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THE BURDEN OF

INTERPERSONAL VIOLENCE
AGAINST HEALTHCARE
WORKERS IN ASIA PACIFIC

HCiD Asia/Pacific Regional Meeting


Jessica Ramirez Mendoza, Data and Research Specialist
Makati City, June 14th, 2019
Literature Review
• 19 studies on violence against healthcare staff
• Questionnaires from the Joint Programme on
Workplace Violence in the Health Sector
(ILO/ICN/WHO/PSI Joint Programme)
• Paramedic, midwives, personal carers, physicians,
nurses, health workers, health managers of mental
health/elderly units, and other stakeholders
Overall Interpersonal Violence
• 19 studies from 9 countries
• Over 36,400 Healthcare staff were interviewed
• 53% of them reported having been subjected
to violence
• Perpetrators were mainly relatives (33%-71%)
or patients (13%-56%)
Overall violence reported by healthcare
staff (respondents)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%

% Total Violence Average Asia & Pacific region

*Myanmar study was different in scope


% Verbal Violence
100%

90%

80%

70%

60%

50%

40%

30%

20%

10%

0%
Australia China India Indonesia Japan Nepal Pakistan Taiwan

Average Asia & Pacific Region


% Physical Violence
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Australia China India Indonesia Japan Nepal Pakistan Taiwan

Average Asea & Pacific Region


Contributing Risk Factors
Causes of Violence
Effect of Violence
Recommendations
Other tools – Code Lavender
• Crisis intervention tool for patients, relatives,
volunteers, and healthcare staff at a Cleveland
Hospital.
• A Code Lavender can be called when a stressful
event occurs; spiritual care/health service teams
respond to provide employee assistance, wellness,
ethics consultation and therapy.
• “Psychological first aid”

Stone (2018). Code Lavender: A tool for staff support. Nursing (48)4
ONVS Prevention Guidelines

3 levels of prevention:
• Primary: before an
event and focuses on
the environment and the
organization
• Secondary: immediate
reactions and training
• Tertiary: after an event,
corrective measures

https://solidarites-sante.gouv.fr/IMG/pdf/guide_onvs_-_prevention_atteintes_aux_personnes_et_aux_biens_2017-04-
27.pdf
ONSV Prevention Guidelines
6 actions:
- Analysis: incidents to identify risks & diagnose security
- Follow-up of victims: psychosocial, professional and legal
- Design: organization of work and relationship with
patients
- Organize: physical environment from cleanliness to
accessibility, etc.
- Train: ongoing training on risk management procedures
- Communicate: put in place different levels of
communication procedures (long and short term)
% of Healthcare staff interviewed, that reported
having experienced some form of violence
THANK YOU

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