{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T14:26:35Z","timestamp":1776695195594,"version":"3.51.2"},"reference-count":29,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,10,27]],"date-time":"2024-10-27T00:00:00Z","timestamp":1729987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o Ci\u00eancia e Tecnologia","award":["UIDP\/04923\/2020"],"award-info":[{"award-number":["UIDP\/04923\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Violence against health professionals is a global and growing problem, with significant impacts on the quality of care and the mental health of workers. Objectives: To analyze the level of knowledge, reporting practices and consequences of violence against health professionals in the Alentejo region (southern Portugal). Methods: This was an observational, cross-sectional study involving 440 health professionals (doctors and nurses). Data were collected using an online platform and a structured questionnaire created specifically for this study. In the statistical analysis, the data were described as counts and proportions and the X2 test was used considering a significance level of 0.05. Results: This study reveals that violence against health professionals in the southern region of Portugal is a frequent problem (40%), with a higher incidence among nurses (80%). Despite awareness of the existence and functioning of reporting channels, reporting is low (52%). The main causes are related to the health system, professionals and users. The consequences include mental health problems and a reduction in the quality of care provided. Suggested measures to combat violence include improving security, training and punishing aggressors. Conclusions: This study reveals that violence against health professionals in the southern region of Portugal is a frequent, under-reported problem with serious consequences for professionals and the quality of care.<\/jats:p>","DOI":"10.3390\/nursrep14040233","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T09:51:26Z","timestamp":1730109086000},"page":"3206-3219","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Knowledge and Consequences of Violence Against Health Professionals in Southern Portugal"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2899-8768","authenticated-orcid":false,"given":"Maria Ot\u00edlia","family":"Zang\u00e3o","sequence":"first","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9254-6083","authenticated-orcid":false,"given":"Laur\u00eancia","family":"Gemito","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"given":"Isaura","family":"Serra","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"given":"Dulce","family":"Cruz","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5620-0162","authenticated-orcid":false,"given":"Maria da Luz","family":"Barros","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3449-3061","authenticated-orcid":false,"given":"Maria Ant\u00f3nia","family":"Chora","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8860-8229","authenticated-orcid":false,"given":"Carolina","family":"Santos","sequence":"additional","affiliation":[{"name":"NOVA National School of Public Health, Public Health Research Centre, CHRC\u2014Comprehensive Health Research Centre, NOVA University Lisbon, 1600-560 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1750-1229","authenticated-orcid":false,"given":"Anabela","family":"Coelho","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"},{"name":"Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, NOVA Medical School, 1099-085 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7738-0887","authenticated-orcid":false,"given":"Elisabete","family":"Alves","sequence":"additional","affiliation":[{"name":"CHRC\u2014Comprehensive Health Research Centre, NOVA Medical School, University of \u00c9vora, 1150-082 Lisbon, Portugal"},{"name":"Nursing Department, S\u00e3o Jo\u00e3o de Deus School of Nursing, University of \u00c9vora, 7005-811 \u00c9vora, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.4000\/configuracoes.15742","article-title":"Viol\u00eancia Contra Profissionais de Sa\u00fade: Dos Discursos \u00c0s Pr\u00e1ticas","volume":"30","author":"Barros","year":"2022","journal-title":"Configura\u00e7\u00f5es"},{"key":"ref_2","unstructured":"Minist\u00e9rio da Sa\u00fade (2020). Programa Nacional de Preven\u00e7\u00e3o Da Viol\u00eancia No Ciclo de Vida Plano de A\u00e7\u00e3o Para a Preven\u00e7\u00e3o Da Viol\u00eancia No Setor Da Sa\u00fade, Dire\u00e7\u00e3o-Geral da Sa\u00fade."