Barra laterale dell'articolo

Scarica
Statistica
Leggi contatore : 571

Contenuto dell'articolo principale

Abstract

INTRODUZIONE: il personale sanitario risulta essere maggiormente a rischio di violenza durante l’orario lavorativo. Tuttavia, il problema è difficilmente inquadrabile, in quanto il numero di aggressioni viene spesso sottostimato. Per tale motivo l’obiettivo di questo studio è stato quello di analizzare le aggressioni fisiche, verbali e sessuali nel personale infermieristico ed identificarne i predittori.


METODI: Il disegno dello studio è stato di tipo cross sectional, cui campione era costituito da infermieri che esercitano nel territorio nazionale. Il gruppo di ricerca ha reclutato soggetti provenienti da vari setting ospedalieri, ambulatoriali o territoriali. I criteri per la partecipazione allo studio erano: (1) essere infermieri abilitati; (2) non essere in uno stato di inattività (es. pensionamento). La regressione lineare multipla è stata utilizzata per identificare le variabili predittive dell’aggressione fisica, verbale e sessuale.


RISULTATI: Il campione composto da 518 infermieri aveva un’età media di 37.5 anni. Prevalentemente il campione era costituito da soggetti di sesso femminile, con una scolarità media-alta. Circa il 90% del campione afferma di aver subito durante il proprio orario di servizio un’aggressione fisica, verbale e/o sessuale. Le persone con un livello di istruzione più basso, appartenenti alle regioni del sud sono soggetti più a rischio di un’aggressione fisica e verbale, mentre il sesso femminile è un predittore delle aggressioni a carattere sessuale.


CONCLUSIONI: I risultati di questo studio evidenziano come la violenza fisica, verbale e sessuale nel personale infermieristico sia una problematica non isolata ma altamente frequente, facendo parte della vita lavorativa quotidiana di molti operatori sanitari.

Parole chiave

workplace violence aggression health care violenza sui luoghi di lavoro aggressioni assistenza sanitaria

Dettagli dell'articolo

Come citare
Pucciarelli, G., Virgolesi, M., & Simeone, S. (2021). Fattori predittivi delle aggressioni nel personale sanitario: uno studio multicentrico. PROFESSIONI INFERMIERISTICHE, 73(4), 227–236. Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/871
Scarica citazione
Endnote/Zotero/Mendeley (RIS)
BibTeX

