Skip to main content
Top
Published in: BMC Health Services Research 1/2017

Open Access 01-12-2017 | Research article

Workplace violence against nurses in the Gambia: mixed methods design

Authors: Ebrima J. Sisawo, Saide Yacine Y. Arsène Ouédraogo, Song-Lih Huang

Published in: BMC Health Services Research | Issue 1/2017

Login to get access

Abstract

Background

The aim of this study was to assess the prevalence, perpetrators and factors associated with workplace violence against nurses in public secondary health care facilities from two health regions in the Gambia.

Methods

Data was collected from 219 nurses using self-administered questionnaire and 35 face-to-face interviews. The data collection was conducted between July and September 2014 in 14 public secondary health care facilities.

Results

A sizable majority of respondents (62.1%) reported exposure to violence in the 12 months prior to the survey; exposure to verbal abuse, physical violence, and sexual harassment was 59.8%, 17.2%, and 10% respectively. The perpetrators were mostly patients’ escorts/relatives followed by patients themselves. Perceived reasons of workplace violence were mainly attributed to nurse-client disagreement, understaffing, shortage of drugs and supplies, security vacuum, and lack of management attention to workplace violence.

Conclusions

Nurses in the Gambia are at a relatively high risk of violent incidents at work. Policies and strategies that are sensitive to local circumstances and needs should be developed for the prevention of workplace violence.
Appendix
Available only for authorised users
Literature
1.
go back to reference ILO/ICN/WHO/PSI. Workplace Violence in the Health Sector: Country Case Studies Research InstrumentsSurvey Questionnaire (English) ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in the Health Sector. Geneva:2003. ILO/ICN/WHO/PSI. Workplace Violence in the Health Sector: Country Case Studies Research InstrumentsSurvey Questionnaire (English) ILO/ICN/WHO/PSI Joint Programme on Workplace Violence in the Health Sector. Geneva:2003.
3.
go back to reference Abbas MA, et al. Epidemiology of workplace violence against nursing staff in Ismailia Governorate, Egypt. J Egypt Public Health Assoc. 2010;85(1–2):29–43.PubMed Abbas MA, et al. Epidemiology of workplace violence against nursing staff in Ismailia Governorate, Egypt. J Egypt Public Health Assoc. 2010;85(1–2):29–43.PubMed
4.
go back to reference Pai HC, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs. 2011;20(9–10):1405–12.CrossRefPubMed Pai HC, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs. 2011;20(9–10):1405–12.CrossRefPubMed
5.
go back to reference Kitaneh M, Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res. 2012;12:469.CrossRefPubMedPubMedCentral Kitaneh M, Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res. 2012;12:469.CrossRefPubMedPubMedCentral
6.
go back to reference Kamchuchat C, et al. Workplace violence directed at nursing staff at a general hospital in southern Thailand. J Occup Health. 2008;50(2):201–7.CrossRefPubMed Kamchuchat C, et al. Workplace violence directed at nursing staff at a general hospital in southern Thailand. J Occup Health. 2008;50(2):201–7.CrossRefPubMed
7.
go back to reference Shoghi MSM, Shirazi F, Heidari S, Salemi S, Mirzabeigi G. Workplace Violence and Abuse Against Nurses in Hospitals in Iran. Asian Nursing Research. 2008;2(2):184–93.CrossRefPubMed Shoghi MSM, Shirazi F, Heidari S, Salemi S, Mirzabeigi G. Workplace Violence and Abuse Against Nurses in Hospitals in Iran. Asian Nursing Research. 2008;2(2):184–93.CrossRefPubMed
8.
go back to reference Camerino D, et al. Work-related factors and violence among nursing staff in the European NEXT study: a longitudinal cohort study. Int J Nurs Stud. 2008;45(1):35–50.CrossRefPubMed Camerino D, et al. Work-related factors and violence among nursing staff in the European NEXT study: a longitudinal cohort study. Int J Nurs Stud. 2008;45(1):35–50.CrossRefPubMed
9.
go back to reference Paterson M, Leadbetter R. Managing physical violence. London: Machmillan press; 1999.CrossRef Paterson M, Leadbetter R. Managing physical violence. London: Machmillan press; 1999.CrossRef
10.
go back to reference Fernandes CM, et al. Violence in the emergency department: a survey of health care workers. Cmaj. 1999;161(10):1245–8.PubMedPubMedCentral Fernandes CM, et al. Violence in the emergency department: a survey of health care workers. Cmaj. 1999;161(10):1245–8.PubMedPubMedCentral
11.
go back to reference Human Resources for Health Country Profile The Gambia. Ministry of Health & Social Welfare. 2009. Human Resources for Health Country Profile The Gambia. Ministry of Health & Social Welfare. 2009.
12.
go back to reference Annual Services Statistics Report, N.H.M.I. System, Editor. Ministry of Health & Social Welfare. Banjul: The International Labor Office; 2012. Annual Services Statistics Report, N.H.M.I. System, Editor. Ministry of Health & Social Welfare. Banjul: The International Labor Office; 2012.
13.
14.
go back to reference Lin YH, Liu HE. The impact of workplace violence on nurses in South Taiwan. Int J Nurs Stud. 2005;42(7):773–8.CrossRefPubMed Lin YH, Liu HE. The impact of workplace violence on nurses in South Taiwan. Int J Nurs Stud. 2005;42(7):773–8.CrossRefPubMed
