REVISIONE DELLE META-ANALISI SUL DEL FENOMENO DELLA VIOLENZA VERBALE SUL LUOGO DI LAVORO NEGLI OPERATORI SANITARI

[Autom. eng. transl.] Introduction. Violence in the workplace is a public and occupational health problem, which can cause, in addition to anxiety, stress and depression, also dissatisfaction job, and intention to change jobs (1-3). In the healthcare context, verbal violence is the type of most common violence, and is defined as the use of words, Tones or mannerisms that threaten, blame, or disrespect to healthcare workers (3). There are several in the literature meta-analyses investigating this phenomenon, but the diversity of contexts and populations considered makes difficult to use the available data to implement countermeasures aimed at addressing this problem. Goals. In consideration of the impact of this problem for public and occupational health, the objective of this umbrella review is to collect meta-analyses aimed at investigating verbal violence on workplace against healthcare workers, to examine the global prevalence of the phenomenon and investigate its Main characteristics. Methods. A query was developed using the methodology PICO, including MeSH terms for words key: “health workers”, “workplace violence”, “meta-analysis”. Following Preferred guidelines Reporting Items for Systematic Reviews and Meta- Analyses, were searched in PubMed, Scopus and ISI Web of Science relevant systematic reviews and meta-analyses, published in English until November 2022. Data relating to authors, year, country, prevalence, type of setting, population. One was carried out quality assessment using the Risk Of Bias scale two to Missing Evidence (ROBIS). Results. 997 articles were identified in the three databases. At the end of the screening process by title ed abstract and full-text evaluation, 9 meta-analyses were included on verbal violence. Most of the meta-analysis included studies conducted in more than one country (n=5, 55.6%), while two meta-analyses included only studies conducted in China and only two Iranian studies. Five studies (55.6%) included healthcare workers in general, 3 (33.3%) included only nurses, and one only residents (11.1%). Where specified, healthcare workers included were related to the hospital setting (n=3, 33.3%) and emergency departments (n=2, 22.2%). The prevalence of verbal violence against healthcare workers reported was 77%, while all other meta-analyses (n=8) reported a prevalence between 50% and 75%. Everyone the studies had a risk of bias assessed by the low ROBIS scale. Conclusion. This umbrella review highlighted a high prevalence of verbal violence against operators healthcare, which varies depending on the country and the type of setting and occupational category. Greater recognition of the problem could lead to local strategies and appropriate international organizations to address it. Ensure a Healthy working environment could safeguard the quality of care and avoid wasting resources in the healthcare sector, to ensure long-term sustainability and efficiency end of the health systems themselves. Bibliography 1) World Health Organization. World report on violence and health. 2022. Available at: https://apps.who.int/iris/bitstream/handle/ 10665/42495/9241545615_eng.pdf (last access: 13 April 2023). 2) Lin WQ, et al. Workplace Violence and Job Performance among Community Healthcare Workers in China: The Mediator Role of Quality of Life. Int J Environ Res Public Health. 2015 Nov 20;12(11):14872-86. 3) Sayed F, et al. Verbal and Physical Abuse Against Nurses Working in Hospitals and Health Centers in Buraidah, Saudi Arabia. Cureus. 2022 Nov 22;14(11):e31792. doi: 10.7759/cureus.31792.