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      Workplace violence against medical staff in tertiary grade A hospitals in Shanxi province: a cross-sectional analysis


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          Objective To analyze the prevalence and sociological influence factors of workplace violence (WPV) against medical staff and the impacts of MPV upon medical staff.

          Methods We conducted a survey among 3 663 physicians and nurses recruited with random cluster sampling in 15 tertiary grade A hospitals located in 10 prefectures or municipalities of Shanxi province between January and July 2015. We used a self-modified existing questionnaire on medical staff’s exposure to WPV in the study.

          Results The results of univariate factor analysis revealed following influencing factors of WPV against medical staff: years of working, high education backgroud, professional title, employment form, and working department. The medical staff in emergency department were most frequently (89.84%) exposed to WPV and those with undergraduate education reported a higher rate (67.43%) of WPV exposure. Verbal violence was a major form of WPV reported and most of the MPV occurred at wards, doctor’s offices, and nurse stations. Of the reported WPV perpetrators, 68.72% were family members of patients; 76.77% were male ; and 63.32% were aged 30 – 49 years. Based on the medical staff’s reporting, major origins of the WPV incidents included dissatisfaction for doctors’ therapeutic regimen or surgical option and treatment outcome (42.94%) and no response to patients’ unreasonable requirements (44.46%). The major strategies for coping with the WPV were tolerance or avoidance (reported by 52.10% of the medical staff) and patient explanation (67.48%).

          Conclusion Verbal attack is a most common workplace violence in hospitals and has serious impact on medical staff’s mental health and could induce medical staff’s turnover intention. Relevant measures should be adopted to reduce workplace violence in hospitals.


          【摘 要】 目的 分析医务人员工作场所暴力的人口社会学影响因素,探讨医务人员在工作场所遭受的暴力形式与程度,研究与评估工作场所暴力对医务人员的影响。 方法 本研究于 2015 年 7 月开始实地调查,以整群抽样的方法选取山西省 10 个地市 15 所三甲医院共 3 663 名医务人员作为调查对象,以已有问卷为模板设计本次工作场所暴力问卷并展开调查。 结果 单因素分析结果显示,工作年限、最高学历、职称、聘用形式、科室等是医院工作场所遭受暴力的影响因素。医院急诊科室遭受暴力发生率最高,为 89.84 %;最高学历是本科的医务人员遭受暴力发生率最高,为 67.43 %;医务人员遭受暴力形式主要为语言暴力且暴力主要发生于病房、医生办公室和护理站;工作场所暴力的施暴者主要为患者家属,占 68.72 %,且男性比例占到 76.77 %,施暴者年龄多在 30 ~ 40 岁;因不满意医生的治疗或手术方案,认为病情无好转而施暴的占 42.94 %,未满足病人无理要求而施暴的占 44.46 %;应对医院暴力的方式中,忍让回避与耐心解释占比分别为 52.10 %、67.48 %。 结论 医院工作场所遭受暴力中最常见的是责骂、辱骂,在暴力发生后,医务人员往往感到委屈、气愤,导致其工作态度发生变化,产生离职意愿,严重影响其心理健康,因此有关部门和社会各界应重点关注医务人员心理健康,做好心理健康的评估、干预,预防和减少心理障碍。

          Author and article information

          Chinese Journal of Public Health
          Chinese Journal of Public Health (China )
          01 April 2019
          17 August 2018
          : 35
          : 4
          : 459-464
          [1] 1School of Management, Shanxi Medical University, Taiyuan, Shanxi Province 030000, China
          Author notes
          *Corresponding author: Su Tian-zhao, E-mail: 13834567892@ 123456163.com
          © 2019 China Public Health Editorial Department

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          Journal Article

          Medicine,Nutrition & Dietetics,Occupational & Environmental medicine,Health & Social care,Infectious disease & Microbiology,Public health
          evaluation,medical staff,influence,workplace violence


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