Violencia laboral
Objectives: Characterize the episodes of abuse, harassment and workplace violence suffered by members of the healthcare team and identify the main perpetrators. Methods and materials: Protocoled, observational, descriptive and transversal study, through a self-administrated, anonymous online survey...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=13771 |
| Sumario: | Objectives: Characterize the episodes of abuse, harassment and workplace violence suffered by members of the healthcare team and identify the main perpetrators. Methods and materials: Protocoled, observational, descriptive and transversal study, through a self-administrated, anonymous online survey that included open and closed questions about demographic variables, characteristics and impact of physical, verbal and psychological violence. Statistical analysis: measures of central tendency, dispersion, IC95%, Fisher´s exact test and ANOVA. Results: Surveys: 250. 72% women. Consider that they do the work of others 75%. 69% feels their work is sometimes valued by bosses. 80% considers that the salary is not consistent. Half believe that the prestige of the profession is regular, and that those responsible for improving it are the professionals themselves and the scientific societies. 67% has lived episodes of workplace violence; 23% more than 5 times. Verbal violence 65%, psychological violence 55% and 10% physical violence. The most frequent form of verbal violence: shouting, strong language and threats. Physical violence: pushing, knocking and punching 10%. Psychological violence: “destabilizing comments”, “isolate to degrade you”, “discriminate against you”, “exclude you”, “ignore you” and “not respect you”. Most frequent causes: lack of communication, values and training. It had an impact on the victim 61%. In 47% of cases the victim did nothing, 14% consulted with mental health services, 11% asked for a license and 5% responded violently. They didn’t denounce because nothing ever happens (50%), so as not to waste time (32%) and for not having proof (22%). 60% consider that the institution should have a protocol for conflict resolution, psychological care, confidential complaints, legal advice and rights information. 58% has felt victim of workplace harassment, 53% of psychological harassment, 16% economic harassment, 12% sexual harassment and 4% cyberbullying. In our establishment there is workplace harassment (56%) and sexual harassment (22%). The press´s approach to cases of medical errors made 40% feel anguish and 37% impotence. 66% consider that the quality of education is lower because requirement is taken as harassment or abuse. 22% has changed jobs because of workplace violence. Main perpetrators: family members 39%, health care system 28%, head of services and patients.19% admits to being an abuser. In a comparative analysis between doctors and not doctors, in the first group it was more common more episodes of workplace violence, and was less common psychological repercussion, to ask for a license, and to not denounce because “nothing ever happens” (p=0.001). Conclusions: Workplace violence is common in the health care team, with harassment of various types, poor institutional containment, and several perpetrators. Having a vocation should not be a risk. We should be able to work in favorable environments with the creation of innovative policies that allow professionals to be protected from these situations that not only harm the health care team but the whole health system as well. |
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