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The Effect of Violence Experienced in Healthcare on Professional Decision Regret in Students

Year 2024, Volume: 6 Issue: 3, 449 - 461, 25.12.2024

Abstract

This study aims to ascertain the prevalence of violence experienced by students in health-related disciplines such as medicine, physiotherapy, nursing, anesthesia, paramedic, medical laboratory, and elderly care. The primary objective is to evaluate the students' career decision regret following exposure to violence, along with an analysis of the influencing factors. A descriptive study was conducted involving 596 students who willingly participated. Data collection utilized a participant form and the Career Decision Regret scale. Statistical analyses, including frequency, correlation, Kruskal Wallis H test, and Mann Whitney U test, were employed for data interpretation. Significant impacts on career decision regret were observed in students exposed to violence based on age, gender, and department (p<0.05). Students who did not engage in clinical practice exhibited a significantly higher median value of career decision regret compared to their counterparts who did (p<0.05). Furthermore, 65.8% of students attributed violence in healthcare to inadequate education, 59.4% expressed concern about their profession, and 92.4% deemed violence unacceptable. This study advocates for the identification of specific types of violence experienced by university students in health-related disciplines during clinical practice. Urgent implementation of necessary criminal procedures and preventive measures against violence is recommended. Additionally, awareness-raising training programs and further research initiatives are suggested to contribute to a reduction in career decision regret among students.