Riferimenti

  • Abo Ali, E. A., Saied, S. M., Elsabagh, H. M., & Zayed, H. A. (2015). Sexual harassment against nursing staff in Tanta University Hospitals, Egypt. J Egypt Public Health Assoc, 90(3), 94-100. doi:10.1097/01.EPX.0000470563.41655.71
  • Aguglia, A., Belvederi Murri, M., Conigliaro, C., Cipriani, N., Vaggi, M., Di Salvo, G., . . . Amore, M. (2020). Workplace Violence and Burnout Among Mental Health Workers. Psychiatr Serv, 71(3), 284-288. doi:10.1176/appi.ps.201900161
  • Aksakal, F. N., Karasahin, E. F., Dikmen, A. U., Avci, E., & Ozkan, S. (2015). Workplace physical violence, verbal violence, and mobbing experienced by nurses at a university hospital. Turk J Med Sci, 45(6), 1360-1368.
  • Arnetz, J. E., Hamblin, L., Ager, J., Luborsky, M., Upfal, M. J., Russell, J., & Essenmacher, L. (2015). Underreporting of Workplace Violence: Comparison of Self-Report and Actual Documentation of Hospital Incidents. Workplace Health Saf, 63(5), 200-210. doi:10.1177/2165079915574684
  • Berlanda, S., Pedrazza, M., Fraizzoli, M., & de Cordova, F. (2019). Addressing Risks of Violence against Healthcare Staff in Emergency Departments: The Effects of Job Satisfaction and Attachment Style. Biomed Res Int, 5430870. doi:10.1155/2019/5430870
  • Bizzarri, J. V., Piacentino, D., Kotzalidis, G. D., Moser, S., Cappelletti, S., Weissenberger, G., . . . Conca, A. (2020). Aggression and Violence Toward Healthcare Workers in a Psychiatric Service in Italy: A Retrospective Questionnaire-Based Survey. J Nerv Ment Dis, 208(4), 299-305. doi:10.1097/NMD.0000000000001126
  • Cabello, R., Gutierrez-Cobo, M. J., & Fernandez-Berrocal, P. (2017). Parental Education and Aggressive Behavior in Children: A Moderated-Mediation Model for Inhibitory Control and Gender. Front Psychol, 8, 1181. doi:10.3389/fpsyg.2017.01181
  • Chang, H. E., & Cho, S. H. (2016). Workplace Violence and Job Outcomes of Newly Licensed Nurses. Asian Nurs Res (Korean Soc Nurs Sci), 10(4), 271-276. doi:10.1016/j.anr.2016.09.001
  • Cheung, T., Lee, P. H., & Yip, P. S. F. (2017). Workplace Violence toward Physicians and Nurses: Prevalence and Correlates in Macau. Int J Environ Res Public Health, 14(8). doi:10.3390/ijerph14080879
  • Cotta, M., & Verzichelli, L. (2007). Political institutions in Italy. Oxford ; New York: Oxford University Press.
  • Cowman, S., Bjorkdahl, A., Clarke, E., Gethin, G., Maguire, J., & European Violence in Psychiatry Research, G. (2017). A descriptive survey study of violence management and priorities among psychiatric staff in mental health services, across seventeen european countries. BMC Health Serv Res, 17(1), 59. doi:10.1186/s12913-017-1988-7
  • Dhawde, R., Macaden, R., Saranath, D., Nilgiriwala, K., Ghadge, A., & Birdi, T. (2018). Antibiotic Resistance Characterization of Environmental E. coli Isolated from River Mula-Mutha, Pune District, India. Int J Environ Res Public Health, 15(6). doi:10.3390/ijerph15061247
  • Dourado, I., Guimaraes, M. D. C., Damacena, G. N., Magno, L., de Souza Junior, P. R. B., Szwarcwald, C. L., & Brazilian, F. S. W. G. (2019). Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil. BMC Int Health Hum Rights, 19(1), 8. doi:10.1186/s12914-019-0193-7
  • Falk, O., Wallinius, M., Lundstrom, S., Frisell, T., Anckarsater, H., & Kerekes, N. (2014). The 1% of the population accountable for 63% of all violent crime convictions. Soc Psychiatry Psychiatr Epidemiol, 49(4), 559-571. doi:10.1007/s00127-013-0783-y
  • Fallahi-Khoshknab, M., Oskouie, F., Najafi, F., Ghazanfari, N., Tamizi, Z., & Afshani, S. (2016). Physical violence against health care workers: A nationwide study from Iran. Iran J Nurs Midwifery Res, 21(3), 232-238. doi:10.4103/1735-9066.180387
  • Fallahi Khoshknab, M., Oskouie, F., Ghazanfari, N., Najafi, F., Tamizi, Z., Afshani, S., & Azadi, G. (2015). The Frequency, Contributing and Preventive Factors of Harassment towards Health Professionals in Iran. Int J Community Based Nurs Midwifery, 3(3), 156-164.
  • FNOPI. (2019, 27/03/2020). #RispettaChiTiAiuta: nasce dagli infermieri la campagna social contro la violenza sugli operatori sanitari. Retrieved from https://www.fnopi.it/2019/03/04/contro-la-violenza-sugli-operatori-sanitari/
