Prevalence of workplace violence in Aceh, Indonesia: a survey study on hospital nurses

Prevalence of workplace violence in Aceh, Indonesia: a survey study on hospital nurses

Authors

Keywords:

physical violence, non-physical violence, hospital, nurse, perpetrator

Abstract

Background and aim of the work: Violence against healthcare professionals, especially nurses, is a severe issue that can have significant physical, psychological, and social impacts. It is essential to promptly document acts of violence and establish protocols and resources to prevent future incidents in healthcare facilities. This study aimed to collect data on both physical and non-physical violence against nurses in Aceh Province hospitals and identify the perpetrators. Research design and methods: The researcher utilized a cross-sectional methodology to investigate the entire population of nurses registered with the Regional Representative Council of the Indonesian National Nurses Association in Aceh Province, Indonesia. Information was collected through web-based surveys and facilitated by assigned enumerators in each district. Descriptive statistics were applied to analyze the data. Results: Last year, nurses working in Aceh Province hospitals documented multiple instances of workplace violence, such as physical assault (15%) and sexual abuse (5.5%), significantly affecting the well-being of nurses. A majority of nurses (64.4%) faced emotional abuse, while 37.9% encountered verbal threats and 10.4% experienced verbal sexual harassment. Notably, relatives/patients' families were identified as the main perpetrators, contributing to 60.3% of the reported incidents. Conclusions: Nursing associations are crucial in offering guidance, regulations, and educational resources related to workplace violence. This support is vital in promptly identifying and tackling potentially violent behaviors in the workplace, which ultimately helps in mitigating incidents of violence at work.

References

Bhattacharjee D. Workplace violence in healthcare: Towards a psychosocial perspective. Aggress Violent Behav. 2021;58(January):101573. doi: 10.1016/j.avb.2021.101573

Zhao S, Xie F, Wang J, et al. Archives of psychiatric nursing prevalence of workplace violence against chinese nurses and its association with mental health : a cross-sectional survey. Arch Psychiatr Nurs. 2018;32(2):242–7. doi: 10.1016/j.apnu.2017.11.009

NIOSH. Violence Occupational Hazards in Hospital. Vol. 49, Department of Health & Human Service- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health. Cincinnati: NIOSH—Publications Dissemination; 2022. 219–221 p. From: https://www.cdc.gov/niosh/docs/2002-101/

Tian Y, Yue Y, Wang J, Luo T, Li Y, Zhou J. Workplace violence against hospital healthcare workers in China: A national WeChat-based survey. BMC Public Health. 2020;20(1):582. doi: 10.1186/s12889-020-08708-3

Shi L, Li G, Hao J, et al. Psychological depletion in physicians and nurses exposed to workplace violence: A cross-sectional study using propensity score analysis. Int J Nurs Stud. 2020;103:103493. doi: 10.1016/j.ijnurstu.2019.103493

Shier ML, Turpin A, Nicholas DB, Graham JR. Dynamics of a culture of workplace safety in human service organizations: A qualitative analysis. Int Soc Work. 2019;62(6):1561–74. doi: 10.1177/0020872819858744

NIOSH. How to Prevent Violence on the Job. In: NIOSH Fast Fact. 2012.

Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. Int J Nurs Stud. 2014;51(1):72–84. doi: 10.1016/j.ijnurstu.2013.01.010

Liu J, Gan Y, Jiang H, et al. Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis. Occup Environ Med. 2019;76(12):927–37. doi: 10.1136/oemed-2019-105849

Havaei F, Astivia OLO, MacPhee M. The impact of workplace violence on medical-surgical nurses’ health outcome: A moderated mediation model of work environment conditions and burnout using secondary data. Int J Nurs Stud. 2020;109:103666. doi: 10.1016/j.ijnurstu.2020.103666

Kibunja BK, Musembi HM, Kimani RW, Gatimu SM. Prevalence and Effect of Workplace Violence against Emergency Nurses at a Tertiary Hospital in Kenya: A Cross-Sectional Study. Saf Health Work. 2021;12(2):249–54. doi: 10.1016/j.shaw.2021.01.005

ALBashtawy M. Workplace violence against nurses in emergency departments in Jordan. Int Nurs Rev. 2013;60(4):550–5. doi: 10.1111/inr.12059

Opie T, Lenthall S, Dollard M, et al. Trends in Workplace Violence in the Remote Area Nursing Workforce. Aust J Adv Nurs. 2010;27(4):18–23. From: https://search.informit.org/doi/10.3316/informit.207404584689045

Zahra AN, Feng J-Y. Workplace violence against nurses in Indonesian emergency departments. Enfermería Clínica. 2018;28(Suppl. 1):184–90. doi: 10.1016/S1130-8621(18)30064-0

Kharissa C, Putra A, Yuswardi Y, Yusuf M, Maurissa A. Work-Related Physical Violence Incidents among Nurses in the Banda Aceh Region. Int J Adv Multidiscip Res Stud. 2023;3(2):353–5. From: https://www.multiresearchjournal.com/arclist.php?list=2023.3.2&id=1028

Faidhil F, Syarif H, Husna C. Analysis of the correlation between overtime and workplace violence on nurses at Aceh Provincial Government Hospital. Int J Community Med Public Heal. 2022;9(10):1–6. doi: 10.18203/2394-6040.ijcmph20222349

Gressia RGG, Usman S, Kamil H, Syarif H, Susanti SS. “Why do nurses do not report”: A qualitative study of underreported workplace violence (WPV) in emergency department (ED). Enfermería Clínica. 2022;32:S1–5. doi: 10.1016/j.enfcli.2022.03.007

Denafianti D, Safirza S. Hubungan persepsi perawat tentang perilaku agresif pasien dengan sikap perawat dalam merawat pasien skizofrenia di rumah sakit jiwa pemerintah aceh. J Sains Ris. 2021;11(3):521–31. From: http://journal.unigha.ac.id/index.php/JSR/article/view/782

Notoatmodjo S. Metodologi Penelitian Kesehatan. Rineka Cipta. Jakarta; 2018.

