Disruptive behaviours involving radiographers that impede a safe work environment. Survey at central hospitals in Harare Metropolitan Province, Zimbabwe

Background: Understanding disruptive behaviours from the perspective of radiographers is important, as this professional group uses hazardous radiation in the execution of their duties, making patient safety of utmost concern.Objective: Determine the disruptive behaviours involving radiographers at central hospitals in Harare Metropolitan Province, Zimbabwe.Methods: A descriptive cross-sectional quantitative study was carried out at central hospitals in Harare Metropolitan Province, Zimbabwe, where 100 radiographers were randomly selected.Results: Overall, 83% of radiographers had been exposed to an incident of DB in the preceding 12 months. Reported types of disruptive behaviour included: Verbal abuse (81%), sexual abuse (21%) and physical abuse (4%). Of the 21 radiographers that suffered sexual abuse, the majority 71 % (n=15) were female while 29% (n=6) were males. Prevalence odds ratio revealed that female radiographers were 1.8 times more likely than their male counterparts to be victims of the workplace sexual abuse (95% C.I.: 0 – 3.04). A significant 69% were abused by patients and their families/escorts, p=.001.Conclusion: More than 8 out of 10 radiographers in this study were exposed to disruptive behaviours, mostly from the patients and patient’s family or escorts. A framework to increases awareness and address these behaviours is recommended.Keywords: Disruptive behaviour; radiographers; Zimbabwe

Workplace Violence: Patient's Against Staff Nurse in Mental Health Care Setting

Introduction: Workplace violence is now recognized as a major occupational health hazard for many organizations and employees the world over. In psychiatric mental health settings, workplace violence is an issue affecting most of the staff nurses working there, especially that nurses are working in front line of care providers who practice in a wide variety of settings caring for individuals facing all types of mental disorders and life threatening events. Aim: The aim of this paper is to present research findings regarding prevalence, causes, impact of violence on psychiatric nurses and consequences, in addition to provide recommendations regarding violence against psychiatric nurse. Method: Systemic review using Pubmed, PsycINFO, CINAHL , and Science direct database, using key words 'workplace violence', 'psychiatric nurses', 'prevalence', 'risk factor of violence', and 'consequences'.    Result: literature revealed that there are many risk factors for this problem that summarized by patient factors, psychiatric nurse factors and environmental factors, on the other hand, this phenomena has many negative consequences that affect quality of care, psychological and physical health of psychiatric nurse and financially cost. Conclusion: understanding causes and consequences of this phenomenon express the needs to develop educational training program regarding violence in psychiatric settings. Research is needed to be conducted in psychiatric settings to evaluate outcomes related to staff training, examine staff characteristics and environmental factors. Keywords: Workplace violence, Prevalence, Risk factors of violence, Consequences

Violência no Trabalho: um Estudo com Servidores Públicos da Saúde

O objetivo deste estudo foi investigar a ocorrência da violência no local de trabalho como um dos problemas que podem influenciar na saúde dos trabalhadores públicos da saúde. Foram entrevistados 679 servidores e os resultados mostraram que apenas 17,8% deles informaram não ter qualquer preocupação em relação à violência no trabalho. Constatou-se que 25,9% (IC 95%: 22,6% – 29,2%) dos entrevistados referiram pelo menos uma das modalidades de violência investigadas, sendo a agressão verbal (19,4%) a mais frequente. Em relação ao assédio moral, a prevalência foi de 10,5%. O estudo mostrou-se importante para a visibilidade da violência no setor saúde, fornecendo subsídios para a formulação de políticas de atenção à saúde dos trabalhadores.Abstract:The objective of this study was to investigate the occurrence of violence in the workplace as one of the current problems that may influence the occurrence of health problems among health workers. 679 workers in the industry were interviewed and the results showed that only 17.8% of the people surveyed reported not having any concern about violence in their workplace. It was found that 25.9% (95% CI: 22.6% – 29.2%) of the respondents reported at least one of the types of violence investigated, being verbal aggression (19.4%) the most frequent. In relation to bullying, the prevalence was 10.5%. The study proved to be important for the visibility of violence in the health sector, providing assistance for the formulation of policies for health care workers

