Worker resignation due to patient nuisance in hospitals: Determinants and prevention. Issue 1 (2nd January 2017)

• Record Type: Journal Article
• Authors: Kusui, Yoshiyuki; Yamazaki, Toru; Yamada, Tomomi; Hamada, Masayuki; Ueshima, Kazumune; Tajima, Kazuo; Sokejima, Shigeru
• Is Part Of: Archives of environmental & occupational health. Volume 72:Issue 1(2017)
• Page Start: 10
• Page End: 19
• Publication Date: 2017-01-02
• Subjects: Health care workers -- nonphysical violence -- nuisance -- occupational safety -- resignation; Medicine, Preventive -- Periodicals; Medicine, Industrial -- Periodicals; Environmental health -- Periodicals; Occupational diseases -- Periodicals; Environmental Health -- Periodicals; Occupational Medicine -- Periodicals; 616.9803
• DOI: 10.1080/19338244.2016.1140628
• Languages: English
• ISSNs: 1933-8244

Abstract

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.