Violence in community pharmacy in Australia: incidence and implications
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Objective To estimate the frequency, nature and impact of violent incidents in Australian community pharmacies. Setting A sample of Australian community pharmacists. Method A survey of Australian pharmacists sought to estimate the frequency of exposure to an array of violent incidents in the preceding 12 months. The sample population was drawn from all pharmacists currently registered in Australia, with a proportionate number from each state and territory surveyed. The selected pharmacists were sent a letter of explanation, the questionnaire and the reply-paid envelope. The questionnaire was developed specifically for this study with extensive testing among a small number of community pharmacists. Main outcome measure Frequency of violent incidents experienced in the 12 months prior to the survey. Results Surveys were mailed to 1000 randomly selected pharmacists registered in Australia in 2007. In total, 248 eligible replies were received resulting in a usable response rate of 25%. The majority of respondents (91%) had experienced or witnessed some form of violence in community pharmacy within the preceding 12 months. Of all respondents, approximately one-third (33%) had been subjected to verbal abuse on at least a once-monthly basis. One-fifth of all respondents experienced or witnessed incidents of bullying/intimidation at least monthly, while one-tenth of all respondents had been exposed to sexual harassment/assault at least once-monthly. The impact of violent incidents was significant, with approximately one in ten respondents who had experienced violent incidents having changed employment as a direct result of these violent incidents; the majority of these pharmacists changed to a different community pharmacy (95%). A large proportion of respondents claimed that they either ‘sometimes’ or ‘never’ reported violent incidents. Over half of all respondents claimed that they received no post-incident support regardless of the type of violence experienced. Conclusion Recognising the likelihood of selection bias in responding to the survey, the results nevertheless indicate that violence appears a real and common problem in Australian community pharmacies. The under-utilisation of violence preventative strategies, the lack of violence management by employers, under-reporting of violence and the lack of post-violence support need to be addressed.
KeywordsAustralia Community pharmacy Pharmacist Violence
- 2.Miedema B, Easley J, Fortin P, Hamilton R, Tatemichi S. Disrespect, harassment and abuse: all in a day’s work for family physicians. Can Fam Phys. 2009;55(3):279–85.Google Scholar
- 3.Di Martino V. Workplace violence in the health sector: Country case studies. Geneva: International Labour Office, International Council of Nurses, World Health Organisation and Public Services International [serial on the Internet] 2002. [cited 2010 Nov 22]. Available from: http://www.icn.ch/pillarsprograms/workplace-violence-in-the-health-sector/workplace-violence-in-the-health-sector.html.
- 4.NSW Department of Health. Zero Tolerance Response to Violence in the NSW health Workplace: Policy and Framework Guidelines. NSW Department of Health. Sydney: Better Health Centre; 2003. [cited 2010 Nov 22]. Available from: http://www.health.nsw.gov.au/policies/PD/2005/PD2005_315.html.
- 5.Health Care Intelligence Pty Ltd. A Study of the Demand and Supply of Pharmacists, 2000–2010. 2003. [cited 2010 Nov 22]. Available from: http://www.guild.org.au/uploadedfiles/Research_and_Development_Grants_Program/Projects/2001-501_fr.pdf.
- 6.The Workplace aggressive behaviour and bullying working party. Discussion paper of workplace aggressive behaviour and bullying. Department of Health, Government of Western Australia; 2003. [cited 2010 Nov 22]. Available from: www.nursing.health.wa.gov.au/docs/reports/Discussion_Paper_WABB.pdf.
- 7.Mayhew C, Chappell D. Internal violence (or bullying) and the health workforce. Working paper series no. 141. Sydney, Australia: University of New South Wales. 2001.Google Scholar
- 8.Omari M. A study of workplace dignity and respect. PhD Dissertation. Edith Cowan University. January 2007.Google Scholar
- 9.Pharmacists’ Defence Association. Stopping violence in pharmacy: The policy of the Pharmacists’ Defence Association. Birmingham, United Kingdom; 2005. [cited 2010 Nov 22]. Available from: www.the-pda.org/pdf/ViolenceInPharmacy.pdf.
- 10.Pharmacists’ Defence Association. Personal Safety Resource Pack. In: Pharmacists’ Defence Association. Birmingham, United Kingdom; 2005. [cited 2010 Nov 22]. Available from: www.the-pda.org/pdf/ViolenceInPharmacy_RPack.pdf.
- 11.Queensland Health. Queensland Health Occupational Violence Guidelines. Brisbane; 2002. [cited 2010 Nov 22]. Available from: http://www.deir.qld.gov.au/workplace/subjects/violence/index.htm.
- 12.Alexander C, Fraser J, Hoeth R. Occupational violence in an Australian healthcare setting: implications for managers. J Healthcare Manag. 2004;49(6):377–92.Google Scholar
- 15.Mayhew C, Chappel D. Workplace Violence in the health sector—a case study in Australia. J Occup Health Saf. 2003;19(6):1–47.Google Scholar
- 16.McGuire R. How to deal with abuse at work. Pharm J. 2003;271:450–2.Google Scholar
- 19.International Labour Organisation, International Council of Nurses, World Health Organisation, Public Services International. Framework guidelines for addressing workplace violence in the health sector. Geneva: International Labour Office; 2002. [cited 2010 Nov 22]. Available from: www.ilo.org/public/english/dialogue/sector/papers/health/guidelines.pdf.
- 20.Pharmacists’ Defence Association. Violence in Pharmacy. Insight: The magazine of the Pharmacists’ Defence Association 2005; issue 4:5. [cited 2010 Nov 22]. Available from: www.the-pda.org/pdf/insight/insight4.pdf.
- 22.Mayhew C, Chappell D. Prevention of occupational violence in the health workplace. Working Paper Series No. 140. Sydney, Australia: University of New South Wales. 2001.Google Scholar