factors then only they can protect themselves. This study assessed the prevalence of workplace violence and its associated factors among nurses in Pokhara, Nepal. Methods: A hospital-based descriptive cross-sectional study was conducted in Pokhara. The required sample size of the study was 200 nurses. We adopted self-administered questionnaire developed by International Labor Office, International Council of Nurses, World Health Organization (WHO), and Public Services International. Out of 21 hospitals of Pokhara, we selected five hospitals using simple random sampling method. The number of nurses in each hospital was fixed proportionately considering the total number of employed nurses. Individual nurses were selected on the first meet first basis to gain the required number. Results: Two-thirds (64.5%) nurses experienced some type of violence in the last six months at their workplace. The proportion of verbal violence was higher (61.5%) compared to the physical (15.5%) and sexual violence (9%). Most perpetrators of the violence were the relatives of patients and hospital employees. Age of nurses and working stations had statistically significant association with workplace violence (p-value < 0.05). Conclusions: Workplace violence among nurses is a noteworthy problem in Pokhara whereas nearly two-thirds of nurses faced some type of violence in last six months. It is an urge to widen awareness level of nurses on the violence thus, they can take precaution themselves and ask hospital administration and other stakeholders to address the workplace violence.

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Yukawa, Shoichiro, and Motomi Yukawa. "A survey assessing prevalence of in-hospital violence against veterinary nurses working in small animal hospitals." Open Veterinary Journal 12, no. 4 (2022): 430. http://dx.doi.org/10.5455/ovj.2022.v12.i4.2.

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Background: In recent years, due to a strong concern about this issue, many studies have been conducted on in-hospital violence directed at medical personnel working in the field of human medicine. However, no such survey has been conducted in veterinary medicine to date. Veterinary nurses play an important role in small-animal hospitals. This study aimed to investigate whether in-hospital violence occurred against veterinary nurses in small animal hospitals. Aim: We conducted a questionnaire survey among veterinary nurses working in small animal hospitals to assess their experience of being subjected to in-hospital violence (verbal and physical). Methods: The target period for this survey was one year before the completion of the questionnaire. A total of 134 nurses gave their consent to participate in this survey, and 126 survey responses were included in the final analysis (valid response rate: 94.0%). Incomplete responses were excluded from the analysis. Results: It was seen that 51 people (40.5%) reported having experienced incidents of verbal or physical violence, or sexual harassment. Conclusion: Based on these results, we suggest measures that will help ensure that the staff can provide veterinary care without worrying about their safety and well-being.

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Shaikh, Shiraz, Lubna Ansari Baig, Ibrahim Hashmi, Mirwais Khan, Seemin Jamali, Muhammad Naseem Khan, Munir Akhtar Saleemi, et al. "The magnitude and determinants of violence against healthcare workers in Pakistan." BMJ Global Health 5, no. 4 (April 2020): e002112. http://dx.doi.org/10.1136/bmjgh-2019-002112.

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ObjectivesTo determine the magnitude and determinants of violence against healthcare workers (HCWs) and to identify the predominant types and causes of violence experienced by them.MethodologyA cross-sectional survey based on structured questionnaire adopted from previous surveys and qualitative data was conducted in 4 large cities and 12 districts in 3 provinces of Pakistan. The survey covered 8579 from all cadres of HCWs, including doctors, nurses, technicians, support staff, ambulance workers, vaccinators, lady health visitors, midwives and lady health workers (LHWs). The predictors of overall violence experienced, physical violence experienced and verbal violence experienced were separately analysed for tertiary care hospitals, secondary care hospitals, primary care hospitals and field-level HCWs. Logistic regression was used to compute adjusted ORs with 95% CIs for the association of different factors with the violence experienced.ResultsMore than one-third (38.4%) reported having experienced any form of violence in the last 6 months. Verbal violence was the most commonly experienced form (33.9%), followed by physical violence (6.6%). The main reasons for physical violence were death of patients (17.6%), serious condition of patients (16.6%) and delay in care (13.4%). Among the different types of field HCWs, emergency vehicle operators were significantly more likely to experience verbal violence compared with LHWs (adjusted OR=1.97; 95% CI 1.31 to 2.94; p=0.001). Among hospital HCWs, those working in private hospitals were significantly less likely to experience physical violence (adjusted OR=0.52; 95% CI 0.38 to 0.71; p=0.001) and verbal violence (adjusted OR=0.57; 95% CI 0.48 to 0.68; p=0.001).ConclusionViolence against HCWs exists in various forms among all cadres and at different levels of care. The gaps in capacity, resources and policies are evident. Specific strategies need to be adopted for different types of HCWs to protect them against violence.*The study was conducted under the framework of ICRC’s Healthcare in Danger Initiative for protection of healthcare against Violence

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Raoul, Atade Sèdjro, Obossou Achille Awadé Afoukou, Sidi Rachidi Imorou, Vodouhe Mahublo Vinadou, Soule Garia Fassia, Gbaguidi Houéfa Gloria, Hounkponou Ahouingnan Fanny Maryline Nouessèwa, Salifou Badariyatou, and Salifou Kabibou. "Violence Obstetricale dans la Ville de Tanguieta au Benin en 2019." European Scientific Journal, ESJ 18, no. 27 (August 31, 2022): 387. http://dx.doi.org/10.19044/esj.2022.v18n27p387.

