Abstract

Prevalence and Determinants of Workplace Violence of Health Care Workers in a Psychiatric Hospital in Taiwan: Wen-Ching Chen, et al. Yu-Li Hospital, Department of Health, Executive Yuan, Taiwan—Workplace violence, a possible cause of job stress, has recently become an important concern in occupational health. This study determined the prevalence of workplace violence and its risk factors for employees at a psychiatric hospital in Taiwan. A questionnaire developed by ILO/ICN/WHO/PSI was first translated and validated. It was then used to survey the prevalence of workplace violence in the last 12 months experienced by all nursing aides, nurses, and clerks at the hospital. Multiple logistic regression models were constructed to discover the determinants of violence. A total of 222 out of 231 surveyed workers completed a valid questionnaire. The one-year prevalence rates of physical violence (PV), verbal abuse, bullying/mobbing, sexual harassment, and racial harassment were 35.1, 50.9, 15.8, 9.5, and 4.5%, respectively. The prevalence of PV at this hospital was higher than that reported by other countries for the health sector. A high anxiety level was associated with the occurrence of PV. These results need to be corroborated by future investigation. A training program may be required for high risk groups to reduce workplace violence.

References

1

DHHS (NIOSH) Publication 2002–101.

Violence: occupational hazards in hospitals
.
Washington, DC
:
National Institute of Occupational Safety and Health
,
2002
.

2

Wilkinson
 
CW
:
The role of the occupational health professional in preventing workplace violence
.
Clin Occup Environ Med
 
3
,
659
672
(
2003
)

3

Shen
 
HC
,
Cheng
 
Y
,
Tsai
 
PJ
,
Lee
 
SH
and
Guo
 
YL
:
Occupational stress in nurses in psychiatric institutions in Taiwan
.
J Occup Health
 
47
,
218
225
(
2005
)

4

Wright
 
RJ
and
Steinbach
 
SF
:
Violence: an unrecognized environmental exposure that may contribute to greater asthma morbidity in high risk inner-city populations
.
Environ Health Persp
 
109
,
1085
1089
(
2001
)

5

ILO/ICN/WHO/PSI
.
Framework guidelines for addressing workplace violence in the health sector
.
Geneva
:
ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in Health Sector
,
2002
.

6

OSHA (NIOSH) Report 3148.

Guidelines for preventing workplace violence for health care and social service workers
.
Washington, DC
:
US Department of Labor
,
1996
.

7

Di Martino
 
V
.
Workplace violence in the health sector-country case studies Brazil, Bulgaria, Lebanon, Portugal, South Africa, Thailand, plus an additional Australian study: synthesis report
.
Geneva
:
ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in Health Sector
,
2002
.

8

Whittington
 
R
,
Shuttleworth
 
S
and
Hill
 
L
:
Violence to staff in a general hospital setting
.
J Adv Nurs
 
24
,
326
333
(
1996
)

9

Kwok
 
RP
,
Law
 
YK
,
Li
 
KE
,
Ng
 
YC
,
Cheung
 
MH
,
Fung
 
VK
,
Kwok
 
KT
,
Tong
 
JM
,
Yen
 
PF
and
Leung
 
WC
:
Prevalence of workplace violence against nurses in Hong Kong
.
Hong Kong Med J
 
12
,
6
9
(
2006
)

10

Chen
 
ZH
,
Wang
 
SY
and
Jing
 
CX
:
Prevalence of workplace violence in staff of two hospitals in Guangzhou
.
Chinese J Prev Med
 
37
,
358
360
(
2003
) (in Chinese)

11

May
 
DD
and
Grubbs
 
LM
:
The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center
.
J Emergency Nursing
 
28
,
11
17
(
2002
)

12

Privitera
 
M
,
Weisman
 
R
,
Cerulli
 
C
,
Tu
 
X
and
Groman
 
A
:
Violence toward mental health staff and safety in the work environment
.
Occup Med (Lond)
 
55
,
480
486
(
2005
)

