Coping strategies, preventive measures and control of labor violence in primary health care

Authors

DOI:

https://doi.org/10.33448/rsd-v9i11.9780

Keywords:

Workplace violence; Strategies; Patient care team; Primary Health Care; Work conditions

Abstract

Objective: to identify coping strategies, preventive measures and control of violence at work by health professionals in Primary Health Care. Method: this is a qualitative exploratory-descriptive study carried out in health units in the capital of Rio Grande do Sul , with 20 service professionals. Data collection took place between January and March 2020, through an audio-recorded press conference, transcribed and submitted to thematic content analysis. Results: professionals recognized their high exposure to violence at work, using strategies such as detachment, denial and flight to avoid the problem or equally aggressive reactions. The control measures identified were security support, support from colleagues and increased dialogue. Furthermore, they lack management support to prevent violence by improving infrastructure, access and social investments. Conclusion: the accomplishment of increments in the relationships and in the microspace are important, but managerial and social investments are fundamental.

References

Altamir, M., & Arteaga, A. (2018) Protocolo de actuación para prevenir y afrontar agresiones al personal sanitario. Enfermagem Clínica SLU, 28(2), 125-132. https://doi.org/10.1016/j.enfcli.2017.09.002

Abraham, L.J., Thom, O., Greenslade, J.H., Wallis, M., Johnston, A.N.B., Carlström, E., … Crilly, J. (2018) Morale, stress and coping strategies of staff working in the emergency department: a comparison of two different-sized departments. Emergency Medicine Australasia, 30(3), 375-381. https://doi.org/10.1111/1742-6723.12895

Beattie, J., Griffiths, D., Innes, K., & Morphet, J. (2018) Workplace violence perpetrated by clients of health care: a need for safety and trauma informed care. Journal of Clinical Nursing, 28(1-2), 116-124. https://doi.org/10.1111/jocn.14683

Bordignon, M., & Monteiro, I. (2018) Considerations on the effectiveness of educational strategies in outcomes related to workplace violence. Atención Primaria, 50(7). https://doi.org/10.1016/j.aprim.2017.09.013

Cordenuzzi, O. C. P., Lima, S. B. S., Prestes, F. C., Beck, C. L. C., Silva, R. M. & Dal Pai, D. (2017) Estratégias utilizadas pela enfermagem em situações de violência no trabalho em hemodiálise. Revista Gaúcha de Enfermagem, 38(2), 1-8. https://doi.org/10.1590/1983-1447.2017.02.58788

Dadashzadeh, A., Rahmani, A., Hassankhani, H., Boyle, M., Mohammadi, E., & Campbell, S. (2019) Iranian pre‐hospital emergency care nurses’ strategies to manage workplace violence: a descriptive qualitative study. Journal of Nursing Management, 27(6), 1190-1199. https://doi.org/10.1111/jonm.12791

Dal Pai, D., Lautert, L., Souza, S. B. C., Marziale, M. H. P., & Tavares, J. P. (2015) Violência, burnout e transtornos psíquicos menores no trabalho hospitalar. Revista Escola de Enfermagem da USP, 49(3), 457-464. https://doi.org/10.1590/S0080-623420150000300014

Dal Pai, D., Sturbelle, I. C. S., Santos, C., Tavares, J. P., & Lautert, L. (2018) Violência física e psicológica perpetrada no trabalho em saúde Texto & Contexto Enfermagem, 27(1), 1-10. https://doi.org/10.1590/0104-07072018002420016

Dejours, C. (2015) A loucura do trabalho: estudo de psicopatologia do trabalho. 6. Ed. Cortez-Oboré.

D’ettorre, G., Mazzotta, M., Pellicani, V., & Vullo, A. (2018) Preventing and managing workplace violence against healthcare workers in emergency departments. Acta Biomed for Health Professions; 89(4), 28-36. doi: 10.23750/abm.v89i4-S.7113

Fang, H., Zhao, X., Yang, H., Sun, P., Li, Y., Jiang, K., … Wu, Q. (2018) Depressive symptoms and workplace-violence-related risk factors among otorhinolaryngology nurses and physicians in northern china: a cross-sectional study. BMJ Open, 8(1), 1-9. http://dx.doi.org/10.1136/bmjopen-2017-019514

Flórido, H. G., Duarte, S. C. M., Floresta, W. M. C., Marins, A. M. F., Broca, P. V., & Moraes, J. R. M. M. (2020) Gerenciamento das situações de violência no trabalho na estratégia de saúde da família pelo enfermeiro. Texto & Contexto Enfermagem, 29(20180432), 1-14. http://dx.doi.org/10.1590/1980-265X-TCE-2018-0432

Freitas, P. H., Beck, C. L. C., Viero, V., Fernandes, M. N. S., & Machado, K. L. (2016) Estratégias defensivas do enfermeiro frente ao sofrimento na estratégia saúde da família. Texto & Contexto Enfermagem, 25(4). https://doi.org/10.1590/0104-07072016003050014

Garcia, G. P. A., Marziale, M. H.P. (2018) Indicadores de esgotamento profissional em

trabalhadores da atenção primária em saúde. Revista Brasileira de Enfermagem, 71(5), 2469-2478. https://doi.org/10.1590/0034-7167-2017-0530.

Gil, A. C. (2010) Como elaborar projetos de pesquisa. 5. Ed. Atlas.