Violence Against Drivers and Conductors in the Road Passenger Transport Sector in Maputo, Mozambique

This cross-sectional study examined the extent, nature and risk factors of workplace violence in the road passenger transport sector in Maputo, the capital city of Mozambique. A random sample of 504 participants was selected from a population of 2 618 registered bus, minibus, andtaxi drivers/conductors. The results indicated that workplace violence, psychological as well as physical, is highly prevalent among drivers/conductors, with 77% reporting ever being abusedand 64% reporting being abused during the past 12 months. Particularly vulnerable groups comprised illiterate employees, bus drivers/conductors, employees with long experience, and those holding a supervisory position. In addition, a high workload was associated with an increased likelihood of exposure to workplace violence in the road passenger transport sector. This article discusses the implications of the findings for possible interventions and further research

Violence Against Drivers and Conductors in the Road Passenger Transport Sector in Maputo, Mozambique

This cross-sectional study examined the extent, nature and risk factors of workplace violence in the road passenger transport sector in Maputo, the capital city of Mozambique. A random sample of 504 participants was selected from a population of 2 618 registered bus, minibus, and taxi drivers/conductors. The results indicated that workplace violence, psychological as well as physical, is highly prevalent among drivers/conductors, with 77% reporting ever being abused and 64% reporting being abused during the past 12 months. Particularly vulnerable groups comprised illiterate employees, bus drivers/conductors, employees with long experience, and those holding a supervisory position. In addition, a high workload was associated with an increased likelihood of exposure to workplace violence in the road passenger transport sector. This article discusses the implications of the findings for possible interventions and further research

Protocol of a scoping review assessing injury rates and their determinants among healthcare workers in western countries

Introduction Healthcare workers (HCWs) are exposed to various risk factors and risky behaviours that may seriously affect their health and ability to work. The aim of this protocol is to detail the steps to follow in order to carry out a scoping review to assess the prevalence/incidence of injuries among HCWs. Methods and analysis The study will be carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Protocols guidelines. Studies will be selected according to the following criteria: P (HCWs), E (exposure to injuries), C (different types of exposure and different categories of HCWs) and O (prevalence/incidence and determinants of injuries). A time filter has been set (literature between 2000 and 2018) to enable updated, direct comparison between the findings and the epidemiological data available at national and local \u20acIstituto Nazionale per l'Assicurazione contro gli Infortuni sul Lavoro' (National Institute for Insurance Against Accidents at Work) centres in Italy. No language restriction will be applied. Ethics and dissemination Formal ethical approval is not required; primary data will not be collected, as they have already been published. The results will be disseminated through peer-reviewed publication(s), conference presentation(s) and the press

Experience of acute care mental health nurses in dealing with violent or aggressive patients, The

Violence in workplace is more common in health care settings than in many other work environments. While there is an abundance of literature pertaining to violence and aggression in health care, especially where mental health services are being provided, there is a paucity of research focusing on the lived experiences of acute care mental health nurses. The purpose of this research was to engage in a dialogue with acute care mental health nurses with regards to their personal experiences of patient violence and aggression. Eight participants were interviewed using van Manen’s hermeneutic phenomenological method. Data collected from the interviews was transcribed, coded, and analyzed. Themes elicited from the analysis included: multiple experiences of patient violence and aggression, antecedents to violence and aggression, the uncertainty of violence and aggression, managing the risk of violence, the role of the organization, uncovering the potential consequences, and disempowerment. Participants’ experiences with patient violence and aggression occurred within three different time periods which were identified as: the roots of patient violence and aggression, the act of patient violence and aggression, and the aftermath of patient violence and aggression. Implications for practice, policy and education are discussed, along with recommendations for future research.Includes bibliographical references (pages 96-106)."In partial fulfillment of the requirements for the degree of Master of Psychiatric Nursing.