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References

  • Afkhamzadeh, A., Bolbanabad, A. M., Moloudi, B., Safari, H., & Piroozi, B. (2018). Workplace violence against physicians and medical students in west part of Iran. International Journal of Human Rights in Healthcare, 12(2), 116-123. https://doi.org/10.1108/IJHRH-07-2018-0049.
  • Aghajanloo, A., Nirumand-Zandi, K., Safavi-Bayat, Z., & Alavi-Majd, H. (2011). Clinical violence in nursing students. Iranian Journal of Nursing and Midwifery Research, 16(4), 284-287. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583097/
  • Brehaut, J.C., O'Connor, A. M., Wood, T. J., Hack, T. F., Siminoff, L., Gordon, E., & Feldman-Stewart, D. (2003). Validation of a decision regret scale. Medical Decision Making, 23(4), 281-292. https://doi.org/10.1177/0272989X03256005
  • Campbell, J. C., Messing, J. T., Kub, J., Agnew, J., Fitzgerald, S., Fowler, B., Sheridan, D., Lindauer, C., Deaton, J., & Bolyard, R. (2011). Workplace violence: prevalence and risk factors in the safe at work study. Journal of Occupational Environmental Medicine, 53(1), 82–89. https://www.jstor.org/stable/45009661.
  • Centers for Disease Control and Prevention (2022). The National Institute for Occupational Safety and Health (NIOSH). https://www.cdc.gov/niosh/topics/violence/default.html.
  • Centers for Disease Control and Prevention.(2023). Violence occupational hazards in hospitals. https://www.cdc.gov/niosh/docs/2002-101/default.html.
  • Chang, H. E., & Cho, S. H. (2016). Workplace violence and job outcomes of newly licensed nurses. Asian nursing research, 10(4), 271-276. https://doi.org/10.1016/j.anr.2016.09.001 d’Ettorre, G., Mazzotta, M., Pellicani, V., & Vullo, A. (2018). Preventing and Managing Workplace Violence Against Healthcare Workers in Emergency Departments. Acta Bio Medica: Atenei Parmensis, 89(4), 28-36. https://doi.org/10.23750/abm.v89i4-S.7113 .
  • Demirbaş, N., & Karaoğlu, N. (2021). Perceptions of Physicians and Physician Candidates About Violence Against Physicians: A Preliminary Study. Genel Tıp Dergisi, 31(2), 130-134. https://doi.org/10.15321/GenelTipDer.2021.299.
  • Demirci, S., & Ugurluoglu, Ö. (2020b). An evaluation of verbal, physical, and sexual violence against healthcare workers in Ankara, Turkey. Journal of Forensic Nursing, 16(4), 33-41. https://doi.org/10.1097/JFN.0000000000000286
  • Demirci, Ş., & Ugurluoglu, Ö. (2020a). Violence against health workers: An example of a public hospital. Acıbadem University Health Sciences Journal, 1, 89-97. https://doi.org/10.31067/0.2020.245 Erdurcan, S., & Kırdök, O. (2017). Career desicion regret scale: Adaptation, validity and reliability study. Mersin University Journal of Health Sciences, 13(3), 1140-1150. https://doi.org/10.17860/mersinefd.330880.
  • Erten, R., Oztora, S., & Dagdeviren, H. N. (2019). Evaluation of exposure to violence against doctors in health care facilities. Turkısh Journal of Family Practice, 23(2), 52-63. https://doi.org/10.15511/tahd.19.00252 . Hopkins, M., Fetherston, C. M, & Morrison, P. (2014). Prevalence and characteristics of aggression and violence experienced by Western Australian nursing students during clinical practice. Contemporary Nurse: A Journal for the Australian Nursing Profession, 49(1), 113-121. https://search.informit.org/doi/epdf/10.3316/informit.889883257489320
  • Hopkins, M., Fetherston, C. M., & Morrison, P. (2018). Aggression and violence in healthcare and its impact on nursing students: A narrative review of the literature. Nurse Education Today, 62, 158-163. https://doi.org/10.1016/j.nedt.2017.12.019
  • Kaur, J., Sharma, S., Sıngh, M. I., & Sharma, S. (2022). How trainee doctors and nurses react to simulated scenarios of violence against healthcare workers: A cross-sectional study. Indian Journal of Medical Ethics, 3, 1-7. https://doi.org/10.20529/IJME.2022.009
  • Lian, Y., & Dong, X. (2021). Exploring social media usage in improving public perception on workplace violence against healthcare workers. Technology in Society, 65 (101559), 1-9. https://doi.org/10.1016/j.techsoc.2021.101559.
  • Liu, J., Gan, Y., Jiang, H., Li, L., Dwyer, R., Lu, K., Yan, S., Sampson, O., Xu, H., Wang, C., Zhu, Y., Chang, Y., Yang, Y., Yang, T., Chen, Y., Song, F., & Lu Z. (2019). Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occupational and Environmental Medicine, 76(12), 927-937. https://doi.org/10.1136/oemed-2019-105849.