International Labour Office (ILO). (2018) Report V (1): Ending violence and harassment

against women and men in the world of work. Geneva: International Labour Conference

ª Session. Disponível em: https://www.ilo.org/wcmsp5/groups/public/---ed_norm/---relconf/documents/meetingdocument/wcms_553577.pdf

Köche, J. C. (2011). Fundamentos de metodologia científica. Ed. Vozes. Disponível em: http://www.brunovivas.com/wp-content/uploads/sites/10/2018/07/K%C3%B6che-Jos%C3%A9-Carlos0D0AFundamentos-de-metodologia-cient%C3%ADfica-_-teoria-da0D0Aci%C3%AAncia-e-inicia%C3%A7%C3%A3o-%C3%A0-pesquisa.pdf

Minayo, M. C. S., Deslandes, S. F., & Gomes, R. (2010) Pesquisa Social. Teoria, método e

criatividade. 29. Ed. Vozes.

Morphet, J., Griffiths, D., Beattie, J., & Innes, K. (2019) Managers’ experiences of prevention

and management of workplace violence against health care staff: a descriptive exploratory

study. Journal of Nursing Management, 27(4), 781-791. https://doi.org/10.1111/jonm.12761

Occupational Safety and Health Administration (OSHA). (2015) Guidelines for Preventing

Workplace Violence for Healthcare and Social Service Workers. United States of América.

Disponível em: https://www.osha.gov/Publications/osha3148.pdf

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., Shitsuka, R. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria: UAB/NTE/UFSM. Disponível em: https://www.ufsm.br/app/uploads/sites/358/2019/02/Metodologia-da-Pesquisa-Cientifica_final.pdf

Polit, D. F., & Beck, C. T. (2011) Fundamentos de pesquisa em enfermagem: avaliação de evidências para a prática da enfermagem. 9. Ed. Artmed.

Rajabi, F., Jahangiri, M., Bagherifard, F., Banaee, S., & Fahadi, P. (2020) Strategies for

controlling violence against healthcare workers: application of fuzzy analytical hierarchy process and fuzzy additive ratio assessment. Journal of Nursing Management, 1-26. https://doi.org/10.1111/jonm.12989

Rincón-Del Toro, T., Villanueva-Guerra, A., Rodríguez-Barrientos, R., Polentinos-Castro, E., Torijano-Castillo, M. J. & Castro-Monteiro, E. (2016) Agresiones sufridas por las personas que trabajan en atención primaria de la Comunidad de Madrid, 2011-2012. Revista Española de Salud Pública, 90, 1-12. Disponível em: http://scielo.isciii.es/pdf/resp/v90/1135-5727-resp-90-e40020.pdf

Ruiz-Hernández, J. A., López-García, C., Llor-Esteban, B., Galián-Muñoz, I., Benavente-

Reche, A. P. (2016) Evaluation of the users violence in primary health care: adaptation of an

instrument. International Journal of Clinical and Health Psychology, 16(3), 295-305. https://doi.org/10.1016/j.ijchp.2016.06.001

Sturbelle, I. C. S., Dal Pai, D., Tavares, J. P., Trindade, L. L., Beck, C. L. C. & Matos, V. Z. (2020) Tipos de violência no trabalho em saúde da família, agressores, reações e problemas vivenciados. Revista Brasileira de Enfermagem, 73(Suppl1), 1-8. http://dx.doi.org/10.1590/0034-7167-2019-0055

Sturbelle, I. C. S., Dal Pai, D., Tavares, J. P., Trindade, L. L., Riquinho, D. L., Ampos, L. F. (2019) Violência no trabalho em saúde da família: estudo de métodos mistos. Acta Paulista de Enfermagem, 32(6), 632-641. http://dx.doi.org/10.1590/1982-0194201900088

Sui, G., Liu, G., Jia, L., Wang, L., Yang, G. (2019) Associations of workplace violence and

psychological capital with depressive symptoms and burnout among doctors in Liaoning,

China: a cross sectional study. Bmj Open, 9(024186), 1-10. http://dx.doi.org/10.1136/bmjopen-2018-024186

Tang, N. & Thomson, L. E. (2019) Workplace violence in chinese hospitals: the effects of healthcare disturbance on the psychological well-being of chinese healthcare workers. International Journal of Environmental Research and Public Health, 16(19), 1-14. https://doi.org/10.3390/ijerph16193687

Tsukamoto, S. A. S., Galdino, M. J. Q., Robazzi, M. L. C. C., Ribeiro, R. P., Soares, M. H.,

Haddad, M. C. F. L., & Martins, J. T. (2019) Violência ocupacional na equipe de enfermagem: prevalência e fatores associados. Acta Paulista de Enfermagem, 32(4), 425-432. http://dx.doi.org/10.1590/1982-0194201900058

Zhao, S., Qu, L., Liu, H., Gao, L., Jiao, M., Liu, J., … Wu, Q. (2016) Coping with workplace

violence against general practitioners and nurses in Heilongjiang Province, China: social supports and prevention strategies. Plos One, 11(6), 1-14. https://doi.org/10.1371/journal.pone.0157897

Wei, C., Chiou, S., Chien, L., & Huang, N. (2016) Workplace violence against nurses – Prevalence and association with hospital organizational characteristics and health-promotion efforts: cross-sectional study. International Journal of Nursing Studies, 56, 63-70. https://doi.org/10.1016/j.ijnurstu.2015.12.012

Published

12/11/2020

How to Cite

AMPOS, L. F.; FERNANDES, M. N. da S.; TAVARES, J. P. .; TRINDADE, L. de L.; DAL PAI, D. Coping strategies, preventive measures and control of labor violence in primary health care. Research, Society and Development, [S. l.], v. 9, n. 11, p. e2279119780, 2020. DOI: 10.33448/rsd-v9i11.9780. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9780. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences