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. 2024 Mar 16;25(3):266–278. doi: 10.1177/17511437241231707
Author
Year
Country
Type of study Aim Setting/participants Sample size Exclusions/comparison Outcomes Qualitative rating (Attree & Milton) Quantitative rating (KMET) Bias rating (AHQR) (low, medium, high)
Shafran-Tikva, S.; 2017
Israel 28
Quantitative study To examine different types of violence experienced by nurses and physicians, types of perpetrator and specialty fields involved 729 physicians and nurses in a variety of hospital division and departments in a large general hospital 678 responded 446 nurses and 232 physicians Age, seniority had positive association with exposure to violence. Need for uniform standardised definitions of violent behaviours. 86.4% Low
Yoo, H J
2018
South Korea 29
Mixed To identify intensive care nurse’s experience of violence from patients and families and investigate their coping methods, if any, in a tertiary hospital in South Korea 200 Included only female nurses. Males were excluded Verbal violence more than physical violence.4 themes – perception of violence, coping with violence experience, coping resource & caring mind after experience.
Moderate to severe response to violence based on scores.
B 77.3% Medium
Lal Gautam, P.;
2019
India 30
Questionnaire based cross-sectional,
mixed
To evaluate perceptions of healthcare workers(HCW) and patients’ attendants about factors responsible for widespread violence and patient-physician distrust Conducted in medical, surgical, neurosurgery ICUs of a tertiary teaching Institute. Anonymous, questionnaire-based cross-sectional study conducted over a period of 1 year from Aug.2017-July 2018. HCW 295
Attendants 142
142 responses from attendees of patients were also sought Violence from patient’s attendants was common resulting in stressful and fearful environment at the healthcare facility. B 68.2% Medium
Pol, A.;
2019
Australia 31
Retrospective pre and post study To determine incidence of aggressive and violent behaviours, and determine the healthcare professionals most at risk of being subjected to occupational violence in this setting A before and after retrospective review of medical records over a 24-month period to evaluate impact of NEAT * on aggressive or violent behaviours, conducted in a 45-bed adult ICU at metropolitan tertiary hospital in Victoria Before = 18,
After = 29
Increase in number of code black/grey (emergency codes) post intervention.
Male nurses more likely to be involved in incidences of verbal violence
68.2% Medium
Sunil Kumar, N.;
2019
India 32
Pretested, self-administered, semi-structured questionnaire-based survey To draw attention towards the issue of violence against critical care physicians, reveal dimensions of such violence and highlight ill effects of WPV on personal life of doctors Survey conducted among critical care physicians attending a critical care conference N = 160,
118 responses
Improving communication skills for conflict management.
‘Fight against disease and not doctor’
40.9% Medium
Cho, H.;
2020
USA 33
Cross-sectional secondary data analysis study To examine differences in early-career nurses’ verbal abuse experience based on their socio-demographic characteristics, and to investigate associations of verbal abuse experience with nurse-reported care quality and patient safety outcomes Using state RN licensure lists, RNs were randomly sampled using nested design in 20 metropolitan statistical areas and 1 rural county in 14 states across the country 799 88 RN who had not been employed in nursing job that required RN licence, 208 nurses who worked in settings other than a hospital and 63 nurses who were not employed full time and 21 nurses who were not providing direct care were excluded. Male nurses experience more verbal abuse.
Step-down units and general wards experience more abuse than ICU and other units
77.27% Medium
*

National emergency access target.