Guarding the Vulnerable: Perceptions of Security and Workplace Violence in Pediatric and Gynecological Care Settings of Karachi
Pediatric & Gynecology Units: Security Concerns in Karachi
DOI:
https://doi.org/10.62807/jowach.v1i1.2024.34-40Keywords:
Workplace violence, healthcare providers, hospital security, Karachi, perceptionsAbstract
Background: Violence in the workplace against medical professionals is a serious problem, especially in developing nations like Pakistan. The purpose of this study was to evaluate the opinions of medical professionals regarding Karachi's current hospital security protocols and pinpoint opportunities for enhancement.
Methods: A cross-sectional survey of 414 healthcare providers from public and private hospitals in Karachi, Pakistan was undertaken. The participants' sociodemographic characteristics, encounters with workplace violence, evaluations of hospital security measures, and recommendations for enhancement were all encompassed in the questionnaire. The data were analysed utilising descriptive statistics, chi-square tests, and multinomial logistic regression.
Results: A significant proportion of the participants expressed discontentment with security standards, citing insufficient staffing (71.7%), absence of monitoring systems (72.7%), and inadequate access control guidelines (64.7%). A greater frequency of reported workplace violence was substantially correlated with overall dissatisfaction with security (82.3% vs. 58.1%, p < 0.001). The results of multinomial logistic regression showed that being a nurse (OR = 1.73, 95% CI: 1.12-2.68) and being dissatisfied with security measures (OR = 3.21, 95% CI: 1.87-5.52) were independent risk factors for workplace violence. Increasing security staff, improving surveillance systems, and fortifying access control protocols were among the recommendations for improvement.
Conclusions: Improved hospital security measures are essential to address workplace violence against healthcare providers in Karachi. Implementing the recommended strategies can create a safer work environment and enhance the quality of patient care.
Keywords: Workplace violence, healthcare providers, hospital security, Karachi, Pakistan, perceptions.
References
Papa A. and Venella J.. Workplace violence in healthcare: strategies for advocacy. Ojin the Online Journal of Issues in Nursing 2013;18(1). https://doi.org/10.3912/ojin.vol18no01man05
Gillespie G., Gates D., Miller M., & Howard P.. Workplace violence in healthcare settings: risk factors and protective strategies. Rehabilitation Nursing 2010;35(5):177-184. https://doi.org/10.1002/j.2048-7940.2010.tb00045.x
Naseem M, Feroz AS, Arshad H, Ashraf S, Asim M, Jamali S, Mian A.Perceptions, challenges and experiences of frontline healthcare providers inemergency departments regarding workplace violence during the COVID-19pandemic: A protocol for an exploratory qualitative study from an LMIC. BMJOpen. 2022;12(2):e055788. Available from: https://ecommons.aku.edu/pakistan_fhs_mc_chs_chs/988
Beattie J, Innes K, Griffiths D, Morphet J. Healthcare providers'neurobiological response to workplace violence perpetrated by consumers:Informing directions for staff well-being. Applied Nursing Research. 2018 Oct1;43:42-48. doi: http://10.0.3.248/j.apnr.2018.06.019
Tsukamoto S. , Galdino M. , Barreto M. , & Martins J.. Burnout syndrome and workplace violence among nursing staff: a cross-sectional study. Sao Paulo Medical Journal 2022;140(1):101-107. https://doi.org/10.1590/1516-3180.2021.0068.r1.31052021
Niu S., Kuo S., Tsai H., Kao C., Traynor V., & Chou K.. Prevalence of workplace violent episodes experienced by nurses in acute psychiatric settings. Plos One 2019;14(1):e0211183. https://doi.org/10.1371/journal.pone.0211183
Yang Y., Li Y., An Y., Zhao Y., Zhang L., Cheung T.et al.. Workplace violence against chinese frontline clinicians during the covid-19 pandemic and its associations with demographic and clinical characteristics and quality of life: a structural equation modeling investigation. Frontiers in Psychiatry 2021;12. https://doi.org/10.3389/fpsyt.2021.649989
Davey K., Ravishankar V., Mehta N., Ahluwalia T., Blanchard J., Smith J.et al.. A qualitative study of workplace violence among healthcare providers in emergency departments in india. International Journal of Emergency Medicine 2020;13(1). https://doi.org/10.1186/s12245-020-00290-0
AlAzzam M., AL-Sagarat A., Tawalbeh L., & Poedel R.. Mental health nurses’ perspective of workplace violence in jordanian mental health hospitals. Perspectives in Psychiatric Care 2017;54(4):477-487. https://doi.org/10.1111/ppc.12250
Liu Q., Luo D., Haase J., Guo Q., Wang X., Liu S.et al.. The experiences of health-care providers during the covid-19 crisis in china: a qualitative study. The Lancet Global Health 2020;8(6):e790-e798. https://doi.org/10.1016/s2214-109x(20)30204-7
Maddineshat M.. Exploring the safe environment provided by nurses in inpatient psychiatric wards: a mixed‐methods study. Journal of Psychiatric and Mental Health Nursing 2023;31(2):257-269. https://doi.org/10.1111/jpm.12983
Schoenfisch A. and Pompeii L.. Security personnel practices and policies in u.s. hospitals. Workplace Health & Safety 2016;64(11):531-542. https://doi.org/10.1177/2165079916653971
Baig LA, Shaikh S, Polkowski M, Ali SK, Jamali S, Mazharullah L, et al. Violence against health care providers: A mixed-methods study from Karachi, Pakistan. J Emerg Med. 2018;54(4):558-566. https://doi.org/10.1016/j.jemermed.2017.12.047

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Muhammad Bilal Siddiqui, Tasneem Mufaddal, Syed Tabeena Ali, Muhammad Suleman Otho

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal of Women and Child Health (JoWaCH) adheres to the CC BY 4.0 license, which is a Creative Commons Attribution 4.0 International License. For comprehensive information, we kindly request that you refer to the full license legal code. JoWaCH employs a non-exclusive license agreement for the purpose of open-access publication. In the context of open access publishing, the authors maintain the copyright of their work while also granting the journal the rights to publish and distribute it, while retaining the primary academic use rights. This practice facilitates the optimal use and dissemination of the work, while also guaranteeing proper attribution to the original source. The handling of manuscript content shall be conducted with confidentiality, with the exception of cases involving review processes and investigations related to potential misconduct, plagiarism, and duplicate/redundant or overlapping publications, in accordance with the guidelines provided by the Committee on Publication Ethics (COPE) COPE Guidelines.
JoWaCH is prohibited from disseminating content derived from previously published scientific work without obtaining proper authorization. Obtaining permission from the copyright holder, who may be either the author(s) or the publisher, is necessary in cases where the copyright holder is the publisher, for any work you want to use.
While it is acceptable to use a small amount of a work, obtaining permission from the copyright owners is necessary for a significant extraction.
The use of unmodified or little modified tables, graphs, and artworks (whether they are the user's own work previously published elsewhere or created by another copyright holder) necessitates obtaining permission.
Tables, graphs, charts, and artworks that have been fully redesigned and rebuilt, and include proper reference of the source, do not need obtaining permission.
JoWaCH facilitates unrestricted access to journal material for readers, necessitating the imposition of membership fees. The journal operates on a self-sustaining financial model and does not rely on support from other sources. The procedure of publishing is contingent only upon the financial resources of the publisher. The readers have unrestricted access to the information on the journal website.