BACKGROUND

In response to the need to provide for mental health services to address gender-related concerns in a higher education institute, the University of the Philippines (UP) Manila Center for Gender and Women Studies (CGWS) commissioned a project to formulate a framework for the increasing volume of referrals.

METHODOLOGY

A mixed methods study was done in order to gather data to create a responsive and practical mental health care service provision framework with and for service providers and service users in the university. An online survey (N=135), focus group discussion, key informant interviews, and a round table discussion were conducted, with constituents of the university recruited through purposive sampling.

RESULTS

A stepped-care model was proposed, consisting of: 1. Preventive Well-Being Resources, 2. Supportive Well-Being Interventions and Initial Screening Resources, 3. Structured Interventions, and 4. Interventions for Severe Mental Health Problems.

CONCLUSION

The framework formulated in collaboration with service providers and service users in the university addresses the goals of optimizing existing resources and enhancing service provision. Implementation and evaluation of this framework, as well as further information regarding the target population and their use of this model, are proposed avenues for further research.

Human ; Gender ; Gender Identity ; Sexual Harassment ; Mental Health ; Mental Health Services ; Lgbtq ; Sexual And Gender Minorities ; Psychiatry ; Psychology

BACKGROUND: Workplace violence is the intentional use of power, threatened or actual, against another person or against a group, in work-related circumstances, that either results in or has a high degree of likelihood of resulting in injury, death, psychological harm, mal development, or deprivation. The aim of this study is to assess magnitude and predictors of workplace violence among healthcare workers in health facilities of Gondar city. METHODS: Institutional based cross sectional study design was employed to conduct this study. The study conducted in Gondar town from February 21 to march 21, 2016. Five hundred fifty three health care workers selected from health facilities of Gondar City administration. A stratified sampling technique was used for selecting the study subjects through simple random sampling. Data was collected by structured self administered questionnaire which is adapted from ILO/ICN/WHO/PSI after it is pretested & prepared in Amharic. The data was coded and entered in to EPI info version 7 and exported to SPSS version 20 software for analysis. The degree of association for variables was assessed using odds ratios with 95% confidence interval and p-value ≤0.05. RESULTS: The prevalence of workplace violence was found to be 58.2% with [95% confidence interval (CI): (53.7, 62.3)] in which verbal abuse 282(53.1%) followed by physical attack 117(22.0%) and 38(7.2%) sexual harassment. Working at emergency departments [AOR = 3.99,95% CI:(1.49,10.73)], working at shifts [AOR = 1.98,95%, CI: (1.28,3.03)],short experiences [AOR = 3.09,95% CI: (1.20,7.98)], being nurse or midwife [AOR = 4.06, 95% CI: (1.20,13.74)] were positively associated with workplace violence. The main sources of violence are visitors/patient relatives followed by colleagues and patients. CONCLUSION: workplace violence is major public health problem across health facilities and the Ministry of Health should incorporate interventions in its different health sector development & management safety initiative.
Delivery of Health Care ; Emergency Service, Hospital ; Ethiopia ; Health Facilities ; Humans ; Midwifery ; Odds Ratio ; Prevalence ; Public Health ; Sexual Harassment ; Violence ; Workplace Violence

PURPOSE: The purpose of this study was to figure out emotional labor, healthy lifestyle, needs for health services of flight attendants and the relationships among needs for health services according to various characteristics of flight attendants. METHODS: The participants of this study were 140 flight attendants who work on major and low cost airlines. Data were collected through a questionnaire from 2017 .Jan.~2017. Feb. Data were subsequently analyzed using the SPSS 21 Program. RESULTS: The score of emotional labor was 3.76 surface acting was 3.75 and deep acting was 3.77. The average of healthy lifestyle was 2.41, and the highest was 3.13 of personal relationship and the lowest was 1.91 of eating habits. There is a positive correlation between emotional labor-deep acting and healthy lifestyle. Flight attendants demand health services for physical exercise, stress and emotional labor management, healthy eating habits, emergency treatment, prevention of fatigue, cancer screening, sexual harassment prevention, sex education and etc. CONCLUSION: These results show that flight attendants need to various interventions for improving healthy lifestyle and reducing emotional labor. It is necessary to develop customized health promotion program suited to their job and general characteristics.
Early Detection of Cancer ; Eating ; Emergency Treatment ; Exercise ; Fatigue ; Health Promotion ; Health Services ; Health Services Needs and Demand ; Humans ; Life Style ; Sex Education ; Sexual Harassment

