Workplace violence against homecare workers and its relationship with workers health outcomes: a cross-sectional study

BMC Public Health

Nancy Glass²  Naima Laharnar⁴  Helen Moss³  Nancy A Perrin¹  Ginger C Hanson¹ 

[1] Research Data and Analysis Center, Center for Health Research, Portland, Oregon, USA;School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA;Labor Education and Research Center, University of Oregon, Portland, Oregon, USA;Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon, USA

关键词: Burnout;    Sexual harassment;    Workplace violence;    Workplace aggression;    Homecare;   

Others  :  1090840
DOI  :  10.1186/s12889-014-1340-7

 received in 2014-10-16, accepted in 2014-12-22,  发布年份 2015

【 摘 要 】

Background

Consumer-driven homecare models support aging and disabled individuals to live independently through the services of homecare workers. Although these models have benefits, including autonomy and control over services, little evidence exists about challenges homecare workers may face when providing services, including workplace violence and the negative outcomes associated with workplace violence. This study investigates the prevalence of workplace violence among homecare workers and examines the relationship between these experiences and homecare worker stress, burnout, depression, and sleep.

Methods

We recruited female homecare workers in Oregon, the first US state to implement a consumer driven homecare model, to complete an on-line or telephone survey with peer interviewers. The survey asked about demographics and included measures to assess workplace violence, fear, stress, burnout, depression and sleep problems.

Results

Homecare workers (n = 1,214) reported past-year incidents of verbal aggression (50.3% of respondents), workplace aggression (26.9%), workplace violence (23.6%), sexual harassment (25.7%), and sexual aggression (12.8%). Exposure was associated with greater stress (p < .001), depression (p < .001), sleep problems (p < .001), and burnout (p < .001). Confidence in addressing workplace aggression buffered homecare workers against negative work and health outcomes.

Conclusions

To ensure homecare worker safety and positive health outcomes in the provision of services, it is critical to develop and implement preventive safety training programs with policies and procedures that support homecare workers who experience harassment and violence.

【 授权许可】

   
2015 Hanson et al.; licensee BioMed Central.

【 图 表 】

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