Increasing Violence in Healtcare Settings: Forensic Medicine Outpatient Experience
DOI:
https://doi.org/10.17986/blm.1566Keywords:
Health institutions, violence, forensic medical examinationAbstract
Objective: The violence against healthcare workers are increasing. Working in a health institution is more risky in terms of exposing violence compared to other workplaces. The aim of this study is to assess the factors leading violence and to present a holistic view to the concept of violence against healthcare workers.
Methods: Patients who had been applied to Haseki Education and Research Hospital, forensic medicine policlinic with the claim that they had been exposed to violence in a health care institution between the dates of 01.06.2015-30.11.2016 are investigated retrospectively. In this cross-sectional and descriptional study, descriptional statics, forensic trauma scoring and data about the history of violence are presented.
Results: 23 cases’ age range were 25-63, the mean age was 38,56. 10 of 23 cases’ gender was female. 6 cases were doctor, 2 were hospital registrar, 2 were reporter, 2 were hospital security guard, 1 were hospital cleaning staff, 5 were patient and 6 were relatives of patients. Two forensic trauma scoring evaluation of 19 cases had been evaluated as their injuries can’t be treated with simple medical intervention, life threating medical condition weren’t identified.
Conclusion: It is thought that work load density and the increase of vioelence in health care institutions adversely affects the relation between health care workers and patients, but no further comment could be made due to the limitations of the study. Studies with wider case series and in-depth interviews can provide more information for interventions which aims to reduce the violence in health care institutions
Downloads
References
Annagür B. Sağlık çalışanlarına yönelik şiddet: risk faktörleri, etkileri, değerlendirilmesi ve önlenmesi. Psikiyatride Güncel Yaklaşımlar 2010;2(2): 161-173
Özcan NK, Bilgin H. Türkiye'de Sağlık Çalışanlarına Yönelik Şiddet: Sistematik Derleme/Violence Towards Healthcare Workers in Turkey: A Systematic Review. Türkiye Klinikleri. Tip Bilimleri Dergisi 2011;31(6): 1442. https://doi.org/10.5336/medsci.2010-20795 DOI: https://doi.org/10.5336/medsci.2010-20795
Büyükbayram A, Okçay H. Sağlık Çalışanlarına Yönelik Şiddeti Etkileyen Sosyo-Kültürel Etmenler. Psikiyatri Hemşireliği Dergisi 2013;4(1):46-53. https://doi.org/10.5505/phd.2013.14622 DOI: https://doi.org/10.5505/phd.2013.14622
Magnavita N, Heponiemi T. Violence towards health care workers in a Public Health Care Facility in Italy: a repeated cross-sectional study. BMC health services research 2012;12(1), 1-9. https://doi.org/10.1186/1472-6963-12-108 DOI: https://doi.org/10.1186/1472-6963-12-108
Al B, Zengin S, Deryal Y, Gken C, Yılmaz DA, Yıldırım C. Increased violence towards health care staff. Journal Of Academic Emergency Medicine/Akademik Acil Tip Olgu Sunumlari Dergisi 2012;11(2). doi:10.5152/jaem.2012.033 DOI: https://doi.org/10.5152/jaem.2012.033
Eker HH, Özder A, Tokaç M, Topçu I, Tabu A. Aggression and violence towards health care providers, and effects thereof. Archives of psychiatry and psychotherapy 2012;4,19-29.
