Araştırma Makalesi
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Violence against emergency department healthcare workers: A cross-sectional evaluation of exposure, perceived causes, and outcomes

Yıl 2025, Cilt: 3 Sayı: 3, 115 - 121, 29.10.2025
https://doi.org/10.61845/agrimedical.1689544

Öz

Aim: The study aimed to evaluate the frequency and forms of violence experienced by healthcare personnel working in the emergency department, accompanied by cause and effect statements of healthcare professionals.
Materials and Methods: The study was conducted with 219 emergency service healthcare workers between 01.06.2023-31.08.2023. The data were recorded by asking questions to the employees who volunteered to participate about the situation of being subjected to violence, if so, its nature, and to all participants about the causes and solution suggestions of the violence.
Results: Study included 219 people, 122 (55.7%) men and 97 (44.3%) women. Violence affected 108 men (59.0%) and 75 women (41.0%). Doctors were 57 (26%) and nurses were 73 (33%). While 102(55.7%) of individuals subjected to violence were exposed to verbal violence, 120 (65.6%) were most often exposed between 20:00 and 00:00. Sixty-one (33.3%) cases gave a white code due to violence, and 113(61.7%) blamed emergency services' crowding. 77.6% of the participants stated that the concern of being subjected to violence had a negative impact on providing healthy service. Again, 40.4% of violence victims said emergency department reform was needed.
Conclusion: The study demonstrated that violence against emergency department healthcare workers is both frequent and multifactorial, often linked to systemic and interpersonal stressors. Findings underscore the need for targeted institutional strategies to reduce violence and its negative consequences on staff performance and care delivery.

Etik Beyan

The ethics committee approval of the study was obtained from the Kanuni Education and Research Hospital Clinical Research Ethics Committee with the decision numbered 52 dated 26.04.2023.

