Investigation of the Emergency Physicians’ Exposure to Violence and Forensic Events
DOI:
https://doi.org/10.17986/blm.1361Keywords:
Health workers, Workplace violence, Forensic medicineAbstract
Objective: The aim of this study is to determine the exposure of the emergency department physicians to violence and forensic events and related factors.
Materials and Methods: The population of this cross-sectional study was 248 emergency service physicians working at 31 different health institutions in Adana city center. Between 01 July and 31 December 2016, 202 emergency department physicians were interviewed face-to-face. Data collection tools were; the sociodemographic knowledge of the doctors, the history of violence and their approach to forensic events. Frequency analysis and Chi Square test were used for data evaluation.
Results: The mean age of the participants was 38.3±9.6 years and mean working time in emergency departments was 8.9±7,7 years and 75.7% of the emergency physicians in our study were male. The rate of exposure to violence during the working life was 88.1%. The most common types of violence were verbal violence with 88.1% and physical violence with 30.7%. It was determined that physicians were mostly violated by patients and their relatives, also it was determined that half of the physicians went to court at least once during their professional life due to medical practices. Statistically significant relationship was found between physicians being violent and being plaintiff (p<0,05). It was stated that 20.8% of the doctors had a forensic investigation and 85.6% were concerned about the malpractice.
Conclusion: Emergency physicians, who are faced with violence and forensic events very often and undertake great medical and legal responsibilities, can feel anxious and lonely. Legal sanctions on violence against...
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References
Violence and Health: Task force on violence and health. WHO: Cenevre; 2002. https://www.who.int/violence_injury_prevention/violence/world_report/en/full_en.pdf (Erişim tarihi: 18.11.2019)
Özturan DŞ. Çalışma ortamı algısı-iş doyumu ve sağlık çalışanları [Yüksek Lisans Tezi]. İstanbul: Beykent Üniversitesi; 2014.
Health Services Advisory Committee (HSAC). Violence and Aggression to Staff İn Health Services. HMSO-HSE Books: Norwich; 1997.
Annagür B. Sağlık Çalışanlarına Yönelik Şiddet: Risk Faktörleri, Etkileri, Değerlendirilmesi ve Önlenmesi. Psikiyatride Güncel Yaklaşımlar. 2010;2(2):161-173
Sucu G, Cebeci F, Karazeybek E. Acil Birim Çalışanlarına Hasta ve Yakınları Tarafından Uygulanan Şiddet. Turk J Emerg Med. 2007;7(4):156-162
Türkmenoğlu B. Sivas il merkezi sağlık çalışanlarında şiddete maruziyet sıklığı ve şiddetin tükenmişlik düzeyine etkisi [Yüksek Lisans Tezi]. Sivas: Cumhuriyet Üniversitesi; 2014.
Kowalenko T, Gates D, Gillespie GL, Succop P, Mentzel TK. Prospective Study of Violence Against ED Workers. The American Journal of Emergency Medicine. 2013;31(1):197-205. DOI:https://doi.org/10.1016/j.ajem.2012.07.010 DOI: https://doi.org/10.1016/j.ajem.2012.07.010
Hekimlik sorunları. Türk Tabipleri Birliği; 2012. http://www.ttb.org.tr/kutuphane/hekimsorunlari.pdf (Erişim tarihi:18.11.2019)
Kalemoglu M. Acil Serviste Hekim Sorumluluğu. Turkiye Klinikleri J Med Sci. 2005;25:824-828
Yeşiltaş A, Erdem R. Defansif Tıp Uygulamalarına Yönelik Bir Derleme. Süleyman Demirel Üniversitesi Vizyoner Dergisi. 2018;10(23):137-150. DOI:https://doi.org/10.21076/vizyoner.437685 DOI: https://doi.org/10.21076/vizyoner.437685
Bilir N, Yıldız AN. İş Sağlığı ve Güvenliği. 3. Baskı. Ankara: Hacettepe yayınları; 2014.
