Evidence map›Paper›PMID 31325293›Full record

SynthesisThe international journal of occupational and environmental medicine2019

Prevalence of Type II and Type III Workplace Violence against Physicians: A Systematic Review and Meta-analysis.

Behdin Nowrouzi-Kia, Emily Chai, Koyo Usuba, Behnam Nowrouzi-Kia, Jennifer Casole

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of occupational and environmental medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
14.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Review
  6. Article
  7. Article
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  9. Observational
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  11. Article
  12. Workplace violence: A complex challenge demanding a systemic response.Scandinavian journal of work, environment & health · 2025
    Article
  13. Violence in Healthcare Workers Is Associated with Disordered Eating.International journal of environmental research and public health · 2025
    Article
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  15. Article
  16. Review
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Behdin Nowrouzi-KiaCentre for Research in Occupational Safety and Health, School of Rural and Northern Health, Laurentian University, Sudbury, Ontario, Canada and Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Ontario, Canada. behdin@gmail.com.
Emily ChaiDepartment of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Ontario, Canada.
Koyo UsubaCentre for Research in Occupational Safety and Health, School of Rural and Northern Health, Laurentian University, Sudbury, Ontario, Canada and Department of Occupational Science and Occupational Therapy, Faculty of Medicine, University of Toronto, Ontario, Canada.
Behnam Nowrouzi-KiaMichael DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Jennifer CasoleSpecial Education Department, Loretto College, Toronto, Ontario, Canada.
Laurentian University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace violence (WPV) in the health care sector remains a prominent, under-reported global occupational hazard and public health issue.

objectiveTo determine the types and prevalence of WPV among doctors.

methodsPrimary papers on WPV in medicine were identified through a literature search in 4 health databases (Ovid Medline, EMBASE, PsychoINFO and CINAHL). The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for the mapping and identification of records. To assess the studies included in our review, we used the Critical Appraisal Skills Programme cohort review checklist and the Risk of Bias Assessment.

results13 out of 2154 articles retrieved were reviewed. Factors outlining physician WPV included (1) working in remote health care areas, (2) understaffing, (3) mental/emotional stress of patients/visitors, (4) insufficient security, and (5) lacking preventative measures. The results of 6 studies were combined in a meta-analysis. The overall prevalence of WPV was 69% (95% CI 58% to 78%).

conclusionThe impact of WPV on health care institutions is profound and far-reaching; it is quite common among physicians. Therefore, steps must be taken to promote an organizational culture where there are measures to protect and promote the well-being of doctors.

Indexed as

Health Care SectorHumansPhysiciansPrevalenceStress, PsychologicalWorkplace ViolenceMeta-analysis [publication type]Occupational medicinePhysiciansSystematic review [publication type]Workplace violence

Identifiers

PMID31325293
PMCPMC6708400
OpenAlexW2956312317

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.