  • Geoffrion, S., Goncalves, J., Marchand, A., Boyer, R., Marchand, A., Corbiere, M., & Guay, S. (2018). Post-traumatic Reactions and Their Predictors among Workers Who Experienced Serious Violent Acts: Are There Sex Differences? Ann Work Expo Health, 62(4), 465-474. doi:10.1093/annweh /wxy011
  • Guglielmetti, C., Gilardi, S., Licata, M., & De Luca, G. (2016). The healthcare operators' experience with aggressive patients and their visitors: a cross-sectional study in four clinical departments. Med Lav, 107(3), 223-234.
  • International Labour Office. (2002). Fremework guidelines for addressing workplace violence in the health care sector. Retrieved from https://www.who.int/violence_injury_ prevention/violence/interpersonal/en/WVguidelinesEN.pdf?ua=1&ua=1
  • Khademi Mofrad, S. H., & Mehrabi, T. (2015). The role of self-efficacy and assertiveness in aggression among high-school students in Isfahan. J Med Life, 8(Spec Iss 4), 225-231.
  • Kitaneh, M., & Hamdan, M. (2012). Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res, 12, 469. doi:10.1186/1472-6963-12-469
  • Lanctôt, N., & Guay, S. (2014). The aftermath of workplace violence among healthcare workers: A systematic literature review of the consequences. Aggression and Violent Behavior, 19(5), 492-501. doi:10.1016/j.avb.2014.07.010
  • Leape, L. L., Shore, M. F., Dienstag, J. L., Mayer, R. J., Edgman-Levitan, S., Meyer, G. S., & Healy, G. B. (2012). Perspective: a culture of respect, part 1: the nature and causes of disrespectful behavior by physicians. Acad Med, 87(7), 845-852. doi:10.1097/ACM.0b013e318258338d
  • Li, Y. L., Li, R. Q., Qiu, D., & Xiao, S. Y. (2020). Prevalence of Workplace Physical Violence against Health Care Professionals by Patients and Visitors: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health, 17(1). doi:10.3390/ijerph17010299
  • Liu, J. (2004). Concept analysis: aggression. Issues Ment Health Nurs, 25(7), 693-714. doi:10.1080/01612840490486755
  • Magnavita, N., & Heponiemi, T. (2012). Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC Health Serv Res, 12, 108. doi:10.1186/1472-6963-12-108
  • McNamara, S. A. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN J, 95(4), 535-540. doi:10.1016 /j.aorn.2012.01.020
  • Mercy, J. A., Hillis, S. D., Butchart, A., Bellis, M. A., Ward, C. L., Fang, X., & Rosenberg, M. L. (2017). Interpersonal Violence: Global Impact and Paths to Prevention. In rd, C. N. Mock, R. Nugent, O. Kobusingye, & K. R. Smith (Eds.), Injury Prevention and Environmental Health. Washington (DC).
  • Nelson, R. (2018). Sexual Harassment in Nursing: A Long-Standing, but Rarely Studied Problem. Am J Nurs, 118(5), 19-20. doi:10.1097/01.NAJ.0000532826.47647.42
  • Nielsen, M. B. D., Kjaer, S., Aldrich, P. T., Madsen, I. E. H., Friborg, M. K., Rugulies, R., & Folker, A. P. (2017). Sexual harassment in care work - Dilemmas and consequences: A qualitative investigation. Int J Nurs Stud, 70, 122-130. doi:10.1016/j.ijnurstu.2017.02.018
  • Nienhaus, A., Drechsel-Schlund, C., Schambortski, H., & Schablon, A. (2016). [Violence and discrimination in the workplace. The effects on health and setting-related approaches to prevention and rehabilitation]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 59(1), 88-97. doi:10.1007/s00103-015-2263-x
  • O'Rourke, M., Wrigley, C., & Hammond, S. (2018). Violence within mental health services: how to enhance risk management. Risk Manag Healthc Policy, 11, 159-167. doi:10.2147/RMHP.S131834
  • Pavolini, E., & Vicarelli, G. (2012). Is decentralization good for your health? Transformations in the Italian NHS. Current Sociology, 60(4), 472-488. doi:10.1177/0011392112438332
  • Pekurinen, V., Valimaki, M., Virtanen, M., Kivimaki, M., & Vahtera, J. (2019). Work Stress and Satisfaction with Leadership Among Nurses Encountering Patient Aggression in Psychiatric Care: A Cross-Sectional Survey Study. Adm Policy Ment Health, 46(3), 368-379. doi:10.1007/s10488-018-00919-6
  • Pekurinen, V., Willman, L., Virtanen, M., Kivimaki, M., Vahtera, J., & Valimaki, M. (2017). Patient Aggression and the Wellbeing of Nurses: A Cross-Sectional Survey Study in Psychiatric and Non-Psychiatric Settings. Int J Environ Res Public Health, 14(10). doi:10.3390/ijerph14101245
  • Pich, J. V., Kable, A., & Hazelton, M. (2017). Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage). Australas Emerg Nurs J, 20(3), 107-113. doi:10.1016/j.aenj.2017.05.005
