Workplace violence by specialty among Peruvian medical residents

• Autores: Nieto-Gutierrez, Wendy, Toro-Huamanchumo, Carlos J., Taype-Rondan, Alvaro, Timaná-Ruiz, Raúl, Alva Diaz, Carlos, Jumpa-Armas, David, Escobedo-Palza, Seimer, CONAREME Consejo Nacional de Residentado Médico
• Formato: artículo
• Fecha de Publicación: 2018
• Institución: Universidad de San Martín de Porres
• Repositorio: USMP-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorio.usmp.edu.pe:20.500.12727/6116
• Enlace del recurso: https://hdl.handle.net/20.500.12727/6116; https://doi.org/10.1371/journal.pone.0207769
• Nivel de acceso: acceso abierto
• Materia: Violencia laboral; Estadística; Psicología; Internado y residencia; https://purl.org/pe-repo/ocde/ford#3.02.00

Objective To determine the prevalence of workplace violence among Peruvian medical residents and to evaluate the association between medical specialty and workplace violence per type of aggressor. Methods This was a cross-sectional secondary analysis that used data from the Peruvian Medical Residents National Survey 2016 (ENMERE-2016). The outcome of interest was workplace violence, including physical and verbal violence, which were categorized according to the perpetrator of violence (patients/relatives and worker-to-worker). Primary exposure was the medical specialty, categorized as clinical, surgical, and other specialties. To evaluate the associations of interest, we estimated adjusted prevalence ratios (PR) with their respective 95% confidence intervals (95% CI) using Poisson regression models with robust variances. Results A total of 1054 Peruvian medical residents were evaluated. The mean age was 32.6 years and 42.3% were female. Overall 73.4% reported having suffered of workplace violence sometime during the residency, 34.4% reported violence from patients/relatives, and 61.1% reported worker-to-worker violence. Compared with clinical residents, surgical residents had a lower prevalence of violence from patients/relatives (PR: 0.71; 95% CI: 0.59–0.87), but a higher prevalence of worker-to-worker violence (PR: 1.11, 95% CI: 1.01–1.23). Conclusion Nearly three quarters of medical residents reported having suffered workplace violence sometime during their residency. Compared with clinical residents, surgical residents had lower rates of violence from patients/relatives, but higher rates of worker-to-worker violence; while residents from non-clinical and non-surgical specialties had a lower prevalence of both types of violence.