title: Assessment of the relation of violence and burnout among physicians working in the emergency departments in Turkey.
abstract: BACKGROUND
  Violence and burnout are frequently seen among medical doctors; however, the relation is not clear. This study aimed to assess the violence and its possible effects on burnout in physicians working in emergency units.
  
  
  METHODS
  This cross-sectional study targeted all physicians working in the emergency units of Pamukkale University Hospital, County and City Hospitals, 112 Emergency Services, and Private Hospitals in Denizli. Data were obtained by means of a self-administered questionnaire that consisted of questions on the demographics of the participants, Turkish version of the Maslach Burnout Inventory, and of the perpetrators of violence. What was also documented on the questionnaire was whether participants had been subjected to or had witnessed any verbal or physical violence during the previous one month of emergency physicians' certification program.
  
  
  RESULTS
  A total of one hundred and seventy-four physicians were included into the study (85% of the targeted group). Many of the participants were between 24 and 59 years of age, with a mean age of 36.8±5.8 years. Married male doctors working in the City Hospital made up the majority. There were significant associations between emotional exhaustion and total violence (p=0.012) and verbal violence (p=0.016); depersonalization and total violence (p=0.021) and verbal violence (p=0.012).
  
  
  CONCLUSIONS
  The results presented here indicated that there was a strong relation between burnout and violence experienced by physicians working in emergency units. Violence in the emergency department has a substantial effect on the physicians' well-being.
authors.affiliation: Department of Emergency Medicine, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Erdur
authors.affiliation: Department of Public Health, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ergin
authors.affiliation: Department of Emergency Service, Göztepe Training and Research Hospital, İstanbul, Turkey.
authors.forename: Aykut
authors.initials: A
authors.lastname: Yüksel
authors.affiliation: Department of Emergency Medicine, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: İbrahim
authors.initials: İ
authors.lastname: Türkçüer
authors.affiliation: Department of Emergency Medicine, Mersin University Faculty of Medicine, Denizli, Turkey.
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Ayrık
authors.affiliation: Department of Forensic Medicine, Pamukkale University Faculty of Medicine, Denizli, Turkey.
authors.forename: Bora
authors.initials: B
authors.lastname: Boz
mesh_terms: D000328:Adult; D002055:Burnout, Professional; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D000078329:Workforce; D064450:Workplace Violence / Q000706:statistics & numerical data*; D055815:Young Adult