Violence against health care workforce in COVID and non COVID times: Analysis of predisposing factors




COVID Warriors, Predisposing Factors, Workplace Violence


Background: The prevalence of violence against Health Care Workers (HCW) is showing a rising trend. Various studies have been done in the recent past shows that the prevalence of violence against HCW s ranged from 27.4% to 67%. The present study was done to compare and analyze the underlying causes of violence against HCW in a Non COVID and COVID situation to identify the commonality if any, and to suggest any remedial measures. Methodology: This was cross-sectional analytical design and was carried out in inpatient care areas of a tertiary care hospital. The study subjects comprised of Doctors, Nurses, Group C employees. Data was collected using direct interview method on a standard questionnaire. In addition, various media reports were collected and analyzed through internet. Results: Maximum incidents were experienced in emergency and OPD, where staff patient’s ratio is less. 39.4% incidents were experienced by the staff who were providing care to the Terminally ill patients, Mentally and Physically disabled persons & Psychiatric patients. Suggestion which emerged to reduce WPV are, triage in casualty, availability of trained security guards, CCTV, restricted visiting hours and limited attendants with the patients, improvement in patient amenities etc. Whereas in COVID situation the major reason is the religious and social belief, poor dietary services and lack of hygiene and sanitation. Conclusion: There is an urgent and inescapable requirement that the healthcare administrators should address the underlying precipitating factors of violence, for delivery of quality healthcare services to the patients in a safe environment.


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work safe BC. Preventing violence in Health Care Five steps to an effective program. Workers’ Compensation Board of British Columbia. 2005.

Hahn, S., Hantikainen, V., Needham, I., Kok, G., Dassen, T., & Halfens, R. J. Patient and visitor violence in the general hospital, occurrence, staff interventions and consequences: a cross-sectional survey. Journal of advanced nursing, 2012; 68(12), 2685–2699.

Programme J, Violence W, Sector H, Instruments E. Joint Programme on Workplace Violence in the Health Sector workplace violence in the health sector country case studies research instrument protocol sample design. 2003;1–5.

Pandey BV, BBC News D. Coronavirus: India doctors “spat at and attacked.”

Programme J, Violence W, Sector H, Instruments E. International Council of Nurses ICN Joint Programme on Workplace Violence in the Health Sector Workplace V Iolence In The H Ealth S Ector. 2003;1–14.

Ruchi Garg,a Neeraj Garg,b,? D.K. Sharma c and SG. Low reporting of violence against health-care workers in India in spite of high prevalence. Med J Armed Forces India. Med J Arme.

Chen WC, Hwu HG, Kung SM, Chiu HJ, Wang JD. Prevalence and determinants of workplace violence of health care workers in a psychiatric hospital in Taiwan. J Occup Health. 2008;50(3):288-93. doi: 10.1539/joh.l7132. Epub 2008 Apr 8. PMID: 18408350.[PubMed]

Kitaneh M, Hamdan M. Workplace violence against physicians and nurses in Palestinian public hospitals: a cross-sectional study. BMC Health Serv Res. 2012 20;12:469. doi: 10.1186/1472-6963-12-469. PMID: 23256893; PMCID: PMC3541970.[PubMed].

Aaron W Cashmore12*, Devon Indig23, Stephen E Hampton234 DGH and BBJ. Workplace violence in a large correctional health service in New South Wales, Australia_ a retrospective review of incident management records. BMC Heal Serv Res _ Full text _. 2012;

Moustafa A.F. Abbas, Lamiaa A. Fiala, Amira GE. Abdel Rahman AEF, Dept. Epidemiology of Workplace Violence against Nursing Staff in Ismailia Governorate, Egypt. J Egypt Public Heal Assoc [Internet]. 2010 [cited 2020 Dec 18];85(1&2). Available from:

J.Farooq, A Mustafa, D.Singh AT. Violence in hospitals. J Acad Hosp Adm. 2009;21(1):16–20.

Ariza-Montes A, Muniz NM, Montero-Simó MJ, Araque-Padilla RA. Workplace bullying among healthcare workers. Int J Environ Res Public Health. 2013 24;10(8):3121-39. doi: 10.3390/ijerph10083121. PMID: 23887621; PMCID: PMC3774428.[PubMed]

Sinatra DS. Heart Attack Risk Factors Rise on Mondays | Dr. Stephen Sinatra. heart health [Internet]; http://www.

Diane Brinton, RT Neil Boyd, LL.M Carol Cheveldave, B.Cospital LM. Workplace Violence Risk Assessment for Langley Memorial Hospital. Inc., HConducted by Advance Workplace Management. 2001. 25.

Mohamed AG. Work-related assaults on nursing staff in riyadh, saudi arabia. J Family Community Med. 2002 Sep;9(3):51-6. PMID: 23008680; PMCID: PMC3430167.[PubMed]

Balamurugan G, Treesa T, Nandakumar P. Patients ’ violence towards nurses?: A questionnaire survey. 2012;1(1):1–7.

Health P, Branch S, Health O, Program S. Workplace violence and Prevention in New Jersey hospital Emergency Departments.

Lönnroos, John AT, Final. Tanzanian nurses exposure and experience of violence. Department of Public Health and Caring Sciences. 2013.

Gerberich SG. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occup Environ Med [Internet]. 61(6):495–503. Available from:

Zeng JY, An FR, Xiang YT, Qi YK, Ungvari GS, Newhouse R, Yu DS, Lai KY, Yu LY, Ding YM, Tang WK, Wu PP, Hou ZJ, Chiu HF. Frequency and risk factors of workplace violence on psychiatric nurses and its impact on their quality of life in China. Psychiatry Res. 2013 15;210(2):510-4. doi:10.1016/j.psychres. 2013.06.013. Epub 2013 Jul 11. PMID: 23850435.[PubMed]

Gupta SK, Garg N, Mahesh R. Patient Satisfaction Survey at a Tertiary Care Speciality Hospital. Int J Res Found Hosp Healthc Adm. 2014;2(2):79–83.




How to Cite

Garg N, Garg R, Sharma DK, Gupta SK, DUDEJA P. Violence against health care workforce in COVID and non COVID times: Analysis of predisposing factors. Indian J Community Health [Internet]. 2020 Dec. 31 [cited 2024 Jul. 22];32(4):659-64. Available from:



Original Article