Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China

Li Lu, Ka In Lok, Ling Zhang, Ailing Hu, Gabor S. Ungvari, Daniel T. Bressington, Teris Cheung, Feng Rong An, Yu Tao Xiang

Research output: Contribution to journalArticle

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Abstract

Objective: Workplace violence (WPV) is common in mental health services in China, but its multi-center prevalence measured using standardized rating scales has rarely been reported. This study aimed to explore the prevalence of verbal and physical violence against nurses working in psychiatric hospitals and examine its independent socio-demographic correlates in China. Methods: This was a cross-sectional study conducted in 11 major psychiatric hospitals in China using a 9-item self-reported workplace violence scale. Results: A total of 1906 psychiatric nurses were recruited to participate in this study. The one-year prevalence of verbal and/or physical workplace violence (WPV) was 84.2% (95% CI: 82.4–85.8). The prevalence rates of verbal abuse, threats and physical violence were 79.3% (95% CI: 77.4–81.1), 70.9% (95% CI: 68.8–73.0) and 57.9% (95% CI: 55.7–60.2), respectively. Multiple logistic regression analysis revealed that working in department of psychiatry (OR = 3.42, P < 0.001), having moderate (OR = 2.05, P = 0.009), severe (OR = 2.04, P = 0.015) or extremely severe (OR = 3.21, P < 0.001) anxiety level of WPV and working in hospitals with a WPV reporting system (OR = 1.88, P < 0.001) were significantly associated with WPV. Conclusion: WPV against nurses is a serious occupational and public health concern in Chinese psychiatric hospitals. Appropriate preventive measures should be undertaken to reduce the risk of WPV in healthcare settings.

Original languageEnglish
JournalArchives of Psychiatric Nursing
DOIs
Publication statusE-pub ahead of print - 3 Jul 2019

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Workplace Violence
Psychiatric Hospitals
China
Nurses
Psychiatry
Physical Abuse
Mental Health Services
Occupational Health
Anxiety
Public Health
Cross-Sectional Studies
Logistic Models
Regression Analysis
Demography
Delivery of Health Care

Cite this

Lu, Li ; Lok, Ka In ; Zhang, Ling ; Hu, Ailing ; Ungvari, Gabor S. ; Bressington, Daniel T. ; Cheung, Teris ; An, Feng Rong ; Xiang, Yu Tao. / Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China. In: Archives of Psychiatric Nursing. 2019.
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title = "Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China",
abstract = "Objective: Workplace violence (WPV) is common in mental health services in China, but its multi-center prevalence measured using standardized rating scales has rarely been reported. This study aimed to explore the prevalence of verbal and physical violence against nurses working in psychiatric hospitals and examine its independent socio-demographic correlates in China. Methods: This was a cross-sectional study conducted in 11 major psychiatric hospitals in China using a 9-item self-reported workplace violence scale. Results: A total of 1906 psychiatric nurses were recruited to participate in this study. The one-year prevalence of verbal and/or physical workplace violence (WPV) was 84.2{\%} (95{\%} CI: 82.4–85.8). The prevalence rates of verbal abuse, threats and physical violence were 79.3{\%} (95{\%} CI: 77.4–81.1), 70.9{\%} (95{\%} CI: 68.8–73.0) and 57.9{\%} (95{\%} CI: 55.7–60.2), respectively. Multiple logistic regression analysis revealed that working in department of psychiatry (OR = 3.42, P < 0.001), having moderate (OR = 2.05, P = 0.009), severe (OR = 2.04, P = 0.015) or extremely severe (OR = 3.21, P < 0.001) anxiety level of WPV and working in hospitals with a WPV reporting system (OR = 1.88, P < 0.001) were significantly associated with WPV. Conclusion: WPV against nurses is a serious occupational and public health concern in Chinese psychiatric hospitals. Appropriate preventive measures should be undertaken to reduce the risk of WPV in healthcare settings.",
keywords = "China, Nurse, Psychiatric hospitals, Workplace violence",
author = "Li Lu and Lok, {Ka In} and Ling Zhang and Ailing Hu and Ungvari, {Gabor S.} and Bressington, {Daniel T.} and Teris Cheung and An, {Feng Rong} and Xiang, {Yu Tao}",
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Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China. / Lu, Li; Lok, Ka In; Zhang, Ling; Hu, Ailing; Ungvari, Gabor S.; Bressington, Daniel T.; Cheung, Teris; An, Feng Rong; Xiang, Yu Tao.

