Evidence map›Paper›PMID 37938187›Full record

SynthesisGlobal health action2023

Workplace violence against healthcare workers in Pakistan; call for action, if not now, then when? A systematic review.

Syeda Tayyaba Rehan, Mishal Shan, Syed Hasan Shuja, Zayeema Khan, Hassan Ul Hussain, Rohan Kumar Ochani, Asim Shaikh, Iqbal Ratnani, Abdulqadir J Nashwan, Salim Surani

Abstract readSystematic Review
In one paragraph

Synthesis in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Workplace Violence Is Home Now for Healthcare Workers: Spillover Theory Perspective.Stress and health : journal of the International Society for the Investigation of Stress · 2025
    Article
  9. Article
  10. Workplace violence in primary health care workers: an integrative review.Revista brasileira de medicina do trabalho : publicacao oficial da Associacao Nacional de Medicina do Trabalho-ANAMT
    Review
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

10 authors.

Syeda Tayyaba RehanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Mishal ShanDepartment of Pediatrics, Dr. Ruth KM Pfau Civil Hospital, Karachi, Pakistan.
Syed Hasan ShujaDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Zayeema KhanDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Hassan Ul HussainDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Rohan Kumar OchaniDepartment of Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Asim ShaikhDepartment of Medicine, The Aga Khan University, Karachi, Pakistan.
Iqbal RatnaniDepartment of Anesthesiology and Critical Care, Methodist DeBakey Heart & Vascular Center, Houston Methodist Hospital, Houston, TX, USA.
Abdulqadir J NashwanDepartment of Nursing, Hamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-4845-4119
Salim SuraniAdjunct Clinical Professor, Texas A&M University, Corpus Christi, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace violence (WPV) is a global problem that affects healthcare workers' physical and mental health and impairs work performance. Pakistan's healthcare system is not immune to WPV, which the World Health Organization recognises as an occupational hazard.

objectivesThe primary objective of this systematic review is to determine the prevalence of physical, verbal, or other forms of WPV in healthcare workers in Pakistan. Secondary objectives include identifying the associated risk factors and perpetrators of WPV.

methodsA systematic review of six electronic databases was conducted through August 2022. Studies were included if they met the following criteria: 1) healthcare workers (HCWs), including physicians, nurses, and paramedic staff working in the private or public sector of Pakistan; 2) exposure to physical, verbal, or any type of violence. Data were extracted and analysed for the prevalence of WPV, types of violence, associated risk factors, and perpetrators of violence.

resultsTwenty-four studies including 16,070 HCWs were included in this review. Verbal violence was the most common form of violence levied, with its highest prevalence (100%) reported in Islamabad and lowest verbal violence prevalence (25%) in Karachi. Verbal abuse was preponderant against female HCWs, while physical abuse was directed more towards males. The most common perpetrators were patient attendants, followed by the patients.

conclusionOur review determines a 25-100% prevalence of WPV against HCWs in Pakistani medical setups. This occupational hazard needs the attention of relevant authorities in the country to put protective enforcement policies in place. Large-scale surveys should be conducted to better gauge the current plight of HCWs in the nation.

Indexed as

PhysiciansWorkplace ViolenceAllied Health PersonnelFemaleHealth PersonnelHumansMalePakistanHealthcaremental healthphysical healthverbal abuseworkplace violence

Identifiers

PMID37938187
PMCPMC10653705

What OpenQuestion holds

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Registered trials

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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.