},{"key":"ref_3","unstructured":"Presid\u00eancia do Conselho de Ministros (2024, August 16). Resolu\u00e7\u00e3o Do Conselho de Ministros n.o 1\/2022 de 5 de Janeiro. Aprova o Plano de A\u00e7\u00e3o Para a Preven\u00e7\u00e3o Da Viol\u00eancia No Setor Da Sa\u00fade. Di\u00e1rio Rep\u00fab. 1a S\u00e9r. No 3. Available online: https:\/\/files.diariodarepublica.pt\/1s\/2022\/01\/00300\/0000700019.pdf."},{"key":"ref_4","unstructured":"Assembleia da Rep\u00fablica (2024, August 16). Resolu\u00e7\u00e3o Da Assembleia Da Rep\u00fablica n.o 7\/2024 de 10 de Janeiro. Aprova, Para Ratifica\u00e7\u00e3o, a Conven\u00e7\u00e3o n.o 190 Sobre a Elimina\u00e7\u00e3o Da Viol\u00eancia e Do Ass\u00e9dio No Mundo Do Trabalho. Di\u00e1rio Rep\u00fab. 1a S\u00e9r. No 7. Available online: https:\/\/files.diariodarepublica.pt\/1s\/2024\/01\/00700\/0003900051.pdf."},{"key":"ref_5","unstructured":"Krug, E., Dahlberg, L., Mercy, J., Zwi, A., and Lozano, R. (2002). Rapport Mondial sur la Violence et la Sant\u00e9."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"243","DOI":"10.4025\/cienccuidsaude.v11i2.11951","article-title":"Viol\u00eancia Psicol\u00f3gica: Um Fator de Risco e de Desumaniza\u00e7\u00e3o Ao Trabalho Da Enfermagem","volume":"11","author":"Oliveira","year":"2012","journal-title":"Ci\u00eanc. Cuid. Sa\u00fade"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Vento, S., Cainelli, F., and Vallone, A. (2020). Violence Against Healthcare Workers: A Worldwide Phenomenon With Serious Consequences. Front. Public Health, 8.","DOI":"10.3389\/fpubh.2020.570459"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1136\/oemed-2019-105849","article-title":"Prevalence of Workplace Violence against Healthcare Workers: A Systematic Review and Meta-Analysis","volume":"76","author":"Liu","year":"2019","journal-title":"Occup. Environ. Med."},{"key":"ref_9","first-page":"e3638","article-title":"Efetividade Das Interven\u00e7\u00f5es Contra Viol\u00eancia No Trabalho Sofrida Por Profissionais de Sa\u00fade e Apoio: Metan\u00e1lise","volume":"30","author":"Okubo","year":"2022","journal-title":"Rev. Lat. Am. Enferm."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e031513","DOI":"10.1136\/bmjopen-2019-031513","article-title":"Workplace Violence and Its Aftermath in China\u2019s Health Sector: Implications from a Cross-Sectional Survey across Three Tiers of the Health System","volume":"9","author":"Yang","year":"2019","journal-title":"BMJ Open"},{"key":"ref_11","first-page":"347","article-title":"Determinants of Violence against Health Workers in Portugal","volume":"47","author":"Craveiro","year":"2007","journal-title":"Cah Sociol Demogr. Med."},{"key":"ref_12","first-page":"390","article-title":"Workplace Violence on Healthcare Professionals and Underreporting: Characterization and Knowledge Gaps for Prevention","volume":"31","year":"2021","journal-title":"Enferm. Cl\u00ednica Engl. Ed."},{"key":"ref_13","unstructured":"Servi\u00e7os Partilhados do Minist\u00e9rio da Sa\u00fade (SPMS) (2024, October 18). Available online: https:\/\/www.spms.min-saude.pt\/2024\/01\/Violencia-Sobre-Profissionais-de-Saude-Notificar-Para-Intervir\/."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1097\/NNA.0b013e3181ae97db","article-title":"Violence Against Nurses Working in US Emergency Departments","volume":"39","author":"Juarez","year":"2009","journal-title":"JONA J. Nurs. Adm."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1111\/jnu.12668","article-title":"How Emergency Nurses Develop Resilience in the Context of Workplace Violence: A Grounded Theory Study","volume":"53","author":"Han","year":"2021","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"102641","DOI":"10.1016\/j.eclinm.2024.102641","article-title":"The Growing Burden of Workplace Violence against Healthcare Workers: Trends in Prevalence, Risk Factors, Consequences, and Prevention\u2014A Narrative Review","volume":"72","author":"Barach","year":"2024","journal-title":"eClinicalMedicine"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ienj.2017.09.004","article-title":"Nurses\u2019 Intention to Resign and Avoidance of Emergency Department Violence: A Moderated Mediation Model","volume":"39","author":"Li","year":"2018","journal-title":"Int. Emerg. Nurs."