  • Malaspina, E., Tommasi, E., Fioriti, M., Baldassini, R., Traversini, V., & Taddei, G. (2019). Violence in Healthcare: Management of an emerging ıssue in a sector with several occupational risks. Quality-Access to Success, 20(172), 1-5. https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=0&sid=d2a58c61-1556-4c49-ab7b-ce7de074d726%40redis
  • Muzembo, B. A., Mbutshu, L. H., Ngatu, N. R., Malonga, K. F., Eitoku, M., Hirota, R., & Suganuma, N.(2015). Workplace violence towards Congolese health care workers: a survey of 436 healthcare facilities in Katanga Province, Democratic Republic of Congo. Journal of Occupational Health, 57(1), 69–80. https://doi.org/10.1539/joh.14-0111-OA.
  • Njaka, S., Edeogu, O. C., Oko, C. C., Goni, M. D., & Nkadi, N. (2020). Work place violence (WPV) against healthcare workers in Africa: A systematic review. Heliyon, 6(9), 1-11. https://doi.org/10.1016/j.heliyon.2020.e04800
  • Occupational Safety and Health Administration U.S. Department of Labor (2022). Guidelines for preventing workplace violence for healthcare and social service workers. Report no: OSHA 3148-04R. www.osha.gov/Publications/osha3148.pdf.
  • Open Source Epidemiologic Statistics for Public Health.(2013). https://www.openepi.com/Menu/OE_Menu.htm.
  • Özcan, E. M., Ünal, A., & Çakıcı, A. B. (2014). Work-Related Stress in Healthcare Professionals: Konya Numune Hospital Field Study. Journal of Aksaray University Faculty of Economics and Administrative Sciences, 7(1), 125-131. http://aksarayiibd.aksaray.edu.tr/en/download/article-file/209375
  • Reddy, I. R., Ukrani, J., Indla, V., & Ukrani, V. (2019). Violence against doctors: A viral epidemic? Indian Journal of Psychiatry 61(4), 782-785. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_120_19.
  • Tee, S., Özçetin, Y. S. Ü., & Russell-Westhead, M. (2016). Workplace violence experienced by nursing students: A UK survey. Nurse Education Today, 41, 30-35. https://doi.org/10.1016/j.nedt.2016.03.014.
  • Terkes, N., Bedir, G., & Değirmenci, K. (2021). “Violence against healthcare professionals" from the perspective of nursing students. Izmir Katip Celebi University Faculty of Health Sciences Journal, 6(2), 57-62. https://dergipark.org.tr/en/pub/ikcusbfd/issue/62599/854929
  • Tucker, J. D, Cheng, Y, Wong, B, Gong, N, Nie, J. B, Zhu, W., McLaughlin, M. M., Xie, R., Deng, Y., Huang, M., Wong, W. C. W., Lan, P., Liu, H., Miao, W., & Kleinman, A.(2015). Patient-physician mistrust and violence against physicians in Guangdong Province, China: A qualitative study. BMJ Open, 5(10), 1-10. https://doi.org/10.1136/bmjopen-2015-008221 .
  • Wang, S., Zhao, H., & Sun, Z. (2022). Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China. BMC Medical Education, 22(1), 1-12. https://doi.org/10.1186/s12909-022-03428-1.
  • Wang,, X. Q., Wang X. T., Zheng, J. J.(2013). How to end violence against doctors in China. Lancet, 380(9842),647–648. https://doi.org/10.1016/S0140-6736(12)61367-1.
  • World Health Organization. (2022). Violence Prevention Alliance. https://www.who.int/groups/violence-prevention-alliance/approach.
  • Yalınbaş, S. S., Bulut, F., & Civaner, M. M. (2018). How does violence towards healthcare workers affect students’ opinions on their profession and patients? An example from a medical school. Community and Physician, 33(2), 148-160. https://www.belgelik.dr.tr/ToplumHekim/kayit_goster.php?Id=2836
  • Yılmaz, M., Tellioglu, M., & Arıkan, İ.(2021). Violence in Health: The Effect on Medical Faculty Students Perspective on Profession. Online Turkish Journal of Sciences, 6(3), 404-412. https://doi.org/10.26453/otjhs.903129 .
  • Yücens, B., & Oguzhanoglu, N. K. (2020). Perception of violence, exposure to violence and being affected by violence in health workers. Pamukkale Medical Journal, 13(2), 321-329. https://doi.org/10.31362/patd.669733.
  • Zhu, L., Lu, D., Luo, Z., Xu, M., Sun, L., & Hu, S. (2022). Workplace Violence and its Impact on the Professional Identity among Nursing Students in China: A Multicenter Cross-Sectional Study. BMC Nursing, 21(262), 1-9. https://doi.org/10.1186/s12912-022-01037-3.
  • Zorlu, I., & Kurcer, M. (2020). Violence against physicians according to patients and relatives of the patients. Mersin University Journal of Health Sciences, 13(3), 418-427. https://doi.org/10.26559/mersinsbd.690969 .

