title: Workplace aggression in clinical medical practice: associations with job satisfaction, life satisfaction and self-rated health.
abstract: OBJECTIVE
  To determine the likely impact of aggression from internal sources (co-workers) and external sources (patients, patients' relatives or carers and others) on Australian medical clinicians in the previous 12 months.
  
  
  METHODS
  An exploratory, descriptive study using cross-sectional survey design, conducted in the third wave of the Medicine in Australia: Balancing Employment and Life longitudinal survey (1 March 2010 to 30 June 2011).
  
  
  METHODS
  9449 Australian clinical medical practitioners, comprising 3515 general practitioners and GP registrars, 3875 specialists, 1171 hospital non-specialists and 888 specialists in training.
  
  
  METHODS
  Logistic regression was used to determine associations between workplace aggression exposure and intrinsic job satisfaction, satisfaction with life and self-rated health.
  
  
  RESULTS
  In fully adjusted models, exposure to internal aggression was negatively associated with intrinsic job satisfaction (odds ratio [OR], 0.59; 95% CI, 0.53-0.66), satisfaction with life (OR, 0.67; 95% CI, 0.60-0.76) and self-rated health (OR, 0.86; 95% CI, 0.77-0.96). Exposure to external aggression was also negatively associated with intrinsic job satisfaction (OR, 0.75; 95% CI, 0.67-0.84), satisfaction with life (OR, 0.87; 95% CI, 0.78-0.98) and self-rated health (OR, 0.83; 95% CI, 0.74-0.92).
  
  
  CONCLUSIONS
  The likely impact of workplace aggression on clinician wellbeing may extend to adverse consequences for care quality, safety and access. More concerted efforts to prevent and minimise workplace aggression are required.
authors.affiliation: Faculty of Health, University of Canberra, Canberra, ACT, Australia. danny.hills@canberra.edu.au.
authors.forename: Danny
authors.initials: D
authors.lastname: Hills
authors.affiliation: Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Joyce
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001315:Australia; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D011788:Quality of Life; D011795:Surveys and Questionnaires; D064450:Workplace Violence / Q000523:psychology* / Q000706:statistics & numerical data; D055815:Young Adult