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Healthcare Victims of Workplace Violence
Violence against healthcare workers perpetrated by patients or visitors presently has the traits of an emergency. WPV (Workplace Violence) threatens, in fact, the well-being of both the workers and the organization they belong to, negatively influencing the rights of millions of people to work in a safe environment and affecting the organization with absenteeism and low productivity, among other things.
The aim of this entry is to synthesize the available evidence on the prevalence rates of healthcare workers being victims of violence perpetrated by patients and visitors in Italy. PubMed, Scopus, Web of Science and CINAHL were systematically searched from their inception to April 2021. Two authors independently assessed 1182 studies. All the scientific papers written in English or in Italian reporting primary quantitative and/or qualitative data on the prevalence of aggression or sexual harassment perpetrated by patients or visitors toward healthcare workers in Italy were included. Thirty-two papers were included in the review. The data extracted were summarized in a narrative synthesis organized in the following six thematic domains: (1). Methodology and study design; (2). Description of violent behavior; (3). Characteristics of health care staff involved in workplace violence (WPV); (4). Prevalence and form of WPV; (5). Context of WPV; and (6). Characteristics of violent patients and their relatives and/or visitors. The proportion of studies on WPV differed greatly across Italian regions, wards and professional roles of the healthcare workers. In general, the prevalence of WPV against healthcare workers in Italy is high, especially in psychiatric and emergency departments and among nurses and physicians, but further studies are needed in order to gather systematic evidence of this phenomenon. In Italy, and worldwide, there is an urgent need for governments, policy-makers and health institutions to prevent, monitor and manage WPV towards healthcare professionals.
2.1. Critical Issues on Definitions and Complexity Elements in Studying the Concept of Violence and Workplace Violence
2.2. Legal Aspects of WPV in Italy
The entry is from 10.3390/ijerph18115860
- Estrada, F.; Nilsson, A.; Jerre, K.; Wikman, S. Violence at work—The emergence of a social problem. J. Scand. Stud. Criminol. Crime Prev. 2010, 11, 46–65.
- Bentley, T.A.; Catley, B.; Forsyth, D.; Tappin, D. Understanding workplace violence: The value of a systems perspective. Appl. Ergon. 2014, 45, 839–848.
- Escribano, R.B.; Beneit, J.; Garcia, J.L. Violence in the workplace: Some critical issues looking at the health sector. Heliyon 2019, 5, e01283.
- Brophy, J.T.; Keith, M.M.; Hurley, M. Assaulted and unheard: Violence against healthcare staff. New Solut. A J. Environ. Occup. Health Policy 2018, 27, 581–606.
- World Health Organization-Violence Against Health Workers. Available online: (accessed on 14 March 2021).
- Occupational Safety and Health Administration—Preventing Workplace Violence in Healthcare and Social Assistance. Available online: (accessed on 14 March 2021).
- World Medical Association—73rd World Health Assembly, Agenda Item 3: Covid-19 Pandemic Response. 2020. Available online: (accessed on 14 March 2021).
- Liu, J.; Gan, Y.; Jiang, H.; Li, L.; Dwyer, R.; Lu, K.; Yan, S.; Sampson, O.; Xu, H.; Wang, C.; et al. Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occup. Environ. Med. 2019, 76, 927–937.
- Vento, S.; Cainelli, F.; Vallone, A. Violence against healthcare workers: A worldwide phenomenon with serious consequences. Front. Public Health 2020, 8, 570459.
- Havaei, F. Does the Type of Exposure to Workplace Violence Matter to Nurses’ Mental Health? Healthcare 2021, 9, 41.
- McKay, D.; Heisler, M.; Mishori, R.; Catton, H.; Kloiber, O. Attacks against health-care personnel must stop, especially as the world fights COVID-19. Lancet 2020, 395, 1743–1745.
- Nowrouzi-Kia, B.; Chai, E.; Usuba, K.; Nowrouzi-Kia, B.; Casole, J. Prevalence of type II and type III workplace violence against physicians: A systematic review and meta-analysis. Int. J. Occup. Environ. Med. 2019, 10, 99–110.
- Taylor, J.L.; Rew, L. A systematic review of the literature: Workplace violence in the emergency department. J. Clin. Nurs. 2011, 20, 1072–1085.
- Mastronardi, V.M.; Pomilla, A.; Ricci, S.; D’Argenio, A. Stalking of Psychiatrists: Psychopathological Characteristics and Gender Differences in an Italian Sample. Int. J. Offender Ther. Comp. Criminol. 2013, 57, 526–543.