Gökçe T, Dündar C. Samsun Ruh ve Sinir Hastalıkları Hastanesi’nde Çalışan Hekim ve Hemşirelerde Şiddete Maruziyet Sıklığı ve Kaygı Düzeylerine Etkisi. İnönü Üniversitesi Tıp Fakültesi Dergisi. 2008;15(1):25-28
İlhan MN, Özkan S, Kurtcebe ZÖ, Aksakal FN. Gazi Üniversitesi Tıp Fakültesi Hastanesinde Çalışan Araştırma Görevlileri ve İntörn Doktorlarda Şiddete Maruziyet ve Şiddetle İlişkili Etmenler. Toplum Hekimliği Bülteni. 2009;28(3):15-2
Baykan Z, Öktem İS, Çetinkaya F, Naçar M. Physician exposure to violence: a study performed in Turkey, International Journal of Occupational Safety and Ergonomics. 2015;21(3):291-297. DOI: https://doi.org/10.1080/10803548.2015.1073008 DOI: https://doi.org/10.1080/10803548.2015.1073008
Bayram B, Çetin M, Oray NÇ, Can İÖ. Workplace violence against physicians in Turkey’s emergency departments: a cross-sectional survey. BMJ open.2017;7(6): e013568. DOI: https://doi.org/10.1136/bmjopen-2016-013568 DOI: https://doi.org/10.1136/bmjopen-2016-013568
Cheung T, Lee P, Yip P. Workplace violence toward physicians and nurses: prevalence and correlates in Macau. International journal of environmental research and public health. 2017;14(8):879. DOI: https://doi.org/10.3390/ijerph14080879 DOI: https://doi.org/10.3390/ijerph14080879
Winstanley S, Whittington R. Aggression Towards Health Care Staff in a UK General Hospital: Variation Among Professions and Departments. J Clin Nurs. 2004;13(1):3-10 DOI: https://doi.org/10.1111/j.1365-2702.2004.00807.x
Gulalp B, Karcioglu O, Koseoglu Z, Sari A. Tehlikelerle Karşılaşan Sağlık Personeli: Türkiye’nin Güney Kent Merkezlerinden Deneyimler. Ulus Travma Acil Cerrahi Derg. 2009;15(3):239-242
Hamdan M, Hamra AA. Workplace violence towards workers in the emergency departments of Palestinian hospitals: a cross-sectional study. Human resources for health. 2015;13(1):28. DOI: https://doi.org/10.1186%2Fs12960-015-0018-2 DOI: https://doi.org/10.1186/s12960-015-0018-2
Özdemir A, Karasu F, Avan H. Gaziantep 112 Acil Sağlık Hizmetleri Çalışanlarının Maruz Kaldıkları Şiddetin Değerlendirilmesi. Hastane Öncesi Dergisi. 2018;3(1):31-42
Aydin B, Kartal M, Midik O, Buyukakkus A. Violence Against General Practitioners in Turkey. Journal of Interpersonal Violence. 2009;24(12):198095. DOI: https://doi.org/10.1177/0886260508327703 DOI: https://doi.org/10.1177/0886260508327703
Carmi-Iluz T, Peleg R, Freud T, Shvartzman P. Verbal and physical violence towards hospital- and community-based physicians in the Negev: an observational study. BMC Health Services Research. 2005;5(1). DOI: https://doi.org/10.1186/1472-6963-5-54 DOI: https://doi.org/10.1186/1472-6963-5-54
Sheikhazadi A, Mehrzad K, Fakhredin T. Violence in Forensic Medicine Practice. The American Journal of Forensic Medicine and Pathology. 2009;30(3):238-241. DOI: https://doi.org/10.1097/paf.0b013e31819d212c DOI: https://doi.org/10.1097/PAF.0b013e31819d212c
Bostan S, Kılıç T, Çiftçi F. Sağlık Bakanlığı 184 Sabim Hattına Yapılan Şikâyetlerin Karşılaştırmalı Analizi. Global Journal of Economics and Business Studies. 2014;3(5):32-40
Zengin S, Al B, Yavuz E, Şen C, Cindoruk Ş, Yıldırım C. “Patient and Relative Complaints in a Hospital Emergency Department: A 4-Year Analysis”, Tr J Emerg Med.2014;12(4):163-168 DOI: https://doi.org/10.5505/1304.7361.2012.55823
Yıldırım A, Aksu M, Çetin İ, Şahan AG. Tokat İli Merkezinde Çalışan Hekimlerin Tıbbi Uygulama Hataları ile İlgili Bilgi, Tutum ve Davranışları. Cumhuriyet Medical Journal. 2009;31(4):356-366
Studdert DM, Bismark MM, Mello MM, Singh H, Spittal MJ. Prevalence and Characteristics of Physicians Prone to Malpractice Claims. New England Journal of Medicine. 2016;374(4):354-362. DOI: https://doi.org/10.1056/nejmsa1506137 DOI: https://doi.org/10.1056/NEJMsa1506137
Jena AB, Seabury S, Lakdawalla D, Chandra A. Malpractice Risk According to Physician Specialty. New England Journal of Medicine. 2011;365(7):629-636. DOI: https://doi.org/10.1056/nejmsa1012370 DOI: https://doi.org/10.1056/NEJMsa1012370
Carlson JN, Foster KM, Pines JM, Corbit CK, Ward MJ, Hydari MZ, Venkat A. Provider and Practice Factors Associated With Emergency Physicians’ Being Named in a Malpractice Claim. Annals of Emergency Medicine. 2018;71(2):157-164. DOI: https://doi.org/10.1016/j.annemergmed.2017.06.023 DOI: https://doi.org/10.1016/j.annemergmed.2017.06.023
Juo YY, Lewis C, Hanna C, Reber HA, Tillou A. An Innovative Approach for Familiarizing Surgeons with Malpractice Litigation. Journal of Surgical Education. 2018;76(1):127-133. DOI: https://doi.org/10.1016/j.jsurg.2018.06.002 DOI: https://doi.org/10.1016/j.jsurg.2018.06.002
Tunç T, Kutanis RÖ. Doktor ve Hemşirelerde Kaygı Nedenleri: Bir Üniversite Hastanesi Örneği. Süleyman Demirel Üniversitesi Vizyoner Dergisi. 2015;6(13):62-71.
Summerton N. Positive and Negative Factors in Defensive Medicine: A Questionnaire Study of General Practitioners. BMJ. 1995;310(6971):27-9. DOI: https://doi.org/10.1136/bmj.310.6971.27 DOI: https://doi.org/10.1136/bmj.310.6971.27
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