Sağlık çalışanları ve işyerınde şiddet

İşyerinde şiddet, dünya genelinde yaygın ve endişe verici bir halk sağlığı sorunudur. Sağlık çalışanları özellikle risk altındadırlar ve diğer sektörlerde çalışanlara göre şiddete maruz kalma risklerinin 4 ila 16 kat daha fazla olduğu tahmin edilmektedir. Ortak kabul edilmiş şiddet tanımlarının olmayışı ve çalışmalardaki yöntem farklılıkları nedeni ile dünyada şiddete maruz kalma sıklıkları ile ilgili olarak oldukça farklı sonuçlar bildirilmiştir (herhangi bir şiddet türü: %22,0 - %88,6; fiziksel şiddet: %2,6 - %57,0; sözel şiddet: %24,3 - %82,0; cinsel taciz: %1,9 - %10,5). Tüm sağlık çalışanları güvenli bir ortamda çalışma hakkına sahiptirler. Sağlık çalışanlarının sağlık ve güvenliklerinin korunması, hastaların sağlık ve güvenliklerinin korunması kadar öncelikli ve önemlidir. Ülkemiz için de önemli bir sorun olan işyerinde şiddetin oluşumunda toplumsal, kültürel, çevresel, kurumsal, organizasyonel, bireysel bir çok risk faktörü rol oynar. Bütün bu faktörler gözönüne alınarak sağlık çalışanlarının şiddete maruz kalma durumları ciddiyetle ele alınmalı ve işyerinde şiddet olaylarını önlemeye yönelik stratejiler, politikalar geliştirilmelidir.

[Healthcare workers and workplace violence]

Workplace violence is a threatening worldwide public health problem. Healthcare workers have under particular risk of workplace violence, and they are being exposed to violence 4-16 times more than other Sorumlu yazar/ service workers. Corresponding author: The frequency of violence in the health sector in the world has indicated in different range of results since Tevfik Pınar there is no consistent definition of workplace violence and differences in research methodology (any type Kırıkkale Üniversitesi Tıp of violence: 22,0% - 60,0%; physical violence: 2,6% - 57,0%; verbal violence: 24,3% - 82,0%; sexual Fakültesi Halk Sağlığı harassment: %1,9 - 10,5%). Anabilim Dalı,Kırıkkale, All healthcare workers have right to work in a safe working place. The safety of healthcare workers Türkiye. should deserve the same priority as patient safety. tevfikpinar@gmail.com Various risk factors including social, cultural, environmental, organizational and personal elements play a role in the formation of workplace violence that is very important for our country. Considering all those factors, the workplace violence in health sector should be seriously handled and the strategies and policies must be developed for prevention.

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  • 1 Cooper CL, Swanson N. Workplace violence in the health sector. State of the art. ILO, 2002.
  • 2. World report on violence and health: Summary. WHO, Geneva, 2002.
  • 3. WHO Global Consultation on Violence and Health. Violence: a public health priority. Geneva, World Health Organization, 1996 (document WHO/EHA/SPI.POA.2).
  • 4. Preventing violence: Aguide implementing the recommendations of the World report on violence and health. World Health Organization, Geneva, 2004.
  • 5. WHO Global Consultation on Violence and Health. Violence: a public health priority. Geneva, World Health Organization, 1996 (document WHO/EHA/SPI.POA.2).
  • 6. Homicide in the US Workplace: a Strategy for prevention and Research. Department of Health and Human Services, Public Health Service, Centers for Disease Prevention, National Institute for Occupational Safety and Health (NIOSH Publication No. 92-103). Washington, DC: United States Government Printing Office, 1992.
  • 7. Beech B, Leather P. Workplace in the health care sector: A review of staff traning and integration of training evaluation models. Aggress Violent Beh. 2006; 11: 27-43.
  • 8. Fletcher TA, Brackel SJ, Cavanaugh JL. Violence in the workplace: New perspectives in forensic mental health services in the USA. Brit J Psychiat. 2000; 176: 339-344.
  • 9. Calnan K, Kelloway EK, E. Dupre KE. SAV-T First: Managing Workplace Violence. In: International Handbook of Workplace Trauma Support. Edited by Hughes R, Kinder A, Cooper LC. Malden, MA, Wiley-Blackwell, 2012, USA, 105-120.
