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Indian Journal of Forensic Medicine & Toxicology
Year : 2019, Volume : 13, Issue : 3
First page : ( 108) Last page : ( 113)
Print ISSN : 0973-9122. Online ISSN : 0973-9130.
Article DOI : 10.5958/0973-9130.2019.00176.2

Factors Contributing to Workplace Violence Against Doctors in a Tertiary Care Teaching Hospital in South India

Dixit Swapnil1, D'Souza Brayal2,*, Singh Rahuldeep3, Thomas Jibu4, Somu G5, Kamath Rajesh2

1Final year Postgraduate trainee, Master in hospital administration Program

2Assistant Professor, Second floor, Old Tapmi building, Prasanna School of Public Health, Manipal Academy of Higher Education, Karnataka

3Final Year Postgraduate Trainee, MPH Program, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India

4Senior Manager and Head Operations, Kasturba Hospital, MHE, Manipal

5Professor, Prasanna School of Public Health, Manipal Academy of Higher Education

*Corresponding author: Ms. Brayal D'Souza, Assistant Professor, Second Floor, Old Tapmi Building, Prasanna School of Public Health, Manipal Academy of Higher Education, Karnataka-576014, Mobile: 9900405393. Email: brayal.dsouza@manipal.edu

Online published on 17 July, 2019.



The objective was to study the factors contributing to workplace violence against doctors in a tertiary care teaching hospital.


A cross-sectional study was conducted after obtaining institutional ethical clearance and requisite permissions from the authorities of the tertiary care hospital. Information was obtained using a validated semi-structured questionnaire from doctors having at least 1 year of experience in the hospital after obtaining informed written consent. To assess the prevalence of violence against doctors in the current settings, the data obtained was analyzed using SPSS software. To assess the contributing factors, the selected variables were correlated to find those factors associated to workplace violence against doctors in this setting. Along with these, knowledge and awareness among doctors regarding reporting procedures and local policies was also assessed to identify reasons for underreporting of violence in the tertiary healthcare setting.


A total of 263 doctors were included in the study out of a sample size of 296. The prevalence of violence was found to be 35.7%. The most common type of violence among those who experienced violence in the last 12 months was verbal abuse(86.2%) followed by mobbing or bullying(7.4%) and physical violence(5.3%). The most common contributing factors that showed statistically significant values for association with violence were Miscommunication 86.2%(P= 0.01), Prolonged waiting time 70.2% (P= 0.09), Death of the patient 31.9% (P= 0.00), Billing issues 28.7% (P= 0.46) and others 19.1% (P=0.01).



Workplace violence, Tertiary care, Doctors, Health care workers, Healthcare settings.


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