This study sought to investigate the contributing factors to and frequency of violence against health care workers (HCWs) working in western Turkey. The population is composed of a random sample of 1,209 HCWs from 34 health care workplaces. Written questionnaires were given to HCWs at all sites, where staff were instructed to register all types of violence they had experienced. In all, 49.5% of HCWs reported having experienced verbal, physical, or verbal and physical violence, with this total being made up of 39.6% men and 60.4% women. A larger percentage (69.6%) of general practitioners reported experiencing verbal abuse and physical violence by patients and patients’ family members or friends. Younger workers, inexperienced staff, and those in emergency services were more likely to report violence. Violence directed toward HCWs is a common occupational hazard. Public health authorities should plan preventive interventions based on the findings of this study.
Arnetz, J. E. (1998). The Violent Incident Form (VIF): A practical instrument for the registration of violent incidents in the health care workplace. Work and Stress, 12, 17-28.
2.
Arnetz, J. E., & Arnetz, B. B. (2000). Implementation and evaluation of a practical intervention programme for dealing with violence towards health care workers. Journal of Advanced Nursing, 31, 668-680.
3.
Arnetz, J. E., & Arnetz, B. B. (2001). Violence towards health care staff and possible effects on the quality of patient care. Social Science & Medicine, 52, 417-427.
4.
Barlow, C. B., & Rizzo, A. G. (1997). Violence against surgical residents. Western Journal of Medicine, 167, 74-78.
5.
Björqvist, K., Osterman, K., & Hjelt-Back, M. (1994). Aggression among university employees. Aggressive Behavior, 20, 173-184.
6.
Bozi, B., Hanci, I. H., Demirkan, O., Kiliccioglu, D. B., & Yagmur, F. (2003). Acil servislerde siddete maruz kalan saglik personeli-anket calIsmasI [Health personnel exposed to violence in emergency departments: Questionnaire survey]. Adli Bilimler Dergisi, 2(2), 59-63.
7.
Budd, J. W., Arvey, R. D., & Lawless, P. (1996). Correlates and consequences of workplace violence. Journal of Occupational Health Psychology, 1, 197-210.
8.
Carmel, H., & Hunter, M. (1990). Compliance with training in managing assaultive behavior and injuries from inpatient violence. Hospital and Community Psychiatry, 41, 558-560.
9.
Center for Mental Health Services. (1994). Forum report: Preventing violence in the workplace. Rockville, MD: Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services.
10.
Cole, L. L., Grubb, P. L., Swanson, N. G., & Lawless, P. (1997). Psychosocial correlates of harassment, threats and fear of violence in the workplace. Scandinavian Journal of Work, Environment and Health, 23, 450-457.
11.
Dubin, W. R. (1981). Evaluating and managing the violent patient. Annals of Emergency Medicine, 10, 481-484.
12.
Einarsen, S., & Skogstad, A. (1996). Bullying at work: Epidemiological findings in public and private organizations. European Journal of Work and Organizational Psychology, 5, 185-201.
13.
Elliot, P. (1997). Violence in health care: What nurse managers need to know. Nursing Management, 28(12), 38-41.
14.
Engel, F., & Marsh, S. (1986). Helping the employee victim of violence in hospitals. Hospital and Community Psychiatry, 37, 159-162.
15.
Fontanarosa, P. B. (1995). The unrelenting epidemic of violence in America. Journal of the American Medical Association, 273, 1792-1793.
16.
Hales, T., Seligman, P., Newman, S., & Timbrook, C. (1988). Occupational injuries due to violence. Journal of Occupational Medicine, 30, 483-487.
17.
Hobbs, F. D. (1991). Violence in general practice: A survey of general practitioners’ views. British Medical Journal, 302, 329-332.
18.
Holden, R. J. (1985). Aggression against nurses. The Australian Nurses Journal, 15, 44-48.
19.
Jones, J., & Lyneham, J. (2000). Violence: Part of the job for Australian nurses?Australian Journal of Advanced Nursing, 18(2), 27-32.
20.
Keashly, L. (2001). International and systemic aspects of emotional abuse at work: The target’s perspective. Violence and Victims, 16, 233-268.
21.
