THE RELATIONSHIP BETWEEN PHYSICAL AND VERBAL ABUSE AND PSYCHOLOGICAL HEALTH STATUS AMONG SAUDI HOSPITAL NURSES

Authors

  • Saad Aqeel Al-shammari Regional Nursing Administration, Ministry of Health/Directorate of Health Affairs, Hafer Albatin, Saudi Arabia
  • Muneeb Alzghool Department Community and Mental Health Nursing, King Saud University, College of Nursing, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.31674/mjn.2020.v12i02.011

Abstract

Background: Recently there were major challenges of the health care system including physical and verbal abuse among nurses.  This concern has sought more attention because of its negative consequences on the organization, psychological health status of the nurses, and delivery of care to the patients.

Objectives: This study primarily aimed to determine the presence of physical and verbal abuse and its effect on the mental health status of the nurses.

Methods: A cross-sectional survey was conducted to determine the incidence of abuse experienced or witnessed by nurses in Hafer-Albatain City of Saudi Arabia. Three hundred seventy nurses were recruited from five hospitals and voluntarily answered standardized questionnaire with items about physical and verbal abuse, depression, anxiety, and stress. Data gathering was completed in January to March 2019. Data analysis was performed using Statistical Package for Social Sciences Ver. 21.

Results: The findings of the study showed that verbal abuse (52.7%) was common experienced by nurses compared to physical abuse (34.3%). Regarding mental health status, findings showed that anxiety and depression were higher than stress respectively. However, 21.4% have mild stress, 32.7% have moderate anxiety, and 27.6% have mild depression.

Conclusion: The study proved that reported cases of physical abuse (66.40%) are significantly attributed to variations in hospital conditions. The variance is even higher when associated with reported cases of verbal abuse (98.4%). Among the three components of mental health status, only stress was found significantly correlated with hospital setting and job experience.

Keywords:

Physical Abuse, Verbal Abuse, Depression, Anxiety, Stress, Nurses

Downloads

Download data is not yet available.

References

Abbas, M.A.F., Abu Zaid, L.Z., Hussaein, M., Bakheet, K.H. & AlHamdan, N.A. (2012). Anxiety and depression among nursing staff at King Fahad Medical City, Kingdom of Saudi Arabia. Journal of American Science, 8(10), pp 778-794.

AbuAlRub, R.F. & Al-Asmar, A.H. (2011). Physical violence in the workplace among Jordanian hospital nurses. Journal of Transcultural Nursing, 22(2), pp 157-165.

Ahmed, A.S. (2012). Verbal and physical abuse against Jordanian nurses in the work environment. Eastern Mediterranean Health Journal, 18(4), pp 318-324.

Ahmed, W.A.M. (2015). Anxiety and related symptoms among critical care nurses in Albaha, Kingdom of Saudi Arabia. AIMS Medical Science, 2(4), pp 303-309.

Alameddine, M., Mourad, Y. & Dimassi, H. (2015). A national study on nurses’ exposure to occupational violence in Lebanon: Prevalence, consequences, and associated factors. PloS ONE, 10(9).

Alenezi, A.M., Aboshaiqah, A. & Baker, O. (2018). Work‐related stress among nursing staff working in government hospitals and primary health care centres. International Journal of Nursing Practice, 24(5).

Aljuhaili, W.M. & Alzghool, M.M. (2020). Determining the influence of life change events on the mental health nurses: A case of Saudi Arabia. Global Journal of Health Science, 12(3), pp 45- 54.

Alkorashy, H.A.E. & Al Moalad, F.B. (2016). Workplace violence against nursing staff in a Saudi university hospital. International Nursing Review, 63(2), pp 226-232.

Alister, M. & Kinno, J. (2009). The important of teaching and learning resilience in the health disciplines: a critical review of the literature. Nurse Education Today, 29(4), pp 371-379.

Ahmed, W.A.M. (2015). Anxiety and related symptoms among critical care nurses in Albaha, Kingdom of Saudi Arabia. AIMS Medical Science, 2(4), pp 303-309.

Al‐Omari, H. (2015). Physical and verbal workplace violence against nurses in Jordan. International Nursing Review, 62(1), pp 111-118.

Al-Shamlan, N.A., Jayaseeli, N., Al-Shawi, M.M. & Al-Joudi, A.S. (2017). Are nurses verbally abused? A cross-sectional study of nurses at a university hospital, Eastern Province, Saudi Arabia. Journal of Family & Community Medicine, 24(3), pp 173.