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Introduction: La violence obstétricale est une expérience dont la reconnaissance varie d’une personne à l’autre, d’un contexte à l’autre. Les femmes qui accouchent dans les maternités de Tanguiéta subissent-elles des violences ? Objectif : Etudier les violences obstétricales dans la ville de Tanguieta. Méthode d’étude : Il s’est agi d’une étude transversale à visée descriptive allant du 21 octobre au 21 décembre 2020. L’étude avait porté sur 374 femmes ayant accouché au moins une fois dans les maternités de la ville de Tanguiéta. Résultats : La moyenne d’âge des femmes enquêtées était de 24,63 ans. Elles étaient ménagères dans 43,35%, non scolarisées dans 65,32%, chrétiennes dans 63,01% et mariées dans 80,92%. Au terme de l’étude, 46,26% des femmes reconnaissaient avoir subies au moins une fois une violence obstétricale. Les violences verbales et corporelles ont été citées respectivement dans 94,80% et 88,84%. L’accouchement était le moment où les femmes ont subi le plus de violence obstétricale (71,10%). Les auteurs des violences étaient en majorité les sages-femmes dans 56,07%. La plupart des femmes violentées, ont décrié la violence obstétricale dans 77,46% mais n’en ont parlé à personne dans 60,12%. Elles étaient conscientes que les violences obstétricales peuvent faire l’objet de dénonciation (81,50%). Mais aucun auteur d’acte de violence n’a été dénoncé car pour elles le plus important était que leur bébé soit en parfaite santé (87,86%). Conclusion : Les maternités de la ville de Tanguiéta ne sont pas en marge des violences obstétricales. Introduction: Obstetric violence is an experience whose recognition varies from person to person, from context to context. Do women who give birth in Tanguiéta maternity hospitals suffer from violence? Objective: To study obstetric violence in the city of Tanguieta. Study method: This was a descriptive cross-sectional study from October 21 to December 21, 2020. The study involved 374 women who gave birth at least once in maternity hospitals in the city of Tanguiéta. Results: The average age of the women surveyed was 24.63 years. They were housewives in 43.35%, out of school in 65.32%, Christian in 63.01% and married in 80.92%. At the end of the study, 46.26% of women admitted to having suffered obstetric violence at least once. Verbal and physical violence were cited in 94.80% and 88.84% respectively. Childbirth was the time when women experienced the most obstetric violence (71.10%). The perpetrators of violence were mostly midwives in 56.07%. Most of the abused women decried obstetric violence in 77.46% but did not tell anyone about it in 60.12%. They were aware that obstetric violence can be denounced (81.50%). but no perpetrator of acts of violence has been denounced because for them the most important thing was that their baby be perfectly healthy (87, 86%). Conclusion: Maternities in the city of Tanguiéta are not immune to obstetric violence.

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Li, Heng, Dajun Gao, Yanjie Guan, and Chang Xu. "Criminal Litigation of Workplace Violence in Chinese Hospitals and Legal Effort to Deescalate Crimes." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 60 (January 2023): 004695802311532. http://dx.doi.org/10.1177/00469580231153274.

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Workplace violence in Chinese hospitals has increasingly attracted world attention. This study aimed to describe the characteristics of criminal litigation cases on workplace violence in Chinese hospitals at a national level and explore the influencing factors associated with the severity of workplace violence. A retrospective study was designed to analyse 507 criminal litigation cases on workplace violence in Chinese hospitals, with data extracted from the Chinese court website. The multiple ordered logistic regression model was used to analyse the impact of the potential influencing factors on the severity of workplace violence. The crimes as workplace violence in the hospitals were concentrated in East and Central China (53.9%). The most common clinical specialty involved in workplace violence was Gynecology and Obstetrics (27.8%). The first 4 types of crimes as workplace violence in the hospitals were the crime as picking quarrels and provoking trouble (26.0%), the crime as disrupting public service (20.7%), the crime as intentional injury (19.1%), and the crime as gathering people to disturb public order (15.2%). The severity of crimes as workplace violence in the hospitals was significantly associated with location (OR = 2.569, P = .013), victim type (policemen or security guards) (OR = 0.495, P = .005), more than 3 victims (OR = 2.252, P = .035), perpetrators (patients’ family member) (OR = 0.491, P = .045), previous arrest (OR = 2.113, P = .024), premeditation (OR = 2.234, P = .004), and psychiatric disorders (OR = 1.911, P = .019). The number of the crimes as workplace violence in Chinese hospitals was slightly declining from 2014 to 2020. The severity of crimes as workplace violence in the hospitals was significantly associated with secondary hospitals, more than 3 victims, victim type (policemen or security guards), perpetrators (patients’ family member), previous arrest, premeditation, and psychiatric disorders.