Sağlıkta Yaşanılan Şiddetin Öğrencilerde Mesleki Karar Pişmanlığına Etkisi

Year 2024, Volume: 6 Issue: 3, 449 - 461, 25.12.2024

Abstract

Bu çalışmanın amacı tıp, fizyoterapi, hemşirelik, anestezi, paramedik, tıbbi laboratuvar, yaşlı bakımı gibi sağlıkla ilgili disiplinlerde öğrenim gören öğrencilerin yaşadığı şiddetin yaygınlığını belirlemektir. Temel amaç, öğrencilerin şiddete maruz kaldıktan sonra kariyer kararlarından pişmanlık duymalarını, etkileyen faktörlerin analiziyle birlikte değerlendirmektir. Araştırmaya katılmayı kabul eden 596 öğrenci ile tanımlayıcı olarak yapıldı. Veri toplamada katılımcı formu ve Mesleki Karar Pişmanlığı ölçeği kullanıldı. Verilerin yorumlanmasında frekans, korelasyon, Kruskal Wallis H testi ve Mann Whitney U testlerini içeren istatistiksel analizler kullanıldı. Şiddetle karşılaşan öğrencilerde yaş, cinsiyet ve okunulan bölüm mesleki karar pişmanlığını etkilemiştir (p<0.05). Klinik uygulama yapmayan öğrencilerin mesleki karar pişmanlık ortanca değeri klinik uygulama yapan öğrencilere göre anlamlı derecede yüksekti (p<0.05). Ayrıca öğrencilerin %65.8’i sağlık hizmetlerinde şiddeti eğitim eksikliğine bağlamış, %59.4’ü mesleği ile endişelerini dile getirmiş, %92.4’ü şiddeti kabul edilemez buldu. Bu çalışma, sağlıkla ilgili disiplinlerde öğrenim gören üniversite öğrencilerinin klinik uygulamaları sırasında yaşadıkları spesifik şiddet türlerinin belirlenmesini savunmaktadır. Şiddete karşı gerekli cezai işlemlerin ve önleyici tedbirlerin acilen uygulanması tavsiye edilmektedir. Ayrıca, farkındalık artırıcı eğitim programları ve daha ileri araştırma girişimlerinin, öğrenciler arasında kariyer kararı pişmanlığının azaltılmasına katkıda bulunacağını önermektedir.