  • Ramacciati, N., Ceccagnoli, A., Addey, B., & Rasero, L. (2018). Violence towards Emergency Nurses. The Italian National Survey 2016: A qualitative study. Int J Nurs Stud, 81, 21-29. doi:10.1016/j.ijnurstu.2018.01.017
  • Ramacciati, N., Gili, A., Mezzetti, A., Ceccagnoli, A., Addey, B., & Rasero, L. (2019). Violence towards Emergency Nurses: The 2016 Italian National Survey-A cross-sectional study. J Nurs Manag, 27(4), 792-805. doi:10.1111/jonm.12733
  • Ramacciati, N., & Rasero, L. (2019). [Violence in health sector: the contribution of Italian nursing research]. Prof Inferm, 72(4), 237-246. doi:10.7429/pi.2019.724237
  • Rosenstein, A. H., & O'Daniel, M. (2008). A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf, 34(8), 464-471. doi:10.1016/s1553-7250(08)34058-6
  • Rosenthal, L. J., Byerly, A., Taylor, A. D., & Martinovich, Z. (2018). Impact and Prevalence of Physical and Verbal Violence Toward Healthcare Workers. Psychosomatics, 59(6), 584-590. doi:10.1016/j.psym.2018.04.007
  • Rubio-Valera, M., Luciano, J. V., Ortiz, J. M., Salvador-Carulla, L., Gracia, A., & Serrano-Blanco, A. (2015). Health service use and costs associated with aggressiveness or agitation and containment in adult psychiatric care: a systematic review of the evidence. BMC Psychiatry, 15, 35. doi:10.1186/s12888-015-0417-x
  • Rutherford, A., Zwi, A. B., Grove, N. J., & Butchart, A. (2007). Violence: a glossary. J Epidemiol Community Health, 61(8), 676-680. doi:10.1136/jech.2005.043711
  • Schablon, A., Wendeler, D., Kozak, A., Nienhaus, A., & Steinke, S. (2018). Prevalence and Consequences of Aggression and Violence towards Nursing and Care Staff in Germany-A Survey. Int J Environ Res Public Health, 15(6). doi:10.3390/ijerph15061274
  • Schablon, A., Zeh, A., Wendeler, D., Peters, C., Wohlert, C., Harling, M., & Nienhaus, A. (2012). Frequency and consequences of violence and aggression towards employees in the German healthcare and welfare system: a cross-sectional study. BMJ Open, 2(5). doi:10.1136/bmjopen-2012-001420
  • Sellers, E. T., & Deans, C. (1999). Nurse education in Australian universities in a period of change: expectations of nurse academics for the year 2005. Nurse Educ Today, 19(1), 53-61. doi:10.1054/nedt.1999.0610
  • Shi, L., Zhang, D., Zhou, C., Yang, L., Sun, T., Hao, T., . . . Fan, L. (2017). A cross-sectional study on the prevalence and associated risk factors for workplace violence against Chinese nurses. BMJ Open, 7(6), e013105. doi:10.1136/bmjopen-2016-013105
  • Stutte, K., Hahn, S., Fierz, K., & Zuniga, F. (2017). Factors associated with aggressive behavior between residents and staff in nursing homes. Geriatr Nurs, 38(5), 398-405. doi:10.1016/j.gerinurse.2017.02.001
  • Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., . . . de Vet, H. C. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol, 60(1), 34-42. doi:10.1016/j.jclinepi.2006.03.012
  • Terzoni, S., Ferrara, P., Cornelli, R., Ricci, C., Oggioni, C., & Destrebecq, A. (2015). Violence and unsafety in a major Italian hospital: experience and perceptions of health care workers. Med Lav, 106(6), 403-411.
  • Tomas-Sabado, J., Maynegre-Santaularia, M., Perez-Bartolome, M., Alsina-Rodriguez, M., Quinta-Barbero, R., & Granell-Navas, S. (2010). [Burnout syndrome and suicide risk among primary care nurses]. Enferm Clin, 20(3), 173-178. doi:10.1016/j.enfcli.2010.03.004
  • Toth, F. (2014). How health care regionalisation in Italy is widening the North-South gap. Health Econ Policy Law, 9(3), 231-249. doi:10.1017/S1744133114000012
  • Wei, C. Y., Chiou, S. T., Chien, L. Y., & Huang, N. (2016). Workplace violence against nurses--prevalence and association with hospital organizational characteristics and health-promotion efforts: Cross-sectional study. Int J Nurs Stud, 56, 63-70. doi:10.1016/j.ijnurstu.2015.12.012
  • Xing, K., Jiao, M., Ma, H., Qiao, H., Hao, Y., Li, Y., . . . Wu, Q. (2015). Physical Violence against General Practitioners and Nurses in Chinese Township Hospitals: A Cross-Sectional Survey. PLoS One, 10(11), e0142954. doi:10.1371/journa l.pone.0142954
  • Zeh, A., Schablon, A., Wohlert, C., Richter, D., & Nienhaus, A. (2009). [Violence and aggression in care-related jobs--a literature overview]. Gesundheitswesen, 71(8-9), 449-459. doi:10.1055/s-0029-1192027