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Al-Shiyab, Ahmed Abdelhalim, and Raed Ismail Ababneh. "Consequences of workplace violence behaviors in Jordanian public hospitals." Employee Relations 40, no. 3 (April 3, 2018): 515–28. http://dx.doi.org/10.1108/er-02-2017-0043.

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Purpose The purpose of this paper is to examine the consequences of workplace violence against healthcare staff in Jordanian public hospitals. Design/methodology/approach A convenient sample included 334 physicians and nurses employed in eight different public hospitals, different departments and different working shifts were surveyed by filling the designed questionnaire. Findings The findings indicated workplace violence had a clear moderate impact on the respondents’ interaction with patients, performing work responsibilities, ability of making decisions, and professional career. The most frequent workplace violence consequences were damaging staff’s personality and prestige, increasing laziness and unwillingness to serve patients. Workplace violence consequences also included aggressive behavior, fear while dealing with patients, increase job insecurity, and lack of professional responsibility. In addition, demographic variables such as gender, education, job title, working shift, and income showed statistical significant differences in the attitudes of participants toward the consequences of workplace violence. Practical implications This study highlighted the necessity of healthcare policy makers and hospital administrators to establish violence free and safe working environments in order to retain qualified healthcare staff that in turn improves the health services quality. Originality/value There is a lack of research and documentation on violence in the healthcare settings in developing countries. This study is one of the first to examine the consequences of workplace violence that affect public physicians and nurses.

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Lafta, Riyadh, Noor Qusay, Meighan Mary, and Gilbert Burnham. "Violence against doctors in Iraq during the time of COVID-19." PLOS ONE 16, no. 8 (August 6, 2021): e0254401. http://dx.doi.org/10.1371/journal.pone.0254401.

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Objectives This study assessed patterns in reported violence against doctors working in 11 Baghdad hospitals providing care for patients with COVID-19 and explored characteristics of hospital violence and its impact on health workers. Methods Questionnaires were completed by 505 hospital doctors (38.6% male, 64.4% female) working in 11 Baghdad hospitals. No personal or identifying information was obtained. Findings Of 505 doctors, 446 (87.3%) had experienced hospital violence in the previous 6 months. Doctors reported that patients were responsible for 95 (21.3%) instances of violence, patient family or relatives for 322 (72.4%), police or military personnel for 19 (4.3%), and other sources for 9 (2%). The proportion of violent events reported did not differ between male and female doctors, although characteristics varied. There were 415 of the 505 doctors who reported that violence had increased since the beginning of the pandemic, and many felt the situation would only get worse. COVID-19 has heightened tensions in an already violent health workplace, further increasing risks to patients and health providers. Interpretation During the COVID-19 epidemic in Iraq an already violent hospital environment in Baghdad has only worsened. The physical and emotional toll on health workers is high which further threatens patient care and hospital productivity. While more security measures can be taken, reducing health workplace violence requires other measures such as improved communication, and addressing issues of patient care.

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Alsheri, Amar, Nayef Almutairi, and Alshebli Ahmed. "Violence Directed towards Nurses Working at Al-Medina Hospitals." Advances in Bioscience and Clinical Medicine 5, no. 3 (July 1, 2017): 19. http://dx.doi.org/10.7575/aiac.abcmed.17.05.03.05.

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Background: According to the recent studies, violence in health care is growing and it excessively affects the retention and recruitment of nurses. It also affects burnout levels and sick leave. Aims: To determine the physical and verbal abuse violence prevalence against nurses in Al-Medina hospitals. Methods: This a descriptive cross sectional study which was conducted in three community hospitals in Saudi Arabia in 2011 using a random sample of 288 nurses. Results: The prevalence of physical violence among the population of the study was 26%. Verbal abuse prevalence was 23.3%. Patients/clients were the major perpetrators of the violence (76.0%) followed by patient’s family member(s) (24.0%). Whereas 92.0% mentioned that the violence action was preventable. Gender was correlated significantly with verbal abuse violence. Conclusion: Our study manifested that the prevalence of physical violence and verbal abuse among nurses at Al-Medina hospitals was high.

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Foster, Sam. "Tackling workplace violence." British Journal of Nursing 30, no. 22 (December 9, 2021): 1317. http://dx.doi.org/10.12968/bjon.2021.30.22.1317.

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Arnetz, Judith E., Lydia Hamblin, Jim Russell, Mark J. Upfal, Mark Luborsky, James Janisse, and Lynnette Essenmacher. "Preventing Patient-to-Worker Violence in Hospitals." Journal of Occupational and Environmental Medicine 59, no. 1 (January 2017): 18–27. http://dx.doi.org/10.1097/jom.0000000000000909.

