OA2020. Violence against healthcare workers in Georgia: A comparative study

Abstract Background Workplace violence (WPV) affects all worker groups, with healthcare workers (HWs) being particularly vulnerable. Globally, around 38% of HWs experience physical assaults, with even higher rates of verbal abuse. WPV undermines their safety, well-being, and job performance, leading to reduced quality of patient care. This study aimed to assess the prevalence, risk factors, and psychological impact of WPV against HWs in Georgia, and to identify preventive measures based on two studies conducted before and during the COVID-19 pandemic. Methods Two cross-sectional studies were conducted: the first in 2020 in three Tbilisi hospitals (80 HWs), and the second in 2022 across multiple hospitals in Georgia (300 HWs). Participants included physicians, nurses, and residents. SPSS was used for statistical analysis. Results Both studies revealed high WPV prevalence. Verbal violence affected over 60% of HWs in 2020 and 2022. Physical violence rose from 7.5% to 23%, with doctors most affected (41% in 2022). Sexual harassment was reported among women under 40. In 2020, verbal abuse was more frequent among men (73%), but high across all genders. WPV was more common in non-ICU/ER settings (72%) than in ICU/ER (36%). Working over five-night shifts per month was linked to higher WPV exposure. In 2020, 25% had intrusive memories and 10% avoided WPV-related thoughts. In 2022, 50% expressed concern, with many reporting negative effects on job performance and well-being. In 2020, 41% saw WPV as part of their job, and 29% as part of the profession. Participants in both studies emphasized the need for stronger hospital policies, WPV training, and permanent security. Conclusion WPV remains a serious issue in Georgia’s healthcare system, with rising physical violence and limited institutional response. Many HWs still view WPV as unavoidable. Strengthened policies, targeted training, and improved security are essential to protect HWs. Key messages • WPV remains a serious issue in Georgia’s healthcare system, with rising physical violence and limited institutional response. • There is the need for stronger hospital policies, WPV training, and permanent security. Topic Workplace Violence, Healthcare Workers, Tbilisi, Georgia.