- Binmadi, N.O.; Alblowi, J.A. Prevalence and policy of occupational violence against oral healthcare workers: Systematic review and meta-analysis. BMC Oral Health 2019, 19, 1–8.
- Njaka, S.; Edeogu, O.C.; Oko, C.C.; Goni, M.D.; Nkadi, N. Work place violence (WPV) against healthcare workers in Africa: A systematic review. Heliyon 2020, 6, e04800.
- Babiarczyk, B.; Turbiarz, A.; Tomagová, M.; Zeleníková, R.; Önler, E.; Sancho Cantus, D. Violence against nurses working in the health sector in five European countries—Pilot study. Int. J. Nurs. Pract. 2019, 25, e12744.
- Li, N.; Wang, Z.; Dear, K. Violence against health professionals and facilities in China: Evidence from criminal litigation records. J. Forensic Leg. Med. 2019, 67, 1–6.
- Serrano Vicente, M.I.; Fernández Rodrigo, M.T.; Satústegui Dordá, P.J.; Urcola Pardo, F. Agresiones a profesionales del sector sanitario en España, revisión sistemática. Rev. Española Salud Pública 2020, 93, e201910097.
- Sahebi, A.; Jahangiri, K.; Sohrabizadeh, S.; Golitaleb, M. Prevalence of workplace violence types against personnel of emergency medical services in Iran: A systematic review and meta-analysis. Iran. J. Psychiatry 2019, 14, 325–334.
- Mento, C.; Silvestri, M.C.; Bruno, A.; Muscatello, M.R.A.; Cedro, C.; Pandolfo, G.; Zoccali, R.A. Workplace violence against healthcare professionals: A systematic review. Aggress. Violent Behav. 2020, 51, 101381.
- Byon, H.D.; Lee, M.; Choi, M.; Sagherian, K.; Crandall, M.; Lipscomb, J. Prevalence of type II workplace violence among home healthcare workers: A meta-analysis. Am. J. Ind. Med. 2020, 63, 442–455.
- Waddington, P.A.J.; Badger, D.; Bull, R. Appraising the inclusive definition of workplace ‘violence’. Br. J. Criminol. 2005, 45, 141–164.
- World Health Organization. World Report on Violence and Health; World Health Organization: Geneva, Switzerland, 2002.
- Cooper, C.; Swanson, N. Workplace Violence in the Health Sector. STATE of the Art; Organización Internacional de Trabajo, Organización Mundial de la Salud, Consejo Internacional de Enfermeras Internacional de Servicios Públicos: Geneva, Switzerlanda, 2002.
- Beech, B.; Leather, P. Workplace violence in the health care sector: A review of staff training and integration of training evaluation models. Aggress. Violent Behav. 2006, 11, 27–43.
- Gacki-Smith, J.; Juarez, A.M.; Boyett, L.; Homeyer, C.; Robinson, L.; MacLean, S.L. Violence against nurses working in US emergency departments. JONA J. Nurs. Adm. 2009, 39, 340–349.
- Wassell, J.T. Workplace violence intervention effectiveness: A systematic literature review. Saf. Sci. 2009, 47, 1049–1055.
- EU-OSHA. Workplace Violence and Harassment: A European Picture. European Agency for Safety and Health at Work 2010. Available online: (accessed on 19 March 2021).
- Farrell, G.A.; Shafiei, T. Workplace aggression, including bullying in nursing and midwifery: A descriptive survey (the SWAB study). Int. J. Nurs. Stud. 2012, 49, 1423–1431.
- Piquero, N.L.; Piquero, A.R.; Craig, J.M.; Clipper, S.J. Assessing research on workplace violence, 2000–2012. Aggress. Violent Behav. 2013, 18, 383–394.
- Camerino, D.; Estryn-Behar, M.; Conway, P.M.; van Der Heijden, B.I.J.M.; Hasselhorn, H.-M. Work-related factors and violence among nursing staff in the European NEXT study: A longitudinal cohort study. Int. J. Nurs. Stud. 2008, 45, 35–50.
- Hahn, S.; Zeller, A.; Needham, I.; Kok, G.; Dassen, T.; Halfens, R.J. Patient and visitor violence in general hospitals: A systematic review of the literature. Aggress. Violent Behav. 2008, 13, 431–441.
- Hershcovis, M.S.; Turner, N.; Barling, J.; Arnold, K.A.; Dupré, K.E.; Inness, M.; LeBlanc, M.M.; Sivanathan, N. Predicting workplace aggression: A meta-analysis. J. Appl. Psychol. 2007, 92, 228–238.
- University of Iowa Injury Prevention Research Center. Workplace Violence—A Report to the Nation; University of Iowa: Iowa City, IA, USA, 2001.