Workplace violence in the hospital obstetrics

Luana Silva de Sousa, Roberta Meneses Oliveira, Yane Carmem Ferreira Brito, Bruna Karen Cavalcante Fernandes, Francisca Gomes Montesuma, Regina Cláudia Melo Dodt

Abstract


ABSTRACT

Objective: to identify the manifestations of workplace violence in hospital obstetrics, as well as their related factors, consequences, and management strategies. Method: this is an integrative review, with search of MEDLINE, Lilacs, CINAHL, SciVerse Scopus and SciELO virtual libraries. After reading the articles, the data were extracted and analyzed. Results: the sample consisted of 11 articles, most of them from Australia. The main types of workplace violence in obstetrics were verbal abuse, intimidation, humiliation, and bullying; related to: workers with high level of negative affectivity; older and/or hierarchically superior co-workers; day shift; patients and/or companions under stress or with mental disorder; overburdened environments/staff shortages; consequences included the personal, professional and organizational spheres; and managerial strategies involved incident reports, peer/family dialogues, safety protocols, continuing education. Conclusion: there is evidence of workplace violence in hospital obstetrics with negative impact on professionals, patients, and institutions. Studies about this phenomenon in Brazil are suggested, enabling to apply them in the management of obstetric units. Descriptors: Nursing; Workplace Violence; Incivility; Obstetrics; Obstetric Nursing; Delivery Rooms.

RESUMO

Objetivo: identificar os modos de manifestação da violência no trabalho em obstetrícia hospitalar, bem como seus fatores relacionados, consequências e estratégias de gerenciamento. Método: trata-se de revisão integrativa, com busca nas bases de dados MEDLINE, Lilacs, CINAHL, SciVerse Scopus e biblioteca virtual SciELO. Após a leitura dos artigos, efetuaram-se a extração e a análise dos dados. Resultados: constituiu-se a amostra de 11 artigos, a maioria de origem australiana. Os principais tipos de violência no trabalho em obstetrícia foram abuso verbal, intimidação, humilhação e assédio moral; relacionados a: trabalhadores com nível elevado de afetividade negativa; colegas de trabalho mais velhos e/ou hierarquicamente superiores; plantão diurno; pacientes e/ou acompanhantes sob estresse ou com transtorno mental; ambientes sobrecarregados/escassez de pessoal; as consequências incluíram os âmbitos pessoal, profissional e organizacional; e as estratégias gerenciais envolveram relatórios de incidentes, diálogos com colegas/familiares, protocolos de segurança, educação permanente. Conclusão: há evidências de violência no trabalho em obstetrícia hospitalar com impacto negativo sobre profissionais, pacientes e instituições. Sugerem-se estudos acerca desse fenômeno no Brasil, possibilitando aplicá-los na gestão de unidades obstétricas. Descritores: Enfermagem; Violência no Trabalho; Incivilidade; Obstetrícia; Enfermagem Obstétrica; Salas de Parto. 

RESUMEN

Objetivo: identificar los modos de manifestación de la violencia en el trabajo de la obstetricia hospitalaria, así como sus factores relacionados, consecuencias y estrategias de gerenciamiento. Método: revisão integrativa, com busca nas bases de dados MEDLINE, Lilacs, CINAHL, SciVerse Scopus y biblioteca virtual SciELO. Após a leitura dos artigos, efetuaram-se a extração e a análise dos dados. Resultados: la muestra fue de 11 artículos, la mayoría de origen australiana. Los principales tipos de violencia en el trabajo en obstetricia fueron abuso verbal, intimidación, humillación y asedio moral; relacionadas a: trabajadores con nivel elevado de afectividad negativa; colegas de trabajo más viejos y/o jerárquicamente superiores; guardia diurna; pacientes y/o acompañantes sobre estrés o con trastorno mental; ambientes sobrecargados/escasez de personal; las consecuencias incluyeron los ámbitos personal, profesional y organizacional; y las estrategias gerenciales envolvieron informes de incidentes, diálogos con colegas/familiares, protocolos de seguridad, educación permanente. Conclusión: hay evidencias de violencia en el trabajo en obstetricia hospitalaria con impacto negativo sobre profesionales, pacientes e instituciones. Se sugieren estudios acerca de ese fenómeno en Brasil, posibilitando aplicarlos en la gestión de unidades obstétricas. Descriptores: Enfermería; Violencia Laboral; Incivilidad; Obstetricia; Enfermería Obstétrica; Salas de Parto.


Keywords


Violência no trabalho; Incivilidade; Bullying no trabalho; Obstetrícia; Enfermagem obstétrica.

References


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DOI: https://doi.org/10.5205/1981-8963-v12i10a236823p2794-2802-2018



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