Objectives The purpose of the present study was to explore the characteristics of workplace violence that Chinese nurses at tertiary and county–level hospitals encountered in the 12 months from December 2014 to January 2016, to identify and analyse risk factors for workplace violence, and to establish the basis for future preventive strategies. Design A cross–sectional study. Setting A total of 44 tertiary hospitals and 90 county–level hospitals in 16 provinces (municipalities or autonomous regions) in China. Methods We used stratified random sampling to collect data from December 2014 to January 2016. We distributed 21 360 questionnaires, and 15 970 participants provided valid data (effective response rate=74.77%). We conducted binary logistic regression analyses on the risk factors for workplace violence among the nurses in our sample and analysed the reasons for aggression. Results The prevalence of workplace violence was 65.8%; of this, 64.9% was verbal violence, and physical violence and sexual harassment accounted for 11.8% and 3.9%, respectively. Frequent workplace violence occurred primarily in emergency and paediatric departments. Respondents reported that patients’ relatives were the main perpetrators in tertiary and county–level hospitals. Logistic regression analysis showed that respondents’ age, department, years of experience and direct contact with patients were common risk factors at different levels of hospitals. Conclusions Workplace violence is frequent in China’s tertiary and county–level hospitals; its occurrence is especially frequent in the emergency and paediatric departments. It is necessary to cope with workplace violence by developing effective control strategies at individual, hospital and national levels.

https://bmjopen.bmj.com/content/bmjopen/7/6/e013105.full.pdf

A cross-sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses.

Objective To describe hospital workplace violence to nursing staff and to identify the causes and the influencing factorsMethods A descriptive and correlative design was used in the studyBy cluster sampling,932 nursing staff from three hospitals in Shenzhen were surveyed with Hospital Workplace Violence QuestionnaireResults The overall incidence of workplace violence was 643% and the incidences of verbal violence,physical violence and sexual violence were 860%,209% and 115% respectivelyThe main causes contributing to workplace violence included misleading from media(811%),later recovery as expected(678%),unsatisfied request(648%) and long waiting time to see a doctor(519%)The influencing factors of workplace violence in hospital setting involved length of service,gender,educational background and coping styles of nursing staff(P005)Conclusion The overall incidence of hospital workplace violence maintains high levelCountermeasures to improve response capacities of nurse staff should be adopted so as to reduce workplace violence in hospital setting

Yan Jun-hui

Papers

Workplace Violence in Hospital Setting to Nursing Staff and Its Influencing Factors