Work Place Violence and Its Management in Uganda’s Regional Referral Hospitals
[1]
Lydia N. Wandera, Heart Institute, Mulago Hospital, Kampala, Uganda.
[2]
John F. Mugisha, Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda.
[3]
Simon P. Katongole, Faculty of Health Sciences, Uganda Martyrs University, Kampala, Uganda.
Incidences of work place violence are on the increase, and as a consequence, acts of violence in the work setting have been added on the list of occupational hazards. This study therefore sought to identify prevalent forms /nature of workplace violence (WPV), the perpetrators and victims as well as the casual factors of WPV. Other objectives of this were to identify the effects of WPV, coping mechanisms for victims and the possible remedial measures for WPV. Conducted from six regional referral hospitals of Uganda, the study used a descriptive cross-sectional design that employed both quantitative and qualitative methods of data collection and analysis. Data was collected from both health workers and the hospital managers. The 3 leading forms of WPV were; verbal abuse (63.6%), physical abuse (31.6%) and tribal harassment (30.5%). Sexual abuse though the least occurring form of WPV (8.1%), was the most traumatizing. Patients were the leading perpetrators of WPV occurrences for all forms and the most victimized health workers were the nurses. We recommend establishment of functional institutional WPV policies and committees in all hospitals. This entails assessment of hospitals for WPV needs, training of health workers about WPV and their rights, putting in place community mechanisms and deliberate measures to curb the occurrence of WPV. At the individual level, there is need for commitment to support anti-WPV actions. Partnership with the service recipients (Community) is needed to establish a common ground on the origins of WPV and how both the community and the hospitals can work towards reducing occurrence of WPV incidences, for purposes of better service provision.
Work Place Violence (WPV), Bullying, Physical Abuse, Sexual Abuse, Harassment on Tribal Grounds
[1]
Chapman, R., Styles, I., Perry, L. and Combs, S. Nurses' experience of adjusting to workplace violence: A theory of adaptation. International Journal of Mental Health Nursing, 2010; 19 (3). pp. 186-194.
[2]
Chappel,, D. and Vitorio D. M., Violence at Work. Second ed. Geneva: ILO. Country Case Study: South Africa, International Labour Office ILO International Council of Nurses ICN World Health Organisation WHO Public Services International PSI; 2006.
[3]
Ferrinho. P., Biscaia. A., Fronteira. I., Craveiro. I., Antunes. A.R., Conceição. C., Flores. I. and Santos. O. Patterns of perceptions of workplace violence in the Portuguese health sector. Human Resources for Health, 2003; vol .1 (11).
[4]
Fletcher, T.A., Brakel, S.J., Cavanaugh, J., Violence in the work place: New perspective of mental health services in the USA. British Journal Of Psychiatry, 2012; vol. 201, (3), pp. 339-334.
[5]
Hoobler J.M and Swanberg J. The enemy is not us: Unexpected Workplace Violence trends. Public Personnel management , 2006; Vol. 35 (3) 229-246
[6]
International Labour Office , International Council of Nurses, World Health Organization , Public Services International, Framework guidelines on work place violence Geneva, International Labour Office, 2002.
[7]
Kiirya, D., Gyenacologist arrested over death of a mother. The New Vision. Kampala: viewed on 8 August 2012 on http://www.newvision.co.ug/mobile/Detail.aspx.
[8]
Needham I, Kingma, M., O’Brien-Pallas, L., McKenna, K., Rick Tucker, R., Oud, N. Workplace Violence in the Health Sector. Together, Creating a Safe Work Environment Amsterdam Congress Centre “De Meervaart Meer en Vaart 300, Amsterdam. 2008.
[9]
Schaffner. M., Stanley, K. and Hough. C., No matter which way you look at it, it's violence. Gastroenterology Nursing, 2005; vol.29, (1), pp. 75-76.
[10]
Schonfield I.S., Coping with job related stress. Journal of Occupational Psychology, 1990; vol.63, (2), pp. 141-149.
[11]
Vitorio D. M., Workplace violence in the health sector: Relationship between work, stress and workplace violence in the health sector. International Labour Office (ILO),the International Council of Nurses (ICN), the World Health Organization (WHO) and Public Services International; 2003.
[12]
Vitorio D. M., 2002. Country Case Studies Brazil, Balgaria, Lebanon, Portugal, South Africa, Thialand, Australia, Geneva: ILO, ICN, WHO and PSI. 2002.
[13]
Wabudeya B. cited by Vittorio Di Martino, Framework guidelines for adressing work place violence in the health sector, Geneva’: International Labour Office, International Council of Nurses, World Health Organization, Public Service International, 2005.