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Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.

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TLDR
Exposure to WPV significantly affected the psychological stress, sleep quality and self-reported health of doctors in China and psychological stress partially mediated the relationship between work-related violence and health damage.
Abstract
Background Workplace violence (WPV) against healthcare workers is known as violence in healthcare settings and referring to the violent acts that are directed towards doctors, nurses or other healthcare staff at work or on duty. Moreover, WPV can cause a large number of adverse outcomes. However, there is not enough evidence to test the link between exposure to WPV against doctors, psychological stress, sleep quality and health status in China. Objectives This study had three objectives: (1) to identify the incidence rate of WPV against doctors under a new classification, (2) to examine the association between exposure to WPV, psychological stress, sleep quality and subjective health of Chinese doctors and (3) to verify the partial mediating role of psychological stress. Design A cross-sectional online survey study. Setting The survey was conducted among 1740 doctors in tertiary hospitals, 733 in secondary hospital and 139 in primary hospital across 30 provinces of China. Participants A total of 3016 participants were invited. Ultimately, 2617 doctors completed valid questionnaires. The effective response rate was 86.8%. Results The results demonstrated that the prevalence rate of exposure to verbal abuse was the highest (76.2%), made difficulties (58.3%), smear reputation (40.8%), mobbing behaviour (40.2%), intimidation behaviour (27.6%), physical violence (24.1%) and sexual harassment (7.8%). Exposure to WPV significantly affected the psychological stress, sleep quality and self-reported health of doctors. Moreover, psychological stress partially mediated the relationship between work-related violence and health damage. Conclusion In China, most doctors have encountered various WPV from patients and their relatives. The prevalence of three new types of WPV have been investigated in our study, which have been rarely mentioned in past research. A safer work environment for Chinese healthcare workers needs to be provided to minimise health threats, which is a top priority for both government and society.

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Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study

TL;DR: This study shows that health care workers in an Italian local health care facility are exposed to violence, and workplace violence was associated with high demand and psychological disorders, while job control, social support and organizational justice were protective factors.
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The impact of workplace violence on job satisfaction, job burnout, and turnover intention: the mediating role of social support

TL;DR: The results show a high prevalence of workplace violence in Chinese tertiary hospitals, which should not be ignored and the effects of social support on workplace behaviors suggest that it has practical implications for interventions to promote the stability of physicians’ teams.
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Workplace violence against healthcare professionals: A systematic review

TL;DR: The aim of this review is to examine the impact that exposure to workplace violence against healthcare professionals can produce, to improve healthcare professionals' knowledge about the consequences of workplace violence, and to guide future research in identifying strategies that could effectively reduce the incidence of workplaces violence.
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A systematic review of depression and anxiety in medical students in China

TL;DR: A systematic review and meta-analysis of depression or anxiety in medical students and related determinants in China found that gender, grade level, residence, satisfaction with current major and monthly household income per capita were significantly associated with depression.
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Impact of workplace violence and compassionate behaviour in hospitals on stress, sleep quality and subjective health status among Chinese nurses: a cross-sectional survey

TL;DR: It is found that WPV can damage nurses’ health outcomes, while compassionate behaviours were beneficial to their health outcomes.
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A safer work environment for Chinese healthcare workers needs to be provided to minimise health threats, which is a top priority for both government and society.