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Madzhadzhi, Livhuwani Precious, Henry Abayomi Akinsola, Jabu Mabunda, and Helen Tosin Oni. "Workplace Violence Against Nurses: Vhembe District Hospitals, South Africa." Research and Theory for Nursing Practice 31, no. 1 (2017): 28–38. http://dx.doi.org/10.1891/1541-6577.31.1.28.

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Introduction: Work-related violence is a common problem worldwide. In South Africa, the Medical Research Council conducted a study on workplace violence in the health care industry and reported that most respondents had experienced it in different forms. Purpose: This study aimed to identify the types and causes of workplace violence toward nurses in Thulamela hospitals, Vhembe district. Methods: The study employed a quantitative approach using a cross-sectional design. The target population was all nurses working in one regional and two district hospitals in the municipality. The sample consisted of 100 randomly selected participants from each hospital giving a total sample size of 300. Prior to the data collection, an ethical clearance and written informed consent were obtained from each participant. Data were collected using a self-administered questionnaire. Analysis was done using SPSS Version 20.0. Results: The study revealed that 85% of the respondents (255) had experienced workplace violence in the last 12 months with a range of 95% for threats to 60% for bullying. Regarding the gender of the perpetrators, females (71%) were the main perpetrators. Conclusion: This study concludes that workplace violence is a major occupational health issue in the district, most especially among the psychiatric nurses.

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Khan, Muhammad Naseem, Ikram Khan, Zia Ul-Haq, Mirwais Khan, Faryal Baddia, Fayaz Ahmad, and Salman Khan. "Managing violence against healthcare personnel in the emergency settings of Pakistan: a mixed methods study." BMJ Open 11, no. 6 (June 2021): e044213. http://dx.doi.org/10.1136/bmjopen-2020-044213.

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ObjectivesThe primary objective of this study was to evaluate the effectiveness of a half-day training on de-escalation of violence against healthcare personnel regarding prevention and management of violence incidents versus a similar tertiary-level hospital with no such training. Secondary objectives were to compare the overall satisfaction, burnout, fear of violence and confidence in coping with patients’ aggression of the healthcare personnel in the two hospitals.DesignMixed method design, with a comparative cross-sectional (quantitative) and focus group discussions (qualitative) components.SettingEmergency departments of the two tertiary care hospitals in district Peshawar over 6 months starting from May 2018.ParticipantsHealthcare personnel in the emergency departments of the two hospitals (trained vs untrained).Outcome measuresViolence exposure (experienced/witnessed) assessed through a previously validated tool in the past 5 months. Burnout, confidence in coping with patient aggression and overall job satisfaction were also assessed through validated tools. The qualitative component explored the perceptions of healthcare personnel regarding the management of violence and the importance of training on de-escalation of violence through focus group discussions in the two hospitals.ResultsThe demographic characteristics of the healthcare personnel within the two hospitals were quite similar. The de-escalation training did not lead to a reduction in the incidences of violence; however, confidence in coping with patient aggression and the overall satisfaction were significantly improved in the intervention hospital. The de-escalation training was lauded by the respondents as led to an improvement in communication skills, and the healthcare personnel suggested for scale-up to all the cadres and hospitals.ConclusionThe study found significant improvements in the confidence of healthcare personnel in coping with patient aggression, along with better job satisfaction and less burnout in the intervention hospital following the de-escalation training.

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Pathiraja, Dasuni Yahanika, Ramya Priyanwada Pathiraja, Lakshmen Senanayake, Rukshani Mayawanthi Edirisinghe, and Nethanjalie Mapitigama. "Gender-based violence: Experiences from two tertiary care settings in Sri Lanka." F1000Research 9 (April 17, 2020): 269. http://dx.doi.org/10.12688/f1000research.23120.1.

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Background: This study aimed to obtain an overview of survivors of gender-based violence GBV who seek care, different types and consequences of (GBV), their modes of referral, factors associated with GBV, characteristics of the perpetrators, health-seeking behavior of the care-seekers and the service provided by GBV Care Centers in two tertiary care settings Methods: A retrospective cross-sectional study was conducted from January 2017 to December 2019 at two GBV care centers in a Women’s Hospital and a General Hospital in Colombo, Sri Lanka. Sociodemographic details of care-seekers, referral methods, types of violence experienced and their consequences, factors associated with GBV, characteristics of the perpetrator, health seeking behavior of those seeking care, and the services provided, were obtained from the hospital records. Results: Records from all care seekers (n=495 women, no men) were obtained, and 488 were suitable for analysis. More women presented with GBV to the Women’s Hospital compared to the General Hospital (395 vs 93, p<0.001), and there were significant differences in modes of referral between the two hospitals. A large majority had suffered emotional and economic violence, although physical or sexual violence were the reasons for referral to the centers. Suicidal tendencies had been reported by 20%. In 94.2% of cases the husband, lover or partner was the perpetrator. Physical violence was more likely in married women, those who did not report a stable relationship, and in those who were employed. Of the 488 women, 37% were pregnant at the time of violence. Most of the women had confided with another female about the violence. Less than 5% came for follow-up. Conclusions: GBV care services should be offered in all hospitals, especially those providing maternity and gynaecological care. Emotional and economic violence are common but often overlooked. There is a need to increase public awareness about GBV.

