title: Violence chain surrounding patient-to-staff violence in Japanese hospitals.
abstract: The aim of this study was to determine if patient-to-staff violence is associated with staff-to-staff violence and patient-to-patient violence among nurses and patient service clerks. A survey was conducted using an anonymous questionnaire for attendees of a lecture on antiviolence in health care institutions. Patient-to-staff verbal violence was associated with staff-to-staff verbal violence (odds ratio [OR] = 1.43; 95% confidence interval [CI]: 1.16-1.66). Patient-to-staff physical violence was associated with staff-to-staff physical violence (OR = 7.80; 95% CI: 1.86-13.5) and patient-to-patient verbal violence (OR = 2.69; 95% CI: 1.18-5.42). Patient-to-staff sexual harassment was associated with staff-to-staff sexual harassment (OR = 6.55; 95% CI: 3.59-8.91) and patient-to-patient verbal violence (OR = 2.96; 95% CI: 1.44-5.17). Staff who had experienced patient-to-staff violence were likely to have experienced violence by other staff and to have witnessed or reported violence among patients.
authors.affiliation: a National Center for Global Health and Medicine , Tokyo , Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Wada
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Suehiro
mesh_terms: D000328:Adult; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010361:Patients; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data*; D010564:Personnel, Hospital; D064450:Workplace Violence / Q000706:statistics & numerical data*