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Table 2 The prevalence, typology, and form of WPV against primary healthcare workers

From: Contemporary evidence of workplace violence against the primary healthcare workforce worldwide: a systematic review

No

Author (year)

Typology of Violence

Duration of WPV

Average Rate of WPV

Rate of WPV Experienced (by Profession)

Perpetrators

Form of Violence

1.

Abed et al. (2016)

II and III

12 months

63%

–

Patients: 64%

Co-workers: 21%

Verbal abuse: 60%

Bullying: 19%

Sexual harassment: 7%

Physical violence: 3%

Racial harassment: 3%

2.

Demeur et al. (2018)

II

12 months

Monthly

79.8%

11.3%

–

Known patients: 55.1%

Psychiatric patients: 32.1%

Patients under the influence of alcohol/drugs: 11.7%

Verbal aggression: 89.8%

Psychological aggression: 21.1%

Physical aggression: 20.6%

Sexual aggression: 7.7%

3.

Elston and Gabe (2016)

II

Lifetime

78%

–

Main perpetrators: Clients of Primary Healthcare service

Male:

Physical violence: 13%

Threats: 13%

Verbal violence: 74%

Female:

Physical violence: 7%

Threats: 18%

Verbal violence: 8%

4.

Gan et al. (2018)

II and III

12 months

62.2%

–

–

Physical violence: 18.9%

Non-physical violence: 61.4%

Verbal abuse: 54.4%

Threats: 33.8%

Sexual harassment: 22.7%

Physical assault: 18.9%

Sexual assault: 7.6%

5.

Joa and Morken (2012)

II

12 months

–

–

Main perpetrators: Patients under the influence of drugs/alcohol or with severe mental illness

Verbal abuse: 78%

Threats: 44%

Physical abuse: 13%

Sexual harassment: 9%

6.

Ko and Dorri (2019)

III

Lifetime

–

–

Main perpetrators: Colleagues and administrators

Inter-profession bias, harassment, and discrimination

7.

Pina et al. (2022)

II

–

–

–

Main perpetrators: Aggressive and demanding patients

–

8.

Pina et al. (2022)

II

–

–

–

Main perpetrators: Aggressive and demanding patients

–

9.

Sturbelle et al. (2019)

II and III

12 months

69.8%

Clinic Health Assistance: 33%

Technician: 21%

Nurse: 14%

Doctor: 6%

Users: 71.6%

Family/companions: 6.4%

Colleagues: 11%

Leaders: 9.2%

–

10.

Vorderwülbecke et al. (2015)

II

Lifetime

12 months

91%

73%

–

Patients: 76%

Patients’ relatives: 17%

Patients under the influence of alcohol/drugs or with mental illness: 63%

Verbal abuse: 79%

Intimidation: 38%

Physical violence: 16%

Sexual abuse: 17%

Verbal abuse: 54%

Intimidation: 21%

Physical violence: 7%

Sexual abuse: 10%

11.

Rajakrishnan et al. (2022)

II

12 months

68.5%

Nurse: 44.8%

Doctor: 15.1%

Officer: 7.3%

Technical: 5.9%

Support staff: 5.2%

Other: < 5.0%

Main perpetrators: Patients/visitors, followed by colleagues, superiors/management, the public, and others

Verbal abuse: 65%

Bullying: 27%

Physical violence: 6%

Sexual harassment: 2%

12.

Al-Turki et al. (2016)

II and III

12 months

45.6%

Clerk: 68.4%

Pharmacist: 61.9%

Doctor: 44.4%

Technician: 40.0%

Nurse: 36.0%

Patients: 71.5%

Others (companions or co-workers): 28.5%

Physical violence: 6.5%

Non-physical violence: 99.2%, including verbal violence (94.3%) and intimidation (22.0%)

13.

Alsmael et al. (2020)

II

12 months

46.9%

–

Patients: 74%

Others (companions or co-workers): 26%

Verbal violence: 90%

Intimidation: 34.3%

Physical violence: 3%

14.

Irwin et al. (2013)

II

Daily

Weekly

Monthly

 

–

Main perpetrators: Patients and family members

Verbal aggression: n = 26

Physical aggression: n = 18

Incidents beginning with verbal aggression and ending with physical aggression: n = 7

Physical aggression directed at an inanimate object: n = 16

15.

Jatic et al. (2019)

II

12 months

90.3%

–

Main perpetrators: Patients and family members

Verbal violence: 89.2%

Indirect physical violence: 74.7%

16.

Miedema et al. (2012)

II

Lifetime

–

–

–

–

17.

Toro et al. (2015)

II

12 months

–

Family doctor: 48.48%

Nurse: 17.63%

Auxiliary nurse: 1.29%

Assistant: 24.37%

Support staff: 1.72%

Midwife: 0.43%

Physiotherapist: 0.17%

Social worker: 0.17%

Unknown: 0.77%

Patients: 67.8%

Unknown: 3%

Companions: 28.1%

Physical violence: 4.7%

Threats: 52.8%

Coercion: 25.7%

Insults: 75.2%

Material damage: 31.2%

18.

Cecilia et al. (2017)

II and III

12 months

–

–

Patients/co-workers

–

19.

Marina et al. (2017)

II

12 months

48%

Physician: 28.5%

Nurse: 63.4%

Other: 8.1%

Clients: 52.1%

Relatives: 14.3%

Co-workers: 21.4%

Management: 10.8%

General public: 0.5%

Verbal violence: 48%

20.

Marina et al. (2017)

II

12 months

2.6%

Physician: 28.6%

Nurse: 62.1%

Other: 9.2%

–

Physical violence: 1.9%

Verbal abuse: 43.5%

Mobbing: 5.7%

Sexual harassment: 0.4%

Racial harassment only: 0.2%

21.

Pina et al. (2022)

III

12 months

–

–

–

–

22.

Feng et al. (2022)

II and III

12 months

14.26%

–

Patients: 50.64%

Patients’ families: 40.38%

Colleagues/supervisors: 0.16%–1.28%

Public: 3.21%

Verbal abuse: 13.44%

Threats: 9.23%

Verbal sexual harassment: 4.68%

Physical assault: 4.59%

Physical sexual assault: 2.29%

23.

Delak and Å irok (2018)

III

–

–

–

–

–