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Dehghan-Chaloshtari, Sahar, and Arash Ghodousi. "Factors and Characteristics of Workplace Violence Against Nurses: A Study in Iran." Journal of Interpersonal Violence 35, no. 1-2 (January 9, 2017): 496–509. http://dx.doi.org/10.1177/0886260516683175.

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Violence against nurses is a serious problem that can affect negatively the quality of nursing care. The extent of violence against nurses in Iran and the factors leading to this violence have not been known. Thus, the aim of this study was to investigate all forms of violence against nurses in Shahrekord hospitals in 2014. In this 2014 study, 100 nurses working in Shahrekord’s Hajar, Kashani, and Social Security branch hospitals were studied. Data were collected through standardized questionnaires on workplace violence, as well as demographic data, in health units on five types of violence, including physical and verbal violence, intimidation and bullying, ethnic violence, and violation of chastity. The analysis was done by SPSS (Version 19) software. All nurses indicated that during some period of their work, they had been subjected to at least one type of violence; the highest prevalence of mental violence was belonged to the subtype of intimidation and bullying (91%). The primary agents of violence against nurses were patients and their relatives. Factors such as gender, age, work experience, and nursing shifts played important roles in the distribution of violence. In ethnic violence, the only factor affecting nurses was race ( p < .05). The highest rate of violence against nurses was due to mental or psychological violence. To minimize violence in hospitals, authorities should consider appropriate preventive strategies, good management, proper protective measures, and public education.

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Odes, Rachel, Susan Chapman, Sara Ackerman, Robert Harrison, and OiSaeng Hong. "Differences in Hospitals’ Workplace Violence Incident Reporting Practices: A Mixed Methods Study." Policy, Politics, & Nursing Practice 23, no. 2 (March 23, 2022): 98–108. http://dx.doi.org/10.1177/15271544221088248.

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Workplace violence (WV) is a significant and growing problem for health care workers. Increased recognition of the need for improved protections has led to policy initiatives at the state and federal levels, including national Joint Commission requirements that went into effect January 2022. California’s WV prevention legislation was phased in during 2017-2018 and requires hospitals to use a new incident reporting system, the Workplace Violent Incident Reporting System (WVIRS) for Hospitals. We analyzed WVIRS data collected during the first three years of its implementation, July 1, 2017 – June 30, 2020. In addition, we collected qualitative data from six California hospitals/hospital systems during 2019-2020 to better understand reporting practices. Over the three-year period, the 413 hospitals using the WVIRS reported between zero and six incidents per staffed bed. Sixteen hospitals (3.9%) reported two or more incidents per staffed bed while the rest reported fewer than two incidents. Qualitative analysis identified that reporting procedures vary considerably among hospitals. Several organizations rely on workers to complete incident reports electronically while others assign managers or security personnel to data collection. Some hospitals appear to report only those incidents involving physical harm to the worker. Regulatory guidance for reporting practices and hospitals’ commitment to thorough data collection may improve consistency. As hospitals throughout the U.S. consider practice changes to comply with new WV standards, those engaged in implementation efforts should look closely at reporting practices. Greater consistency in reporting across facilities can help to build evidence for best practices and lead to safety improvements.

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Velasquez, Susan, Andrea Bauchowitz, David Pyo, and Megan Pollock. "Implementation of a specialized program to treat violence in a forensic population." CNS Spectrums 25, no. 5 (March 11, 2020): 571–76. http://dx.doi.org/10.1017/s1092852919001883.

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A shift within state psychiatric hospitals toward serving a predominantly forensic population has resulted in increased violent incidents within those settings. Thus, addressing criminogenic needs in addition to mental illness is an important paradigm shift. Relying on seclusion or restraint as the primary mechanisms to address violence interferes with the provision of effective care to patients struggling with aggressive behaviors. Implementing new treatment programs aimed at reducing violence in forensic inpatient settings is warranted. This article focuses on the step-by-step process of developing such a specialized treatment program within the California Department of State Hospitals. Leadership within this hospital system collaborated with labor unions and other stakeholders to obtain funding to create a novel treatment environment. This treatment program includes a ward design aimed to improve safety and delivers treatment based on the Risk Needs Responsivity Model. Treatment is guided by violence risk assessment and primarily focused on addressing criminogenic needs. The selection of treatments with a focus on violence reduction is discussed.

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Sheikhbardsiri, Hojat, Ahmadreza Raeisi, and Gholamreza Khademipour. "Domestic Violence Against Women Working in Four Educational Hospitals in Iran." Journal of Interpersonal Violence 35, no. 21-22 (July 14, 2017): 5107–21. http://dx.doi.org/10.1177/0886260517719539.