Polit DF, Beck CT. Resource Manual for Nursing Research Generating and Assessing Evidence for Nursing Practice. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Sugiyono P. Metodologi penelitian kuantitatif, kualitatif dan R & D. Alpabeta, Bandung. Bandung: Alfabeta; 2017.

Janna NM, Herianto H. Konsep Uji Validitas dan Reliabilitas dengan Menggunakan SPSS. Cent Open Sci. 2021;Preprints. doi: 10.31219/osf.io/v9j52

Putra A, Kamil H, Maurissa A, Sari MW, Rachmah R, Mahdarsari M. Do Nurses Implement the Occupational Safety and Health Standards? A Survey Study in Public Health Centers. Univers J Public Heal. 2023;11(4):455–62. doi: 10.13189/ujph.2023.110410

Davey K, Ravishankar V, Mehta N, et al. A qualitative study of workplace violence among healthcare providers in emergency departments in India. Int J Emerg Med. 2020;13(1):33. doi: 10.1186/s12245-020-00290-0

García-Pérez MD, Rivera-Sequeiros A, Sánchez-Elías TM, Lima-Serrano M. Workplace violence on healthcare professionals and underreporting: Characterization and knowledge gaps for prevention. Enfermería Clínica (English Ed). 2021;31(6):390–5. doi: 10.1186/s12245-020-00290-0

Bingöl S, İnce S. Factors influencing violence at emergency departments: Patients’ relatives’ perspectives. Int Emerg Nurs. 2021;54:100942. doi: 10.1016/j.ienj.2020.100942

Lee H-L, Han C-Y, Redley B, Lin C-C, Lee M-Y, Chang W. Workplace Violence Against Emergency Nurses in Taiwan: A Cross-Sectional Study. J Emerg Nurs. 2020;46(1):66-71.e4. doi: 10.1016/j.jen.2019.09.004

Bernardes MLG, Karino ME, Martins JT, Okubo CVC, Galdino MJQ, Moreira AAO. Workplace violence among nursing professionals. Rev Bras Med do Trab. 2020;18(03):250–7. Doi: 10.47626/1679-4435-2020-531

ILO, ICN, WHO P. Framework guidelines for addressing workplace violence in the health sector / Joint Programme on Workplace Violence in the Health Sector. Jointly published by the International Labour Organization; 2002.

Sullivan EJ. Effective Leadership and Management in Nursing. Eight. New York: Pearson Education; 2012. 354 p.

Lim MC, Jeffree MS, Saupin SS, Giloi N, Lukman KA. Workplace violence in healthcare settings: The risk factors, implications and collaborative preventive measures. Ann Med Surg. 2022;78(May):103727. doi: 10.1016/j.amsu.2022.103727

Smith C. First, do no harm: institutional betrayal and trust in health care organizations. J Multidiscip Healthc. 2017;10:133–44. doi: 10.2147/JMDH.S125885

Murray E. Nursing Leadership. Vol. 79, Tennessee Nurse / Tennessee Nurses Association. 2017. 10 p.

Antão HS, Sacadura-Leite E, Manzano MJ, et al. Workplace Violence in Healthcare: A Single-Center Study on Causes, Consequences and Prevention Strategies. Acta Med Port. 2020; 33(1):31. doi: 10.20344/amp.11465

Shahzad A, Malik RK. Workplace Violence: An Extensive Issue for Nurses in Pakistan—. J Interpers Violence. 2014;29(11):2021–34. doi: 10.1177/0886260513516005

Boafo IM, Hancock P, Gringart E. Sources, incidence and effects of non‐physical workplace violence against nurses in Ghana. Nurs Open. 2016;3(2):99–109. doi:10.1002/nop2.43

Alsharari AF, Abu-Snieneh HM, Abuadas FH, et al. Workplace violence towards emergency nurses: A cross-sectional multicenter study. Australas Emerg Care. 2022;25(1):48–54. doi:10.1016/j.auec.2021.01.004

Arnetz JE. The Joint Commission’s New and Revised Workplace Violence Prevention Standards for Hospitals: A Major Step Forward Toward Improved Quality and Safety. Jt Comm J Qual Patient Saf. 2022;48(4):241–5. doi: 10.1016/j.jcjq.2022.02.001

Escribano RB, Beneit J, Luis Garcia J. Violence in the workplace: some critical issues looking at the health sector. Heliyon. 2019;5(3):e01283. doi: 10.1016/j.heliyon.2019.e01283

Tsukamoto SAS, Galdino MJQ, Robazzi ML do CC, et al. Occupational violence in the nursing team: prevalence and associated factors. Acta Paul Enferm. 2019;32:425–32. doi: 10.1590/1982-0194201900058

Al-Omari H. Physical and verbal workplace violence against nurses in Jordan. Int Nurs Rev. 2015;62(1):111–8. doi:10.1111/inr.12170

Downloads

Published

28-02-2024

Issue

Section

HEALTH PROFESSIONS

How to Cite

1.
Putra A, Kamil H, Adam M, Usman S. Prevalence of workplace violence in Aceh, Indonesia: a survey study on hospital nurses. Acta Biomed. 2024;95(1):e2024062. doi:10.23750/abm.v95i1.15430