VIOLENCE AGAINST NURSES AND MEDICAL TECHNICIANS IN EMERGENCY MEDICINE SECTOR

Otkad je civilizacije, od tada je i nasilja. Kako vrijeme napreduje, tako se i ono širi. Opisujemo ga kao primjena fizičke snage, prijetnje, agresije ili moći prema samome sebi ili drugom pojedincu. Rezultat nasilja može biti ozljeda, psihičke traume ili smrt. Ono može biti psihičko, fizičko ili seksualno ili pak u pasivnom obliku kao zanemarivanje. Žrtva nasilja može biti svatko, bez obzira na dob ili spol, međutim istraživanja pokazuju da su u većem broju žrtve ipak žene. U zdravstvenim djelatnostima kod nasilja na radnom mjestu posljedice snosi djelatnik, ali i ustanova. Više je tipova nasilja u zdravstvu, ali najčešće je ono koje dolazi od strane pacijenta i njegove pratnje, a u djelatnostima hitne medicinske pomoći ono je najizraženije. Cilj ovog istraživanja je vidjeti prevalenciju nasilja nad medicinskim sestrama i tehničarima u djelatnostima hitne medicine, ustanoviti od koga su doživjeli nasilje na radnom mjestu, ustanoviti porast straha nakon proživljenog nasilja, ustvrditi kako procjenjuju zaštitu i sigurnost na radnom mjestu. Uzorak je skupina od 110 zdravstvenih djelatnika, od čega 75 žena, 33 muškarca i 2 koji nisu označili spol. Istraživanje se provelo u online grupi „Grupa za potporu i kritike djelatnicima hitne medicinske pomoći“. Od ukupnog broja, samo 5 nije doživjelo nasilje, a od onih koji jesu, njih 97 je nasilje doživjelo dva ili više puta. Ovo istraživanje pokazalo je da je više od polovice ispitanih sestara i tehničara na radnom mjestu doživjelo nasilje, koje su najčešće doživjeli od obitelji ili pratnje pacijenta. Više od polovice njih se nakon doživljenog nasilja brine za svoju sigurnost na radnome mjestu, kao i što više od polovice njih ne smatra fizičku zaštitu adekvatno osiguranom.Ever since civilization exists, there has been violence. As time progresses, so does it. We describe it as the application of physical strength, threat, aggression, or power to ourselves or another individual. Violence, psychological trauma or death can result from violence. It can be mental, physical or sexual or in a passive form as neglect. Victims of violence can be anyone, regardless of age or gender, however, research shows that more victims are women. In the health sector, the consequences of workplace violence are taken by the employee, as well as the institution. There are more types of violence in healthcare, but most often it comes from the patient and his entourage and it is most likely to be seen in the emergency medical services. The aim of this research is to see the prevalence of violence against nurses and technicians in the emergency medicine sector, to identify from whom they experienced workplace violence, to identify an increase in fear after experiencing violence, to state that they evaluate workplace safety and security. The sample was a group of 110 health professionals, of which 75 were women, 33 were men and 2 were non-gender-tagged. The research was conducted in the online group "Support and Criticism Group for Emergency Medical Services". Of the total, only 5 did not experience violence, and of those who did, 97 experienced violence two or more times. This study shows us that more than half of the nurses and technicians experienced violence on their workplace, most commonly experienced by the family or the patient's entourage. More than half of them, after experiencing violence, worry about their safety in the workplace, and more than half of them do not consider physical protection adequately secured