15.
go back to reference Martino VD. Workplace Violence in the Health Sector: Country case studies. 2002. Martino VD. Workplace Violence in the Health Sector: Country case studies. 2002.
16.
go back to reference Texas Center for Nursing Workforce Studies. Workplace Violence Against Nurses in Texas, D.o.S.H. Services, Editor. 2016. Texas Center for Nursing Workforce Studies. Workplace Violence Against Nurses in Texas, D.o.S.H. Services, Editor. 2016.
17.
go back to reference Isaac, M.B., H. Peter, and G. Eyal. Sources, incidence and effects of non‐physical workplace violence against nurses in Ghana. Nursing Open. 2016;3:99–109. doi:10.1002/nop2.43. Isaac, M.B., H. Peter, and G. Eyal. Sources, incidence and effects of non‐physical workplace violence against nurses in Ghana. Nursing Open. 2016;3:99–109. doi:10.​1002/​nop2.​43.
18.
go back to reference Samir N, et al. Nurses’ attitudes and reactions to workplace violence in obstetrics and gynaecology departments in Cairohospitals. East Mediterr Health J. 2012;18(3):198–204.PubMed Samir N, et al. Nurses’ attitudes and reactions to workplace violence in obstetrics and gynaecology departments in Cairohospitals. East Mediterr Health J. 2012;18(3):198–204.PubMed
19.
go back to reference Pinar R, Ucmak F. Verbal and physical violence in emergency departments: a survey of nurses in Istanbul. Turkey J Clin Nurs. 2011;20(3–4):510–7.CrossRefPubMed Pinar R, Ucmak F. Verbal and physical violence in emergency departments: a survey of nurses in Istanbul. Turkey J Clin Nurs. 2011;20(3–4):510–7.CrossRefPubMed
20.
go back to reference G. Balamurugan*a, TTJ. Nandakumar Pc Patients’ violence towards nurses: A questionnaire survey. Int J Nurs. 2012;1(1):1-7. G. Balamurugan*a, TTJ. Nandakumar Pc Patients’ violence towards nurses: A questionnaire survey. Int J Nurs. 2012;1(1):1-7.
21.
go back to reference AbuAlRub RF, Khalifa MF, Habbib MB. Workplace violence among Iraqi hospital nurses. J Nurs Scholarsh. 2007;39(3):281–8.CrossRefPubMed AbuAlRub RF, Khalifa MF, Habbib MB. Workplace violence among Iraqi hospital nurses. J Nurs Scholarsh. 2007;39(3):281–8.CrossRefPubMed
22.
go back to reference Mohammed A, et al. Workplace Violence Toward EmergencyDepartment Staff in Jordanian Hospitals: A Cross-Sectional Study. J Nurs Res. 2015;23(1):75–81.CrossRef Mohammed A, et al. Workplace Violence Toward EmergencyDepartment Staff in Jordanian Hospitals: A Cross-Sectional Study. J Nurs Res. 2015;23(1):75–81.CrossRef
23.
go back to reference Effect of Incentives on Health Service Providers’ Motivation and Performance in the Public Sector – A National Survey March 2010, Ministry of Health & Social Welfare of the Gambia, CIAM and WAHO. Effect of Incentives on Health Service Providers’ Motivation and Performance in the Public Sector – A National Survey March 2010, Ministry of Health & Social Welfare of the Gambia, CIAM and WAHO.
24.
go back to reference Razee H, et al. Listening to the rural health workers in Papua New Guinea - the social factors that influence their motivation to work. Soc Sci Med. 2012;75(5):828–35.CrossRefPubMed Razee H, et al. Listening to the rural health workers in Papua New Guinea - the social factors that influence their motivation to work. Soc Sci Med. 2012;75(5):828–35.CrossRefPubMed
25.
go back to reference Mohamad A, Yara M, Hani D. A National Study on Nurses’ Exposure to Occupational Violence in Lebanon: Prevalence, Consequences and Associated Factors. PLoS One. 2015;10:e0137105.CrossRef Mohamad A, Yara M, Hani D. A National Study on Nurses’ Exposure to Occupational Violence in Lebanon: Prevalence, Consequences and Associated Factors. PLoS One. 2015;10:e0137105.CrossRef
26.
go back to reference Bewket TT, et al. Prevalence of workplace violence in Northwest Ethiopia: a multivariate analysis. BMC Nurs. 2016;15:42.CrossRef Bewket TT, et al. Prevalence of workplace violence in Northwest Ethiopia: a multivariate analysis. BMC Nurs. 2016;15:42.CrossRef
27.
go back to reference Kwok RP, et al. Prevalence of workplace violence against nurses in Hong Kong. Hong Kong Med J. 2006;12(1):6–9.PubMed Kwok RP, et al. Prevalence of workplace violence against nurses in Hong Kong. Hong Kong Med J. 2006;12(1):6–9.PubMed
29.
go back to reference Aiken LH, et al. Nurses’ reports on hospital care in five countries. Health Aff (Millwood). 2001;20(3):43–53.CrossRef Aiken LH, et al. Nurses’ reports on hospital care in five countries. Health Aff (Millwood). 2001;20(3):43–53.CrossRef
30.
go back to reference Duncan SM, et al. Nurses’ experience of violence in Alberta and British Columbia hospitals. Can J Nurs Res. 2001;32(4):57–78.PubMed Duncan SM, et al. Nurses’ experience of violence in Alberta and British Columbia hospitals. Can J Nurs Res. 2001;32(4):57–78.PubMed
Metadata
Title
Workplace violence against nurses in the Gambia: mixed methods design
Authors
Ebrima J. Sisawo
Saide Yacine Y. Arsène Ouédraogo
Song-Lih Huang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2017
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-017-2258-4

Other articles of this Issue 1/2017

BMC Health Services Research 1/2017 Go to the issue