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      Workplace violence against healthcare workers during the COVID‐19 pandemic in Sudan: A cross‐sectional study

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          Abstract

          Background

          Workplace violence (WPV) against healthcare workers (HCWs) is a growing global issue. During the coronavirus diseases‐2019 (COVID‐19) pandemic, violent attacks on HCWs have been documented worldwide. This study aimed to investigate the magnitude and pattern of WPV among HCWs in Sudan during the COVID‐19 pandemic.

          Methods

          A web‐based cross‐sectional study of WPV was conducted among registered medical and health workers (pharmacists, physicians, dentists, nurses, laboratory technicians, and administrative and paramedical staff) during the COVID‐19 pandemic in Sudan. Data were collected from August to December 2021 using a self‐administered questionnaire distributed through social media platforms.

          Results

          A total of 792 HCWs returned the online questionnaire. The mean age was 33.5 ± 8.6 years, where more than half were females (54.9%) and working during the day shift (58.8%). During the COVID‐19 pandemic, three out of every four participants (78.3%) reported experiencing violence, with 65.8 % experiencing it more than three times. The common types of violence experienced were verbal (91.6%), physical (50.0%), and sexual abuse (11.0%). The emergency department reported the highest number of violent incidents (46.9%). Half of these violent events were not reported (50.3%), primarily due to a lack of a reporting system. The demographic factors that were significantly associated with exposure to violence were participants’ occupation ( p < 0.001), age ( p = 0.001), marital status ( p = 0.002), and years of working experience ( p = 0.020).

          Conclusion

          WPV was rampant among the HCWs in Sudan during the COVID‐19 pandemic. The current findings are presented to draw the attention of policy leaders and stakeholders in Sudan to this alarming problem prompting the pressing need for policy and system interventions.

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          Most cited references35

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          The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.

          Much of biomedical research is observational. The reporting of such research is often inadequate, which hampers the assessment of its strengths and weaknesses and of a study's generalizability. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Initiative developed recommendations on what should be included in an accurate and complete report of an observational study. We defined the scope of the recommendations to cover three main study designs: cohort, case-control, and cross-sectional studies. We convened a 2-day workshop in September 2004, with methodologists, researchers, and journal editors to draft a checklist of items. This list was subsequently revised during several meetings of the coordinating group and in e-mail discussions with the larger group of STROBE contributors, taking into account empirical evidence and methodological considerations. The workshop and the subsequent iterative process of consultation and revision resulted in a checklist of 22 items (the STROBE Statement) that relate to the title, abstract, introduction, methods, results, and discussion sections of articles. Eighteen items are common to all three study designs and four are specific for cohort, case-control, or cross-sectional studies. A detailed Explanation and Elaboration document is published separately and is freely available on the web sites of PLoS Medicine, Annals of Internal Medicine, and Epidemiology. We hope that the STROBE Statement will contribute to improving the quality of reporting of observational studies.
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            Prevalence of workplace violence against healthcare workers: a systematic review and meta-analysis

            We aim to quantitatively synthesise available epidemiological evidence on the prevalence rates of workplace violence (WPV) by patients and visitors against healthcare workers. We systematically searched PubMed, Embase and Web of Science from their inception to October 2018, as well as the reference lists of all included studies. Two authors independently assessed studies for inclusion. Data were double-extracted and discrepancies were resolved by discussion. The overall percentage of healthcare worker encounters resulting in the experience of WPV was estimated using random-effects meta-analysis. The heterogeneity was assessed using the I 2 statistic. Differences by study-level characteristics were estimated using subgroup analysis and meta-regression. We included 253 eligible studies (with a total of 331 544 participants). Of these participants, 61.9% (95% CI 56.1% to 67.6%) reported exposure to any form of WPV, 42.5% (95% CI 38.9% to 46.0%) reported exposure to non-physical violence, and 24.4% (95% CI 22.4% to 26.4%) reported experiencing physical violence in the past year. Verbal abuse (57.6%; 95% CI 51.8% to 63.4%) was the most common form of non-physical violence, followed by threats (33.2%; 95% CI 27.5% to 38.9%) and sexual harassment (12.4%; 95% CI 10.6% to 14.2%). The proportion of WPV exposure differed greatly across countries, study location, practice settings, work schedules and occupation. In this systematic review, the prevalence of WPV against healthcare workers is high, especially in Asian and North American countries, psychiatric and emergency department settings, and among nurses and physicians. There is a need for governments, policymakers and health institutions to take actions to address WPV towards healthcare professionals globally.
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              Workplace Violence against Health Care Workers in the United States

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                Author and article information

                Contributors
                hiph.yelhadi@alexu.edu.eg
                Journal
                10.1002/(ISSN)2769-2450
                PUH2
                Public Health Challenges
                John Wiley and Sons Inc. (Hoboken )
                2769-2450
                02 November 2022
                December 2022
                02 November 2022
                : 1
                : 4 ( doiID: 10.1002/puh2.v1.4 )
                : e31
                Affiliations
                [ 1 ] Department of Public Health Medical Research Office, Sudanese Medical Research Association Khartoum Sudan
                [ 2 ] Al‐Mana General Hospital Al‐Jubail Saudi Arabia
                [ 3 ] Physiology Department Faculty of Medicine University of Gezira Wad Medani Sudan
                [ 4 ] Department of Anatomy Faculty of Medicine and Medical Sciences Omdurman Islamic University Omdurman Sudan
                [ 5 ] Federal Ministry of Health Khartoum Sudan
                [ 6 ] Faculty of Pharmacy University of Science and Technology Khartoum Sudan
                [ 7 ] Faculty of Medicine Ahfad University for Women Omdurman Sudan
                [ 8 ] Faculty of Public Health University of Shendi Shendi Sudan
                Author notes
                [*] [* ] Correspondence

                Yasir Ahmed Mohammed Elhadi, Department of Public Health, Medical Research Office, Sudanese Medical Research Association, P.O. Box 382 Khartoum, Sudan.

                Email: hiph.yelhadi@ 123456alexu.edu.eg

                Author information
                https://orcid.org/0000-0003-3649-0374
                https://orcid.org/0000-0001-6386-1682
                https://orcid.org/0000-0001-6930-9004
                https://orcid.org/0000-0001-9334-0909
                Article
                PUH231
                10.1002/puh2.31
                9877812
                64d54032-b0a7-4cae-a6ca-178906d38bf3
                © 2022 The Authors. Public Health Challenges published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 March 2022
                : 26 September 2022
                Page count
                Figures: 1, Tables: 3, Pages: 9, Words: 4636
                Categories
                Research Article
                Research Article
                Custom metadata
                2.0
                December 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.4 mode:remove_FC converted:26.01.2023

                covid‐19,healthcare workers,sudan,workplace violence
                covid‐19, healthcare workers, sudan, workplace violence

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