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      Assessment of occupational violence towards pharmacists at practice settings in Nigeria

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          Abstract

          Background:

          Occupational Violence is prevalent among healthcare workers, including pharmacists, and poses a big threat to their job satisfaction, safety, and social wellbeing.

          Objective:

          This study seeks to assess the incidents and factors associated with occupational violence towards pharmacists in Nigeria.

          Methods:

          A cross-sectional study was conducted among pharmacists practicing in Nigeria, using an online survey (Google Form™). Occupational violence was assessed using a validated questionnaire. The survey was conducted and reported based on the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Participants were recruited by sharing the survey link via social media platforms including WhatsApp, Facebook, LinkedIn, and Twitter.

          Results:

          A total of 263 respondents returned the online questionnaire, with a completion rate of 99.2%. The prevalence of occupational violence was 92.7% (95% CI, 90 to 96). Violent events occurred among 48.7% of pharmacists with at least six years of experience, and 68.4% of hospital pharmacists. The commonly reported factors associated with the violence include long waiting times in the pharmacy (36.5%), refusal to fulfil aggressor’s demands (22.1%), and counseling/poor communication (21.7%). Events related to verbal abuse were reported among 95% of the participants. The prevalence of violence was significantly higher among hospital pharmacists, compared with those practicing in administration/regulatory, and in community pharmacies (chi-square=10.213 (2); p=0.006). Similarly, physical aggression was higher among hospital pharmacists (chi-square=10.646 (2), p = 0.005).

          Conclusions:

          The prevalence of occupational violence towards pharmacists practicing in Nigeria appeared to be high. Major factors associated with the violence were refusal to fulfil aggressors’ demands and frustrations due to long waiting times at pharmacy. Recommended strategies to slowdown the incidences of violence were improved pharmacists’ workforce, interprofessional harmony, and penalties against perpetrators.

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          Most cited references37

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          Improving the Quality of Web Surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)

          Analogous to checklists of recommendations such as the CONSORT statement (for randomized trials), or the QUORUM statement (for systematic reviews), which are designed to ensure the quality of reports in the medical literature, a checklist of recommendations for authors is being presented by the Journal of Medical Internet Research (JMIR) in an effort to ensure complete descriptions of Web-based surveys. Papers on Web-based surveys reported according to the CHERRIES statement will give readers a better understanding of the sample (self-)selection and its possible differences from a “representative” sample. It is hoped that author adherence to the checklist will increase the usefulness of such reports.
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            The prevention and handling of the missing data

            Even in a well-designed and controlled study, missing data occurs in almost all research. Missing data can reduce the statistical power of a study and can produce biased estimates, leading to invalid conclusions. This manuscript reviews the problems and types of missing data, along with the techniques for handling missing data. The mechanisms by which missing data occurs are illustrated, and the methods for handling the missing data are discussed. The paper concludes with recommendations for the handling of missing data.
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              Workplace violence in different settings and among various health professionals in an Italian general hospital: a cross-sectional study

              Background Workplace violence (WPV) against health professionals is a global problem with an increasing incidence. The aims of this study were as follows: 1) to examine the frequency and characteristics of WPV in different settings and professionals of a general hospital and 2) to identify the clinical and organizational factors related to this phenomenon. Methods The study was cross-sectional. In a 1-month period, we administered the “Violent Incident Form” to 745 professionals (physicians, head nurses, nurses, nursing assistants), who worked in 15 wards of a general hospital in northern Italy. Results With a response rate of 56%, 45% of professionals reported WPV. The most frequently assaulted were nurses (67%), followed by nursing assistants (18%) and physicians (12%). The first two categories were correlated, in a statistically significant way, with the risk of WPV (P=0.005, P=0.004, multiple logistic regression). The violent incidents more frequently occurred in psychiatry department (86%), emergency department (71%), and in geriatric wards (57%). The assailants more frequently were males whereas assaulted professionals more often were females. Men committed physical violence more frequently than women, in a statistically significant way (P=0.034, chi-squared test). Verbal violence (51%) was often committed by people in a lucid and normal state of consciousness; physical violence (49%) was most often perpetrated by assailants affected by dementia, mental retardation, drug and substance abuse, or other psychiatric disorders. The variables positively related to WPV were “calling for help during the attack” and “physical injuries suffered in violent attack” (P=0.02, P=0.03, multiple logistic regression). Conclusion This study suggests that violence is a significant phenomenon and that all health workers, especially nurses, are at risk of suffering aggressive assaults. WPV presented specific characteristics related to the health care settings, where the aggression occurred. Prevention programs tailored to the different care needs are necessary to promote professional awareness for violence risk.
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                Author and article information

                Contributors
                Journal
                Pharm Pract (Granada)
                Pharm Pract (Granada)
                Pharmacy Practice
                Centro de Investigaciones y Publicaciones Farmaceuticas
                1885-642X
                1886-3655
                Oct-Dec 2020
                19 October 2020
                : 18
                : 4
                : 2080
                Affiliations
                BPharm, MSc. Faculty of Pharmaceutical Sciences, Bayero University . Kano, (Nigeria). khalidgmk@ 123456gmail.com
                BPharm, MSc. Faculty of Pharmaceutical Sciences, Bayero University . Kano, (Nigeria). rxumar@ 123456gmail.com
                BPharm, MSc. School of Pharmacy and Pharmacology, University of Tasmania . Hobart, TAS, (Australia). pharmjt@ 123456gmail.com
                BPharm. Faculty of Pharmaceutical Sciences, Usmanu Danfodiyo University Sokoto . (Nigeria). hasawa2011@ 123456gmail.com
                BPharm, MSc. Faculty of Pharmaceutical Sciences, Bayero University . Kano, (Nigeria). yabal2004@ 123456gmail.com
                DVM, MSc. Department of Veterinary Pharmacology and Toxicology, Ahmadu Bello University . Zaria, (Nigeria). myzooq@ 123456gmail.com
                Author information
                https://orcid.org/0000-0003-4045-7702
                https://orcid.org/0000-0002-2887-2877
                https://orcid.org/0000-0001-9336-6877
                https://orcid.org/0000-0001-9634-5684
                https://orcid.org/0000-0003-2388-1085
                https://orcid.org/0000-0003-4918-1423
                Article
                pharmpract-18-2080
                10.18549/PharmPract.2020.4.2080
                7603654
                594e4b76-2b2a-4733-8cfe-5caafdd02540
                Copyright: © Pharmacy Practice and the Authors

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 July 2020
                : 11 October 2020
                Categories
                Original Research

                pharmacists,pharmacies,workplace violence,aggression,incidence,job satisfaction,waiting lists,cross-sectional studies,nigeria

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