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The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker Health ® Approach in a Hospital

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  • Reparata Rosa Di Prinzio

    (Alta Scuola di Economia e Management dei Sistemi Sanitari (ALTEMS), Università Cattolica del Sacro Cuore, 00168 Rome, Italy
    Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Giorgia Bondanini

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Federica De Falco

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Maria Rosaria Vinci

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Vincenzo Camisa

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Annapaola Santoro

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Marcello De Santis

    (Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Massimiliano Raponi

    (Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy)

  • Guendalina Dalmasso

    (Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy
    These authors contributed equally to this work and share last authorship.)

  • Salvatore Zaffina

    (Occupational Medicine Function Unit, Health Directorate, Bambino Gesù Children’s Hospital IRCCS, 00165 Rome, Italy
    These authors contributed equally to this work and share last authorship.)

Abstract

The risk of aggression against healthcare workers (HCWs) is a globally well-known topic. However, workplace violence (WV) is often considered as part of HCW’s job, leading to a general underreporting. This cross-sectional study aims at providing a descriptive analysis of aggressive acts against HCWs registered in a 34-month period in a pediatric hospital. According to a specific protocol, each aggressive act was analyzed by a multidisciplinary team using the “Modified Overt Aggression Scale” (MOAS), the “General Health Questionnaire-12” (GHQ-12), and the “Short Form-36 Health Survey” (SF-36) to build a report addressing improvement measures. A three-domain model of WV was also developed considering: (1) assaulted HCWs, (2) attacker-related issues, and (3) environmental context. Contributing factors to overt aggression were outlined and tested using univariate analyses. Statistically significant factors were then included in a multiple linear regression model. A total of 82 aggressive acts were registered in the period. MOAS scores registered a mean value of 3.71 (SD: 4.09). Verbal abuse was the most common form of WV. HCWs professional category, minor psychiatric disorder, emotional role limitation, type of containment used, and emotion intensity were significantly associated with overt aggression ( p < 0.05), as well as the attacker’s role in the hospital ( p < 0.05). The multiple regression analysis confirmed these findings ( p < 0.001). Raising awareness on the aggression risk and contributing factors may lead to a relevant improvement of workplace environment, individual workers’ health, and organizational well-being.

Suggested Citation

  • Reparata Rosa Di Prinzio & Giorgia Bondanini & Federica De Falco & Maria Rosaria Vinci & Vincenzo Camisa & Annapaola Santoro & Marcello De Santis & Massimiliano Raponi & Guendalina Dalmasso & Salvator, 2022. "The Management of Workplace Violence against Healthcare Workers: A Multidisciplinary Team for Total Worker Health ® Approach in a Hospital," IJERPH, MDPI, vol. 20(1), pages 1-10, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:196-:d:1012492
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    References listed on IDEAS

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    1. Jose Miguel Giménez Lozano & Juan Pedro Martínez Ramón & Francisco Manuel Morales Rodríguez, 2021. "Doctors and Nurses: A Systematic Review of the Risk and Protective Factors in Workplace Violence and Burnout," IJERPH, MDPI, vol. 18(6), pages 1-19, March.
    2. Sylvie Vincent-Höper & Maie Stein & Albert Nienhaus & Anja Schablon, 2020. "Workplace Aggression and Burnout in Nursing—The Moderating Role of Follow-Up Counseling," IJERPH, MDPI, vol. 17(9), pages 1-12, May.
    3. Patricia Gray & Sipho Senabe & Nisha Naicker & Spo Kgalamono & Annalee Yassi & Jerry M. Spiegel, 2019. "Workplace-Based Organizational Interventions Promoting Mental Health and Happiness among Healthcare Workers: A Realist Review," IJERPH, MDPI, vol. 16(22), pages 1-22, November.
    4. Cristina Civilotti & Sabrina Berlanda & Laura Iozzino, 2021. "Hospital-Based Healthcare Workers Victims of Workplace Violence in Italy: A Scoping Review," IJERPH, MDPI, vol. 18(11), pages 1-17, May.
    5. Nicola Magnavita & Francesco Chirico & Sergio Garbarino & Nicola Luigi Bragazzi & Emiliano Santacroce & Salvatore Zaffina, 2021. "SARS/MERS/SARS-CoV-2 Outbreaks and Burnout Syndrome among Healthcare Workers. An Umbrella Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
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