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Tracking Workplace Violence over 20 Years.

Nicola Magnavita1, Igor Meraglia1, Giacomo Viti1

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International Journal of Environmental Research and Public Health
|November 27, 2024
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Summary
This summary is machine-generated.

Violence against healthcare workers (HCWs) is a significant issue. A health surveillance system effectively monitored and assessed violence, revealing lower rates during the COVID-19 pandemic due to implemented safety measures.

Keywords:
COVID-19aggressionharassmenthealth surveillancelongitudinal studymethodologyoccupational epidemiologyparticipatory methodspreventionrisk assessmentthreat

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Area of Science:

  • Occupational Health
  • Public Health Surveillance
  • Workplace Violence Prevention

Background:

  • Violence against healthcare workers (HCWs) is a pervasive and underreported problem globally.
  • Existing systems for assessing workplace violence are often inefficient.
  • There is a need for reliable methods to monitor and prevent violence in healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of a health surveillance system in monitoring violence against HCWs.
  • To analyze trends in physical assaults, threats, and harassment experienced by HCWs.
  • To identify factors contributing to changes in violence rates, particularly during the COVID-19 pandemic.

Main Methods:

  • Implementation of a violence monitoring system using the Violent Incident Form (VIF) integrated with participatory ergonomics.
  • In-depth departmental analyses to assess the extent of violence.
  • Longitudinal data collection over twenty years (2005-2024) through periodic medical examinations.

Main Results:

  • Annual rates of physical assaults, threats, and harassment were recorded.
  • Violence rates fluctuated between 2005-2024, with significant decreases during the COVID-19 pandemic (2020-2021).
  • HCWs attributed reduced violence during the pandemic to limited visitor access, balanced service demand, and improved attitudes.

Conclusions:

  • Health surveillance is an economical, reliable, and sustainable method for assessing workplace violence risks.
  • The study highlights the importance of integrated surveillance systems for understanding and mitigating violence against HCWs.
  • Findings suggest that specific interventions can effectively reduce workplace violence in healthcare settings.