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Scoping review of workplace violence against healthcare workers across 53 countriesHealthcare workers face violence from patients and staff in many countries today

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Key Takeaway
Consider that workplace violence is a prevalent occupational risk for healthcare workers, but effective preventive strategies lack robust evidence.

This is a scoping review that synthesizes evidence from 77 studies across 53 countries on workplace violence against healthcare workers. The review covers prevalence, determinants, health and occupational consequences, and preventive strategies. The authors report that over 40–70% of healthcare workers in high-risk environments experience psychological and verbal violence. High-risk groups include nurses, early-career professionals, and women. Perpetrators include patients, relatives, colleagues, and supervisors. Key determinants include patient acuity, staffing shortages, weak institutional policies, and socio-political instability. Health and occupational consequences include burnout, anxiety, depression, reduced job satisfaction, turnover, and impaired patient care. Preventive strategies were identified at multiple levels, but the authors note that evidence for integrated and context-specific approaches remains limited, particularly in low-resource settings. The review does not report pooled effect sizes, p-values, or confidence intervals. Practice relevance is restrained, emphasizing that addressing workplace violence as a systemic occupational health risk requires coordinated, context-sensitive approaches and rigorous evaluation of interventions to support healthcare workers, improve reporting, and mitigate adverse outcomes.

Imagine walking into a hospital shift expecting to help people. Instead, you face shouting matches or even physical hits. This happens far too often for doctors and nurses around the globe. A new look at recent data shows how widespread this problem really is.

The issue affects everyone who works in healthcare. It touches nurses, doctors, and support staff in hospitals and clinics. The problem is not just about angry patients. Family members and even coworkers can be the source of trouble too.

But here is the twist. Most people think violence is rare. The new data says otherwise. In high-risk places, more than 40 percent of staff face verbal attacks. Some face physical harm. This creates a scary environment for healing.

Why does this happen now? Staff shortages make things worse. When there are too few workers, everyone is tired. Fatigue leads to mistakes and makes staff more vulnerable to anger. Patients in emergency rooms or mental health units are often very sick. Their families are scared and frustrated. That fear can turn into violence.

Think of a busy factory floor. If the machines jam and workers are overworked, accidents happen. Hospitals are similar. When the system is stressed, violence becomes a risk. It is like a traffic jam where everyone is honking and pushing. The result is burnout and sadness for the staff.

The study looked at 77 different reports from 53 countries. These reports came out between 2021 and 2025. Researchers wanted to see where violence happens most. They found that women and early-career professionals are at higher risk. Nurses often take the brunt of the abuse.

What did the researchers find? They saw that verbal violence is the most common form. People shout insults and threats. Physical and sexual violence are less common but still dangerous. These attacks happen in emergency rooms, psychiatric wards, and long-term care homes. The danger is real in many different settings.

This doesn't mean this treatment is available yet.

The study also looked at how to stop this. Experts say we need better safety plans. But there is a catch. We do not have enough good plans for low-resource areas. Many hospitals lack the money or training to stop violence. They need help from leaders and policymakers.

One expert noted that we must treat violence as a system problem. It is not just one bad apple. It is about staffing, policies, and social unrest. We need to fix the whole system to keep staff safe. Future research should look at new tools like AI to help predict and prevent attacks.

What does this mean for you? If you know a healthcare worker, talk to them. Ask if they feel safe at work. If they say no, it is time to speak up. Patients and families can learn to manage their anger without hurting staff.

The study has some limits. It looked at many countries but some data was missing. We do not know exactly how to fix every problem yet. Some places have no way to report violence safely. This makes the real numbers hard to find.

The road ahead is clear but hard. We need to build better safety nets for staff. We must support workers who face abuse. Only then can hospitals heal patients without hurting their own team. Research will continue to find new ways to protect everyone.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
IntroductionWorkplace violence (WPV) is a pervasive occupational and public health concern affecting healthcare workers (HCWs) globally. This review aims to systematically map recent evidence on WPV, examining its prevalence, associated risk factors, health and occupational consequences, and preventive strategies across different healthcare settings and geographic contexts.MethodsThis scoping review synthesizes evidence from 77 studies conducted across 53 countries and published between 2021 and 2025. Studies reporting data on WPV prevalence, determinants, health consequences, or preventive strategies among HCWs were included, with attention to geographic and socioeconomic variation.ResultsPsychological and verbal violence were the most frequently reported forms of WPV, often affecting over 40–70% of healthcare workers in high-risk environments. Physical and sexual violence, although less prevalent, remained significant, particularly in emergency, psychiatric, and long-term care settings. Nurses, early-career professionals, and women were consistently identified as high-risk groups. Perpetrators included patients, relatives, colleagues, and supervisors. Determinants spanned individual, organizational, and contextual levels, including patient acuity, staffing shortages, weak institutional policies, and socio-political instability. WPV was associated with burnout, anxiety, depression, reduced job satisfaction, turnover, and impaired patient care. Preventive strategies were identified at multiple levels, although evidence for integrated and context-specific approaches remains limited, particularly in low-resource settings.DiscussionAddressing WPV as a systemic occupational health risk requires coordinated, context-sensitive approaches and rigorous evaluation of interventions to support HCWs, improve reporting, and mitigate adverse outcomes. Future research should prioritize context-sensitive evaluation of interventions, including emerging AI-based approaches, to develop scalable and sustainable prevention.
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