Understanding Workplace Violence Against Medical Staff in China: A Retrospective Review of Publicly Available Reports

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aut.relation.articlenumber660
aut.relation.issue1
aut.relation.journalBMC Health Serv Res
aut.relation.startpage660
aut.relation.volume23
dc.contributor.authorHe, Yumei
dc.contributor.authorHolroyd, Eleanor
dc.contributor.authorKoziol-McLain, Jane
dc.date.accessioned2023-07-11T02:26:04Z
dc.date.available2023-07-11T02:26:04Z
dc.date.issued2023-06-20
dc.description.abstractBACKGROUND: Workplace violence against medical staff in China is a widespread problem that has negative impacts on medical service delivery. The study aimed to contribute to the prevention of workplace violence against medical staff in China by identifying patterns of workplace violence, key risk factors, and the interplay of risk factors that result in workplace violence. METHODS: Ninety-seven publicly reported Chinese healthcare violent incidents from late 2013 to 2017 were retrospectively collected from the internet and analysed using content analysis. A modified socio-ecological model guided analysis of the violent incidents focusing on risk. RESULTS: Physical violence, yinao, or a combination of physical and verbal violence were the typical forms of violence reported. The findings identified risk at all levels. Individual level risk factors included service users' unreasonable expectations, limited health literacy, mistrust towards medical staff, and inadequacy of medical staff's communication during the medical encounter. Organisational level risk factors under the purview of hospital management included problems with job design and service provision system, inadequacies with environmental design, security measures, and violence response mechanisms within hospitals. Societal level risk factors included lack of established medical dispute-handling mechanisms, problems in legislation, lack of trust and basic health literacy among service users. Situational level risks were contingent on risk factors on the other levels: individual, organisational, and societal. CONCLUSIONS: Interventions at individual, situational, organisational, and societal levels are needed to systematically address workplace violence against medical staff in China. Specifically, improving health literacy can empower patients, increase trust in medical staff and lead to more positive user experiences. Organizational-level interventions include improving human resource management and service delivery systems, as well as providing training on de-escalation and violence response for medical staff. Addressing risks at the societal level through legislative changes and health reforms is also necessary to ensure medical staff safety and improve medical care in China.
dc.identifier.citationBMC Health Serv Res, ISSN: 1472-6963 (Print); 1472-6963 (Online), Springer Science and Business Media LLC, 23(1), 660-. doi: 10.1186/s12913-023-09577-3
dc.identifier.doi10.1186/s12913-023-09577-3
dc.identifier.issn1472-6963
dc.identifier.issn1472-6963
dc.identifier.urihttp://hdl.handle.net/10292/16412
dc.languageeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.urihttps://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09577-3
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectChina
dc.subjectCommunication
dc.subjectHealthcare
dc.subjectManagement
dc.subjectPatient experience
dc.subjectPatient-centred care
dc.subjectPhysician-patient relations
dc.subjectSocio-ecological model
dc.subjectTrust
dc.subjectWorkplace violence
dc.subject4203 Health Services and Systems
dc.subject42 Health Sciences
dc.subjectPrevention
dc.subjectClinical Research
dc.subjectPatient Safety
dc.subjectViolence Research
dc.subject3.1 Primary prevention interventions to modify behaviours or promote wellbeing
dc.subject8 Health and social care services research
dc.subject3 Prevention of disease and conditions, and promotion of well-being
dc.subject8.1 Organisation and delivery of services
dc.subjectMental health
dc.subject16 Peace, Justice and Strong Institutions
dc.subject0807 Library and Information Studies
dc.subject1110 Nursing
dc.subject1117 Public Health and Health Services
dc.subjectHealth Policy & Services
dc.subject4203 Health services and systems
dc.subject4205 Nursing
dc.subject4206 Public health
dc.subject.meshHumans
dc.subject.meshWorkplace Violence
dc.subject.meshRetrospective Studies
dc.subject.meshMedical Staff
dc.subject.meshPatients
dc.subject.meshChina
dc.subject.meshWorkplace
dc.subject.meshHumans
dc.subject.meshRetrospective Studies
dc.subject.meshMedical Staff
dc.subject.meshPatients
dc.subject.meshWorkplace
dc.subject.meshChina
dc.subject.meshWorkplace Violence
dc.titleUnderstanding Workplace Violence Against Medical Staff in China: A Retrospective Review of Publicly Available Reports
dc.typeJournal Article
pubs.elements-id510635
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