Wahab, Amer Taufek Abd (2024) Influence of workplace violence on resilience among selected public health workforce in Terengganu. PhD thesis, Universiti Sains Malaysia.
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Abstract
Background: Workplace violence is a globally recognized issue, impacting on all employment sectors, particularly the health sector where healthcare workers face a higher risk. Concurrently, resilience, defined as individuals' ability to adapt to diverse adverse situations while maintaining well-being, is crucial for Public Health Workforce (PHW) confronting workplace challenges. Objective: This study aims to examine the relationship between low resilience levels and workplace violence exposure, individual characteristics, job characteristics, and the psychosocial work environment among PHW in Terengganu. Methodology: This cross-sectional study, conducted from May 2022 to October 2023, included all eight district health offices and government health clinics in Terengganu. The participants in the study were selected using random sampling. Data was collected using three self-administered questionnaires which were the Malay version Job Content Questionnaire (M-JCQ), Workplace Violence in the Health Sector ILO/ICN/WHO/PSI Questionnaire, and Connor-Davidson Resilience Score (CD-RISC 10) Questionnaire. Multiple logistic regression analysis was applied to determine the associated factors for low resilience among participants. Results: The study included 1044 participants with a response rate of 92% with a mean (SD) age of 37.24 (7.64) years. Mean (SD) scores for decision latitude, psychological job demand, physical job demand, and social support were 70.70 (10.61), 22.91 (3.11), 11.4 (3.00), and 25.47 (3.77) respectively. Married individuals, high score for decision latitude, physical job demand, and social support were significantly associated with WPV (Adjusted OR 0.54 (95% CI: 0.37, 0.81), 1.03 (95% CI: 1.01, 1.04), 1.06 (95% CI: 1.06, 1.11) and 0.90 (0.87, 0.94), P- value< 0.05 respectively). Logistic regression revealed that, in addition to higher score of decision latitude (Adjusted OR 0.98 (95% CI: 0.97, 0.99), P- value= 0.02), higher score for psychological job demand (Adjusted OR 0.83 (95% CI: 0.78, 0.88), P- value< 0.001) and higher score for social support (Adjusted OR 0.92 (95% CI: 0.88, 0.95), P- value<0.001), Exposure to WPV also significantly associated with low resilience levels (Adjusted OR 1.48 (95% CI: 1.09, 2.00), P- value= 0.013). Conclusion: The study identified key factors associated with low resilience levels among PHWs, including workplace violence exposure and psychosocial work environment elements such as high score of decision latitude, psychological job demand, and social support. Addressing workplace violence is crucial, given its significant relationship with low resilience levels. Educational programs and awareness campaigns can foster a culture of respect and zero tolerance for workplace violence. Efforts should also focus on strengthening decision latitude and social support within the psychosocial work environment, fostering a cooperative and supportive atmosphere among PHWs.
| Item Type: | Thesis (PhD) |
|---|---|
| Uncontrolled Keywords: | Resilience |
| Subjects: | R Medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA440-440.87 Study and teaching. Research |
| Divisions: | Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Kesihatan (School of Health Sciences) > Thesis |
| Depositing User: | Mr Abdul Hadi Mohammad |
| Date Deposited: | 10 Sep 2024 08:47 |
| Last Modified: | 17 Oct 2024 05:22 |
| URI: | http://eprints.usm.my/id/eprint/61086 |
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