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Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors
OBJECTIVE: Violence from care recipients and family members, including both verbal and physical abuse, is a serious occupational hazard for healthcare and social assistance workers. Most workplace violence studies in this sector focus on hospitals and other institutional settings. This study examine...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585262/ https://www.ncbi.nlm.nih.gov/pubmed/31186370 http://dx.doi.org/10.1136/oemed-2018-105604 |
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author | Karlsson, Nicole D Markkanen, Pia K Kriebel, David Gore, Rebecca J Galligan, Catherine J Sama, Susan R Quinn, Margaret M |
author_facet | Karlsson, Nicole D Markkanen, Pia K Kriebel, David Gore, Rebecca J Galligan, Catherine J Sama, Susan R Quinn, Margaret M |
author_sort | Karlsson, Nicole D |
collection | PubMed |
description | OBJECTIVE: Violence from care recipients and family members, including both verbal and physical abuse, is a serious occupational hazard for healthcare and social assistance workers. Most workplace violence studies in this sector focus on hospitals and other institutional settings. This study examined verbal abuse in a large home care (HC) aide population and evaluated risk factors. METHODS: We used questionnaire survey data collected as part of a larger mixed methods study of a range of working conditions among HC aides. This paper focuses on survey responses of HC aides (n=954) who reported on verbal abuse from non-family clients and their family members. Risk factors were identified in univariate and multivariable analyses. RESULTS: Twenty-two per cent (n=206) of aides reported at least one incident of verbal abuse in the 12 months before the survey. Three factors were found to be important in multivariable models: clients with dementia (relative risk (RR) 1.38, 95% CI 1.07 to 1.78), homes with too little space for the aide to work (RR 1.52, 95% CI 1.17 to 1.97) and predictable work hours (RR 0.74, 95% CI 0.58 to 0.94); two additional factors were associated with verbal abuse, although not as strongly: having clients with limited mobility (RR 1.35, 95% CI 0.94 to 1.93) and an unclear plan for care delivery (RR 1.27, 95% CI 0.95 to 1.69). Aides reporting verbal abuse were 11 times as likely to also report physical abuse (RR 11.53; 95% CI 6.84 to 19.45). CONCLUSIONS: Verbal abuse is common among HC aides. These findings suggest specific changes in work organisation and training that may help reduce verbal abuse. |
format | Online Article Text |
id | pubmed-6585262 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-65852622019-07-05 Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors Karlsson, Nicole D Markkanen, Pia K Kriebel, David Gore, Rebecca J Galligan, Catherine J Sama, Susan R Quinn, Margaret M Occup Environ Med Workplace OBJECTIVE: Violence from care recipients and family members, including both verbal and physical abuse, is a serious occupational hazard for healthcare and social assistance workers. Most workplace violence studies in this sector focus on hospitals and other institutional settings. This study examined verbal abuse in a large home care (HC) aide population and evaluated risk factors. METHODS: We used questionnaire survey data collected as part of a larger mixed methods study of a range of working conditions among HC aides. This paper focuses on survey responses of HC aides (n=954) who reported on verbal abuse from non-family clients and their family members. Risk factors were identified in univariate and multivariable analyses. RESULTS: Twenty-two per cent (n=206) of aides reported at least one incident of verbal abuse in the 12 months before the survey. Three factors were found to be important in multivariable models: clients with dementia (relative risk (RR) 1.38, 95% CI 1.07 to 1.78), homes with too little space for the aide to work (RR 1.52, 95% CI 1.17 to 1.97) and predictable work hours (RR 0.74, 95% CI 0.58 to 0.94); two additional factors were associated with verbal abuse, although not as strongly: having clients with limited mobility (RR 1.35, 95% CI 0.94 to 1.93) and an unclear plan for care delivery (RR 1.27, 95% CI 0.95 to 1.69). Aides reporting verbal abuse were 11 times as likely to also report physical abuse (RR 11.53; 95% CI 6.84 to 19.45). CONCLUSIONS: Verbal abuse is common among HC aides. These findings suggest specific changes in work organisation and training that may help reduce verbal abuse. BMJ Publishing Group 2019-07 2019-06-11 /pmc/articles/PMC6585262/ /pubmed/31186370 http://dx.doi.org/10.1136/oemed-2018-105604 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Workplace Karlsson, Nicole D Markkanen, Pia K Kriebel, David Gore, Rebecca J Galligan, Catherine J Sama, Susan R Quinn, Margaret M Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title | Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title_full | Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title_fullStr | Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title_full_unstemmed | Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title_short | Home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
title_sort | home care aides’ experiences of verbal abuse: a survey of characteristics and risk factors |
topic | Workplace |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6585262/ https://www.ncbi.nlm.nih.gov/pubmed/31186370 http://dx.doi.org/10.1136/oemed-2018-105604 |
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