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e19495","DOI":"10.1016\/j.heliyon.2023.e19495","article-title":"User Violence Prevention and Intervention Measures to Minimize and Prevent Aggression towards Health Care Workers: A Systematic Review","volume":"9","author":"Pina","year":"2023","journal-title":"Heliyon"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/15271544231182583","article-title":"Workplace Violence Against Nurses in Canada: A Legal Analysis","volume":"24","author":"Nelson","year":"2023","journal-title":"Policy Polit. Nurs. Pract."},{"key":"ref_20","unstructured":"Presid\u00eancia do Conselho de Ministros (2024, August 16). Decreto-Lei n.o 102\/2023 de 7 de Novembro. Procede \u00e0 Cria\u00e7\u00e3o, Com Natureza de Entidades P\u00fablicas Empresariais, de Unidades Locais de Sa\u00fade. Di\u00e1rio Rep\u00fab. 1a S\u00e9r. No 215. Available online: https:\/\/files.diariodarepublica.pt\/1s\/2023\/11\/21500\/0000400020.pdf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e3940015","DOI":"10.1590\/0104-07072017003940015","article-title":"Occupational stress and dissatisfaction with quality of work life in nursing","volume":"26","author":"Azevedo","year":"2017","journal-title":"Texto Contexto Enferm."},{"key":"ref_22","unstructured":"Pita Barros, P., and Costa, E. (2022). Recursos Humanos Em Sa\u00fade Relat\u00f3rio 2022, Nova School of Business & Economics."},{"key":"ref_23","unstructured":"(2024, August 16). The Joint Commission Workplace Violence Prevention Standards. R3 Rep. Requir., Available online: https:\/\/www.jointcommission.org\/-\/media\/tjc\/documents\/standards\/r3-reports\/wpvp-r3-30_revised_06302021.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"103727","DOI":"10.1016\/j.amsu.2022.103727","article-title":"Workplace Violence in Healthcare Settings: The Risk Factors, Implications and Collaborative Preventive Measures","volume":"78","author":"Lim","year":"2022","journal-title":"Ann. Med. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"23779608241258029","DOI":"10.1177\/23779608241258029","article-title":"Workplace Violence Against Healthcare Workers: A Literature Review","volume":"10","author":"Eshah","year":"2024","journal-title":"SAGE Open Nurs."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Alfuqaha, O.A., Albawati, N.M., Alhiary, S.S., Alhalaiqa, F.N., Haha, M.F.F., Musa, S.S., Shunnar, O., and Al Thaher, Y. (2022). Workplace Violence among Healthcare Providers during the COVID-19 Health Emergency: A Cross-Sectional Study. Behav. Sci., 12.","DOI":"10.3390\/bs12040106"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Aggrawal, S., and Magana, A.J. (2024). Teamwork Conflict Management Training and Conflict Resolution Practice via Large Language Models. Future Internet, 16.","DOI":"10.3390\/fi16050177"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Zajac, S., Woods, A., Tannenbaum, S., Salas, E., and Holladay, C.L. (2021). Overcoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidance. Front. Commun., 6.","DOI":"10.3389\/fcomm.2021.606445"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1177\/21650799221126364","article-title":"Patient Safety Culture: The Impact on Workplace Violence and Health Worker Burnout","volume":"71","author":"Kim","year":"2023","journal-title":"Workplace Health Saf."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/4\/233\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:21:36Z","timestamp":1760113296000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/4\/233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,27]]},"references-count":29,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["nursrep14040233"],"URL":"https:\/\/doi.org\/10.3390\/nursrep14040233","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,27]]}}}