  • 10. Schat ACH, Kelloway EK. Workplace violence. In: Barling J, Kelloway EK, Frone M (Eds), Handbook of work stress (pp. 189-218). Thousand Oaks, CA: Sage. 2005
  • 11. Framework guidelines for addressing workplace violence in the health sector- The training manual. ICN, PSI, WHO, ILO. Switzerland, 2005.
  • 12. Violence: A public health priority. Geneva: World Health Organization, 1995.
  • 13. Wynne R, Clarkin N, Cox T, Griffiths A. Guidance on the prevention of violence at work. Luxembourg: European Commission, DG-V, 1997.
  • 14. California Occupational Safety and Health Administration Guidelines for Workplace Security, San Francisco, CA: State of California Department of Industrial Relations, Division of Occupational Safety and Health, 1995.
  • 15. Adapted from “Definition and typology of violence”-WHO. http://www.who.int/violenceprevention/approach/ definition/en Access date: May 03, 2013.
  • 16. Workplace violence in the health sector country case studies research instruments survey questionnaire (ILO [International Labour Office], ICN [International Council of Nurses], WHO [World Health Organisation], PSI [Public Searvices International]). Geneva, 2003.
  • 17. Alberta Association of Registered Nurses. Workplace violence in the health sector country case studies research instruments survey questionnaire (ILO, ICN, WHO, PSI). Geneva, 2003.
  • 18. Di Martino V. Workplace Violence in the health sector country case studies (Brazil, Bulgaria, Lebanon, Portugal, South Africa, Thailand) Synthesis Report, Geneva, 2002.
  • 19. Chappel, D, Di Martino V. Violence at Work. ILO, Geneva, 2000.
  • 20. Irish Nurses Organisation. Workplace violence in the health sector country case studies research instruments survey questionnaire (ILO, ICN, WHO, PSI). Geneva, 2003.
  • 21. Guidelines on Sexual Harssment Prevention at the Workplace, ILO. Indonesia, April 2011.
  • 22. Human Rights Acts, UK. Workplace violence in the health sector country case studies research instruments survey questionnaire (ILO, ICN, WHO, PSI). Geneva, 2003.
  • 23. Leymann H. The content and development of mobbing at work. European Journal of Work and Organisational Psychology. 1996; 5(2), 165-164.
  • 24. Crawshaw L. Workplace bullying?mobbing?harrassment? distraction by thousand definitions. Consulting Psychology Journal : Practice and Research. 2009; 61(3), 263-267.
  • 25. Szigety T. Early predictors of work place mobbing. Procedia, Social and Behavioral Sciences. 2012; 33, 418-422.
  • 26. Pranjic N, Males-Bilic, Ljiljana, Beganlic A, et al. (2006) Mobbing, stress, and work ability index among physicians in Bosnia and Herzegovina: Survey study. Croatian Medical Journal, 2008; 47 (5), 720-758.
  • 27. Brousse G, Fontana, L, Ouchchane L, Boisson C, Gerbaud L Bourguet D. Psychopathological features of a patient population of targets of workplace bullying. Occup Med. 2008; 58, 122- 128.
  • 28. Bowling NA, Beehr TA. Workplace harassment from the victim's perspective: a theoretical model and meta-analysis. Journal of Applied Psychology. 2006; 91 , 998-1012.
  • 29. Matthiesen SB, Einarsen S. Psychiatric distress and symptoms of PTSD among victims of bullying at work. Br J Guid Couns. 2004; 32, 335-356.
  • 30. Leymann H, Gustafsson A. Mobbing at work and the development of post-traumatic stress disorders, European Journal of Work Organisational Psychology. 1996; 5: 251-275.
  • 31. Kelloway EK, Catano V, Day A. Counterproductive work behaviours. In People and work in, Canada, Toronto, ON: Nelson, 2011.
  • 32. Chappell D, Di Martino V. Violence at work (2nd ed.). Geneva, International Labour Organisation, 2000.
  • 33. Flannery RB. Violence in the workplace, 1970- 1995: A review of the literature. Aggression and Violent Behavior. 1996; 1(1), 55-68.