Project Number

-

References

  • Afkhamzadeh, A., Bolbanabad, A. M., Moloudi, B., Safari, H., & Piroozi, B. (2018). Workplace violence against physicians and medical students in west part of Iran. International Journal of Human Rights in Healthcare, 12(2), 116-123. https://doi.org/10.1108/IJHRH-07-2018-0049.
  • Aghajanloo, A., Nirumand-Zandi, K., Safavi-Bayat, Z., & Alavi-Majd, H. (2011). Clinical violence in nursing students. Iranian Journal of Nursing and Midwifery Research, 16(4), 284-287. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583097/
  • Brehaut, J.C., O'Connor, A. M., Wood, T. J., Hack, T. F., Siminoff, L., Gordon, E., & Feldman-Stewart, D. (2003). Validation of a decision regret scale. Medical Decision Making, 23(4), 281-292. https://doi.org/10.1177/0272989X03256005
  • Campbell, J. C., Messing, J. T., Kub, J., Agnew, J., Fitzgerald, S., Fowler, B., Sheridan, D., Lindauer, C., Deaton, J., & Bolyard, R. (2011). Workplace violence: prevalence and risk factors in the safe at work study. Journal of Occupational Environmental Medicine, 53(1), 82–89. https://www.jstor.org/stable/45009661.
  • Centers for Disease Control and Prevention (2022). The National Institute for Occupational Safety and Health (NIOSH). https://www.cdc.gov/niosh/topics/violence/default.html.
  • Centers for Disease Control and Prevention.(2023). Violence occupational hazards in hospitals. https://www.cdc.gov/niosh/docs/2002-101/default.html.
  • Chang, H. E., & Cho, S. H. (2016). Workplace violence and job outcomes of newly licensed nurses. Asian nursing research, 10(4), 271-276. https://doi.org/10.1016/j.anr.2016.09.001 d’Ettorre, G., Mazzotta, M., Pellicani, V., & Vullo, A. (2018). Preventing and Managing Workplace Violence Against Healthcare Workers in Emergency Departments. Acta Bio Medica: Atenei Parmensis, 89(4), 28-36. https://doi.org/10.23750/abm.v89i4-S.7113 .
  • Demirbaş, N., & Karaoğlu, N. (2021). Perceptions of Physicians and Physician Candidates About Violence Against Physicians: A Preliminary Study. Genel Tıp Dergisi, 31(2), 130-134. https://doi.org/10.15321/GenelTipDer.2021.299.
  • Demirci, S., & Ugurluoglu, Ö. (2020b). An evaluation of verbal, physical, and sexual violence against healthcare workers in Ankara, Turkey. Journal of Forensic Nursing, 16(4), 33-41. https://doi.org/10.1097/JFN.0000000000000286
  • Demirci, Ş., & Ugurluoglu, Ö. (2020a). Violence against health workers: An example of a public hospital. Acıbadem University Health Sciences Journal, 1, 89-97. https://doi.org/10.31067/0.2020.245 Erdurcan, S., & Kırdök, O. (2017). Career desicion regret scale: Adaptation, validity and reliability study. Mersin University Journal of Health Sciences, 13(3), 1140-1150. https://doi.org/10.17860/mersinefd.330880.
  • Erten, R., Oztora, S., & Dagdeviren, H. N. (2019). Evaluation of exposure to violence against doctors in health care facilities. Turkısh Journal of Family Practice, 23(2), 52-63. https://doi.org/10.15511/tahd.19.00252 . Hopkins, M., Fetherston, C. M, & Morrison, P. (2014). Prevalence and characteristics of aggression and violence experienced by Western Australian nursing students during clinical practice. Contemporary Nurse: A Journal for the Australian Nursing Profession, 49(1), 113-121. https://search.informit.org/doi/epdf/10.3316/informit.889883257489320
  • Hopkins, M., Fetherston, C. M., & Morrison, P. (2018). Aggression and violence in healthcare and its impact on nursing students: A narrative review of the literature. Nurse Education Today, 62, 158-163. https://doi.org/10.1016/j.nedt.2017.12.019
  • Kaur, J., Sharma, S., Sıngh, M. I., & Sharma, S. (2022). How trainee doctors and nurses react to simulated scenarios of violence against healthcare workers: A cross-sectional study. Indian Journal of Medical Ethics, 3, 1-7. https://doi.org/10.20529/IJME.2022.009
  • Lian, Y., & Dong, X. (2021). Exploring social media usage in improving public perception on workplace violence against healthcare workers. Technology in Society, 65 (101559), 1-9. https://doi.org/10.1016/j.techsoc.2021.101559.
  • Liu, J., Gan, Y., Jiang, H., Li, L., Dwyer, R., Lu, K., Yan, S., Sampson, O., Xu, H., Wang, C., Zhu, Y., Chang, Y., Yang, Y., Yang, T., Chen, Y., Song, F., & Lu Z. (2019). Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occupational and Environmental Medicine, 76(12), 927-937. https://doi.org/10.1136/oemed-2019-105849.
  • Malaspina, E., Tommasi, E., Fioriti, M., Baldassini, R., Traversini, V., & Taddei, G. (2019). Violence in Healthcare: Management of an emerging ıssue in a sector with several occupational risks. Quality-Access to Success, 20(172), 1-5. https://web.p.ebscohost.com/ehost/pdfviewer/pdfviewer?vid=0&sid=d2a58c61-1556-4c49-ab7b-ce7de074d726%40redis
