Çocuk sağlığı ve hastalıkları kliniğinde sağlık çalışanlarına yönelik şiddet: Üçüncü düzey bir hastane örneği

Amaç: Sağlıkta şiddet toplum huzurunu tehdit eden önemli halk sağlığısorunudur. Çalışmamızda kliniğimizde çalışanların son bir yıl içerisinde şiddete maruz kalma durumları, şiddetle ilgili görüş ve tutumlarınınincelenmesi amaçlandı.Gereç ve Yöntemler: Çalışma kesitsel olarak yapıldı. Çocuk Sağlığı veHastalıkları Anabilim Dalı’ndaki sağlık çalışanlarının tümüne Arnetz(1998) tarafından geliştiren “Şiddet Olay Formu” anketi uygulandı.Bulgular: Çalışmaya toplam 182 sağlık çalışanı alındı. Katılımcıların14’ü (%7,7) öğretim üyesi, 37’si (%20,3) asistan doktor, 24’ü (%13,2)intörn doktor, 70’i (%38,5) hemşire, 10’u (%5,5) tıbbı sekreter, 27’si(%14,8) sağlık çalışanıydı. Kadın/erkek oranı 143/39 idi. Çalışanların79’u (%43,4) son bir yıl içinde en az bir kez şiddete maruz kalmıştı. Şiddete maruz kalanların %72’si kadın ve 28’i (%35) hemşire, 21’i(%27) asistan doktor, 16’sı (%20) intörn doktor, beşi (%6,5) öğretimüyesi, beşi (%6,5) yardımcı sağlık çalışanı, dördü (%5) tıbbi sekreterdi. Doktorların daha fazla şiddete maruz kaldığı görüldü (p

Violence against health employees in a child health and diseases clinic: A tertiary-level hospital example

Aim: Violence in health is an important public health problem that threatens community peace. In our study, it was aimed to examine the state of exposure to violence among employees in our clinic in the last one year and our employees’ opinions and attitudes about violence. Material and Methods: The study was performed cross-sectionally. In this study the Violent Incident Form developed by Arnetz (1998) was used as a data collection tool. Results: A total of 182 healthcare workers were included in the study. Of the participants, 14 (7.7%) were faculty members, 37 (20.3%) were physicians, 24 (13.2%) were interns, 70 (38.5%) were nurses, 10 (5.5%) were medical secretaries, and 27 (14.8%) were ancillary health personnel. The female/male ratio was 143/39. Seventy-nine (43.4%) of the employees had been exposed to violence at least once in the last year. Of those experiencing violence, 57 (72%) were female, 28 (35%) were nurses, 21 (27%) were residents, 16 (20%) were interns, five (6.5%) were faculty members, five (6.5%) were allied health personnel, and four (5%) were medical secretaries. Physicians were exposed to violence with a higher rate (p

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1. Saines JC. Violence and aggression in A & E: recommendations for action. Accid Emerg Nurs 1999; 7: 8−12.
2. International Council of Nurses, Public Services International, World Health Organization, International Labor Organization. Frame work guidelines for addressing work place violence in the health sector: The training manual. Geneva 2005.
3. Arnetz JE. The Violent Incident Form (VIF): A practical instrument for the registration of violent incidents in the healthcare work place. Work and Stress 1998; 12: 17−28.
4. Ayranci U, Yenilmez C, Balci Y, Kaptanoglu C. Identification of violence in Turkish health care settings. J Interpers Violence 2006; 21: 276−96.
5. Pinar T, Acikel C, Pinar G, et al. Workplace Violence in the Health Sector in Turkey: A National Study. J Interpers Violence 2017; 32: 2345−65.
6. Taş F, Çevik Ü. Konya ilindeki pediatri hemşirelerinin şiddete maruz kalma durumları. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006; 9: 62−8.
7. Yakut Hİ, Yalçın Burhan B, Çiftçi A, Orhan MF. Sağlıkta güvenlik ve fiziksel şiddet: Ankara Çocuk Sağlığı ve Hastalıkları Hematoloji Onkoloji Eğitim Ve Araştırma Hastanesi’nden bir çalışma. Türkiye Çocuk Hast Derg 2012; 6: 146−54.
8. Kaya S, Bilgin Demir İ, Karsavuran S, Ürek D, İlgün G. Violence Against Doctors and Nurses in Hospitals in Turkey. J Forensic Nurs 2016; 12: 26−34.
9. Winstanley S, Whittington R. Violence in a general hospital: comparison of assailant and other assault-related factors on accident and emergency and inpatient wards. Acta Psychiatr Scand Suppl 2002; 106: 144−7.
10. Egici MT, Öztürk GZ. Beyaz Kod Verileri Işığında Sağlık Çalışanlarına Yönelik Şiddet. Ankara Med J 2018; 2: 224−31.
11. Gillespie GL, Gates DM, Miller M, Howard PK. Workplace violence in healthcare settings: risk factors and protective strategies. Rehabil Nurs 2010; 35: 177−84.
12. Özcan F, Yavuz E. Türkiye’de sağlık çalışanları şiddet tehdidi altında. J Turk Fam Phy 2017; 08: 66−74.
13. Bayram B, Çetin M, Çolak Oray N, Can İÖ. Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey. BMJ Open 2017; 7: e013568.
14. Özdemir Takak S, Baydar Artantaş A. Evaluation of Patients’ and Their Relatives’ Opinions and Attitudes About Violence Against Health Care Workers. Ankara Med J 2018; 1: 103−16.
15. Young GP. The agitated patient in the emergency department. Emerg Med Clin North Am 1987; 5: 765−81.
16. Annagür B. Violence Towards Health Care Staff: Risk Factors, Aftereffects, Evaluation and Prevention. Current Approaches in Psychiatry 2010; 2: 161−73.
17. Kitaneh M, Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Services Research 2012; 12: 469.
18. Keser Özcan N, Bilgin H. Violence towards healthcare workers in Turkey: a systematic review. Türkiye Klinikleri J Med Sci 2011; 31: 1442−56.