Destekleyen Kurum

None

Teşekkür

None

Kaynakça

  • Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002;360(9339):1083-88.
  • Aljohani B, Burkholder J, Tran QK, Chen C, Beisenova K, Pourmand A. Workplace violence in the emergency department: a systematic review and meta-analysis. Public Health. 2021;196:186-197.
  • O'Brien CJ, van Zundert AAJ, Barach PR. The growing burden of workplace violence against healthcare workers: trends in prevalence, risk factors, consequences, and prevention - a narrative review. EClinicalMedicine. 2024;72:102641.
  • Di Martino V. Workplace violence in the health sector – Synthesis Report. ILO/WHO/ICN; 2002.
  • Bayram B, Çetin M, Çolak Oray N, Can İÖ. Workplace violence against physicians in Turkey's emergency departments: a cross-sectional survey. BMJ Open. 2017;7(6):e013568.
  • Sari H, Yildiz İ, Çağla Baloğlu S, Özel M, Tekalp R. The frequency of workplace violence against healthcare workers and affecting factors. PLoS One. 2023;18(7):e0289363.
  • Partridge B, Affleck J. Verbal abuse and physical assault in the emergency department: rates of violence, perceptions of safety, and attitudes towards security. Australas Emerg Nurs J. 2017;20(3):139-145.
  • Doehring MC, Chhabra M, Armahizer J, et al. Workplace Violence in a Large Urban Emergency Department. JAMA Netw Open. 2024;7(12):e2444204.
  • Ramzi ZS, Fatah PW, Dalvandi A. Prevalence of Workplace Violence Against Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Front Psychol. 2022;13:896156.
  • Zhang S, Zhao Z, Zhang H, Zhu Y, Xi Z, Xiang K. Workplace violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2023;30(30):74838-74852.
  • Talas MS, Kocaöz S, Akgüç S. A survey of violence against staff working in the emergency department in ankara, Turkey. Asian Nurs Res (Korean Soc Nurs Sci). 2011;5(4):197-203.
  • Türkmenoğlu B, Sümer HE. Frequency of healthcare workers’ exposure to violence in the city center of Sivas. Ankara Med J. 2017;(4):216-225.
  • Atan ŞÜ, Dönmez S. Workplace violence against nurses. Turkish Journal of Forensic Medicine. 2011;25(11):71-80.
  • Aktaş E, Aydemir İ. The Determination of Views of Health Professionals Who Exposed to Violence About the "White Code" Implementation. Turkiye Klinikleri J Health Sci. 2018;3(1):32-47.
  • Rutherford A, Zwi AB, Grove NJ, Butchart A. Violence: a glossary. J Epidemiol Community Health. 2007;61(8):676-80.
  • Menckel E, Viitasara E. Threats and violence in Swedish care and welfare—magnitude of the problem and impact on personnel. Scand J Caring Sci. 2002;16(4):376-85.
  • Karpınar MS, Hakverdi G, Çalışkan SA. Workplace violence against emergency physicians: A cross‑sectional study on the role of communication skills. Turk J Emerg Med. 2025;25:123-9.
  • Nowrouzi-Kia B, Chai E, Usuba K, Nowrouzi-Kia B, Casole J. Prevalence of type II and type III workplace violence against physicians: a systematic review and meta-analysis. Int J Occup Environ Med. 2019;10(3):99-110.
  • Pich J, Hazelton M, Sundin D, Kable A. Patient-related violence against emergency department nurses. Nurs Health Sci. 2010;12(2):268-74.
  • Elsharkawy, N., Alruwaili, A., Elsayed Ramadan, O. et al. Barriers to reporting workplace violence: a qualitative study of nurses’ perceptions in tertiary care settings. BMC Nurs. 2025;24:395.
  • Darawad MW, Al-Hussami M, Saleh AM, Mustafa WM, Odeh H. Violence against nurses in emergency departments in Jordan: nurses' perspective. Workplace Health Saf. 2015;63(1):9-17.
  • Seddik SA, Abdelhai R, Aboushady AT, Nawwar AE, El Essawy RA, Hegazy AA. Violence against healthcare workers during the COVID-19 pandemic: a cross-sectional survey at Cairo University Hospital. Front Public Health. 2023;11:1277056.
  • La Torre G, Firenze A, Colaprico C, et al. Prevalence and Risk Factors of Bullying and Sexual and Racial Harassment in Healthcare Workers: A Cross-Sectional Study in Italy. Int J Environ Res Public Health. 2022;19(11):6938.
  • Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. Int J Nurs Stud. 2014;51(1):72-84.
  • Crilly J, Chaboyer W, Creedy D. Violence towards emergency department nurses by patients. Accid Emerg Nurs. 2004;12:67-73.
  • Arnetz JE, Arnetz BB. Violence towards health care staff and possible effects on the quality of patient care. Soc Sci Med. 2001;52(3):417-427.
  • Alnaeem MM, Hasan Suleiman K, Alzoubi MM, et al. Prevalence, consequences, and contributing factors beyond verbal and physical workplace violence against nurses in peripheral hospitals. Front Public Health. 2025;12:1418813.
  • Li S, Yan H, Qiao S, Chang X. Prevalence, influencing factors and adverse consequences of workplace violence against nurses in China: A cross-sectional study. J Nurs Manag. 2022;30(6):1801-1810.
  • Kim S, Kitzmiller R, Baernholdt M, Lynn MR, Jones CB. Patient Safety Culture: The Impact on Workplace Violence and Health Worker Burnout. Workplace Health Saf. 2023;71(2):78-88.
  • Benning L, Teepe GW, Kleinekort J, et al. Workplace violence against healthcare workers in the emergency department - a 10-year retrospective single-center cohort study. Scand J Trauma Resusc Emerg Med. 2024;32(1):88.
  • Kafle S, Paudel S, Thapaliya A, Acharya R. Workplace violence against nurses: a narrative review. J Clin Transl Res. 2022;13;8(5):421-424.
  • Arnetz JE, Hamblin L, Ager J, et al. Underreporting of Workplace Violence: Comparison of Self-Report and Actual Documentation of Hospital Incidents. Workplace Health Saf. 2015;63(5):200-210.
  • Menendez CC, Arespacochaga E, Begley R, et al. Prioritizing our Healthcare Workers: The Importance of Addressing the Intersection of Workplace Violence and Mental Health and Wellbeing. NIOSH Science Blog. 2024 May 29. Available from: https://blogs.cdc.gov/niosh-science-blog/2024/05/29/hcw_violence_mh/ (accessed 2025 Sep 15).

Acil servis sağlık çalışanlarına yönelik şiddet: Maruziyet, algılanan nedenler ve sonuçların kesitsel değerlendirmesi

Yıl 2025, Cilt: 3 Sayı: 3, 115 - 121, 29.10.2025
https://doi.org/10.61845/agrimedical.1689544

