ความรุนแรงในสถานที่ทำงานในทีมสหวิชาชีพของโรงพยาบาลจิตเวชในประเทศไทย

Abstract

Workplace violence is an important and increasingly prominent problem, especially in psychiatric hospitals. The purpose of this research was to explore workplace violence in psychiatric hospitals in Thailand. The sample of the research were 323 multidisciplinary teams working in psychiatric hospitals under the Department of Mental Health, Ministry of Public Health. The research tools included a personal and workplace data questionnaire, a physical workplace violence questionnaire, and a psychological violence questionnaire. Data were analyzed using descriptive statistics and content analysis. The results show that: 1. In the past 12 months, multidisciplinary teams experienced physical violence (2.48%) and mental violence (9.29%), divided into verbal violence (5.57%), disturbance or riot chaos (1.55%), and sexual harassment (2.17%); no racism was found. 2. Patients or customers were the sources of violence, accounting for 100.00%. 3. Regarding the impact of physical violence, it was found that 50.00% were injured and 50.00% needed treatment. The mental consequences of physical violence were a little bit repeated, disturbing memorie, thought of the attack or images of the attack, accouting for 62.50%. A little bit avoiding thinking about or talking about the attack or avoiding having feelings related to it, 25.00%, not at all being "super-alert" or watchful and on guard 100.00%, and not at all being feeling like everything you did was an effort, 100.00%. 4. The workplace’s management of physical violence was do nothing (100.00%) or report to the director (100.00%). Do nothing for mental violence caused by verbal violence, 72.22%. Tell that person to stop, tell colleagues, report to the director, and write an incident report for mental violence caused by disturbance or riot chaos, 100.00%. Report it to a senior staff member, and write an incident report for mental violence caused by sexual harassment, 100.00%. 5. There was no difference in the mean score for physical and mental violence in the workplace between nurses and other multidisciplinary team members. This research revealed that the few event of workplace violence reported by multidisciplinary team members were caused by patients or relatives, especially physical/verbal violence and sexual harassment. Most of the victims chose not to do anything in response. Moreover, there is no procedure for seeking help except for the incident report. Therefore, guidelines should be developed to prevent workplace violence and provide assistance.