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

Authors
Sabbath-EL; Hurtado-DA; Okechukwu-CA; Tamers-SL; Nelson-C; Kim-S-S; Wagner-G; Sorenson-G
Source
Am J Ind Med 2014 Feb; 57(2):222-232
NIOSHTIC No.
20043280
Abstract
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.
Keywords
Health-care; Health-care-personnel; Medical-services; Nurses; Worker-health; Injuryies; Health-services; Statistical-analysis; Lost-work-days; Voice-communication; Workplace-studies; Risk-analysis; Risk-factors; Emotional-stress; Employee-exposure; Health-surveys; Musculoskeletal-system-disorders; Behavior; Group-dynamics; Mental-stress; Psychological-factors; Total-Worker-Health; Author Keywords: occupational injury; workplace violence; workplace harassment; workplace abuse; non-physical violence
Contact
Erika L. Sabbath, ScD, Harvard Center for Population and Development Studies, 9 Bow Street, Cambridge, MA 02138
CODEN
AJIMD8
Publication Date
20140201
Document Type
Journal Article
Email Address
esabbath@hsph.harvard.edu
Funding Type
Cooperative Agreement
Fiscal Year
2014
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U19-OH-008861; M112013
Issue of Publication
2
ISSN
0271-3586
NIOSH Division
OD
Source Name
American Journal of Industrial Medicine
State
MA; DC
Performing Organization
Harvard University, Boston, Massachusetts
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