Öz

Amaç: Çalışmamızda acil serviste çalışan sağlık personelinin maruz kaldığı şiddetin sıklığını ve biçimlerini, sağlık çalışanlarının neden-sonuç ifadeleri eşliğinde değerlendirmeyi amaçladık.
Gereçler ve Yöntemler: Çalışma 01.06.2023-31.08.2023 tarihleri arasında 219 acil servis sağlık çalışanı ile yürütüldü. Çalışmaya gönüllü olan çalışanlara şiddete maruz kalma durumu, maruz kaldıysa niteliği, tüm katılımcılara ise şiddetin nedenleri ve çözüm önerileri hakkında sorular sorularak veriler kaydedildi.
Bulgular: Çalışmamıza katılan olgular toplam 219 kişi olup, 122’si (%55,7) erkek ve 97’si (%44,3) kadındı. Şiddete maruz kalanların 108’i (%59,0) erkek, 75’i (%41,0) kadındı. Mesleklerine göre 57 (%26) kişi doktor, 73 (%33) kişi hemşire olarak değerlendirildi. Şiddete maruz kalanların 102 (%55,7)’si sözlü şiddete maruz kalırken, 120 (%65,6) kişi en sık 20:00-00:00 saatleri arasında sözlü şiddete maruz kalmıştır. 61(%33,3) kişi şiddet sonucu beyaz kod verdiğini belirtirken, 113 (%61,7) kişi şiddet nedeni olarak acil servislerdeki kalabalık ortamı göstermiştir. Katılımcıların %77,6’sı şiddete maruz kalma kaygısının sağlıklı hizmet sunumu üzerinde olumsuz etkisi olduğunu belirtmiştir. Yine şiddet mağdurlarının %40,4’ü çözüm için acil servis işleyişinde revizyon gerektiğini belirtti.
Sonuç: Çalışma, acil servis sağlık çalışanlarına yönelik şiddetin hem sık hem de çok yönlü olduğunu, genellikle sistem kaynaklı ve kişilerarası stresörlerle bağlantılı olduğunu göstermiştir. Çalışan verimliliği ve hasta bakım hizmetleri üzerindeki olumsuz sonuçları azaltmak için şiddeti önleme amacıyla hedefli kurumsal stratejilere ve çalışmalara ihtiyaç vardır.