  • 34. Encyclopedia of Occupational Health and Safety. Editor: Jeanne Mager Stellman. Fourth Edition. Geneva, International Labour Office, 1998: Volume II, 51.4.
  • 35. Preventing Violence in health care: Five steps to an effective program -2000. WorkSafeBC, British Colombia, Canada, 2005.
  • 36. WHO (2000). Consultative meeting on management and support of relief workers www.who.int/eha/resources Access date: May 03, 2013.
  • 37. Levin PF, Hewitt JB, Misner ST. Insights of nurses about assault in hospitalbased emergency departments. Image: J Nurs Scholarship. 1998; 30, 249-254.
  • 38. Cole LL, Grubb PL, Sauter SL, Swanson NG, Lawless P. Psychosocial correlates of harassment, threats and fear of violence in the workplace. Scand J Work Environ Health. 1997; 23: 450-457.
  • 39. Zapf D, Knorz C, Kulla M. On the relationship between mobbing factors, and job content, social work environment, and health outcomes. Eur J Work Organ Psychol. 1996; 5 (2), 215-237.
  • 40. Brady C, Dickson R. Violence in health care settings. In Leather P, Brady C, Lawrence C, Beale Dand Cox T (eds.): Work-Related Violence: Assessment and Intervention. London: Routledge, 1999.
  • 41. Whittington R, Wykes T. Aversive stimulation by staff and violence by psychiatric patients. Br J Clin Psychol. 1996; 35: 11-20.
  • 42. Leather P, Brady C, Lawrence C, Beale D and Cox T (eds.). Work-Related Violence: Assessment and Intervention . London: Routledge, 1999.
  • 43. Budd T. Violence at work: Findings from the British crime survey. London: Health and Safety Executive, 1999.
  • 44. Elliott P. Violence in health care: what nurse managers need to know. Nurs Manag. 1997; 28: 38-41.
  • 45. Health and Safety Executive. Violence at Work: Findings from the British Crime Survey. Home Office information and publications group; Research, development and statistics directorate, London, October 1999.
  • 46. Kingma M. Workplace violence in the health care sector: a problem of epidemic proportion. Int Nurs Rev. 2001; 48: 129-130.
  • 47. Sibbald B. Physician, protect thyself. Can Med Assoc J. 1998; 159 (8): 987-989.
  • 48. Estryn-Behar M, van der Heijden B, Camerino D, et al. Violence risks in nursing-results from the European ‘NEXT’ Study. Occup Med. 2008; 58: 107-114.
  • 49. Winstanley S, Whittington R. Aggression towards health care staff in a UK general hospital: variation among professions and departments. J Clin Nurs. 2004: 13(1): 3-10.
  • 50. Schablon A, Zeh A, Wendeler D, Peters Cet al. Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study. BMJ Open. 2012; 2(5): 18.
  • 51. Saarela KL, Isotalus N. Workplace Violence in Finland: High-risk groups and preventive strategies. A J Ind Med. Suppl. 1999; 1: 80-81.
  • 52. Gascón S, Martínez-Jarreta B, González- Andrade JF, et al. Aggression towards health care workers in Spain: a multi-facility study to evaluate the distribution of growing violence among professionals, health facilities and departments. Int J Occup Environ Health. 2009; 15(1): 29-35.
  • 53. Zampieron A, Galeazzo M, Turra S, et al. Perceived aggression towards nurses: study in two Italian health institutions. J Clin Nurs. 2010; 19: 2329-2341.
  • 54. Hodgson MJ, Reed R, Craig T, Murphy F, Lehmann L, Belton L, Warren N: Violence in healthcare facilities: lessons from the Veterans Health Administration. J Occup Environ Med. 2004; 46(11): 1158-65.
  • 55. Gerberich SG, Church TR, McGovern PM, ET AL. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occup Environ Med. 2004 61: 495-503.
  • 56. Kowalenko T, Walters BL, Khare RK, et al. Workplace violence: a survey of emergency physicians in the state of Michigan. Ann Emerg Med. 2005; 46:142-7.
  • 57. Fernandes CM, Bouthillette F, Raboud JM, et al. (1999) Violence in the emergency department: a survey of health care workers. CMAJ. 1999; 161: 1245-1248.
