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Prevalence of Type II and Type III Workplace Violence against Physicians: A Systematic Review and Meta-analysis

Behdin Nowrouzi-Kia1,2, Emily Chai2, Koyo Usuba3

  • 1Centre for Research in Occupational Safety and Health, School of Rural and Northern Health, Laurentian University, Sudbury, Ontario, Canada and Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Ontario, Canada. behdin@gmail.com.

The International Journal of Occupational and Environmental Medicine
|July 21, 2019
PubMed
Abstract

Insights

Workplace violence (WPV) is a common and under-reported hazard for doctors, affecting 69% of physicians. Addressing WPV requires organizational changes to protect healthcare professionals.

Area of Science:

  • Occupational Health
  • Public Health
  • Medical Practice

Background:

  • Workplace violence (WPV) is a significant global occupational hazard within the healthcare sector.
  • WPV is frequently under-reported, posing a substantial public health concern.

Purpose of the Study:

  • To investigate the types and prevalence of workplace violence experienced by physicians.
  • To synthesize existing research on WPV in the medical field.

Main Methods:

  • A systematic literature search was conducted across four major health databases (Ovid Medline, EMBASE, PsychoINFO, CINAHL).
  • The review adhered to PRISMA guidelines and utilized the Critical Appraisal Skills Programme checklist for study assessment.
  • A meta-analysis was performed on data from six selected studies.

Main Results:

  • A total of 13 articles were reviewed from 2154 retrieved records.
  • Key contributing factors to physician WPV include remote work locations, understaffing, patient/visitor stress, inadequate security, and lack of preventative measures.
  • The meta-analysis revealed an overall prevalence of WPV among physicians at 69% (95% CI 58% to 78%).

Conclusions:

  • Workplace violence has a profound and widespread impact on healthcare institutions and is highly prevalent among physicians.
  • There is a critical need to foster an organizational culture that implements protective measures for physician well-being.
Keywords:
Meta-analysis [publication type]Occupational medicinePhysiciansSystematic review [publication type]Workplace violence

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