Perspectives of junior doctors on violence against medical professionals: a cross-sectional study in a tertiary care centre in Thrissur District

Authors

  • Emmanuelle Vanlalhriatpuii Department of Community Medicine, Government Medical College Thrissur, Kerala, India
  • Ruth Abraham Department of Community Medicine, Sree Narayana Institute of Medical Sciences, Ernakulam, Kerala, India
  • Safa Puliyakkadi Department of Infectious Disease, James cook Hospital, South Tees NHS Trust, United Kingdom

DOI:

https://doi.org/10.18203/2320-6012.ijrms20223646

Keywords:

Violence, Doctors, Perspective, Medical professionals

Abstract

Background: Violence is defined by the World Health Organization in the World Report on Violence and Health as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either result in or has a high likelihood of resulting in injury, death, psychological harm, mal-development or deprivation”. The Indian Medical Association (IMA) has reported that 75% of doctors have faced physical or verbal violence during their lifetime, so it is important to study the perspective of junior doctors. This study aims to study the perspectives of junior doctors on violence against medical professionals and to find the proportion of doctors who had faced violence during their practice in a Tertiary Care Centre in the Thrissur district.

Methods: Cross-sectional study was conducted among 95 junior doctors at Government Medical College, Thrissur. Institute Ethical Committee clearance and written informed consent were obtained from all the study participants. A semi-structured questionnaire containing questions on socio-demographic variables and 19 questions related to violence against doctors was used.

Results: Mean age of the study participants was 27.06±4.04 years, of which, 70.5% were females. 98.9% were concerned with the rising incidence of violence against doctors. 41.1% (95%CI- 31.1, 51.6) have faced some type of abuse during their practice. 56.8% believed that both the patient and doctors are to blame for such incidents. 41.1% have not received training on how to communicate with patients.

Conclusions: The majority of the doctors were concerned about the rising incidence of violence and have faced some type of violence. It is of concern that almost half of the doctors have not received any training on how to communicate with the patients.

References

Krug E, Dahlberg L, Mercy J. World report on violence and health. Geneva: World Health Organization; 2002.

Alison R, Anthony BZ, Natalie JG, Alexander B. Violence: a glossary. Journal of Epidemiology and Community Health. 2007;61(8):676–80.

International labour organisation. Work-related violence and its integration into existing surveys. Room document 7. 19th International Conference of Labour Statisticians: Geneva; 2013.

Occupational Safety and Health Administration (OSHA) US Dept of Labour. Fact sheet: workplace violence in healthcare; 2015.

Ranjan R, Meenakshi, Singh M, Pal R, Das JK, Gupta S. Epidemiology of violence against medical practitioners in a developing country (2006-2017). J Health Res Rev. 2018;5:153-60.

Pitcher G. BMA survey finds one-third of doctors attacked physically or verbally in 2007. Ethics, health and safety, HR strategy, latest news, occupational health, stress, wellbeing. 2008. Available from https://www.personneltoday. com/hr/bma-survey-finds-one-third-of-doctors-attacked-physically-or-verbally-in-2007/. Accessed on 01 November 2022.

Hobbs FD. Fear of aggression at work among general practitioners who have suffered a previous episode of aggression. Br J Gen Pract. 1994;44(386):390-4.

Imran N, Pervez MH, Farooq R, Asghar AR. Aggression and violence towards medical doctors and nurses in a public health care facility in Lahore, Pakistan: A preliminary investigation. Khyber Med Univ J. 2013;5(4):179-84

Joshi SC, Joshi R. Doctor becomes a patient: a qualitative study of health care work place violence related perception among junior doctors working in a teaching hospital in India. Int J Community Med Public Health. 2018;5:1775-86.

Sachdeva S, Jamshed N, Aggarwal P, Kashyap SR. Perception of workplace violence in the emergency department. J Emerg Trauma, Shock 2019;12(3):179–84.

Demirci Ş, Uğurluoğlu Ö. An evaluation of verbal, physical, and sexual violence against healthcare workers in Ankara, Turkey. J Forensic Nurs; 2020:16(4):33-41.

Ogbonnaya GU, UKegbu AU, Aguwa EN, Emma-Ukaegbu U. Study on Workplace Violence Against Health Workers in a Nigerian Tertiary Hospital. Nigerian Journal of Medicine. 2012;21(2):174-9

Chaudhuri A, Chacko TV. Addressing violence against doctors: Using ADDIE framework for designing, implementation, and evaluation of the effectiveness of a therapeutic communication skills training module. Arch Med Health Sci. 2021;9:202-8

Talukdar T, Verma N, Kishore J, Goyal M, Ish P. Attitude, ethics, and communication skills (AETCOM) training of young doctors for COVID-19: An Indian perspective. Indian J Med Spec 2022;13:205-7.

RS Legislative Research. Draft the healthcare service personnel and clinical establishments (prohibition of violence and damage to property) bill, 2019. PRS Legislative Research. 2019. Available from https://prsin-dia.org/billtrack/draft-the-healthcare-service-personnel-and-clini-cal-establishments-prohibition-of-violence-and-damage-to-property-bill-2019. Accessed on 01 November 2022.

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Published

2022-12-30

How to Cite

Vanlalhriatpuii, E., Abraham, R., & Puliyakkadi, S. (2022). Perspectives of junior doctors on violence against medical professionals: a cross-sectional study in a tertiary care centre in Thrissur District. International Journal of Research in Medical Sciences, 11(1), 252–256. https://doi.org/10.18203/2320-6012.ijrms20223646

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Section

Original Research Articles