ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey
Objective To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education.Method...
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BMJ Publishing Group
2023-09-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/8/9/e013101.full |
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| author | Faisal Nawaz Daniel Martin Simadibrata Vikas Bansal Ramesh Adhikari Mariam Elsaban Rahul Kashyap Priyadarshini Bhattacharjee Jorge Salluh Hassan Dawood Alli Joanna Lee Dattatreya Mukherjee Tanja Kovačević Mohammad Yasir Essar Christos Tsagkaris Genesis Camacho-Leon Faizan Ahmad Akshat Banga Hans Mautong Razan Alamoudi Umme Habiba Faisal Gaurang Bhatt Tanya Amal Ayushi Mendiratta Bhaswanth Bollu L V Simhachalam Kutikuppala Ivan Huespe Aisha Khalid Mohammed Amir Rais Alisha Lakhani Piyush Garg Harsha Pattnaik Raghu Gandhi Ramesh Pandit Pierre Ciza N Nimsi Barrios Kelly Meza Susan Okonkwo Amuza Dhabuliwo Hafeez Hamza Arash Nemat Anne Kampa Rakhtan K Qasba Pranjal Sharma Taru Dutt Pratikkumar Vekaria Faisal A Nawaz Salim Surani L V Simhachalam Kutikuppala Divya Randhawa Rakhtan Qasba Trupti Pandit Ayesha Khalid Ravina Verma Kush Shah John Counsell Naresh Dasari Melissa Schlenker Raghavendra Tirupathi Gowthami Sai Jagirdhar Nancy Nagib Benjamin Schlenker Taha Mansoor N Pierre Ciza Leydi Del Lema Susan Sheila Bello Saifullah Muhammad Barakat Kolawole L V Kutikuppala Keidy Zamora Bikona Ghosh Sama Soliman Zainab Ayoob Lina Almahmoud Dohha Mohammed Oyindamola Obadare Era Mae Ramirez Kalloush Shahed Mohammed Yasir Essar Sarya Swed Temaa Alklani Ishimwe Florent Goodluck Nchasi Daren Poh How Mohamed Elfagieh Moath Almekhlafi Reshon Hadmon Anasonye Emmanuel Yosra Magdi Makki Rodrigue Ndabashinze Hussein Dawoud Dimitrios Kantas Daniella Myriam Pierre Zeynep Pelin Orhan Usama Oguz Hedys Selene Mogollón Ramesha Remy Marija Vukoja Srdjan Gavrilovic Alicja Rydzewska Rosolowska Umme Faisal Franz Lopez Salem Ramirez Lisdamys Morera Gonzalez Mohammed Alkawak Marco Antonio Villar Kelly Maza Shehu Bledi Jonida Naska |
| author_facet | Faisal Nawaz Daniel Martin Simadibrata Vikas Bansal Ramesh Adhikari Mariam Elsaban Rahul Kashyap Priyadarshini Bhattacharjee Jorge Salluh Hassan Dawood Alli Joanna Lee Dattatreya Mukherjee Tanja Kovačević Mohammad Yasir Essar Christos Tsagkaris Genesis Camacho-Leon Faizan Ahmad Akshat Banga Hans Mautong Razan Alamoudi Umme Habiba Faisal Gaurang Bhatt Tanya Amal Ayushi Mendiratta Bhaswanth Bollu L V Simhachalam Kutikuppala Ivan Huespe Aisha Khalid Mohammed Amir Rais Alisha Lakhani Piyush Garg Harsha Pattnaik Raghu Gandhi Ramesh Pandit Pierre Ciza N Nimsi Barrios Kelly Meza Susan Okonkwo Amuza Dhabuliwo Hafeez Hamza Arash Nemat Anne Kampa Rakhtan K Qasba Pranjal Sharma Taru Dutt Pratikkumar Vekaria Faisal A Nawaz Salim Surani L V Simhachalam Kutikuppala Divya Randhawa Rakhtan Qasba Trupti Pandit Ayesha Khalid Ravina Verma Kush Shah John Counsell Naresh Dasari Melissa Schlenker Raghavendra Tirupathi Gowthami Sai Jagirdhar Nancy Nagib Benjamin Schlenker Taha Mansoor N Pierre Ciza Leydi Del Lema Susan Sheila Bello Saifullah Muhammad Barakat Kolawole L V Kutikuppala Keidy Zamora Bikona Ghosh Sama Soliman Zainab Ayoob Lina Almahmoud Dohha Mohammed Oyindamola Obadare Era Mae Ramirez Kalloush Shahed Mohammed Yasir Essar Sarya Swed Temaa Alklani Ishimwe Florent Goodluck Nchasi Daren Poh How Mohamed Elfagieh Moath Almekhlafi Reshon Hadmon Anasonye Emmanuel Yosra Magdi Makki Rodrigue Ndabashinze Hussein Dawoud Dimitrios Kantas Daniella Myriam Pierre Zeynep Pelin Orhan Usama Oguz Hedys Selene Mogollón Ramesha Remy Marija Vukoja Srdjan Gavrilovic Alicja Rydzewska Rosolowska Umme Faisal Franz Lopez Salem Ramirez Lisdamys Morera Gonzalez Mohammed Alkawak Marco Antonio Villar Kelly Maza Shehu Bledi Jonida Naska |
