title: Worker resignation due to patient nuisance in hospitals: Determinants and prevention.
abstract: To investigate determinants and protective strategies for the resignation of health care workers resulting from patient-derived nuisance in medical institutions, we conducted a cross-sectional survey in the 57 hospitals in Mie Prefecture, Japan. A random sampling of 775 employees (physicians, nurses, administrators, and other health care workers) was provided self-administered questionnaires. Among 480 participants who experienced patient-derived nuisance, 132 participants considered resignation as a result, giving an estimated prevalence of 17.1% (95% CI: 14.4%-19.8%) of all respondents. Nonphysical nuisances such as "demand for an unwarranted apology" (OR: 2.57; 95% CI: 1.61-4.12) had higher ORs for considering resignation than other kinds of nuisance. By contrast, OR for the provision of human support by medical institutions was 0.49 (95% CI: 0.28-0.86). Human support was associated with alleviation of the intention to resign.
authors.affiliation: a Department of Public Health and Occupational Medicine , Mie University Graduate School of Medicine , Tsu , Mie , Japan.|b Kusui Law Office , Tsu , Mie , Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Kusui
authors.affiliation: c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Yamazaki
authors.affiliation: d Department of Biomedical Statistics , Osaka University Graduate School of Medicine , Suita , Osaka , Japan.
authors.forename: Tomomi
authors.initials: T
authors.lastname: Yamada
authors.affiliation: e Suzuka General Hospital , Suzuka , Mie , Japan.|f Association of Mie Hospital , Tsu , Mie , Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hamada
authors.affiliation: g Tsu Public Health Center, Mie Prefecture , Tsu , Mie , Japan.
authors.forename: Kazumune
authors.initials: K
authors.lastname: Ueshima
authors.affiliation: c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tajima
authors.affiliation: a Department of Public Health and Occupational Medicine , Mie University Graduate School of Medicine , Tsu , Mie , Japan.|c Mie University Hospital, Epidemiology Centre for Disease Control and Prevention , Tsu , Mie , Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Sokejima
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010563:Personnel Turnover / Q000706:statistics & numerical data; D010564:Personnel, Hospital; D015995:Prevalence; D013315:Stress, Psychological / Q000453:epidemiology* / Q000523:psychology; D017132:Workplace / Q000523:psychology*
keywords: Health care workers; nonphysical violence; nuisance; occupational safety; resignation