13

Atawneh
 
FA
,
Zahid
 
MA
,
Al-Sahlawi
 
KS
,
Shahid
 
AA
and
Al-Farrah
 
MH
:
Violence against nurses in hospitals: prevalence and effects
.
Br J Nurs
 
12
,
102
107
(
2003
)

14

Lin
 
YH
and
Liu
 
HE
:
The impact of workplace violence on nurses in South Taiwan
.
Int J Nurs Stud
 
42
,
773
778
(
2005
)

15

Lam
 
JN
,
McNiel
 
DE
and
Binder
 
RL
:
The relationship between patients’ gender and violence leading to staff injuries
.
Psychiatr Serv
 
51
,
1167
1170
(
2000
)

16

Lowenstein
 
M
,
Binder
 
RL
and
McNiel
 
DE
:
The relationship between admission symptoms and hospital assaults
.
Hosp Community Psychiatry
 
41
,
311
313
(
1990
)

17

Miller
 
R
,
Zadolinnyj
 
K
and
Hafner
 
RJ
:
Profiles and predictors of assaultiveness for different psychiatric ward populations
.
Am J Psychiatry
 
150
,
1368
1373
(
1993
)

18

Nijman
 
H
,
Merckelbach
 
H
,
Evers
 
C
,
Palmstierna
 
T
and
Campo
 
J
:
Prediction of aggression on a locked psychiatric admissions ward
.
Acta Psychiatr Scand
 
105
,
390
395
(
2002
)

19

Wessely
 
SC
,
Castle
 
D
,
Douglas
 
AJ
and
Taylor
 
PJ
:
The criminal careers of incident cases of schizophrenia
.
Psychol Med
 
24
,
483
502
(
1994
)

20

Anderson
 
C
:
Workplace violence: are some nurses more vulnerable?
 
Issues Ment Health Nurs
 
23
,
351
366
(
2002
)

21

Di Martino
 
V
.
Relationship of work stress and workplace violence in health sector
.
Geneva
:
ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in Health Sector
,
2002
.

22

Chen
 
WC
,
Wang
 
JD
,
Lew-Ting
 
CY
,
Chiu
 
HJ
and
Lin
 
YP
:
Workplace violence on workers caring for long-term institutionalized schizophrenic patients in Taiwan
.
J Occup Health
 
49
,
311
316
(
2007
)

23

Frances
 
A
.
Diagnostic and statistical manuals of mental disorders, fourth edition (DSM-IV)
.
Washington, DC
:
American Psychiatric Association
,
1994
.

24

Gerberich
 
SG
,
Church
 
TR
,
McGovern
 
PM
,
Hansen
 
HE
,
Nachreiner
 
NM
,
Geisser
 
MS
,
Ryan
 
AD
,
Mongin
 
SJ
and
Watt
 
GD
:
An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study
.
Acta Psychiatr Scand
 
61
,
495
503
(
2004
)

25

Eriksen
 
W
:
Practice area and work demands in nurses’ aides: a cross-sectional study
.
BMC Public Health
 
6
,
97
(
2006
)

26

Hurrell
 
JJ
. Job stress, gender and workplace violence: analysis of assault experiences of state employees. In:
VandenBos
 
GR
,
Bulatao
 
EQ
, eds.
Violence on the job
.
Washington, DC
:
Americal Psychological Association
,
1997
.

27

Peek-Asa
 
C
and
Jenkins
 
L
:
Workplace violence: how do we improve approaches to prevention?
 
Clin Occup Environ Med
 
3
,
659
672
(
2003
)

28

Caldwell
 
MF
:
Incidence of PTSD among staff victims of patient violence
.
Hosp Community Psychiatry
 
43
,
838
839
(
1992
)

29

Farrell
 
G
and
Cubit
 
K
:
Nurses under threat: a comparison of content of 28 aggression management programs
.
Int J Ment Health Nurs
 
14
,
44
53
(
2005
)

This content is only available as a PDF.
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/pages/standard-publication-reuse-rights)