| collection | DOAJ |
| description | Objective To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education.Methods The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ2 test was performed to determine the association between gender and different violence forms.Results A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26–35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26–65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55–65 age group, which lost statistical significance.Conclusion This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction. |
| format | Article |
| id | doaj-art-db86c181e00f4b7b8a95f430385f21fc |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-db86c181e00f4b7b8a95f430385f21fc2025-08-20T03:41:50ZengBMJ Publishing GroupBMJ Global Health2059-79082023-09-018910.1136/bmjgh-2023-013101ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey Faisal NawazDaniel Martin Simadibrata0Vikas Bansal1Ramesh Adhikari2Mariam Elsaban3Rahul Kashyap4Priyadarshini BhattacharjeeJorge SalluhHassan Dawood AlliJoanna Lee5Dattatreya MukherjeeTanja KovačevićMohammad Yasir Essar6Christos Tsagkaris7Genesis Camacho-Leon8Faizan Ahmad9Akshat Banga10Hans Mautong11Razan Alamoudi12Umme Habiba Faisal13Gaurang Bhatt14Tanya Amal15Ayushi Mendiratta16Bhaswanth Bollu17L V Simhachalam Kutikuppala18Ivan Huespe19Aisha Khalid20Mohammed Amir Rais21Alisha Lakhani22Piyush Garg23Harsha Pattnaik24Raghu Gandhi25Ramesh Pandit26Pierre Ciza N27Nimsi Barrios28Kelly Meza29Susan Okonkwo30Amuza Dhabuliwo31Hafeez Hamza32Arash Nemat33Anne Kampa34Rakhtan K Qasba35Pranjal Sharma36Taru Dutt37Pratikkumar Vekaria38Faisal A Nawaz39Salim Surani40L V Simhachalam KutikuppalaDivya RandhawaRakhtan QasbaTrupti PanditAyesha KhalidRavina VermaKush ShahJohn CounsellNaresh DasariMelissa SchlenkerRaghavendra TirupathiGowthami Sai JagirdharNancy NagibBenjamin SchlenkerTaha MansoorN Pierre CizaLeydi Del LemaSusan SheilaBello Saifullah MuhammadBarakat KolawoleL V KutikuppalaKeidy ZamoraBikona GhoshSama SolimanZainab AyoobLina AlmahmoudDohha MohammedOyindamola ObadareEra Mae RamirezKalloush ShahedMohammed Yasir EssarSarya SwedTemaa AlklaniIshimwe FlorentGoodluck NchasiDaren Poh HowMohamed ElfagiehMoath AlmekhlafiReshon HadmonAnasonye EmmanuelYosra Magdi MakkiRodrigue NdabashinzeHussein DawoudDimitrios KantasDaniella Myriam PierreZeynep Pelin OrhanUsama OguzHedys Selene MogollónRamesha RemyMarija VukojaSrdjan GavrilovicAlicja Rydzewska RosolowskaUmme FaisalFranz LopezSalem RamirezLisdamys Morera GonzalezMohammed AlkawakMarco Antonio VillarKelly MazaShehu BlediJonida NaskaDepartment of Medicine, Universitas Indonesia, Depok, IndonesiaDepartment of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Internal medicine, Franciscan Health Lafayette East, Lafayette, Indiana, USADepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Research, WellSpan Health, York, Pennsylvania, USADepartment of Medicine, David Tvildiani Medical University, Tbilisi, GeorgiaDepartment of Global Health, McMaster University, Hamilton, ON, CanadaAssociation of European Cancer Leagues, Brussels, BelgiumResearch and Academic Affairs, Larkin Community Hospital, South Miami, FL, USAPublic Health Reference Laboratory Department, Khyber Medical University, Peshawar, PakistanDepartment of Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, IndiaDepartment of Medicine, Universidad de Especialidades