Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China

ObjectiveWorkplace violence (WPV) not only affects workers' physical and mental health but also increases turnover rates and social costs. There are no studies that have consistently followed the prevalence of WPV and the effectiveness of anti-violence measures in cross-sectional studies of the...

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Main Authors: Yubing Hu, Qianqian Luo, Rui Li, Min Zhang, Yuming Wang, Peipei Su, Jing Sun, Ying Li, Yujie Liu, Na Chen, Yiming Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1049832/full
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author Yubing Hu
Yubing Hu
Qianqian Luo
Rui Li
Min Zhang
Yuming Wang
Peipei Su
Jing Sun
Ying Li
Yujie Liu
Na Chen
Yiming Huang
author_facet Yubing Hu
Yubing Hu
Qianqian Luo
Rui Li
Min Zhang
Yuming Wang
Peipei Su
Jing Sun
Ying Li
Yujie Liu
Na Chen
Yiming Huang
author_sort Yubing Hu
collection DOAJ
description ObjectiveWorkplace violence (WPV) not only affects workers' physical and mental health but also increases turnover rates and social costs. There are no studies that have consistently followed the prevalence of WPV and the effectiveness of anti-violence measures in cross-sectional studies of the same hospital. The main aim of this study was to understand the prevalence of WPV among medical staff in a hospital in China and the effectiveness of implemented anti-violence measures.MethodsA cross-sectional survey, which was conducted by using a questionnaire developed by the International Labor Organization and the World Health Organization, was administered in a tertiary hospital in China in 2022 to investigate the occurrence of violence in the past year. Valid data were collected from 1,195 respondents via cell phone. WPV was compared between this survey and a baseline survey conducted at the same hospital in 2017 using the same questionnaire. The relationship between years and gender and occupation was explored using the Cochran–Armitage trend test. Descriptive statistics and chi-square tests were used to respond to the effects of the anti-violence interventions.ResultsAfter the implementation of anti-violence measures, the prevalence of WPV decreased from 48.47 in 2017 to 33.95% in 2021. The recognition of safety measures increased from 80.16 in 2017 to 87.70% in 2021(P < 0.001), improvement of the work environment increased from 56.57 in 2017 to 65.10% in 2021(P < 0.001), restricted of public access increased from 34.36 in 2017 to 55.60% in 2021(P < 0.001), the patient protocols increased from 37.42 in 2017 to 38.40% in 2021, patient screening increased from 32.11 in 2017 to 41.90% in 2021(P < 0.001), and strict restrictions on workplace cash activities from 29.65% in 2017 to 36.00% in 2021(P < 0.05). The percentage of health workers who felt that anti-violence measures were not at all helpful to their current work decreased from 2017 to 2021.ConclusionsThe prevalence of workplace violence has decreased, recognition of interventions has increased, and the proportion of interventions that are perceived by HWs as not helpful at all has decreased. This study demonstrates that the 12 anti-violence measures recommended by the International Labor Organization are applicable in China. Based on this, hospitals should focus on the improvement of the intervention effect of the following measures to further prevent violence.
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spelling doaj.art-a08f6e90854d408d91d7edd74916cef22022-12-22T02:59:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10498321049832Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in ChinaYubing Hu0Yubing Hu1Qianqian Luo2Rui Li3Min Zhang4Yuming Wang5Peipei Su6Jing Sun7Ying Li8Yujie Liu9Na Chen10Yiming Huang11Institute of Nursing and Health, Henan University, Kaifeng, ChinaDepartment of Nursing, The Third People's Hospital of Zhengzhou, Zhengzhou, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Nursing, The Third People's Hospital of Zhengzhou, Zhengzhou, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaScientific Research Division, Henan Provincial People's Hospital, Zhengzhou, ChinaRheumatology Immunology Department, The First Affiliated Hospital of Henan University of CM, Zhengzhou, ChinaDepartment of Nursing, Central Hospital of Zhengzhou University, Zhengzhou, ChinaOut-patient Department, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaObjectiveWorkplace violence (WPV) not only affects workers' physical and mental health but also increases turnover rates and social costs. There are no studies that have consistently followed the prevalence of WPV and the effectiveness of anti-violence measures in cross-sectional studies of the same hospital. The main aim of this study was to understand the prevalence of WPV among medical staff in a hospital in China and the effectiveness of implemented anti-violence measures.MethodsA cross-sectional survey, which was conducted by using a questionnaire developed by the International Labor Organization and the World Health Organization, was administered in a tertiary hospital in China in 2022 to investigate the occurrence of violence in the past year. Valid data were collected from 1,195 respondents via cell phone. WPV was compared between this survey and a baseline survey conducted at the same hospital in 2017 using the same questionnaire. The relationship between years and gender and occupation was explored using the Cochran–Armitage trend test. Descriptive statistics and chi-square tests were used to respond to the effects of the anti-violence interventions.ResultsAfter the implementation of anti-violence measures, the prevalence of WPV decreased from 48.47 in 2017 to 33.95% in 2021. The recognition of safety measures increased from 80.16 in 2017 to 87.70% in 2021(P < 0.001), improvement of the work environment increased from 56.57 in 2017 to 65.10% in 2021(P < 0.001), restricted of public access increased from 34.36 in 2017 to 55.60% in 2021(P < 0.001), the patient protocols increased from 37.42 in 2017 to 38.40% in 2021, patient screening increased from 32.11 in 2017 to 41.90% in 2021(P < 0.001), and strict restrictions on workplace cash activities from 29.65% in 2017 to 36.00% in 2021(P < 0.05). The percentage of health workers who felt that anti-violence measures were not at all helpful to their current work decreased from 2017 to 2021.ConclusionsThe prevalence of workplace violence has decreased, recognition of interventions has increased, and the proportion of interventions that are perceived by HWs as not helpful at all has decreased. This study demonstrates that the 12 anti-violence measures recommended by the International Labor Organization are applicable in China. Based on this, hospitals should focus on the improvement of the intervention effect of the following measures to further prevent violence.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1049832/fullworkplace violence (WPV)hospitalhealth workers (HWs)anti-violence measuresoccupational health
spellingShingle Yubing Hu
Yubing Hu
Qianqian Luo
Rui Li
Min Zhang
Yuming Wang
Peipei Su
Jing Sun
Ying Li
Yujie Liu
Na Chen
Yiming Huang
Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
Frontiers in Public Health
workplace violence (WPV)
hospital
health workers (HWs)
anti-violence measures
occupational health
title Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
title_full Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
title_fullStr Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
title_full_unstemmed Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
title_short Anti-violence measures developed by ILO and WHO: Analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in China
title_sort anti violence measures developed by ilo and who analysis of the prevalence of workplace violence and the effects of implementation in a general hospital in china
topic workplace violence (WPV)
hospital
health workers (HWs)
anti-violence measures
occupational health
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1049832/full
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