Al-Turki, N., Afify, A.A. & AlAteeq, M. (2016). Violence against health workers in Family Medicine Centers. Journal of Multidisciplinary Healthcare, 9, pp 257.

Brous, E. (2018). Workplace Violence. Legal Clinic, 118 (10), pp 51-55.

Campbell, A.F. (2016). Why violence against nurses has spiked in the last decade. The Atlantic. Retrieved from: https://www.theatlantic. com/business/archive/2016/12/violence-against-nurses/509309

Chen, W.C., Sun, Y.H., Lan, T.H. & Chiu, H.J. (2008) Incidence and risk factors of workplace violence on nursing staffs caring for chronic psychiatric patients in Taiwan. International Journal of Environment Research and Public Health, 6(11), pp 2812-2821.

Cheung, T. & Yip, P. (2015). Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. International Journal of Environmental Research and Public Health, 12(9), pp 11072-11100.

Demerouti, E., Bakker, A.B., Nachreiner, F. & Schaufeli, W.B. (2000). A model of burnout and life satisfaction amongst nurses. Journal of Advanced Nursing, 32(2), pp 454-464.

El-Gilany, A.H., El-Wehady, A. & Amr, M. (2010). Violence against primary health care workers in Al-Hassa, Saudi Arabia. Journal of Interpersonal Violence, 25(4), pp 716-734.

Fjelland, J., Barron, C. & Foxall, M. (2007). A review of instruments measuring two aspects of meaning: Search for meaning and meaning in illness. Journal of Advanced Nursing, 62(4), pp 394–406.

Foglia, D.C., Grassley, J.S. & Zeigler, V.L. (2010). Factors that influence pediatric intensive care unit nurses to leave their jobs. Critical Care Nursing Quarterly, 33(4), pp 302–316.

Franz, S., Zeh, A., Schablon, A., Kuhnert, S. & Nienhaus, A. (2010). Aggression and violence against health care workers in Germany-a cross sectional retrospective survey. BMC Health Services Research, 10(1), pp 51.

Fujishiro, K., Gee, G. C. & de Castro, A. B. (2011). Associations of workplace aggression with work-related well-being among nurses in the Philippines. American Journal of Public Health, 101(5), pp 861-867.

Fute, M., Mengesha, Z.B., Wakgari, N. & Tessema, G.A. (2015). High prevalence of workplace violence among nurses working at public health facilities in Southern Ethiopia. BMC Nursing, 14(1), pp 9.

Grossman, M., Lee, V., Kenny, J., McHarg, L., Godin, M. & Chambers, J. (2000). Psychological adjustment of critically injured patients three months after an unexpected, potentially life-threatening accident. Journal of Clinical Nursing, 9, pp 801–815.

Hallsten, L., Voss, M., Stark, S. & Josephson, M. (2011). Job burnout and job wornout as risk factors for long-term sickness absence. Work, 38(2), pp 181-192.

Happell, B., Dwyer, T., Reid‐Searl, K., Burke, K.J., Caperchione, C. M. & Gaskin, C. J. (2013). Nurses and stress: Recognizing causes and seeking solutions. Journal of Nursing Management, 21(4), pp 638–647.

Hegney, D., Plank, A. & Parker, V. (2003) Workplace violence in nursing in Queensland, Australia: A self-reported study. International Journal of Nursing Practice, 9, pp 261–268.

Hesketh, K.L., Duncan, S.M., Estabrooks, C.A., Reimer, M.A., Giovannetti, P., Hyndman, K. & Acorn, S. (2003). Workplace violence in Alberta and British Columbia hospitals. Health Policy, 63(3), pp 311-321.

Islam, S.S., Edla, S.R., Mujuru, P., Doyle, E.J. & Ducatman, A.M. (2003). Risk factors for physical assault: state managed workers’ compensation experience. American Journal of Preventive Medicine, 25, pp 31-37.

Kamchuchat, C., Chongsuvivatwong, V., Oncheunjit, S., Yip, T.W. & Sangthong, R. (2008). Workplace violence directed at nursing staff at a general hospital in southern Thailand. Journal of Occupational Health, 50(2), pp 201-207.

Kawano, Y. (2008). Association of job-related stress factors with psychological and somatic symptoms among Japanese hospital nurses: effect of departmental environment in acute hospitals. Journal of Occupational Health, 50(1), pp 79-85.