Espíritu Santo, Samborondon, EcuadorDepartment of Pharmaceutical Services, King Fahd Armed Forces Hospital, Jeddah, Makkah, Saudi ArabiaDepartment of Urology, All India Institute of Medical Sciences, Kalyani, IndiaDepartment of Plastic Reconstructive and Burns Surgery, All India Institute of Medical Sciences, Rishikesh, IndiaDepartment of Medicine, Maulana Azad Medical College, New Delhi, IndiaDepartment of Internal medicine, Parkview Medical Center, Pueblo, Colorado, USADepartment of General medicine, Narayana Medical College and Hospital, Nellore, Andhra Pradesh, IndiaDepartment of General Surgery, Konaseema Institute of Medical Sciences and Research Foundation Hospital, Amalapuram, Andhra Pradesh, IndiaDepartment of Intensive Care Medicine, Hospital Italiano de Buenos Aires, Buenos Aires, ArgentinaDepartment of Gastroenterology, Postgraduate Medical Education, Harvard Medical School, Boston, Massachusetts, USADepartment of Dental Surgery, University of Algiers 1, Alger, AlgeriaDepartment of Internal medicine, Shantabaa Medical College and General Hospital, Amreli, Gujarat, IndiaDepartment of Cardiology, Medanta The Medicity, Gurgaon, Haryana, IndiaDepartment of Undergraduate Medicine, Lady Hardinge Medical College, New Delhi, Delhi, IndiaDepartment of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USADepartment of Internal medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USADepartment of Psychiatry, Kampala International University, Kampala, UgandaDepartment of Medicine, Universidad de San Carlos de Guatemala, Guatemala, GuatemalaDepartment of Internal medicine, Dana-Farber Cancer Institute, Boston, Massachusetts, USADepartment of Family Health, Society for Family Health Nigeria, Abuja, NigeriaDepartment of Pediatrics, Kawempe National Refferal hospital, Kampala, UgandaDepartment of Pharmacy, Girne American University, Girne, CyprusMicrobiology Department, Kabul University of Medical Sciences Abu Ali Ibn Sina, Kabul, AfghanistanDepartment of Development, Mayo Clinic, Rochester, Minnesota, USADepartment of Medicine, Green Life Medical College and Hospital, Dhanmondi, BangladeshDepartment of Nephrology, MercyOne Clinton, Clinton, Iowa, USADepartment of Psychiatry, Hennepin County Medical Center, Minneapolis, Minnesota, USADepartment of Internal medicine, University of South Carolina School of Medicine, Columbia, South Carolina, USADepartment of Psychiatry, Al Amal Psychiatric Hospital, Al Aweer, Dubai, UAEDepartment of Anesthesiology and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota, USAObjective To provide insights into the nature, risk factors, impact and existing measures for reporting and preventing violence in the healthcare system. The under-reporting of violence against healthcare workers (HCWs) globally highlights the need for increased public awareness and education.Methods The Violence Study of Healthcare Workers and Systems study used a survey questionnaire created using Research Electronic Data Capture (REDCap) forms and distributed from 6 June to 9 August 2022. Logistic regression analysis evaluated violence predictors, including gender, age, years of experience, institution type, respondent profession and night shift frequency. A χ2 test was performed to determine the association between gender and different violence forms.Results A total of 5405 responses from 79 countries were analysed. India, the USA and Venezuela were the top three contributors. Female respondents comprised 53%. The majority (45%) fell within the 26–35 age group. Medical students (21%), consultants (20%), residents/fellows (15%) and nurses (10%) constituted highest responders. Nearly 55% HCWs reported firsthand violence experience, and 16% reported violence against their colleagues. Perpetrators were identified as patients or family members in over 50% of cases, while supervisor-incited violence accounted for 16%. Around 80% stated that violence incidence either remained constant or increased during the COVID-19 pandemic. Among HCWs who experienced violence, 55% felt less motivated or more dissatisfied with their jobs afterward, and 25% expressed willingness to quit. Univariate analysis revealed that HCWs aged 26–65 years, nurses, physicians, ancillary staff, those working in public settings, with >1 year of experience, and frequent night shift workers were at significantly higher risk of experiencing violence. These results remained significant in multivariate analysis, except for the 55–65 age group, which lost statistical significance.Conclusion This global cross-sectional study highlights that a majority of HCWs have experienced violence, and the incidence either increased or remained the same during the COVID-19 pandemic. This has resulted in decreased job satisfaction.https://gh.bmj.com/content/8/9/e013101.full |
| spellingShingle | Faisal Nawaz Daniel Martin Simadibrata Vikas Bansal Ramesh Adhikari Mariam Elsaban Rahul Kashyap Priyadarshini Bhattacharjee Jorge Salluh Hassan Dawood Alli Joanna Lee Dattatreya Mukherjee Tanja Kovačević Mohammad Yasir Essar Christos Tsagkaris Genesis Camacho-Leon Faizan Ahmad Akshat Banga Hans Mautong Razan Alamoudi Umme Habiba Faisal Gaurang Bhatt Tanya Amal Ayushi Mendiratta Bhaswanth Bollu L V Simhachalam Kutikuppala Ivan Huespe Aisha Khalid Mohammed Amir Rais Alisha Lakhani Piyush Garg Harsha Pattnaik Raghu Gandhi Ramesh Pandit Pierre Ciza N Nimsi Barrios Kelly Meza Susan Okonkwo Amuza Dhabuliwo Hafeez Hamza Arash Nemat Anne Kampa Rakhtan K Qasba Pranjal Sharma Taru Dutt Pratikkumar Vekaria Faisal A Nawaz Salim Surani L V Simhachalam Kutikuppala Divya Randhawa Rakhtan Qasba Trupti Pandit Ayesha Khalid Ravina Verma Kush Shah John Counsell Naresh Dasari Melissa Schlenker Raghavendra Tirupathi Gowthami Sai Jagirdhar Nancy Nagib Benjamin Schlenker Taha Mansoor N Pierre Ciza Leydi Del Lema Susan Sheila Bello Saifullah Muhammad Barakat Kolawole L V Kutikuppala Keidy Zamora Bikona Ghosh Sama Soliman Zainab Ayoob Lina Almahmoud Dohha Mohammed Oyindamola Obadare Era Mae Ramirez Kalloush Shahed Mohammed Yasir Essar Sarya Swed Temaa Alklani Ishimwe Florent Goodluck Nchasi Daren Poh How Mohamed Elfagieh Moath Almekhlafi Reshon Hadmon Anasonye Emmanuel Yosra Magdi Makki Rodrigue Ndabashinze Hussein Dawoud Dimitrios Kantas Daniella Myriam Pierre Zeynep Pelin Orhan Usama Oguz Hedys Selene Mogollón Ramesha Remy Marija Vukoja Srdjan Gavrilovic Alicja Rydzewska Rosolowska Umme Faisal Franz Lopez Salem Ramirez Lisdamys Morera Gonzalez Mohammed Alkawak Marco Antonio Villar Kelly Maza Shehu Bledi Jonida Naska ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey BMJ Global Health |
| title | ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey |
| title_full | ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey |
| title_fullStr | ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey |
| title_full_unstemmed | ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey |
| title_short | ViSHWaS: Violence Study of Healthcare Workers and Systems—a global survey |
| title_sort | vishwas violence study of healthcare workers and systems a global survey |
| url | https://gh.bmj.com/content/8/9/e013101.full |
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