PURPOSE: The purpose of this study was to investigate the relationship between the awareness of sexual harassment and the coping behavior of recipients of sexual harassment. This study also assesses the factors that influence the coping behavior of nursing students during clinical practice. METHODS: For this descriptive study, data were collected from November 15 to December 15, 2017. Participants included 221 nursing students recruited from nursing colleges located in three different areas. RESULTS: 22% of the participants answered that they had experienced sexual harassment. Regarding the type of attacker, the majority of attacker was patient (83.7%). The sexual harassment awareness level was 4.22±0.40, the degree of coping for those who experienced sexual harassment was 2.99±0.38. Among the coping behaviors, mitigation (3.48±0.39) was the highest. The factors influencing the coping behavior of recipients of sexual harassment were sexual harassment awareness (β=0.24, p=.016) and satisfaction with preventive education (β=0.45, p < .001). CONCLUSION: In order to make a safe clinical practice environment, it is necessary to develop a practical sexual harassment prevention program, as well as a reporting and support system for the nursing students. Such a program will help students clearly recognize the sexual harassment situation and increase their abilities to cope with sexual harassment appropriately.
Adaptation, Psychological ; Education ; Humans ; Nursing ; Sexual Harassment ; Students, Nursing

PURPOSE: To describe nursing students' experience of sexual harassment during clinical practicum. METHODS: An interpretive phenomenological qualitative approach was used to understand contextual experiences of participants. Individual in-depth interviews were conducted to collect data from thirteen nursing students who experienced sexual harassment during clinical practice in general hospitals at D metropolitan city. All interviews were recorded and transcribed into Korean and English. Transcripts were analyzed using the data analysis method described by Diekelmann, Allen, and Tanner. RESULTS: The following 12 themes emerged from the data: ‘unprepared to respond’, ‘lack of education’, ‘unsure about when behavior crosses the line’, ‘power differential for nursing students’, ‘balancing self-preservation with obligations to patients’, ‘shame’, ‘feeling responsible for not being able to prevent the harassment’, ‘impact on patient care’, ‘fear of what might have happened’, ‘fear of repercussions’, ‘long term impact’, and ‘peer support’. CONCLUSION: Participants in this study described feeling an obligation to care for their patients. However, they seemed to be unable to balance this while feeling vulnerable to sexual harassment with strong negative feelings. Helping students recognize and effectively deal with sexual harassment is a critical element to assure quality learning for participants and maintain quality of care during clinical practice.
Hospitals, General ; Humans ; Learning ; Methods ; Nursing* ; Preceptorship* ; Qualitative Research ; Sexual Harassment* ; Statistics as Topic ; Students, Nursing

Healthcare workers face significant risks of workplace violence, which includes verbal, physical, and sexual assaults and harassment. Most violent acts are committed by patient and their family members, although in some cases, medical staff may perpetrate various types of violence against other medical staff. In the course of training, professors or senior residents sometimes criticize junior residents who make mistakes. However, beyond a certain point, the purpose of protecting the patient from harm is lost and only the violence remains. Various efforts should be made to prevent workplace violence against healthcare workers. First, it is necessary to investigate the actual incidence of workplace violence in healthcare settings. Second, each hospital should have a process in place to expedite the response when a violent act is reported. Third, the Korean Hospital Association should ask individual hospitals to take appropriate measures when victims file complaints with the Korean Hospital Association. Fourth, medical societies and the Korean Academy of Medical Sciences should strive to create a healthy training environment in which residents are respected and educated. Fifth, violence prevention education is needed as part of medical school coursework. Sixth, the Korean Medical Association should organize a consultative body including the Korean Academy of Medical Sciences, the Korean Hospital Association, and the Korean Association of Medical Colleges, to encourage the entire medical community to spread safety culture in health care settings. Through these efforts, a new safety culture should be created by integrating patient safety and worker safety in health care settings.
Delivery of Health Care ; Education ; Humans ; Incidence ; Medical Staff ; Patient Safety ; Safety Management ; Schools, Medical ; Sexual Harassment ; Societies, Medical ; Violence ; Workplace Violence

With the emergency of the MeToo movement, some medical professionals have courageously expressed their experiences with sexual harassment and violence, but victims' fear of retaliation or career damage is still a major reason for which they may hesitate to come forward with their experiences. Manuals presenting standards for sexual harassment and sexual violence in each hospital should be standardized, so that the victims can solve these problems within the system. Taking steps to prevent sexual harassment and sexual violence in medical institutions and implementing procedures for reporting and responding to sexual harassment and sexual violence will contribute to gender equality and the eradication of sexual harassment and sexual violence in the medical system.
Emergencies ; Sex Offenses ; Sexual Harassment ; Violence

