Nasilje na radnom mjestu nad zdravstvenim radnicima tokom pandemije COVID-19: sistematski pregled i meta-analiza.
Environmental science and pollution research international
Sažetak istraživanja
Nasilje na radnom mjestu (WPV) je rasprostranjena pojava, posebno u zdravstvenim ustanovama. WPV protiv zdravstvenih radnika (ZR) se povećao tokom epidemije COVID-19. Ova meta-analiza je utvrdila prevalence i faktore rizika od WPV. U maju 2022. izvršena je pretraga baze podataka u šest baza podataka, koja je ažurirana u oktobru 2022. Prevalencija WPV među zdravstvenim radnicima bila je glavni ishod. Podaci su stratificirani prema tipu WPV/ZR, periodu pandemije (rani, srednji, kasni) i medicinskoj specijalnosti. Faktori rizika za WPV bili su sekundarni ishod. Sve analize su obavljene preko STATA. Newcastle Ottawa Scale je ocijenila kvalitetu. Analiza osjetljivosti je utvrdila promjene procjene efekta. Analizirano je ukupno 38 studija (63.672 ZR). Prevalencija WPV bilo koje vrste (43%), fizičke (9%), verbalne (48%) i emocionalne (26%) je bila visoka. Od sredine pandemije do kasne pandemije, WPV (40-47%), fizičko nasilje (12-23%) i verbalno nasilje (45-58%) su se povećali. Medicinske sestre su imale više nego dvostruko veću stopu fizičkog nasilja (13% naspram 5%) od ljekara, dok su WPV i verbalno nasilje bili jednaki. Spol, profesija i vrijeme za COVID-19 nisu utjecali na WPV, rizik od fizičkog ili verbalnog nasilja. Veća je vjerovatnoća da će zdravstveni radnici sa COVID-19 biti fizički napadnuti (logOR = 0,54; 95% CI: 0,10: 0,97). Većina zdravstvenih radnika trpi verbalno nasilje, praćeno emocionalnim, maltretiranjem, seksualnom uznemiravanjem i fizičkim napadom. Povećano je nasilje na radnom mjestu povezano s pandemijom. Medicinske sestre su bile duplo nasilnije od doktora. Zaposleni u zdravstvenoj zaštiti COVID-19 imali su veći rizik od fizičkog nasilja i nasilja na radnom mjestu.
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Workplace violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis.
Workplace violence (WPV) is a prevalent phenomenon, especially in the healthcare setting. WPV against healthcare workers (HCWs) has increased during the COVID-19 epidemic. This meta-analysis determined the prevalence and risk factors of WPV. A database search was conducted across six databases in May 2022, which was updated in October 2022. WPV prevalence among HCWs was the main outcome. Data were stratified by WPV/HCW type, pandemic period (early, mid, late), and medical specialty. WPV risk factors were the secondary outcome. All analyses were conducted through STATA. Newcastle Ottawa Scale evaluated the quality. Sensitivity analysis identified effect estimate changes. A total of 38 studies (63,672 HCWs) were analyzed. The prevalence of WPV of any kind (43%), physical (9%), verbal (48%), and emotional (26%) was high. From mid-pandemic to late-pandemic, WPV (40-47%), physical violence (12-23%), and verbal violence (45-58%) increased. Nurses had more than double the rate of physical violence (13% vs. 5%) than physicians, while WPV and verbal violence were equal. Gender, profession, and COVID-19 timing did not affect WPV, physical, or verbal violence risk. COVID-19 HCWs were more likely to be physically assaulted (logOR = 0.54; 95% CI: 0.10: 0.97). Most healthcare employees suffer verbal violence, followed by emotional, bullying, sexual harassment, and physical assault. Pandemic-related workplace violence increased. Nurses were twice as violent as doctors. COVID-19 healthcare employees had a higher risk of physical and workplace violence.
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- DOI
- 10.1007/s11356-023-27317-2
- PMID
- 37209334
- PMCID
- PMC10199297
- Provjereno
- 2026-07-26
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