Evidence map›Paper›PMID 41469968›Full record

ArticleBMC public health2025

Workplace violence in a conflict zone: a study from Syria's healthcare frontline.

Ahmad Al-Bitar, Ahmad Bishr Nasra, Lama Alsaoub, Aows Dayoub, Abdulrahman Hmidan, Rawia Barghouth, Maria Kheder, Hamza Koja, Malaka Abubakir, Rahaf Massoud and 2 more

Erratum issuedAbstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Ahmad Al-BitarFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic. dr.ahmad.al.bitar@gmail.com.ORCID http://orcid.org/0009-0009-3173-1942
Ahmad Bishr NasraFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0002-8243-9385
Lama AlsaoubFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0003-8333-6430
Aows DayoubFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0009-7896-9130
Abdulrahman HmidanFaculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic.ORCID http://orcid.org/0009-0004-4321-3003
Rawia BarghouthFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0005-9274-1328
Maria KhederFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0009-9588-9677
Hamza KojaFaculty of Medicine, Lattakia University, Lattakia, Syrian Arab Republic.ORCID http://orcid.org/0009-0008-5307-5061
Malaka AbubakirFaculty of Medicine, University of Aleppo, Aleppo, Syrian Arab Republic.ORCID http://orcid.org/0009-0007-6329-5183
Rahaf MassoudFaculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0009-0005-4540-6295
Youssef LatifehDepartment of Psychiatry, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0000-0003-2832-1212
Bayan AlsaidLaboratory of Anatomy, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.ORCID http://orcid.org/0000-0003-2207-4687

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWorkplace violence (WPV) is a significant occupational hazard for healthcare workers. This study aimed to examine the prevalence, nature, and associated factors of WPV among resident doctors and nurses in Syrian public university hospitals to inform institutional policies and protective strategies.

methodsA cross-sectional study was conducted in public, Ministry of Higher Education-affiliated teaching hospitals in Damascus, Aleppo, and Lattakia, Syria. A total of 832 healthcare workers (68.1% physicians/residents, 31.9% nurses) completed a self-administered electronic questionnaire, distributed using a multi-stage, non-probability sampling strategy. The main outcome measures were the prevalence of psychological, physical, and sexual harassment in the last year, and factors associated with experiencing violence. Data were analyzed using logistic regression.

resultsThe overall prevalence of exposure to at least one form of WPV was 64.78%. Psychological violence was most common (55.3%), followed by physical violence (19.8%) and sexual harassment (9.5%). Most workers (87.3%) had received no training on handling WPV, and although 56.1% of workplaces had reporting procedures, only 25% of participants had used them. Significant risk factors for WPV included being a physician/resident (AOR = 2.72), working night shifts (AOR = 1.82), and having direct patient contact (AOR = 2.63). A very strong association was found with the level of concern about violence; those who were “extremely concerned” had 22.7 times the odds of reporting WPV exposure.

conclusionWorkplace violence is a crisis-level occupational hazard for healthcare workers in Syria, exacerbated by a lack of preventive training and a culture of underreporting. These findings represent an urgent call for health policymakers and hospital administrators to implement robust, multifaceted interventions, including fostering a culture of safety, to protect the workforce as an essential prerequisite for a functioning healthcare system.

Indexed as

Medical Staff, HospitalWorkplace ViolenceAdultCross-Sectional StudiesFemaleFrontline WorkersHumansInternship and ResidencyMaleMiddle AgedPrevalenceRisk FactorsSexual HarassmentSurveys and QuestionnairesSyriaWorking ConditionsConflict zoneHealthcare workers (HCWs)Physical violencePsychological violencePublic hospitalsResident doctorsSyriaWorkplace violence (WPV)

Identifiers

PMID41469968
PMCPMC12875005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.