RESUMEN
OBJECTIVE: Identify the exposure effects of job family, patient contact, and supervisor support on physical and non-physical work related violence. DESIGN: Cross sectional study of employees in a Midwest health care organization, utilizing a specially designed mailed questionnaire and employer secondary data. SUBJECTS: Respondents included 1751 current and former employees (42% response rate). RESULTS: Physical and non-physical violence was experienced by 127 (7.2%) and 536 (30.6%) of the respondents, respectively. Multivariate analyses of physical violence identified increased odds for patient care assistants (odds ratio (OR) 2.5, 95% confidence interval (CI) 1. 1 to 6.1) and decreased odds for clerical workers (OR 0.1, 95% CI 0.03 to 0.5). Adjusted for job family, increased odds of physical violence were identified for moderate (OR 5.9, 95% CI 2.1 to 16.0) and high (OR 7.8, 95% CI 2.9 to 20.8) patient contact. Similar trends were identified for non-physical violence (OR 1.4, 95% CI 1.1 to 2.0 and OR 1.7, 95% CI 1.3 to 2.3). Increased supervisor support decreased the odds of both physical (OR 0.7, 95% CI 0.6 to 0.95) and non-physical violence (OR 0.5, 95% CI 0.4 to 0.6), adjusting for job family and demographic characteristics. CONCLUSIONS: Increased odds of physical violence were identified for the job family of nurses, even when adjusted for patient contact. Increased patient contact resulted in increased physical and non-physical violence, independent of job family, while supervisor support resulted in decreased odds of physical and non-physical violence.
Asunto(s)
Personal de Salud , Salud Laboral/estadística & datos numéricos , Violencia/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Masculino , Minnesota , Administración de Personal/normas , Relaciones Profesional-Paciente , Factores de Riesgo , Factores Socioeconómicos , Violencia/prevención & controlRESUMEN
1. A 10 step method for program evaluation can be used to evaluate the success of a program in meeting its major goals and objectives. This evaluation examined the 20 year impact of the Midwest Center for Occupational Health and Safety, a NIOSH supported Educational Research Center, on its alumni. 2. The majority of alumni (89%) reported the primary focus of their work after graduation was the provision of occupational and environmental health and safety products and services--consistent with the legislative intent of Educational Research Centers (ERC). 3. Alumni reported the most highly valued ERC products and services included interdisciplinary interactions during and after graduate school, research training, and the presence of the ERC as a regional focal point for occupational health and safety graduate and continuing education. 4. The program evaluation design and survey instrument employed in this study are recommended for adaptation by other ERCs or educational programs faced with the challenge of providing evaluation data with minimal resources.