Source avec lien : Occupational and Environmental Medicine, 76(7), 7/1/2019. 10.1136/oemed-2018-105604
Une nouvelle étude financée par le NIOSH s’est penchée sur les expériences des aides-soignants à domicile en matière de violence verbale et de facteurs de risque connexes. 22 % des participants ont déclaré avoir été victimes de violence verbale au moins une fois au cours des 12 derniers mois et que ceux qui avaient été victimes de violence verbale étaient 11 fois plus susceptibles d’avoir subi de la violence physique. Les facteurs de risque comprenaient les clients atteints de démence, les domiciles où l’espace de travail était inadéquat et, dans une moindre mesure, des plans peu clairs pour la prestation des soins et les clients à mobilité réduite. Des horaires de travail prévisibles réduisaient le risque. Ces constatations confirment la nécessité d’interventions en matière de politiques et de formation ciblant la violence contre les aides-soignants à domicile.
Objective Violence from care recipients and family members, including both verbal and physical abuse, is a serious occupational hazard for healthcare and social assistance workers. Most workplace violence studies in this sector focus on hospitals and other institutional settings. This study examined verbal abuse in a large home care (HC) aide population and evaluated risk factors. Methods We used questionnaire survey data collected as part of a larger mixed methods study of a range of working conditions among HC aides. This paper focuses on survey responses of HC aides (n=954) who reported on verbal abuse from non-family clients and their family members. Risk factors were identified in univariate and multivariable analyses. Results Twenty-two per cent (n=206) of aides reported at least one incident of verbal abuse in the 12 months before the survey. Three factors were found to be important in multivariable models: clients with dementia (relative risk (RR) 1.38, 95% CI 1.07 to 1.78), homes with too little space for the aide to work (RR 1.52, 95% CI 1.17 to 1.97) and predictable work hours (RR 0.74, 95% CI 0.58 to 0.94); two additional factors were associated with verbal abuse, although not as strongly: having clients with limited mobility (RR 1.35, 95% CI 0.94 to 1.93) and an unclear plan for care delivery (RR 1.27, 95% CI 0.95 to 1.69). Aides reporting verbal abuse were 11 times as likely to also report physical abuse (RR 11.53; 95% CI 6.84 to 19.45). Conclusions Verbal abuse is common among HC aides. These findings suggest specific changes in work organisation and training that may help reduce verbal abuse.