  • 58. Sibbald, B. Physician, protect thyself. Can Med Assoc J. 1998; 159 (8): 987-989.
  • 59. Hills DJ, Joyce CM, Humphreys JS. A national study of workplace aggression in Australian clinical medical practice. Med J Aust. 2012; 197(6): 336-340.
  • 60. Fujita S, Ito S, Seto K, et al. Risk factors of workplace violence at hospitals in Japan. J Hosp Med. 2012; 7: 79-84.
  • 61. Abbas MA, Fiala LA, Abdel Rahman AG, et al. Epidemiology of workplace violence against nursing staff in Ismailia Governorate, Egypt. J Egypt Public Health Assoc. 2010; 85(1-2): 29- 43.
  • 62. Ayrancı Ü, Yenilmez Ç, Günay Y, Kaptanoğlu C. Çeşitli sağlık kurumlarında ve sağlık meslek gruplarında şiddete uğrama sıklığı. Anadolu Psikiyatri Dergisi. 2002; 3: 147-154.
  • 63. Ayranci U. Violence toward health care workers in emergency departments in west Turkey. J Emerg Med. 2005; 28(3): 361-365.
  • 64. Ayranci U, Yenilmez C, Balci Y, Kaptanoglu C. Identification of violence in Turkish health care settings. J Interpers Violence. 2006; 21(2): 276- 296.
  • 65. Boz B, Acar K, Erdur B et al. Violence Toward Health Care Workers in Emergency Departments in Denizli, Turkey. Adv Ther. 2006; 23(2): 364-369.
  • 66. Senuzun EF, Karadakovan A. Violence towards nursing staff in emergency departments in one Turkish city. Int Nurs Rev. 2005; 52: 154-160.
  • 67. Erkol H, Gokdogan MR, Erkol Z, Boz B. Aggression and violence towards health care providers: A problem in Turkey? J Forensic Leg Med. 2007; 14: 423-428.
  • 68. Aydin B, Kartal M, Midik O, Buyukakkus A. Violence Against General Practitioners in Turkey. J Interpers Violence. 2009; 24: 1980- 1995.
  • 69. Gökçe T, Dündar C. Samsun Ruh ve Sinir Hastalıkları Hastanesinde çalışan hekim ve hemşirelerde şiddete maruziyet sıklığı ve kaygı düzeylerine etkisi. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008; 15: 25-28.
  • 70. Celik SS, Celik Y, Agirbas İ, Ugurluoglu O. Verbal and physical abuse against nurses in Turkey. Int Nurs Rev. 2007; 54: 359-366.
  • 71. Acik Y, Deveci SE, Gunes G, et al. Experience of workplace violence during medical speciality training in Turkey. Occup Med. 2008; 58: 361- 366.
  • 72. A safer place to work: protecting NHS hospital and ambulance staff from violence and aggression. House commons committee of public accounts. Thirty-ninth report of session 2002-2003.
  • 73. Schat ACH, Kelloway EK. The effect of perceived control on the outcomes of workplace aggression and violence. J Occup Health Psychol. 2000; 4: 386-402.
  • 74. Flannery RB, Hanson MA, Penk WE. Patients’ threats: Expanded definition of assault. Gen Hosp Psychiat. 1995; 17(6): 451-453.
  • 75. Dickson R, Cox T, Leather P, Beale D, Farnsworth B. Violence at work. Occupat Health Rev. 1993; 46: 22-24.
  • 76. Budd T. Violence at work: Findings from the British crime survey. London: Health and Safety Executive, 1999.
  • 77. Harrell E. Workplace violence, 1993-2009. Washington, DC: US Department of Justice, Bureau of Justice Statistics, National Crime Victimization Survey, 2011. Available at: http://bjs.ojp.usdoj.gov/content/pub/pdf/wv09.pdf Access date: March 20, 2013.
  • 78. Violence in the healthcare workplace. CME Resource. 2012; 26: 1-23.
TSK Koruyucu Hekimlik Bülteni-Cover
  • ISSN: 1303-734X
  • Yayın Aralığı: Yılda 8 Sayı
  • Başlangıç: 2002
  • Yayıncı: Gülhane Askeri Tıp Akademisi Halk Sağlığı AD.