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Domestic violence is a serious threat to the health of women in the world and derives from several factors. Therefore, due to the importance of this issue, this study aimed to determine domestic violence against women in four educational hospitals in Iran as a Muslim country. The study employed a cross-sectional design and was conducted in four educational hospitals supervised by the Kerman University of Medical Sciences in 2016. Using a researcher-made questionnaire, we assessed factors associated with domestic violence in female employees using a census method ( N = 400). Data were analyzed using descriptive statistics including mean and SD and analytic statistics such as Kolmogorov–Smirnov, ANOVA, t test, and Pearson and multivariate regression tests using SPSS 16 and p ≤ .05. This study showed that most common types of violence against women are psychological/verbal (58%), physical (29.25%), and sexual (10%), respectively. There was a significant relationship between couples’ age gap, forced marriage, husband addiction, income, and history of violence experienced by the husband with domestic violence against women. This study examines the basic prevalence of partner violence victimization among Iranian women who work in hospitals in southeast Iran. Findings suggest that national and local policies in Iran may need to examine factors that contribute to violence against women as well as focusing on how to reduce partner violence.

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Raham Din, Jasia, Shahid Maqbool, Ahmad Farooq, and Mohi Ud Din. "Study of Workplace violence and its effect on work efficiency in Government Teaching Hospitals of Faisalabad." Professional Medical Journal 27, no. 02 (February 10, 2020): 330–34. http://dx.doi.org/10.29309/tpmj/2020.27.02.3836.

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Objectives: Of all work settings, hospitals carry the greatest risk of workplace violence, with 73% of doctors suffering the abuse. The scenario in Pakistan is also not so bright. This increase in incidences of workplace violence is affecting significantly on work efficiency of doctors۔Thus this study was undertaken to know the exact prevalence of such incidences in teaching hospitals of Faisalabad city. Study Design: Community based cross-sectional study. Setting: Three government teaching hospitals of Faisalabad. Period: From January 2019 to February 2019. Material & Methods: All the doctors who were willing to be included in the study were interviewed to know their experiences about episodes of workplace violence (WPV) during last 12 months and about the post-violence effect on work efficiency. Results: The prevalence of workplace violence in the last 12 months was found to be 73%, whereas 97% of participants who experienced violence said that it had an impact on their work efficiency significantly. Workplace violence and post-violence effect on work efficiency were seen to be significantly more associated with younger doctors. Conclusions: Workplace violence is emerging as a bane to the medical profession and has to be dealt with urgently.

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Boafo, Isaac Mensah, and Peter Hancock. "Workplace Violence Against Nurses." SAGE Open 7, no. 1 (January 2017): 215824401770118. http://dx.doi.org/10.1177/2158244017701187.

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The aim of this study was to document the incidence, sources, and effects of workplace physical violence against Ghanaian nurses. Self-report questionnaires were completed by 592 nurses employed in public general hospitals in Ghana. Participants were selected using a combination of purposive and random sampling techniques. Nine percent of the participants experienced physical violence in the 12 months preceding the study. The majority of perpetrators were relatives of patients. Chi-square tests suggested significant relationships between type of hospital and workplace physical violence, and between intention to quit the nursing profession and workplace physical violence. Workplace violence had several negative effects on nurses including having disturbing memories about the incident and being “super alert” and vigilant. Strategies to curb workplace violence could include awareness creation among health care workers and the general public. Policies and legislations must also be put in place to address this social problem.

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Harrison, Sarah. "Police support needed to curb violence in hospitals." Nursing Standard 17, no. 29 (April 2, 2003): 7. http://dx.doi.org/10.7748/ns.17.29.7.s14.

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Engel, Frema, and Shirley Marsh. "Helping the Employee Victim of Violence in Hospitals." Psychiatric Services 37, no. 2 (February 1986): 159–62. http://dx.doi.org/10.1176/ps.37.2.159.

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Hesketh, Kathryn L., Susan M. Duncan, Carole A. Estabrooks, Marlene A. Reimer, Phyllis Giovannetti, Kathryn Hyndman, and Sonia Acorn. "Workplace violence in Alberta and British Columbia hospitals." Health Policy 63, no. 3 (March 2003): 311–21. http://dx.doi.org/10.1016/s0168-8510(02)00142-2.

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Lavoie, Frank W., Gary L. Carter, Daniel F. Danzl, and Robert L. Berg. "Emergency department violence in United States teaching hospitals." Annals of Emergency Medicine 17, no. 11 (November 1988): 1227–33. http://dx.doi.org/10.1016/s0196-0644(88)80076-3.

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Naveen Kumar, P., Deepak Betadur, and Chandermani. "Study on mitigation of workplace violence in hospitals." Medical Journal Armed Forces India 76, no. 3 (July 2020): 298–302. http://dx.doi.org/10.1016/j.mjafi.2019.09.003.

