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What is the impact of restricted access policy on workplace violence in general hospital? A before-after study in a CHINESE tertiary hospital

journal contribution
posted on 12.01.2021, 05:48 by H Jia, R Chen, L Wei, G Zhang, M Jiao, C Liu, Z Sha, S Zhou, Y Wang, J Li, X Jia, OY Ismael, J Mao, Qunhong Wu
© 2020 The Author(s). Background: To evaluate the impact of a restricted access policy on workplace violence in a healthcare setting. Methods: We surveyed healthcare workers before and after the implementation of a restricted-access policy at a tertiary hospital in north-eastern China. Data were collected in April 2017 and January 2019. Fisher's exact test were used to compare the difference in workplace violence prevalence between responses to two surveys. Survey 1 (S1) collected data from 345 healthcare professionals who had worked in the inpatient ward for at least 12 months. Survey 2 (S2) included 338 healthcare workers from the same ward who had been employed for more than two years. The effective response rates for the two studies was 79.31 and 83.25%, respectively. All 18 female security guards were included in the investigation in S2. Results: The prevalence of psychological violence was 62.03% in S1 and 34.62% in S2, the difference in prevalence showing statistical significance (P = 0.000), while the prevalence of physical violence was 3.77 and 4.73% respectively, showing no statistical significance (P = 0.573). The change in the rate of injury caused by physical violence was also statistically significant at 76.92 and 31.25% (P = 0.025), respectively. Security guards were at high risk of workplace violence under the policy. Most healthcare professionals thought this policy ameliorated treatment order, the sense of security, anxiety about workplace violence, and so forth, but one-third of the respondents thought that it caused patient dissatisfaction. Conclusion: While the restricted access policy may be effective for healthcare professionals in avoiding or dealing with violence, such policy could contribute to new problems regarding the safety of security guards and the potential dissatisfaction of patients. The policy should be further developed to alleviate this phenomenon.

Funding

This study was funded by the Natural Science Foundation of China (Grant No.71273002, 71473064); New Century Excellent Talents of University from the Ministry of Education, China (Grant No.1252-NCET02); the China Postdoctoral Science Foundation (2015 M570211, 2016 T90181); the Heilongjiang Provincial Association of Social Sciences (15058), and the Collaborative Innovation Centre of Social Risks Governance in Health; 2020 Heilongjiang Province Applied Technology Research and Development Plan (Grants No. GA20C004). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

History

Publication Date

12/10/2020

Journal

BMC Health Services Research

Volume

20

Issue

1

Article Number

ARTN 936

Pagination

9p.

Publisher

BMC

ISSN

1472-6963

Rights Statement

The Author reserves all moral rights over the deposited text and must be credited if any re-use occurs. Documents deposited in OPAL are the Open Access versions of outputs published elsewhere. Changes resulting from the publishing process may therefore not be reflected in this document. The final published version may be obtained via the publisher’s DOI. Please note that additional copyright and access restrictions may apply to the published version.