# Patient-initiated violence against dental staff: a survey in faculty clinic settings

## TL;DR

This study explores how often dental staff in Israel face violence from patients, finding that verbal abuse is most common.

## Contribution

The study provides the first survey-based insights into patient-initiated violence in dental clinic settings in Israel.

## Key findings

- 95% of dental staff reported experiencing verbal violence at least once in their career.
- Male staff and dentists reported higher rates of reputational harm compared to their counterparts.
- Physical violence was reported by 27% of respondents, while reputational harm was reported by 53%.

## Abstract

Workplace violence against healthcare personnel is an increasing concern. However, there is limited research on this issue within the dental field.

This study aimed to examine the prevalence and characteristics of patient-initiated violence against dental staff.

A cross-sectional survey design was utilized, involving a convenience sample of dental clinic staff at Hadassah Medical Center, Jerusalem, Israel. Participants filled out an anonymous questionnaire that assessed patient aggression in three categories: physical violence, verbal abuse, and reputational harm. Additionally, demographic information such as gender, age, role, and years of experience was collected.

The response rate was 29%. Of the 103 respondents, 73% were females, 79% were dentists; 95% reported experiencing verbal violence, 27% physical violence, and 53% reputational harm at least once in their career. Male staff reported significantly higher rates of reputational harm compared to female staff (p = 0.025). Dentists experienced significantly more reputational harm than dental auxiliaries (p = 0.004). No significant differences were found based on clinic specialization or years of experience.

Dental clinic staff frequently experience high levels of verbal, physical, and reputational violence. It is essential to conduct larger, nationally representative studies in Israel to confirm these findings. Future research should examine the causes and consequences of patient-initiated violence and explore effective prevention and intervention strategies.