PDF(Pubmed)
Abstract：
Workplace violence (WPV) is a prevalent phenomenon, especially in the healthcare setting. WPV against healthcare workers (HCWs) has increased during the COVID-19 epidemic. This meta-analysis determined the prevalence and risk factors of WPV. A database search was conducted across six databases in May 2022, which was updated in October 2022. WPV prevalence among HCWs was the main outcome. Data were stratified by WPV/HCW type, pandemic period (early, mid, late), and medical specialty. WPV risk factors were the secondary outcome. All analyses were conducted through STATA. Newcastle Ottawa Scale evaluated the quality. Sensitivity analysis identified effect estimate changes. A total of 38 studies (63,672 HCWs) were analyzed. The prevalence of WPV of any kind (43%), physical (9%), verbal (48%), and emotional (26%) was high. From mid-pandemic to late-pandemic, WPV (40-47%), physical violence (12-23%), and verbal violence (45-58%) increased. Nurses had more than double the rate of physical violence (13% vs. 5%) than physicians, while WPV and verbal violence were equal. Gender, profession, and COVID-19 timing did not affect WPV, physical, or verbal violence risk. COVID-19 HCWs were more likely to be physically assaulted (logOR = 0.54; 95% CI: 0.10: 0.97). Most healthcare employees suffer verbal violence, followed by emotional, bullying, sexual harassment, and physical assault. Pandemic-related workplace violence increased. Nurses were twice as violent as doctors. COVID-19 healthcare employees had a higher risk of physical and workplace violence.
摘要：
工作场所暴力(WPV)是一种普遍存在的现象,尤其是在医疗保健方面。在COVID-19流行期间，针对医护人员（HCWs）的WPV有所增加。这项荟萃分析确定了WPV的患病率和危险因素。2022年5月对六个数据库进行了数据库搜索，并于2022年10月进行了更新。HCW中WPV的患病率是主要结果。数据按WPV/HCW类型分层，大流行期(早期，mid,late),和医学专业。WPV危险因素是次要结果。所有分析均通过STATA进行。纽卡斯尔渥太华量表评价质量。敏感性分析确定了影响估计的变化。共分析了38项研究(63,672HCWs)。任何类型的WPV的患病率(43%)，物理（9%），口头（48％），和情感（26％）高。从大流行中期到大流行后期，WPV（40-47%），身体暴力（12-23%）言语暴力（45-58％）增加。护士的身体暴力发生率是前者的两倍多(13%vs.5%）比医生，而WPV和言语暴力是平等的。性别,职业,COVID-19的时机没有影响WPV，物理，或言语暴力风险。COVID-19医护人员更有可能受到身体攻击(logOR=0.54；95%CI：0.10：0.97)。大多数医护人员遭受言语暴力，其次是情感，欺凌,性骚扰,和人身攻击。与大流行有关的工作场所暴力增加。护士的暴力程度是医生的两倍。COVID-19医护人员遭受身体和工作场所暴力的风险更高。
