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Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis

This systematic review and meta-analysis aimed to determine the prevalence of violence perpetrated by healthcare workers (HCWs) against patients in long-term care (LTC). For this purpose, five relevant databases were searched. Two reviewers extracted data from the included articles independently and...

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Autores principales: Conti, Alessio, Scacchi, Alessandro, Clari, Marco, Scattaglia, Marco, Dimonte, Valerio, Gianino, Maria Michela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877976/
https://www.ncbi.nlm.nih.gov/pubmed/35206547
http://dx.doi.org/10.3390/ijerph19042357
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author Conti, Alessio
Scacchi, Alessandro
Clari, Marco
Scattaglia, Marco
Dimonte, Valerio
Gianino, Maria Michela
author_facet Conti, Alessio
Scacchi, Alessandro
Clari, Marco
Scattaglia, Marco
Dimonte, Valerio
Gianino, Maria Michela
author_sort Conti, Alessio
collection PubMed
description This systematic review and meta-analysis aimed to determine the prevalence of violence perpetrated by healthcare workers (HCWs) against patients in long-term care (LTC). For this purpose, five relevant databases were searched. Two reviewers extracted data from the included articles independently and assessed their quality. Overall and subgroup random-effects pooled prevalence meta-analyses were performed. A series of meta-analyses stratified by study quality were also performed due to high heterogeneity. Nineteen articles were included, physical restraint (22%; CI: 15–29), verbal abuse (22%; CI: 16–28), and neglect (20%; CI: 15–26) attained the highest overall prevalence, while sexual abuse was less reported (2%; CI: 1–3). The prevalence of witnessed violence is generally higher than those reported by HCWs, and patients and their relatives reported fewer cases of violence than HCWs. Differences in violence perpetrated among LTC settings were found. Neglect (64%; CI: 56–72) and financial abuse (7%; CI: 3–12) reported by HCWs were higher in home care, while verbal abuse (21%; CI: 7–39) reported by patients or their families was higher in nursing homes. Our findings highlight that violence perpetrated by HCWs toward patients represents a significant concern in LTC, suggesting the adoption of reliable monitoring approaches and provision of assistance to victims in reporting abuse.
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spelling pubmed-88779762022-02-26 Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis Conti, Alessio Scacchi, Alessandro Clari, Marco Scattaglia, Marco Dimonte, Valerio Gianino, Maria Michela Int J Environ Res Public Health Systematic Review This systematic review and meta-analysis aimed to determine the prevalence of violence perpetrated by healthcare workers (HCWs) against patients in long-term care (LTC). For this purpose, five relevant databases were searched. Two reviewers extracted data from the included articles independently and assessed their quality. Overall and subgroup random-effects pooled prevalence meta-analyses were performed. A series of meta-analyses stratified by study quality were also performed due to high heterogeneity. Nineteen articles were included, physical restraint (22%; CI: 15–29), verbal abuse (22%; CI: 16–28), and neglect (20%; CI: 15–26) attained the highest overall prevalence, while sexual abuse was less reported (2%; CI: 1–3). The prevalence of witnessed violence is generally higher than those reported by HCWs, and patients and their relatives reported fewer cases of violence than HCWs. Differences in violence perpetrated among LTC settings were found. Neglect (64%; CI: 56–72) and financial abuse (7%; CI: 3–12) reported by HCWs were higher in home care, while verbal abuse (21%; CI: 7–39) reported by patients or their families was higher in nursing homes. Our findings highlight that violence perpetrated by HCWs toward patients represents a significant concern in LTC, suggesting the adoption of reliable monitoring approaches and provision of assistance to victims in reporting abuse. MDPI 2022-02-18 /pmc/articles/PMC8877976/ /pubmed/35206547 http://dx.doi.org/10.3390/ijerph19042357 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Conti, Alessio
Scacchi, Alessandro
Clari, Marco
Scattaglia, Marco
Dimonte, Valerio
Gianino, Maria Michela
Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title_full Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title_fullStr Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title_full_unstemmed Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title_short Prevalence of Violence Perpetrated by Healthcare Workers in Long-Term Care: A Systematic Review and Meta-Analysis
title_sort prevalence of violence perpetrated by healthcare workers in long-term care: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877976/
https://www.ncbi.nlm.nih.gov/pubmed/35206547
http://dx.doi.org/10.3390/ijerph19042357
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