Kaynakça

  • Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health. Lancet. 2002;360(9339):1083-88.
  • Aljohani B, Burkholder J, Tran QK, Chen C, Beisenova K, Pourmand A. Workplace violence in the emergency department: a systematic review and meta-analysis. Public Health. 2021;196:186-197.
  • O'Brien CJ, van Zundert AAJ, Barach PR. The growing burden of workplace violence against healthcare workers: trends in prevalence, risk factors, consequences, and prevention - a narrative review. EClinicalMedicine. 2024;72:102641.
  • Di Martino V. Workplace violence in the health sector – Synthesis Report. ILO/WHO/ICN; 2002.
  • Bayram B, Çetin M, Çolak Oray N, Can İÖ. Workplace violence against physicians in Turkey's emergency departments: a cross-sectional survey. BMJ Open. 2017;7(6):e013568.
  • Sari H, Yildiz İ, Çağla Baloğlu S, Özel M, Tekalp R. The frequency of workplace violence against healthcare workers and affecting factors. PLoS One. 2023;18(7):e0289363.
  • Partridge B, Affleck J. Verbal abuse and physical assault in the emergency department: rates of violence, perceptions of safety, and attitudes towards security. Australas Emerg Nurs J. 2017;20(3):139-145.
  • Doehring MC, Chhabra M, Armahizer J, et al. Workplace Violence in a Large Urban Emergency Department. JAMA Netw Open. 2024;7(12):e2444204.
  • Ramzi ZS, Fatah PW, Dalvandi A. Prevalence of Workplace Violence Against Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Front Psychol. 2022;13:896156.
  • Zhang S, Zhao Z, Zhang H, Zhu Y, Xi Z, Xiang K. Workplace violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2023;30(30):74838-74852.
  • Talas MS, Kocaöz S, Akgüç S. A survey of violence against staff working in the emergency department in ankara, Turkey. Asian Nurs Res (Korean Soc Nurs Sci). 2011;5(4):197-203.
  • Türkmenoğlu B, Sümer HE. Frequency of healthcare workers’ exposure to violence in the city center of Sivas. Ankara Med J. 2017;(4):216-225.
  • Atan ŞÜ, Dönmez S. Workplace violence against nurses. Turkish Journal of Forensic Medicine. 2011;25(11):71-80.
  • Aktaş E, Aydemir İ. The Determination of Views of Health Professionals Who Exposed to Violence About the "White Code" Implementation. Turkiye Klinikleri J Health Sci. 2018;3(1):32-47.
  • Rutherford A, Zwi AB, Grove NJ, Butchart A. Violence: a glossary. J Epidemiol Community Health. 2007;61(8):676-80.
  • Menckel E, Viitasara E. Threats and violence in Swedish care and welfare—magnitude of the problem and impact on personnel. Scand J Caring Sci. 2002;16(4):376-85.
  • Karpınar MS, Hakverdi G, Çalışkan SA. Workplace violence against emergency physicians: A cross‑sectional study on the role of communication skills. Turk J Emerg Med. 2025;25:123-9.
  • Nowrouzi-Kia B, Chai E, Usuba K, Nowrouzi-Kia B, Casole J. Prevalence of type II and type III workplace violence against physicians: a systematic review and meta-analysis. Int J Occup Environ Med. 2019;10(3):99-110.
  • Pich J, Hazelton M, Sundin D, Kable A. Patient-related violence against emergency department nurses. Nurs Health Sci. 2010;12(2):268-74.
  • Elsharkawy, N., Alruwaili, A., Elsayed Ramadan, O. et al. Barriers to reporting workplace violence: a qualitative study of nurses’ perceptions in tertiary care settings. BMC Nurs. 2025;24:395.
  • Darawad MW, Al-Hussami M, Saleh AM, Mustafa WM, Odeh H. Violence against nurses in emergency departments in Jordan: nurses' perspective. Workplace Health Saf. 2015;63(1):9-17.
  • Seddik SA, Abdelhai R, Aboushady AT, Nawwar AE, El Essawy RA, Hegazy AA. Violence against healthcare workers during the COVID-19 pandemic: a cross-sectional survey at Cairo University Hospital. Front Public Health. 2023;11:1277056.
  • La Torre G, Firenze A, Colaprico C, et al. Prevalence and Risk Factors of Bullying and Sexual and Racial Harassment in Healthcare Workers: A Cross-Sectional Study in Italy. Int J Environ Res Public Health. 2022;19(11):6938.
  • Spector PE, Zhou ZE, Che XX. Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: a quantitative review. Int J Nurs Stud. 2014;51(1):72-84.
  • Crilly J, Chaboyer W, Creedy D. Violence towards emergency department nurses by patients. Accid Emerg Nurs. 2004;12:67-73.
  • Arnetz JE, Arnetz BB. Violence towards health care staff and possible effects on the quality of patient care. Soc Sci Med. 2001;52(3):417-427.
  • Alnaeem MM, Hasan Suleiman K, Alzoubi MM, et al. Prevalence, consequences, and contributing factors beyond verbal and physical workplace violence against nurses in peripheral hospitals. Front Public Health. 2025;12:1418813.
  • Li S, Yan H, Qiao S, Chang X. Prevalence, influencing factors and adverse consequences of workplace violence against nurses in China: A cross-sectional study. J Nurs Manag. 2022;30(6):1801-1810.
  • Kim S, Kitzmiller R, Baernholdt M, Lynn MR, Jones CB. Patient Safety Culture: The Impact on Workplace Violence and Health Worker Burnout. Workplace Health Saf. 2023;71(2):78-88.
  • Benning L, Teepe GW, Kleinekort J, et al. Workplace violence against healthcare workers in the emergency department - a 10-year retrospective single-center cohort study. Scand J Trauma Resusc Emerg Med. 2024;32(1):88.
  • Kafle S, Paudel S, Thapaliya A, Acharya R. Workplace violence against nurses: a narrative review. J Clin Transl Res. 2022;13;8(5):421-424.
  • Arnetz JE, Hamblin L, Ager J, et al. Underreporting of Workplace Violence: Comparison of Self-Report and Actual Documentation of Hospital Incidents. Workplace Health Saf. 2015;63(5):200-210.
  • Menendez CC, Arespacochaga E, Begley R, et al. Prioritizing our Healthcare Workers: The Importance of Addressing the Intersection of Workplace Violence and Mental Health and Wellbeing. NIOSH Science Blog. 2024 May 29. Available from: https://blogs.cdc.gov/niosh-science-blog/2024/05/29/hcw_violence_mh/ (accessed 2025 Sep 15).
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp, Adli Tıp
Bölüm Araştırma Makalesi
Yazarlar

Erman Aydoğan 0009-0002-2322-0690

Abuzer Coşkun 0000-0003-4824-7021

Burak Demirci 0000-0001-6658-7260

Burak Akın 0000-0003-2515-5482

Selman Gündoğan 0000-0001-9795-8087

Yayımlanma Tarihi 29 Ekim 2025
Gönderilme Tarihi 2 Mayıs 2025
Kabul Tarihi 28 Eylül 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 3 Sayı: 3

Kaynak Göster

AMA Aydoğan E, Coşkun A, Demirci B, Akın B, Gündoğan S. Violence against emergency department healthcare workers: A cross-sectional evaluation of exposure, perceived causes, and outcomes. Ağrı Med J. Ekim 2025;3(3):115-121. doi:10.61845/agrimedical.1689544