ArticleBMJ open2017
Workplace violence, psychological stress, sleep quality and subjective health in Chinese doctors: a large cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 9 of them syntheses that pooled it.
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Who cites it
111 citing papers in PubMed, 9 syntheses or guidelines pooled it, 220 citations in OpenAlex.
- Prevalence, associated factors, and outcomes of workplace violence against doctors in China: a systematic review and meta-analysis.BMC public health · 2026Pooled it
- Contemporary evidence of workplace violence against the primary healthcare workforce worldwide: a systematic review.Human resources for health · 2023Pooled it
- Prevalence of workplace violence against health care workers in hospital and pre-hospital settings: An umbrella review of meta-analyses.Frontiers in public health · 2022Pooled it
- A Systematic Review of Negative Work Behavior: Toward an Integrated Definition.Frontiers in psychology · 2021Pooled it
- Work-related exposure to violence or threats and risk of mental disorders and symptoms: a systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2020Pooled it
- A systematic review of depression and anxiety in medical students in China.BMC medical education · 2019Pooled it
- Prevalence of Type II and Type III Workplace Violence against Physicians: A Systematic Review and Meta-analysis.The international journal of occupational and environmental medicine · 2019Pooled it
- Sleep Problems and Workplace Violence: A Systematic Review and Meta-Analysis.Frontiers in neuroscience · 2019Pooled it
- Prevalence of sexual harassment of nurses and nursing students in China: a meta-analysis of observational studies.International journal of biological sciences · 2019Pooled it
- Effects of Loving-Kindness Meditation on Doctors' Mindfulness, Empathy, and Communication Skills.International journal of environmental research and public health · 2021Trial
- Sexual dysfunction and health condition in Chinese doctor: prevalence and risk factors.Scientific reports · 2020Trial
- Associations of workplace violence with depression and anxiety among health-care workers: the mediating role of perceived work stress.Global health action · 2026Article
- Occupational sedentary behaviour and mental health symptoms among software and IT workers in China: a cross-sectional study using path analysis.BMC public health · 2026Article
- Prevalence and physicians' perception of workplace violence preventive measures in two Egyptian public hospitals.The Journal of the Egyptian Public Health Association · 2026Article
- Prevalence and influencing factors of workplace violence among doctors in Northeast China: a cross-sectional study.Scientific reports · 2026Article
- Relationships between professional value and workplace violence among healthcare workers: an empiricle study from China.Frontiers in medicine · 2026Article
- Burnout among healthcare workers in Lebanon: a multicentred cross-sectional study.BMJ public health · 2026Article
- Factors related to physical violence and verbal abuse by residents for public health nurses during home visits.Nagoya journal of medical science · 2025Article
- The impact of workplace violence, organizational climate, authentic leadership on job satisfaction among physicians in tertiary hospitals: the mediating role of job burnout.BMC health services research · 2025Article
- Personality Traits, Burnout, Workplace Bullying and Sleep Quality Among Midwives: A Pilot Study.Nursing open · 2025Article
51 more citing papers are in PubMed but not listed here.
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Authors and funding
14 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorkplace violence (WPV) against healthcare workers is known as violence in healthcare settings and referring to the violent acts that are directed towards doctors, nurses or other healthcare staff at work or on duty. Moreover, WPV can cause a large number of adverse outcomes. However, there is not enough evidence to test the link between exposure to WPV against doctors, psychological stress, sleep quality and health status in China.
objectivesThis study had three objectives: (1) to identify the incidence rate of WPV against doctors under a new classification, (2) to examine the association between exposure to WPV, psychological stress, sleep quality and subjective health of Chinese doctors and (3) to verify the partial mediating role of psychological stress.
designA cross-sectional online survey study.
settingThe survey was conducted among 1740 doctors in tertiary hospitals, 733 in secondary hospital and 139 in primary hospital across 30 provinces of China.
participantsA total of 3016 participants were invited. Ultimately, 2617 doctors completed valid questionnaires. The effective response rate was 86.8%.
resultsThe results demonstrated that the prevalence rate of exposure to verbal abuse was the highest (76.2%), made difficulties (58.3%), smear reputation (40.8%), mobbing behaviour (40.2%), intimidation behaviour (27.6%), physical violence (24.1%) and sexual harassment (7.8%). Exposure to WPV significantly affected the psychological stress, sleep quality and self-reported health of doctors. Moreover, psychological stress partially mediated the relationship between work-related violence and health damage.
conclusionIn China, most doctors have encountered various WPV from patients and their relatives. The prevalence of three new types of WPV have been investigated in our study, which have been rarely mentioned in past research. A safer work environment for Chinese healthcare workers needs to be provided to minimise health threats, which is a top priority for both government and society.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.