PURPOSE: The purpose of this study was to investigate the experience and perception of sexual harassment during the clinical practice among nursing students and to identify the relationship between these variables and self-esteem. METHODS: Participants included 191 senior nursing students who voluntarily participated. Sexual harassment experiences and perceptions were measured using the tools developed by the researcher. Self-esteem was measured using self-esteem inventory developed by Rogenberg. RESULTS: 50.8% of the participants experienced sexual harassment. Physical harassment was the most common, followed by verbal, visual and gender-role related sexual harassment. ‘Blocking the way’ and ‘Brushing one's body on purpose’ were the most common behaviors. The perception of sexual harassment severity was 3.35 out of 5 points. There were negative correlation between sexual harassment experience and self-esteem (r=-.17, p=.013). The subjects who experienced sexual harassment showed lower self-esteem score than those who did not (t=-2.10, p=.037). The main offender was a male patient in 40s, and the psychiatric ward was the most vulnerable to sexual harassment. CONCLUSION: Results showed that sexual harassment in clinical practice among nursing students were serious. It is necessary to develop an educational program to prepare them for sexual harassment in clinical practice.
Criminals ; Education ; Humans ; Male ; Nursing* ; Sexual Harassment* ; Students, Nursing*

INTRODUCTION: Child abuse, sexual and domestic violence are among the most destructive experiences afflicting women and children that result to physical, behavioral, psychological and economic consequences. Physicians in the front line need to be sensitive and vigilant in identifying both overt and subtle signs of these violations. As such, identification of victims is vital to prevent further abuse and injury, as well as to manage the patient holistically.
OBJECTIVE: To assess the skill of Family Medicine (FM) residents in detecting cases of violence against women and children (VAWC).
METHODS: Eight case scenarios were presented to 48 resident trainees from government and private hospitals in Metro Manila. They were tasked to identify cases pertaining to VAWC, and distinguish the case type.
RESULTS: Red flags that were easily detected by more than 80% of trainees were cases of physical abuse towards men, and neglect. Circumstances with moderate challenge were sexual harassment, rape, and abandonment, in that order. On the other hand, respondents had inadequacy in detecting cases of sexual abuse and physical abuse towards children; while the most difficult to recognize was emotional abuse.
CONCLUSION: Acquisition of this new skill set may prove beneficial in providing the ideal environment for proper management and support provision for the VAWC subjects. Lack of knowledge and training in this rising societal and health threat may cause underdiagnosis of common VAWC presentations. Consequently, this leads to failure of identification, assessment, documentation, and management of such patients.

Human ; Male ; Female ; Child ; Sexual Harassment ; Rape ; Physical Abuse ; Domestic Violence ; Child Abuse ; Sex Offenses ; Surveys And Questionnaires

PURPOSE: The purpose of this study was to examine the prevalence of workplace violence toward newly licensed nurses and the relationship between workplace violence and job outcomes. METHODS: An online survey was conducted of newly licensed registered nurses who had obtained their license in 2012 or 2013 in South Korea and had been working for 5-12 months after first being employed. The sample consisted of 312 nurses working in hospitals or clinics. The Copenhagen Psychosocial Questionnaire II was used to measure violence and nurse job outcomes. Multiple linear and logistic regression analyses were conducted to examine the relationship between violence and job outcomes. RESULTS: Verbal abuse was most prevalent (59.6%), followed by threats of violence (36.9%), physical violence (27.6%), bullying (25.6%), and sexual harassment (22.4%). Approximately three quarters of the nurses had experienced at least one type of violence. The main perpetrators were patients and nurse colleagues, although the distribution of perpetrators varied depending on the type of violence. Bullying had a significant relationship with all four job outcomes (job satisfaction, burnout, commitment to the workplace, and intent to leave), while verbal abuse was associated with all job outcomes except for intent to leave. Violence perpetrated by nurse colleagues had a significant relationship with all four job outcomes, while violence by physicians had a significant inverse relationship with job satisfaction. CONCLUSIONS: Workplace violence is experienced by a high percentage of newly licensed nurses, and is associated with their job outcomes.
Bullying/statistics & numerical data ; Burnout, Professional/epidemiology/psychology ; Female ; Humans ; Job Satisfaction ; Longitudinal Studies ; Male ; Nurses/psychology/*statistics & numerical data ; Nursing Staff, Hospital/psychology/*statistics & numerical data ; Prevalence ; Republic of Korea/epidemiology ; Sexual Harassment/psychology/statistics & numerical data ; Workplace Violence/*statistics & numerical data ; Young Adult