In: Archives of Psychiatric Nursing, 03.07.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of verbal and physical workplace violence against nurses in psychiatric hospitals in China

AU - Lu, Li

AU - Lok, Ka In

AU - Zhang, Ling

AU - Hu, Ailing

AU - Ungvari, Gabor S.

AU - Bressington, Daniel T.

AU - Cheung, Teris

AU - An, Feng Rong

AU - Xiang, Yu Tao

PY - 2019/7/3

Y1 - 2019/7/3

N2 - Objective: Workplace violence (WPV) is common in mental health services in China, but its multi-center prevalence measured using standardized rating scales has rarely been reported. This study aimed to explore the prevalence of verbal and physical violence against nurses working in psychiatric hospitals and examine its independent socio-demographic correlates in China. Methods: This was a cross-sectional study conducted in 11 major psychiatric hospitals in China using a 9-item self-reported workplace violence scale. Results: A total of 1906 psychiatric nurses were recruited to participate in this study. The one-year prevalence of verbal and/or physical workplace violence (WPV) was 84.2% (95% CI: 82.4–85.8). The prevalence rates of verbal abuse, threats and physical violence were 79.3% (95% CI: 77.4–81.1), 70.9% (95% CI: 68.8–73.0) and 57.9% (95% CI: 55.7–60.2), respectively. Multiple logistic regression analysis revealed that working in department of psychiatry (OR = 3.42, P < 0.001), having moderate (OR = 2.05, P = 0.009), severe (OR = 2.04, P = 0.015) or extremely severe (OR = 3.21, P < 0.001) anxiety level of WPV and working in hospitals with a WPV reporting system (OR = 1.88, P < 0.001) were significantly associated with WPV. Conclusion: WPV against nurses is a serious occupational and public health concern in Chinese psychiatric hospitals. Appropriate preventive measures should be undertaken to reduce the risk of WPV in healthcare settings.

AB - Objective: Workplace violence (WPV) is common in mental health services in China, but its multi-center prevalence measured using standardized rating scales has rarely been reported. This study aimed to explore the prevalence of verbal and physical violence against nurses working in psychiatric hospitals and examine its independent socio-demographic correlates in China. Methods: This was a cross-sectional study conducted in 11 major psychiatric hospitals in China using a 9-item self-reported workplace violence scale. Results: A total of 1906 psychiatric nurses were recruited to participate in this study. The one-year prevalence of verbal and/or physical workplace violence (WPV) was 84.2% (95% CI: 82.4–85.8). The prevalence rates of verbal abuse, threats and physical violence were 79.3% (95% CI: 77.4–81.1), 70.9% (95% CI: 68.8–73.0) and 57.9% (95% CI: 55.7–60.2), respectively. Multiple logistic regression analysis revealed that working in department of psychiatry (OR = 3.42, P < 0.001), having moderate (OR = 2.05, P = 0.009), severe (OR = 2.04, P = 0.015) or extremely severe (OR = 3.21, P < 0.001) anxiety level of WPV and working in hospitals with a WPV reporting system (OR = 1.88, P < 0.001) were significantly associated with WPV. Conclusion: WPV against nurses is a serious occupational and public health concern in Chinese psychiatric hospitals. Appropriate preventive measures should be undertaken to reduce the risk of WPV in healthcare settings.

KW - China

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KW - Psychiatric hospitals

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JF - Archives of Psychiatric Nursing

SN - 0883-9417

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