Work-related violences and associated variables in oncology nursing professionals

Collaborations

J Santos and AMG Pierin participated in the design, study design, article writing, its critical review and approval of the review to be published. KC Meira participated in the design, study design, analysis and interpretation data, writing of the article, its critical review and approval of the version to be published. JC Rabbit, ESO Dantas, LV Oliveira, JSA Oliveira and SGP Almeida participated in the writing of the article or its critical review, and approval of the version to be published.

Variable	Categorização
Sociodemographic characteristics
Sex	Male Female
Age group ( in years)	20-29 30-39 40-49 ≥50
Ethnicity	White Non White
Marital status	Non-white White
Monthly family income (R$)	Continuous variable presented as mean and standard deviation
Work-related characteristics
Professional category	Nurse Nursing technicians/assistants
Graduated time (in years)	Continuous variable presented as mean and standard deviation
Type of bond	Statutory CLT
Type of position	Managerial Care
Highest education level completed	Technical level University graduate Residence/Specialization Masters
Number of employment relationships	1 2 3
Institutional working time (in years):	Continuous variable presented as mean and standard deviation
Work scale	Day worker Day duty Night duty
Shift work	Yes No
Had an accident while working in the hospital	Yes No
Worked whilst being tired	Frequently/sometimes Rarely
End the shift feeling psychologically tired	Frequently/sometimes Rarely/never
Decreased concertation during the shift	Frequently/sometimes Rarely/never

Variables	The Professional Suffered Violence
	Yes		No		Total		p-value
	n	%	n	%	n	%
Suffered violence	142	61,5	89	38,5	231	100,0	NS
Aggressor Characteristics
Who was the aggressor? (n=142)
Professionals	21	14,8	-	-	21	100,0	NS
Patients	28	19,7	-	-	28	100,0	NS
Companions	37	26,1	-	-	37	100,0	NS
Professionals and patients	9	6,3	-	-	9	100,0	NS
Professionals and companions	7	4,9	-	-	7	100,0	NS
Patients and companions	21	14,8	-	-	21	100,0	NS
Professionals, patients and companions	19	13,4	-	-	19	100,0	NS
Sociodemographic Characteristics
Sex
Female	119	83,8	72	80,9	191	82,7	0,570*
Male	23	16,2	17	19,1	40	17,3	0,570*
Age (in years): Mean (SD)	39,8 ( 8,8)		39,3 (7,6)		39,6 (8,3)		0,829**
20-29	17	12,0	8	9,0	25	10,8	0,820***
30-39	60	42,3	39	43,8	99	42,9
40-49	41	28,9	29	32,6	70	30,3
≥50	24	16,9	13	14,6	37	16,0
Ethnicity
Non-white	78	54,9	48	53,9	126	54,5	0,882*
White	64	45,1	41	46,1	105	45,5	0,882*
Marital status
Without partner	33	23,2	35	39,3	68	29,4	0,009*
With partner	109	76,8	54	60,7	163	70,6	0,009*
Monthly family income (n=230): Mean (SD)	9.242,60 (4.461,65)		8.726,14 (4.348,09)		9.045,00 (4.416,17)		0,290**
1.500,00 to 3.152,00	5	3,5	5	5,7	10	4,3	0,473***
3.152,01 to 7.880,00	53	37,3	40	45,5	93	40,4
7.880,01 to 15.760,00	69	48,6	35	39,8	104	45,2
>15.760,00	15	10,6	8	9,1	23	10,0