Langley, J., Chalmers, D., & Fanslow, J. (1996). Incidence of death and hospitalisation from assault occurring in and around licensed premises: A comparative analysis. Addiction, 91, 985-993.
22.
Levin, P. F., Hewitt, J. B., & Misner, S. T. (1998). Insights of nurses about assault in hospital-based emergency departments. Image: Journal of Nursing Scholarship, 30, 249-254.
23.
Mahoney, B. S. (1991). The extent, nature, and response to victimization of emergency nurses in Pennsylvania. Journal of Emergency Nursing, 17, 282-294.
24.
Mangione, T., & Quinn, R. (1975). Job satisfaction, counter productive behavior and drug use at work. Journal of Applied Psychology, 60, 114-116.
25.
Murray, M. G., & Snyder, J. C. (1991). When staff are assaulted—Nursing consultation support service. Journal of Psychosocial Nursing & Mental Health Services, 2924-29.
26.
Northwestern National Life Insurance Company. (1993). Fear and violence in the workplace. Minneapolis, MN: Author.
27.
Olmezoglu, Z. B., Vatansever, K., & Ergor, A. (1999). Izmir metropol alanI 112 calIsanlarInda siddet maruziyetinin degerlendirilmesi [Evaluation of violence to 112 health workers in Izmir metropolis]. Toplum ve Hekim, 14, 420-425.
28.
Ordog, G. J., Wasserberger, J., & Ordog, C. (1995). Weapon carriage among major trauma victims in the emergency department. Annals of Emergency Medicine, 2(2), 109-113.
29.
Paola, F., Malik, T., & Qureshi, A. (1994). Violence against physicians. Journal of General Internal Medicine, 9, 503-506.
30.
Rice, M. M., & Moore, G. P. (1991). Management of the violent patient: Therapeutic and legal considerations. Emergency Medicine Clinics of North America, 9, 13-30.
31.
Saines, J. C. (1999). Violence and aggression in A&E: Recommendations for action. Accident and Emergency Nursing, 7(1), 8-12.
32.
Schulte, J. M., Nolt, B. J., Williams, R. L., Spinks, C. L., & Hellsten, J. J. (1998). Violence and threats of violence experienced by public health field-workers. Journal of the American Medical Association, 280, 439-442.
33.
Shepherd, J. P. (1998). Tackling violence. British Medical Journal, 316, 879-880.
34.
Spector, P. E. (1975). Relationships of organizational frustration with reported behavioral reactions of employees. Journal of Applied Psychology, 60, 635-657.
35.
Strom, C. (1992). Injuries due to violent crimes. Medicine, Science and the Law, 32, 123-132.
36.
Stultz, M. S. (1993). Crime in hospitals 1986-1991—The latest IAHSS surveys. Journal of Healthcare Protection Management, 9, 1-25.
37.
Tallahassee, F. (2002). The extent, nature, and precipitating factors of nurse assault among three groups of registered nurses in a regional medical center. Journal of Emergency Nursing, 28(1), 11-17.
38.
Thomas, J. (1992). Occupational violent crime: Research on an emerging issue. Journal of Safety Research, 23, 55-62.
39.
Toscano, G., & Weber, W. (1995). Violence in the workplace. Washington, DC: Bureau of Labor Statistics.
40.
Trape, M. (1998). Workplace violence: Occupational Safety and Health Administration guidelines for workers in health care and social services. Connecticut Medicine, 62, 333-336.
41.
Uge, B. (1993). Agressivite ve empulsivite faktorlerinin suclularin sahsiyet yapisindaki rolleri [Roles of aggressive and impulsive factors on personality structure of guilty people]. Unpublished doctoral dissertation, Istanbul University Institute of Health Sciences, Turkey.
42.
Uzun, O. (2003). Perceptions and experiences of nurses in Turkey about verbal abuse in clinical settings. Journal of Nursing Scholarship, 35(1), 81-85.
43.
Whittington, R., Shuttleworth, S., &,! Hill, L. B. (1996). Violence to staff in a general hospital setting. Journal of Advanced Nursing, 24, 326-333.
44.
Yassi, A. (1994). Assault and abuse of health care workers in a large teaching hospital. Canadian Medical Association Journal, 151, 1273-1279.
