Extent and risk factors of psychological violence towards physicians and Standardised Residency Training physicians: a N
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Open Access
RESEARCH
Extent and risk factors of psychological violence towards physicians and Standardised Residency Training physicians: a Northern China experience Huiying Fang1†, Lifeng Wei2†, Jingfu Mao3†, Haonan Jia4, Peng Li5, Yuze Li6, Yapeng Fu7, Siqi Zhao8, He Liu9, Kexin Jiang2, Mingli Jiao2*, Hong Qiao10* and Qunhong Wu11*
Abstract Purpose: Physicians and Standardised Residency Training physicians (SRTPs) have relatively high exposure to psychological violence. Its adverse effects are far greater than those of physical violence. However, no previous research has paid attention to the problem of psychological violence among them. This study aims to evaluate the extent, characteristics, and risk factors of psychological violence among SRTPs in comparison to physicians, and also to highlight the psychological violence experienced by SRTPs and suggest preventive measures. Methods: A cross-sectional survey was conducted in northern China. 884 physicians and 537 SRTPs completed a questionnaire which compiled by the ILO, ICN, WHO and PSI in 2003 to measure violence in the workplace. Descriptive statistics and logistic regression analysis were used to analyse results. Results: The effective response rates of physicians and SRTPs were 63.1%(884/1400) and 86.3%(537/622) respectively. 73.0%(645/884) of physicians and 24.8%(133/537) of SRTPs suffered psychological violence in the past year. Compared to physicians (29/645, 4.5%), SRTPs (42/133, 31.6%) experience more internal violence. Further, after experiencing psychological violence, physicians are willing to talk to family and friends, but SRTPs generally take no action. Shift work was a risk factor for both physicians (OR 1.440, 95% CI 1.014–2.203) and SRTPs (OR 1.851, 95% CI 1.217–2.815) suffering from psychological violence. In contrast, no anxiety symptoms protected physicians (OR 0.406, 95% CI 0.209–0.789) and SRTPs (OR 0.404, 95% CI 0.170–0.959) against psychological violence. Conclusions: SRTPs and physicians in northern China have a high risk of experiencing psychological violence, and physicians experience more. Meanwhile, there are obvious differences in responses to psychological violence and risk factors between them. Therefore, medical institutions should pay more attention to psychological violence, especially
*Correspondence: [email protected]; [email protected]; [email protected] † Huiying Fang, Lifeng Wei and Jingfu Mao have contributed equally to this work 2 Department of Health, Policy and Hospital Management, School of Public Health, Harbin Medical University, Harbin 150081, China 10 Endocrine and Metabolic Diseases, The 2nd Affiliated Hospital of Harbin Medical University, Harbin 150081, China 11 Department of Social Medicine, School of Public Health, Harbin Medical University, Harbin 150081, China Full list of author information is available at the end of the article © The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distr
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