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Al-Sahlawi, KS, FA Atawneh, MA Zahid, AA Shahid, and MH Al-Farrah. "Violence against nurses in hospitals: prevalence and effects." British Journal of Nursing 12, no. 2 (January 2003): 102–7. http://dx.doi.org/10.12968/bjon.2003.12.2.11049.

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Stevenson, Sharilyn, and Mary Pat Otto. "Finding Ways to Reduce Violence in Psychiatric Hospitals." Journal For Healthcare Quality 20, no. 4 (July 1998): 28–32. http://dx.doi.org/10.1111/j.1945-1474.1998.tb00269.x.

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Grinberg, Keren, Coral Revach, and Galit Lipsman. "Violence in hospitals and burnout among nursing staff." International Emergency Nursing 65 (November 2022): 101230. http://dx.doi.org/10.1016/j.ienj.2022.101230.

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Warburton, Katherine. "The new mission of forensic mental health systems: managing violence as a medical syndrome in an environment that balances treatment and safety." CNS Spectrums 19, no. 5 (July 17, 2014): 368–73. http://dx.doi.org/10.1017/s109285291400025x.

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The association between violence and mental illness is well-studied, yet remains highly controversial. Currently, there appears to be a trend of increasing violence in state hospital settings, including both civilly and forensically committed populations. In fact, physical aggression is the primary reason for admission to many state hospitals. Given that violence is now often both a reason for admission and a barrier to discharge, there is a case to be made for psychiatric violence to be re-conceptualized dimensionally, as a primary syndrome, not as the byproduct of one. Furthermore, treatment settings need to be enhanced to address the new types of violence exhibited in inpatient environments, and this modification needs to be geared toward balancing safety with treatment.

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Yosep, Iyus, Helmy Hazmi, and Zabidah Putit. "Experience of Workplace Violence from the Patients among Mental Health Nurses in Indonesia: A Mixed Method Study." Open Access Macedonian Journal of Medical Sciences 10, G (April 10, 2022): 341–46. http://dx.doi.org/10.3889/oamjms.2022.7699.

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Background: Workplace violence by patients and visitors (PVV) against nurses is regarded a devastating occupational issue around the world. The most frequent perpetrators of violence against nurses were patients, followed by their families and other healthcare professionals. Aim:This study aimed to use a mixed method to analyze violence by patients and visitors against nurses in mental health hospital in Indonesia. Methods: The 250 mental health nurses at two general public hospitals in Bandung were recruited with stratified convenience sampling by years of working experience. Result: All nurses experienced workplace violence from both patients and their families. At least nurses experienced more than 3 types of violence with the most frequent type of violence were verbal and physical violence. The six themes were emerged including variation of violence in nurse, traumatic impact of violence, impacts of violence on profession, violence not only come form patients but also family, reason of violence, and spiritual coping. Conclussion: It is necessary to prioritize more efficient and approachable methods for nurses to deal with patients’ aggresive behavior, and to establish constant training program.

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Thomas, C., A. Bartlett, and G. C. Mezey. "The extent and effects of violence among psychiatric in-patients." Psychiatric Bulletin 19, no. 10 (October 1995): 600–604. http://dx.doi.org/10.1192/pb.19.10.600.

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Actual and perceived safety of male and female in-patients in an inner-city psychiatric hospital were examined. Using semi-structured interviews, 59 inpatients were asked to report on their direct experiences of physical or sexually threatening behaviour towards them during their admission. Of the sample, 75% reported unwanted physical or sexual experiences: female patients were significantly more likely than males to report sexual harassment. Most incidents were not reported to staff and both staff and patients appeared to perceive the ward environment as safe despite fairly high levels of verbal and physical aggression. This study has implications for the way that ‘violent incidents' in psychiatric hospitals are defined and recorded and raises questions about the provision of women-only space in hospitals.

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Stevens, Heather B., and Stanley L. Brodsky. "Perceived Consequences to the Predictor: A Variable in the Release of Psychiatric Patients." Psychological Reports 76, no. 3_suppl (June 1995): 1371–78. http://dx.doi.org/10.2466/pr0.1995.76.3c.1371.

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The present study examined factors hypothesized to influence mental health professionals' perceptions of dangerousness, predictions of violence, and decisions on patients' release. 120 mental health professionals employed in state mental hospitals were each given one of 12 patient profiles. The independent variables, manipulated within vignettes, were (a) violence history, (b) paranoid schizophrenia versus nonparanoid schizophrenia, and (c) perceived consequences in terms of liability and publicity. Type of schizophrenia did not affect ratings, but violence history of the predictee and perceived consequences to the predictor did significantly influence the ratings. Patients with actual violence histories were viewed by the subjects as having more potential for future violence, as being more globally dangerous, and as requiring a more secure placement than those with histories of threats of violence or no violence. Possible litigation following release led to a recommendation for more secure placement than did minimal legal consequences. Predictions of violence and decisions on hospital release were interpreted as dependent on both predictor and patient-related variables.