Khademloo, M., Moonesi, F. S. & Gholizade, H. (2013). Health care violence and abuse towards nurses in hospitals in north of Iran. Global Journal of Health Science, 5(4), pp 211.

Li, P., Xing, K., Qiao, H., Fang, H., Ma, H., Jiao, M., Hao, Y., Li, Y., Liang, L., Gao, L. & Kang, Z. (2018). Psychological violence against general practitioners and nurses in Chinese township hospitals: incidence and implications. Health and Quality of Life Outcomes, 16(1), pp 117.

Lin, Y. & Liu, H. (2005). The impact of workplace violence on nurses in South Taiwan. International Journal of Nursing Studies, 42, pp 773-778.

McKinney, B. K. (2011). Withstanding the pressure of the profession. Journal for Nurses in Staff Development, 27, pp 69-73.

Mousavi, S.V., Ramezani, M., Salehi, I., Hossein Khanzadeh, A.A. & Sheikholeslami, F. (2017). The relationship between burnout dimensions and psychological symptoms (depression, anxiety, and stress) among nurses. Journal of Holistic Nursing and Midwifery, 27(2), pp.37-43.

Nachreiner, N.M., Gerberich, S.G., Ryan, A.D. & McGovern, P.M. (2007). Minnesota nurses' study: perceptions of violence and the work environment. Industrial Health, 45, pp 672- 678.

National Nurses United (2016). National Nurses United petitions federal OSHA for workplace violence prevention standard. Retrieved from: https://www.nationalnursesunited.org/ press/national-nurses-united-petitions-federal-osha-workplaceviolence-prevention-standard

Nayeri, N., Saheli, T. & Noghabi, A. (2011). Quality of work life and productivity among Iranian nurses. Contemporary Nurse, 9(1), pp 106-118.

Obrien, P.G., Kenedy, W.Z. & Ballard, K.A. (2012). Psychiatric Mental Health Nursing: An Introduction to Theory and Practice. 2nd Edition. USA: Jones & Bartlett Learning.

Pai, H. & Lee, S. (2011). Risk factors for workplace violence in clinical registered nurses in Taiwan. Journal of Clinical Nursing, 20, pp 1405-1412.

Perry, L., Lamont, S., Brunero, S., Gallagher, R. & Duffield, C. (2015). The mental health of nurses in acute teaching hospital settings: A cross-sectional survey. BMC Nursing, 14, pp 1-8.

Robert Wood Johnson Foundation. (2015). Nurses face epidemic levels of violence at work. Retrieved from:https://www.rwjf.org/en/library/articles-and-news/2015/07/nurses-face-epidemic-levels-of-violence-at-work.html

Rowe, M.M. & Sherlock, H. (2005). Stress and verbal abuse in nursing: do burned out nurses eat their young?. Journal of Nursing Management, 13, pp 242-248.

Steger, M. & Kashdan, T. (2009). Depression and Everyday Social Activity, Belonging, and Well-Being. Journal of Counseling Psychology, 56(2), pp 289-300.

Stirling, G., Higgins, J. E. & Cooke, M. W. (2001). Violence in A&E departments: a systematic review of the literature. Accident and Emergency Nursing, 9, pp 77-85.

Taghva, A, Yazdani, A., Ebrahimi, M.R., Alizadeh, K. & Sakhabakhsh, M. (2013). Prevalence of depression in psychiatric Nurses and comparison with other parts of the AJA hospitals. Journal of Nurse and Physician within War, 23(24), pp 11-16.

Unruh, L. & Asi, Y. (2018). Determinants of workplace injuries and violence among newly licensed RNs. Workplace Health & Safety, 66(10), pp 482-492.

World Health Organization. (2002). Framework guidelines for addressing Workplace Violence in the Health Sector. Retrieved from: http:// www.who.int/violence_injury_prevention/injury/work9/en/

You, L.M., Aiken, L.H., Sloane, D.M., Liu, K., He, G.P., Hu, Y., Jiang, X.L., Li, X.H., Li, X.M., Liu, H.P. & Shang, S.M. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), pp 154-161.

Published

01-10-2020

How to Cite

Saad Aqeel Al-shammari, & Muneeb Alzghool. (2020). THE RELATIONSHIP BETWEEN PHYSICAL AND VERBAL ABUSE AND PSYCHOLOGICAL HEALTH STATUS AMONG SAUDI HOSPITAL NURSES. The Malaysian Journal of Nursing (MJN), 12(2), 80-93. https://doi.org/10.31674/mjn.2020.v12i02.011

Metrics