  • Muzembo, B. A., Mbutshu, L. H., Ngatu, N. R., Malonga, K. F., Eitoku, M., Hirota, R., & Suganuma, N.(2015). Workplace violence towards Congolese health care workers: a survey of 436 healthcare facilities in Katanga Province, Democratic Republic of Congo. Journal of Occupational Health, 57(1), 69–80. https://doi.org/10.1539/joh.14-0111-OA.
  • Njaka, S., Edeogu, O. C., Oko, C. C., Goni, M. D., & Nkadi, N. (2020). Work place violence (WPV) against healthcare workers in Africa: A systematic review. Heliyon, 6(9), 1-11. https://doi.org/10.1016/j.heliyon.2020.e04800
  • Occupational Safety and Health Administration U.S. Department of Labor (2022). Guidelines for preventing workplace violence for healthcare and social service workers. Report no: OSHA 3148-04R. www.osha.gov/Publications/osha3148.pdf.
  • Open Source Epidemiologic Statistics for Public Health.(2013). https://www.openepi.com/Menu/OE_Menu.htm.
  • Özcan, E. M., Ünal, A., & Çakıcı, A. B. (2014). Work-Related Stress in Healthcare Professionals: Konya Numune Hospital Field Study. Journal of Aksaray University Faculty of Economics and Administrative Sciences, 7(1), 125-131. http://aksarayiibd.aksaray.edu.tr/en/download/article-file/209375
  • Reddy, I. R., Ukrani, J., Indla, V., & Ukrani, V. (2019). Violence against doctors: A viral epidemic? Indian Journal of Psychiatry 61(4), 782-785. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_120_19.
  • Tee, S., Özçetin, Y. S. Ü., & Russell-Westhead, M. (2016). Workplace violence experienced by nursing students: A UK survey. Nurse Education Today, 41, 30-35. https://doi.org/10.1016/j.nedt.2016.03.014.
  • Terkes, N., Bedir, G., & Değirmenci, K. (2021). “Violence against healthcare professionals" from the perspective of nursing students. Izmir Katip Celebi University Faculty of Health Sciences Journal, 6(2), 57-62. https://dergipark.org.tr/en/pub/ikcusbfd/issue/62599/854929
  • Tucker, J. D, Cheng, Y, Wong, B, Gong, N, Nie, J. B, Zhu, W., McLaughlin, M. M., Xie, R., Deng, Y., Huang, M., Wong, W. C. W., Lan, P., Liu, H., Miao, W., & Kleinman, A.(2015). Patient-physician mistrust and violence against physicians in Guangdong Province, China: A qualitative study. BMJ Open, 5(10), 1-10. https://doi.org/10.1136/bmjopen-2015-008221 .
  • Wang, S., Zhao, H., & Sun, Z. (2022). Working intentions of medical students in response to healthcare workplace violence and descending resources reform in China. BMC Medical Education, 22(1), 1-12. https://doi.org/10.1186/s12909-022-03428-1.
  • Wang,, X. Q., Wang X. T., Zheng, J. J.(2013). How to end violence against doctors in China. Lancet, 380(9842),647–648. https://doi.org/10.1016/S0140-6736(12)61367-1.
  • World Health Organization. (2022). Violence Prevention Alliance. https://www.who.int/groups/violence-prevention-alliance/approach.
  • Yalınbaş, S. S., Bulut, F., & Civaner, M. M. (2018). How does violence towards healthcare workers affect students’ opinions on their profession and patients? An example from a medical school. Community and Physician, 33(2), 148-160. https://www.belgelik.dr.tr/ToplumHekim/kayit_goster.php?Id=2836
  • Yılmaz, M., Tellioglu, M., & Arıkan, İ.(2021). Violence in Health: The Effect on Medical Faculty Students Perspective on Profession. Online Turkish Journal of Sciences, 6(3), 404-412. https://doi.org/10.26453/otjhs.903129 .
  • Yücens, B., & Oguzhanoglu, N. K. (2020). Perception of violence, exposure to violence and being affected by violence in health workers. Pamukkale Medical Journal, 13(2), 321-329. https://doi.org/10.31362/patd.669733.
  • Zhu, L., Lu, D., Luo, Z., Xu, M., Sun, L., & Hu, S. (2022). Workplace Violence and its Impact on the Professional Identity among Nursing Students in China: A Multicenter Cross-Sectional Study. BMC Nursing, 21(262), 1-9. https://doi.org/10.1186/s12912-022-01037-3.
  • Zorlu, I., & Kurcer, M. (2020). Violence against physicians according to patients and relatives of the patients. Mersin University Journal of Health Sciences, 13(3), 418-427. https://doi.org/10.26559/mersinsbd.690969 .
There are 33 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Yağmur Akbal Demirci 0000-0001-6748-6701

Burcu Çuvalci 0000-0002-2157-2388

Hilal Pekmezci Purut 0000-0003-2157-4014

Bahar Kefeli Çol 0000-0002-2862-4451

Özlem Albayrak 0000-0002-9167-307X

Project Number -
Publication Date December 25, 2024
Submission Date May 26, 2023
Acceptance Date December 15, 2023
Published in Issue Year 2024 Volume: 6 Issue: 3

Cite

APA Akbal Demirci, Y., Çuvalci, B., Pekmezci Purut, H., Kefeli Çol, B., et al. (2024). The Effect of Violence Experienced in Healthcare on Professional Decision Regret in Students. Genel Sağlık Bilimleri Dergisi, 6(3), 449-461.


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