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Bader, Shannon M., and Sean E. Evans. "Implementing an ecological approach to violence reduction at a forensic psychiatric hospital: approaches and lessons learned." CNS Spectrums 20, no. 3 (April 17, 2015): 177–81. http://dx.doi.org/10.1017/s1092852915000176.

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Existing literature on aggression within psychiatric hospitals suggests that treating an aggressive patient’s symptoms could be complemented by (a) milieu environments that mitigate violence and (b) hospital-wide policies and procedures that focus on creating a safe environment. Described as an ecological approach, examples of how this broader, situational approach can reduce inpatient violence in psychiatric settings are provided throughout. The authors identify potential barriers to focusing on wards and institutional rules as well as patient treatment. Last, details of how this ecological approach has been implemented at one state hospital in California are provided.

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KARABOĞA, Feyza, and İrfan KARDEŞ. "Sağlık İletişimi ve Hastanelerde İletişim Sorunları." Journal of Social Research and Behavioral Sciences 8, no. 16 (June 20, 2022): 20–33. http://dx.doi.org/10.52096/jsrbs.8.16.2.

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Where there is life, there is a communication phenomenon. Communication has enabled the birth of inventions that make life easier and the development of technology. Communication, which has become more important, especially with globalization and population growth, should be emphasized in the field of health, where information transfer is vital. The quality of the relationship between healthcare professionals and patient-patient relatives affects many factors such as the motivation of healthcare professionals, patient satisfaction, diagnosis, and treatment process. At the same time, the prevention of violence in hospitals again depends on the effectiveness of communication between healthcare professionals and patient-patient relatives. In this study, health communication, levels of health communication and methods used in health communication; physician behaviors, sources of communication problems in hospitals, and recommendations to prevent violence in hospitals are discussed. Keywords: Health Communication, Public Relations, Communication, Communication Problems, Violence in Hospitals

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Oguagha, Ashleigh Chinelo, and Jing Chen. "The incidence and management of workplace violence among medical professionals in the United States: A methodological pilot study." Journal of Hospital Administration 8, no. 1 (January 30, 2019): 56. http://dx.doi.org/10.5430/jha.v8n1p56.

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This study aimed to investigate workplace violence (WPV) experienced by medical professionals in the United States as well as individual and managerial actions following violent episodes and further, predict estimators of WPV. A modified version of the Workplace Violence in the Health Sector: Country Case Studies Research Instruments Survey Questionnaire was used to assess the incidence and management of workplace violence experienced by healthcare workers. Medical personnel from two social aggregation websites were recruited to participate in an online survey. 226 valid questionnaires were received. 48.5\% and 76.1\% of respondents, respectively, experienced physical and psychological violence in the past year. Risk factors for violence included occupation, patient population, ethnicity, and higher levels of anxiety regarding violence in hospitals. Overall, 17.7\% of reported incidents were investigated, 52.4\% of cases saw no consequences meted out to perpetrators and 51.7\% of victims suffered from negative emotions or aftereffects following a violent episode. Only 30.1\% of victims formally reported their experience with violence. The prevalence of violence was high and medical professionals were negatively affected by violence; however, formal reporting of episodes was low and measures combating violence were inadequate. Harsher penalties for perpetrators of violence are needed and hospitals need to implement guidelines that track the management of violence.

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Taylor, Pamela J., Morven Leese, Deborah Williams, Martin Butwell, Rachel Daly, and Emmet Larkin. "Mental disorder and violence." British Journal of Psychiatry 172, no. 3 (March 1998): 218–26. http://dx.doi.org/10.1192/bjp.172.3.218.

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BackgroundFrom a first clinical description of a complete resident sample of special (high security) hospital patients, we examined the association between mental disorder and violence.MethodA record survey of all 1740 patients resident at any time between 1 January and 30 June 1993. inclusive, and, for most, the official criminal record.Results1015 patients (58%) had functional psychosis, one-quarter of whom also had an independent personality disorder: 461 (26%)had personality disorders uncomplicated by psychosis, and 264 (16%) had learning disabilities. Pre-admission substance misuse, which was probably under-recorded, had been most common among those with psychosis and an independent personality disorder. Less than 10% had never been convicted of a criminal offence, although 25% had been admitted directly from other hospitals. Direct personal violence was more common among men, and fire-setting among women. Schizophrenia was most strongly associated with personal violence. More than 75% of those with a psychosis were recorded as being driven to offend by their delusions. In the absence of delusions, hallucinations had no such effect.ConclusionsFor people with personality disorder better clinical descriptions seem essential. For people with a pure psychosis, as symptoms were usually a factor driving the index offence, treatment appears as important for public safety as for personal health.

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Wu, Jeng‐Cheng, Tao‐Hsin Tung, Peter Y. Chen, Ying‐Lin Chen, Yu‐Wen Lin, and Fu‐Li Chen. "Determinants of workplace violence against clinical physicians in hospitals." Journal of Occupational Health 57, no. 6 (November 2015): 540–47. http://dx.doi.org/10.1539/joh.15-0111-oa.

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