Prevalence, risk factors, consequences, and prevention and management of patient aggression and violence against physicians in hospitals: A systematic review

IF 3.4 2区 心理学 Q1 CRIMINOLOGY & PENOLOGY Aggression and Violent Behavior Pub Date : 2023-11-23 DOI:10.1016/j.avb.2023.101892
Yuhan Wu, Mathilde Strating, C.T.B. (Kees) Ahaus, Martina Buljac-Samardzic
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Abstract

Most reviews have examined workplace violence rather heterogeneously without explicit regard to a professional group or particular source of violence (from colleagues/leaders vs. from patients and their relatives/friends). This study reviews the literature regarding the prevalence, risk factors, consequences, and prevention and management of aggression and violence by patients (and their relatives/friends) against physicians in hospitals. A total of 104 studies were included by searching five databases. The prevalence of aggression and violence was higher in developing countries and against younger physicians. The risk factors for the occurrence of aggression and violence were present at multiple levels (i.e., patients, patient-physician interactions, hospitals, and society). However, knowledge on how risk factors at different levels interact is absent. Although research on risk factors acknowledged multiple levels, research on consequences was mainly focused on the individual level (i.e., work functioning, psychological well-being and health) with less attention to the team and organizational level. While some prevention models took into account the risk factors of aggression and violence in different contexts, there is still limited knowledge on how to establish a well-aligned and comprehensive intervention strategy that considers risk factors and consequences at different levels.

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医院中患者对医生的攻击和暴力行为的患病率、危险因素、后果以及预防和管理:一项系统综述
大多数评论对工作场所暴力的调查相当不同,没有明确考虑到专业群体或特定的暴力来源(来自同事/领导vs.来自患者及其亲属/朋友)。本研究回顾了有关医院中患者(及其亲属/朋友)对医生的攻击和暴力的患病率、风险因素、后果以及预防和管理的文献。通过检索5个数据库,共纳入104项研究。在发展中国家,针对年轻医生的攻击和暴力发生率更高。攻击和暴力发生的危险因素存在于多个层面(即患者、医患互动、医院和社会)。然而,关于不同水平的风险因素如何相互作用的知识是缺失的。虽然对风险因素的研究承认多个层面,但对后果的研究主要集中在个人层面(即工作功能、心理健康和健康),对团队和组织层面的关注较少。虽然一些预防模式考虑了不同背景下的侵略和暴力的风险因素,但关于如何制定一项协调一致的综合干预战略,在不同层面上考虑风险因素和后果的知识仍然有限。
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来源期刊
CiteScore
7.50
自引率
4.30%
发文量
63
期刊介绍: Aggression and Violent Behavior, A Review Journal is a multidisciplinary journal that publishes substantive and integrative reviews, as well as summary reports of innovative ongoing clinical research programs on a wide range of topics germane to the field of aggression and violent behavior. Papers encompass a large variety of issues, populations, and domains, including homicide (serial, spree, and mass murder: sexual homicide), sexual deviance and assault (rape, serial rape, child molestation, paraphilias), child and youth violence (firesetting, gang violence, juvenile sexual offending), family violence (child physical and sexual abuse, child neglect, incest, spouse and elder abuse), genetic predispositions, and the physiological basis of aggression.
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