Work-related variables
Variables	The professional suffered violence						p-value
Variables	Yes		No		Total
Professional category	n	%	n	%	n	%
Nurse	53	37,3	31	34,8	84	36,4	0,702*
Nursing technicians/assistants	89	62,7	58	65,2	147	63,6	0,702*
Graduated time (in years): Mean (SD)	16,4 (8,1)		16,1 (7,4)		16,3 (7,8)		0,965**
Type of bond
Statutory	112	78,9	73	82,0	185	80,1	0,560*
CLT	30	21,1	16	18,0	46	19,9	0,560*
Type of position
Managerial	4	2,8	2	2,2	6	2,6	1,000****
Care	138	97,2	87	97,8	225	97,4	1,000****
Highest education level completed
Technical level	52	36,6	26	29,2	78	33,8	0,359***
University graduate	16	11,3	17	19,1	33	14,3
Residence/Specialization	62	43,7	38	42,7	100	43,3
Masters	12	8,5	8	9,0	20	8,7
Number of employment relationships
1	81	57,0	49	55,1	130	56,3	0,490***
2	54	38,0	38	42,7	92	39,8
	7	4,9	2	2,2	9	3,9
Weekly working hours: Mean (SD)	52,5 (16,4)		51,2 (14,0)		52,0 (15,5)		0,778****
Institutional working time (in years):	8,9 (7,8)		8,2 (7,0)		8,6 (7,5)		0,407**
Work scale
Day worker	11	7,7	7	7,9	18	7,8	0,983***
Day duty	75	52,8	48	53,9	123	53,2
Night duty	56	39,4	34	38,2	90	39,0
Shift work
Yes	84	59,2	54	60,7	138	59,7	0,819*
No	58	40,8	35	39,3	93	40,3	0,819*
Had an accident while working in the hospital
Yes	76	53,5	41	46,1	117	50,6	0,270*
No	66	46,5	48	53,9	114	49,4	0,270*
Worked whilst being tired
Frequently/sometimes	131	92,3	82	92,1	213	92,2	0,974*
Rarely	11	7,7	7	7,9	18	7,8	0,974*
End the shift feeling psychologically tired
Frequently/sometimes	131	92,3	70	78,7	201	87,0	0,003*
Rarely/never	11	7,7	19	21,3	30		13,0
Decreased concertation during the shift
Frequently/sometimes	98	69,0	46	51,7	144	62,3	0,008*
Rarely/never	44	31,0	43	48,3	87	37,7

Burnout, job stress and common mental disorders
	The professional suffered violence						p-value
	Yes		No		Total
	n	%	n	%	n	%
Exhaustion/Emotional Wear
Low level (≤18)	12	8,5	8	9,0	20	8,7	<0,0001***
Moderate level (19-26)	36	25,4	48	53,9	84	36,4
High level (≥27)	94	66,2	33	37,1	127	55,0
Mean (SD)	30,1 (7,9)		26,2 (7,0)		28,6 (7,8)		<0,0001**
Depersonalization
Low level (≤5)	6	4,2	10	11,2	16	6,9	0,005***
Moderate level (6-9)	34	23,9	33	37,1	67	29,0
High level (≥ 10)	102	71,8	46	51,7	148	64,1
Mean (SD)	12,1 (4,3)		10,2 (3,4)		11,4 (4,3)		0,002**
Low Professional Achievement
Low level (≥ 40)	1	0,7	2	2,2	3	1,3	0,082***
Moderate level (39-34)	30	21,1	29	32,6	59	25,5
High level (≤33)	111	78,2	58	65,2	169	73,2
Mean (SD)	29,1 (5,6)		30,7 (5,1)		29,7 (5,5)		0,025**
Burnout (high level on the 3 subscales)
Yes	69	48,6	21	23,6	90	39,0	<0,0001*
No	73	51,4	68	76,4	141	61,0	<0,0001*
Work Stress Scale (WSS)
Low (23,0-58,0)	41	28,9	36	40,4	77	33,3	0,061***
Moderate (59,0-73,0)	48	33,8	32	36,0	80	34,6
High (≥74,0)	53	37,3	21	23,6	74	32,0
Total score: Mean (SD)	62,9 (17,5)		56,9 (17,2)		60,6 (17,6)		0,015**
Self Report Questionnaire - SRQ - 20
Total score: Mean (SD)	8,7 (4,1)		7,7 (4,1)		8,3 (4,1)		0,072**
Common Mental Disorders
Yes	85	59,9	48	53,9	133	57,6	0,375*
No	57	40,1	41	46,1	98	42,4	0,375*
Sleep Quality (PSQI): Mean (SD)	___	9,2 (3,7)	8,1 (3,4)		8,5 (3,5)		0,016**

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