The paper aims to describe the 3-year incidence (2015/17) of aggressive acts against all healthcare workers to identify risk factors associated to violence among a variety of demographic and professional determinants of assaulted, and risk factors related to the circumstances surrounding these events. A retrospective observational study of all 10,970 health workers in a large-sized Italian university hospital was performed. The data, obtained from the “Aggression Reporting Form”, which must be completed by assaulted workers within 72 h of aggression, were collected for the following domains: worker assaulted (sex, age class, years worked); profession (nurses, medical doctors, non-medical support staff, administrative staff, midwives); aggressive acts (activity type during aggressive acts, season, time and location of aggressive acts); and type of aggressive acts (verbal, non-verbal, consequences, aggressors). Three hundred sixty-four (3.3%) workers experienced almost one aggression. The majority of the assaulted workers were female (77.5%), had worked for 6/15 years and were Nurses (64.3%). The majority of aggressive acts occurred during assistance and patient care (38.2%), in the spring and during the afternoon/morning shifts and took place in locations where patients were present (47.3%). The most prevalent aggression type was verbal (76.9%). The patient was the most common aggressor (46.7%). 56% of those assaulted experienced interruptions in their work. Being female, being < 50 years of age, having worked for 6–15 years were significant risk factors for aggression. Midwives suffered the highest risk of experiencing aggression (RR = 12.95). The risk analysis showed that non-verbally aggressive acts were related to assistance and patient care with respect to activity type, to the presence of patients and during the spring and afternoon/evening. The findings suggest the parallel use of future qualitative studies to clarify the motivation behind aggression. These suggestions are needed for the implementation of additional adequate prevention strategies on either an organizational or a personal level.

中文翻译：

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大型大学医院所有医护人员受到攻击的决定因素


本文旨在描述针对所有医护人员的攻击行为的 3 年发生率（2015/2017），以确定与受攻击的各种人口和职业决定因素中的暴力相关的风险因素，以及与这些事件周围环境相关的风险因素。对意大利一家大型大学医院的所有 10,970 名卫生工作者进行了回顾性观察研究。数据取自“攻击行为报告表”，该表必须由受攻击的工人在攻击发生后 72 小时内填写，收集了以下领域： 受攻击的工人（性别、年龄级别、工作年限）；职业（护士、医生、非医疗支持人员、行政人员、助产士）；攻击行为（攻击行为期间的活动类型、攻击行为的季节、时间和地点）；攻击行为的类型（言语、非言语、后果、攻击者）。三百六十四名 (3.3%) 工人几乎遭受过一次攻击。大多数被袭击的工人是女性（77.5%），工作时间为 6/15 年，并且是护士（64.3%）。大多数攻击行为发生在援助和病人护理期间（38.2%）、春季和下午/早班期间，并且发生在病人在场的地方（47.3%）。最常见的攻击类型是言语攻击（76.9%）。患者是最常见的攻击者（46.7%）。 56% 的受攻击者的工作受到干扰。女性、年龄 < 50 岁、工作时间为 6-15 年是攻击行为的重要危险因素。助产士遭受攻击的风险最高（RR = 12.95）。 风险分析显示，非言语攻击行为与活动类型、患者在场以及春季和下午/晚上的援助和患者护理有关。研究结果表明未来可以并行使用定性研究来阐明攻击行为背后的动机。在组织或个人层面实施额外的充分预防策略需要这些建议。