Phillips JP. Workplace violence against health care workers in the United States. New England journal of medicine 2016;374(17): 1661-1669. https://doi.org/10.1056/NEJMra1501998 DOI: https://doi.org/10.1056/NEJMra1501998
Sağlık Hizmetinde Şiddet. İçinde; Şiddetle Başa Çıkmak. Sağlık Çalışanlarının Sağlığı Çalışma Grubu, Nisan 2019. S 17-31. Türk Tabipleri Birliği Yayınları. İstanbul http://www.saglikcalisanisagligi.org/site_icerik_2016/yayin/siddetlebasacikmak4.pdf
ILO. Violence at work. Chappel D, Di Martino V. International Labour Office. Geneva. Third Edition. 2006. https://www.ilo.org/wcmsp5/groups/public/@dgreports/@dcomm/@publ/documents/publication/wcms_publ_9221108406_en.pdf
Saines JC. Violence and aggression in A&E: recommendations for action. Accident and Emergency Nursing 1999;7(1), 8-12. https://doi.org/10.1016/s0965-2302(99)80094-0. DOI: https://doi.org/10.1016/S0965-2302(99)80094-0
ILO Statics of Occupational Injuries, report III, Geneva, 1998 https://www.ilo.org/wcmsp5/groups/public/---dgreports/---stat/documents/meetingdocument/wcms_088373.pdf
Turhan Ö, Ahmed F, Aslan D, et al. Önlenebilir Bir Sorun: Hekime Yönelik Şiddet Araştırmalardan Yararlanılan Değerlendirmeler ve Çözüm Önerileri. Ankara: Türk Tabipleri Birliği Yayınları; 2014.
Ayranci, U, Yenilmez C, Balci, Y, Kaptanoglu C. Identification of violence in Turkish health care settings. Journal of interpersonal violence 2006;21(2): 276-296. https://doi.org/10.1177/0886260505282565 DOI: https://doi.org/10.1177/0886260505282565
Çamcı O, Kutlu Y, Kocaeli'nde Sağlık Çalışanlarına Yönelik işyeri şiddetinin Belirlenmesi, Psikiyatri Hemşireliği Dergisi -Journal of Psychiatric Nursing 2011: 2(1):9-16
Çatıkkaş F, Yücel AS, Yaman Ç, Hergüner G, Kılıç B. Sporcularda Görülen El Falanks Kırıkları, Uluslararası Hakemli Ortopedi Travmatoloji ve Spor Hekimliği Dergisi Cilt 1, Sayı 1, Ocak-Nisan 2014.
İstanbul Tabip Odası. https://www.istabip.org.tr/site_icerik/2019/haziran/ito_fems_rapor.pdf
İlhan M.N, Özkan S, Kurtcebe Ö, Aksakal N Gazi Üniversitesi Tıp Fakültesi Hastanesinde Çalışan Araştırma Görevlileri ve İntörn Doktorlarda Şiddete Maruziyet ve Şiddetle İlişkili Etmenler, Toplum Hekimliği Bülteni Cilt 28, Sayı 3, Eylül-Aralık 2009
Pınar T, Pınar G. Sağlık Çalışanları ve İşyerınde Şiddet. TAF Preventive Medicine Bulletin 2013;12(3), 3: 315-326. https://doi.org/10.5455/pmb.1-1368188150
Altınok R. Pamukkale Üniversitesi Hastanesi’nde Çalışan Asistan Hekimlerin Şiddete Maruziyet Sıklığı ve İlişkili Etmenler. Aile Hekimliği Anabilim Dalı Tıpta Uzmanlık Tezi. Danışman; Özşahin A. Denizli 2018.
Franz S, Zeh A, Schablon A, Kuhnert S, & Nienhaus A. Aggression and violence against health care workers in Germany-a cross sectional retrospective survey. BMC health services research 2010;10(1): 51. https://doi.org/10.1186/1472-6963-10-51 DOI: https://doi.org/10.1186/1472-6963-10-51
Davas A (2016). Sağlik Hizmet Üretiminde Psikososyal Tehlikeler. içinde: Sağlık Çalışanlarının Sağlığı
Can SS, Güngör B, Aşkın R. Hekim İntiharları, Kriz Dergisi 2013;21 (1-2-3): 33-39. https://doi.org/10.1501/Kriz_0000000336 DOI: https://doi.org/10.1501/Kriz_0000000336
Sağlık Çalışanlarının İntiharı Raporu, Hazırlayan; SES Sendika OKulu SÇS Modülü. Ses 2018. https://ses.org.tr/2018/04/calisma-duzeni-saglikta-intiharlari-artiriyor/
Downloads
Published
Issue
Section
License
Copyright (c) 2022 The Bulletin of Legal Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.