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VOLUME 23 , ISSUE 7 ( July, 2019 ) > List of Articles

Original Article

Questionnaire-based Evaluation of Factors Leading to Patient-physician Distrust and Violence against Healthcare Workers

Parshotam Lal Gautam, Sarit Sharma, Amandeep Kaur, Neha Bhatia, Gurpreet Singh, Paawanjot Kaur, Anhad Kumar

Keywords : Communication, Healthcare workers (HCWs), Patient physician distrust, Workplace Violence (WPV)

Citation Information : Gautam PL, Sharma S, Kaur A, Bhatia N, Singh G, Kaur P, Kumar A. Questionnaire-based Evaluation of Factors Leading to Patient-physician Distrust and Violence against Healthcare Workers. Indian J Crit Care Med 2019; 23 (7):302-309.

DOI: 10.5005/jp-journals-10071-23203

License: CC BY-NC 4.0

Published Online: 00-07-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Rising incidents of aggression and violence against healthcare workers (HCWs) is widening the rift between the patients and their caregivers. So, aim of the study was to evaluate the perceptions of healthcare workers (HCWs) and patient\'s attendants about factors responsible for widespread violence and patient-physician distrust. Materials and methods: An anonymous, questionnaire-based, cross-sectional study was conducted over a period of one year in a tertiary care teaching institute. Performas, adapted from WHO published questionnaire and translated to local language, were administered separately to HCWs and attendants. Responses generated were collected and analyzed. Results: Out of 295 HCWs, 11 (3.7%) HCWs faced physical violence, whereas verbal abuse was faced by 147 (50%) HCWs. A higher number of incidents of physical violence (91%) and verbal abuse (64%) were faced by HCWs in the age group of 20-30 years. Verbal abuse was faced by 49.3% of nurses, 53% of junior residents, 61% of senior residents and 36% of consultants. Out of 158 incidents of workplace violence (WPV), maximum occurred in ICUs (62.0%) and emergency (21%). Unexpected death, unexpected complication, extended hospital stay, staff shortage and unexpected bill were some of the factors perceived to be responsible for WPV. Conclusion: HCWs commonly face violence from patient\'s attendants resulting in stressful and fearful environment at the healthcare facility. Dedicated sessions on good communication and counseling for HCWs and better security arrangements at the hospitals are the need of the hour and also in the best interest of HCWs and patients.


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  1. Nelson R. Tackling violence against healthcare workers. Lancet 2014;Vol 383 https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(14)60658-9.pdf (last cited on 22nd October 2018)
  2. WHO. Violence against health workers. Available at http://www.who.int/violence_injury_prevention/violence/workplace/en/ (last cited on 22nd October 2018)
  3. Ambesh P. Violence against doctors in the Indian subcontinent: A rising bane. Indian Heart Journal 2016; 68(5): 749-750.
  4. Doctors strike against attack on 2 medicos in Panvel hospital. Available at https://timesofindia.indiatimes.com/city/navi-mumbai/Doctors-strike-against-attack-on-2-medicos-in-Panvel-hospital/articleshow/46818678.cms(last cited on 28th October, 2018)
  5. Assault on doctor in Dhule: Police say more offenders identified arrests soon. Available at https://indianexpress.com/article/india/assault-on-doctor-in-dhule-police-say-more-offenders-identified-arrests-soon-4572423/(last cited on 28th October,2018)
  6. Husband of dead patient kills doctor- The Hindu. Jan4, 2012. Available at https://www.thehindu.com/news/cities/chennai/husband-of-dead-patient-kills-doctor/article2774115.ece (last cited on 28th October,2018)
  7. Boy dies during treatment, irate relatives ransack clinic, residence. Times of India 15 May 2014. Available at https://timesofindia.indiatimes.com/city/chandigarh/Boy-dies-during-treatment-irate-relatives-ransack-clinic-residence/articleshow/35135683.cms(last cited on 28thOctober,2018)
  8. Workplace violence in the health sector – WHO - Country case studies research instruments, Survey Questionnaire. Available athttps://www.who.int/violence_injury_prevention/violence/interpersonal/en/WVquestionnaire.pdf?ua=1 (last cited on 18th Nov, 2018)
  9. Global campaign for violence prevention. World Health Organization. Available at https://www.who.int/violence_injury_prevention/violence/global_campaign/gcvp_plan_of_action.pdf (last cited on 14th Jan,2019)
  10. Xu XY, Gao W, Zhang AJ, Huang J, Cui M, Zhao W. What has shaken the determination of medical students to become a doctor? Chinese Med J. 2017;130 (8):1001.
  11. Gerberich SG, Church TR, McGovern PM, et al. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occup Environ Med 2004; 61: 495-503.
  12. Duncan S, Estabrooks CA, Reimer M. Violence against nurses. Alta RN 2000; 56: 13-14.
  13. Chinese doctors are under threat. Lancet 2010; 376:657.https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(10)61315-3/fulltext (last cited on 25th Dec,2018)
  14. Mirza NM, Amjad AI, Bhatti AB, tuz Zahra Mirza F, Shaikh KS, Kiani J, et al. Violence and abuse faced by junior physicians in the emergency department from patients and their caretakers: A nationwide study from Pakistan. J Emerg Med 2012; 42:727–733.
  15. Imran N, Pervez MH, Farooq R, Asghar AR. Aggression and violence towards medical doctors and nurses in a public healthcare facility in Lahore, Pakistan: A preliminary investigation. Khyber Med Univ J 2013;5:179–1784.
  16. Vorderwülbecke F, Feistle M, Mehring M, Schneider A, Linde K. Aggression and violence against primary care physicians-A nationwide questionnaire survey. Dtsch Arztebl Int. 2015;112: 159–165.
  17. Kumar M, Verma M, Das T, Pardeshi G, Kishore J, Padmanandan A. A Study of Workplace Violence Experienced by Doctors and Associated Risk Factors in a Tertiary Care Hospital of South Delhi, India. J Clin Diagn Res. 2016;10: LC06–10.
  18. James P Phillips. Workplace Violence against Healthcare Workers in the United States. N Engl J Med 2016;374:1661-1669.
  19. Siddhartha P Kar. Addressing underlying causes of violence against doctors in India. The Lancet 2017 ; 389 (10083): 1979-1980.
  20. Tucker JD, Cheng Y, Wong B, Gong N, Nie JB, Zhu W, et al. Patient–physician mistrust and violence against physicians in Guangdong Province, China: a qualitative study. BMJ Open 2015;5: e008221.
  21. Ranjan P, Kumari A, Chakrawarty A. How can Doctors Improve their Communication Skills? J Clin Diagn Res. 2015; 9(3): JE01–JE04.
  22. Sachan D. Tackling corruption in Indian medicine. Lancet 2013; 382 (9905):e23–e24.
  23. Mukul Chandra Kapoor. Violence against the medical profession. J Anaesthesiol Clin Pharmacol. 2017 Apr-Jun; 33(2): 145–147.
  24. Mishra S. Violence against doctors: The Class Wars. Indian Heart Journal 2015;167: 289-292.
  25. Violence against doctors. Medicolegal newsletter. October 2017, available at https://legalmd.in/news_details/673-violence_against_doctors (last cited on 22nd Feb, 2019)
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