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Médecine du travail du personnel hospitalier

Occupational injury among hospital patient-care workers: What is the association with workplace verbal abuse?

Auteur Erika L. Sabbath
Auteur David A. Hurtado
Auteur Cassandra A. Okechukwu
Auteur Sara L. Tamers
Auteur Candace Nelson
Auteur Seung-Sup Kim
Auteur Gregory Wagner
Auteur Glorian Sorenson
Volume 57
Numéro 2
Pages 222-232
Publication American Journal of Industrial Medicine
Date Feb 2014
Résumé Objective To test the association between workplace abuse exposure and injury risk among hospital workers. We hypothesized that exposed workers would have higher injury rates than unexposed workers. Methods Survey of direct-care workers (n = 1,497) in two hospitals. Exposure to workplace abuse was assessed through self-report; occupational injury reports were extracted from employee records. We tested associations between non-physical workplace violence and injury using log-binomial regression and multilevel modeling. Results Adjusted prevalence ratio (PR) for injury associated with being yelled at was 1.52 (95% CI 1.19, 1.95); for experiencing hostile/offensive gestures 1.43 (1.11, 1.82); and for being sworn at 1.41 (1.09, 1.81). In analyses by injury subtypes, musculoskeletal injuries were more strongly associated with abuse than were acute traumatic injuries. Associations operated on group and individual levels and were most consistently associated with abuse perpetrated by patients. Conclusion Exposure to workplace abuse may be a risk factor for injuries among hospital workers.

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