The Prevalence and Associated Factors of Workplace Violence among Nurses in Psychiatric Centers of the Department of Mental Health in Bangkok and Its Vicinity
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Abstract
BACKGROUND: Workplace violence is one of the most important problems in hospitals. This form of violence has been shown to have a negative impact on workers’ health, safety, and productivity. As a result, this could lead to resignation, permanent disability, or death. Even though psychiatric departments frequently encounter violent incidents, related studies are still limited.
OBJECTIVES: To investigate the prevalence and associated factors of workplace violence among nurses in psychiatric centers of the Department of Mental Health in Bangkok and its vicinity.
METHODS: The research design was a cross-sectional descriptive study. The samples, obtained from stratified sampling and simple random sampling, comprised 279 psychiatric nurses. The prevalence and associated factors of workplace violence were assessed by a self-administered questionnaire in a Thai language version. The data were analyzed with descriptive statistics and multiple logistic regression.
RESULTS: The one-year prevalence of workplace violence in psychiatric nurses was 54.5%. Among this, verbal violence was the most common (90.1%), followed by physical violence (38.2%), and sexual violence (10.5%), respectively. The perpetrators who committed most of the violence were patients. The associated factors of workplace violence consisted of having a moderate or severe to extremely severe level of anxiety, working in the Outpatient Department, having a history of hospital violence and being in an overcrowded environment.
CONCLUSIONS: The prevalence of workplace violence among psychiatric nurses was quite high. Therefore, the prevention of violence should be enhanced by focusing on those departments with frequent violence or hospitals with histories of violence. In addition, adjusting the work area to reduce overcrowdedness, assessing personnel mental health, and instilling trust in workplace safety should be investigated and implemented.
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