VIOLENCE AGAINST NURSES AND MEDICAL TECHNICIANS IN EMERGENCY MEDICINE SECTOR

Otkad je civilizacije, od tada je i nasilja. Kako vrijeme napreduje, tako se i ono širi. Opisujemo ga kao primjena fizičke snage, prijetnje, agresije ili moći prema samome sebi ili drugom pojedincu. Rezultat nasilja može biti ozljeda, psihičke traume ili smrt. Ono može biti psihičko, fizičko ili seksualno ili pak u pasivnom obliku kao zanemarivanje. Žrtva nasilja može biti svatko, bez obzira na dob ili spol, međutim istraživanja pokazuju da su u većem broju žrtve ipak žene. U zdravstvenim djelatnostima kod nasilja na radnom mjestu posljedice snosi djelatnik, ali i ustanova. Više je tipova nasilja u zdravstvu, ali najčešće je ono koje dolazi od strane pacijenta i njegove pratnje, a u djelatnostima hitne medicinske pomoći ono je najizraženije. Cilj ovog istraživanja je vidjeti prevalenciju nasilja nad medicinskim sestrama i tehničarima u djelatnostima hitne medicine, ustanoviti od koga su doživjeli nasilje na radnom mjestu, ustanoviti porast straha nakon proživljenog nasilja, ustvrditi kako procjenjuju zaštitu i sigurnost na radnom mjestu. Uzorak je skupina od 110 zdravstvenih djelatnika, od čega 75 žena, 33 muškarca i 2 koji nisu označili spol. Istraživanje se provelo u online grupi „Grupa za potporu i kritike djelatnicima hitne medicinske pomoći“. Od ukupnog broja, samo 5 nije doživjelo nasilje, a od onih koji jesu, njih 97 je nasilje doživjelo dva ili više puta. Ovo istraživanje pokazalo je da je više od polovice ispitanih sestara i tehničara na radnom mjestu doživjelo nasilje, koje su najčešće doživjeli od obitelji ili pratnje pacijenta. Više od polovice njih se nakon doživljenog nasilja brine za svoju sigurnost na radnome mjestu, kao i što više od polovice njih ne smatra fizičku zaštitu adekvatno osiguranom.Ever since civilization exists, there has been violence. As time progresses, so does it. We describe it as the application of physical strength, threat, aggression, or power to ourselves or another individual. Violence, psychological trauma or death can result from violence. It can be mental, physical or sexual or in a passive form as neglect. Victims of violence can be anyone, regardless of age or gender, however, research shows that more victims are women. In the health sector, the consequences of workplace violence are taken by the employee, as well as the institution. There are more types of violence in healthcare, but most often it comes from the patient and his entourage and it is most likely to be seen in the emergency medical services. The aim of this research is to see the prevalence of violence against nurses and technicians in the emergency medicine sector, to identify from whom they experienced workplace violence, to identify an increase in fear after experiencing violence, to state that they evaluate workplace safety and security. The sample was a group of 110 health professionals, of which 75 were women, 33 were men and 2 were non-gender-tagged. The research was conducted in the online group "Support and Criticism Group for Emergency Medical Services". Of the total, only 5 did not experience violence, and of those who did, 97 experienced violence two or more times. This study shows us that more than half of the nurses and technicians experienced violence on their workplace, most commonly experienced by the family or the patient's entourage. More than half of them, after experiencing violence, worry about their safety in the workplace, and more than half of them do not consider physical protection adequately secured

Incivility in psychiatric nursing : a phenomenological study

The topic of incivility is a well-researched long-standing issue in nursing literature. Incivility and its associated human and financial costs are a significant issue in healthcare. Psychiatric nurses work in sites that have the highest incidents of violence and incivility in health systems. Registered Psychiatric Nurses (RPNs) are a separate and distinct profession in Western Canada. This study explored the RPN lived experience of incivility using a descriptive phenomenological approach. The research question was: what is the meaning given to the experience of incivility by RPNs? Data collection methods were semi-structured interviews and personal written narratives using an online survey. The research was conducted at three acute psychiatric units in the province of British Columbia, Canada. Eight RPNs provided descriptions of their experience of incivility working in acute psychiatric services. Five themes emerged from data analysis: managing incivility from patients is part of the job, RPNs experience incivility from health care professionals, relationships changed after the experience of incivility, ethical dilemmas resulted from the experience of incivility, and personal resilience is variable. Under the theme of ethical dilemmas, data were grouped into two dilemmas or subthemes: therapeutic rapport versus personal safety, and professional communication versus interpersonal issues. Under the theme of personal resilience, five aspects of resilience were grouped into subthemes: emotional support from a trusted colleague, life experience and education, professional boundaries, reflective practice, and self-care. Findings are discussed in light of current literature, significance, strengths and limitations, and implications for future research. Keywords: psychiatric nursing, registered psychiatric nurses, civility, incivility, bullying, verbal and physical aggression, emotional and physical violence, vertical horizontal, and lateral violence.Includes bibliographical references (pages 47-57)."In partial fulfillment of the requirements for the degree of Master of Psychiatric Nursing.