Longer Work Experience Research Articles

An assessment of psychosocial and health risks associated with shift work in a South African manufacturing context

Shift work is a necessity to ensure continuous and optimized operations in different occupational scenarios. However, there are numerous adverse effects associated with working shifts. This study is aimed at evaluating the psychosocial and health risks associated with working shifts in a manufacturing context in South Africa (SA). A cross sectional design using a modified form of the validated Standard Shift Work Index (SSI) questionnaire was used to collect quantitative data. Most participants were considered to be in good health, however they reported health complaints relating to swollen feet, weight gain, loss of appetite and gastrointestinal disorders. In addition, participants reported that their domestic lives were somewhat affected (45%) and their social lives were adversely affected (47%) by working shifts. Shift work experience (11 to 20 years) was also found to be significantly associated with more time for both social (OR = 0.10; 95% CI = 0.03; 0.30) and domestic activities (OR= 0.25; 95% CI = 0.11; 0.57; p < 0.05) compared to those with less experience. This may be attributed to the healthy worker survivor effect; it is likely that shift workers with longer working experience have developed practical coping strategies to mitigate some of the problems related to shift work.
 Keywords: Shift work; health effects; psychosocial effects; disorders

Iranian psychiatrists’ attitude towards clozapine use for patients with treatment-resistant schizophrenia: a nationwide survey

BackgroundClozapine has the greatest efficacy for treatment-resistant schizophrenia (TRS), even though its underutilization is not uncommon across different countries. This study aimed to investigate the knowledge and attitude of Iranian psychiatrists toward clozapine use.MethodIn this cross-sectional study, a questionnaire was distributed among psychiatrists registered with the Iranian Psychiatrists Association (including its provincial branches) to assess their knowledge and attitude towards clozapine use. A total of 282 psychiatrists completed the questionnaire. Descriptive analysis was used to describe demographic information, and Chi-square tests were conducted to determine if there is an association between academic position and work experience. All statistical analyses were performed using SPSS® version 25.0 for Windows, and a significance level of 0.05 was used.ResultsMost respondents (93%) acknowledged that they prescribed clozapine for their patients, and 74% believed that clozapine was more effective than other antipsychotic drugs. However, 43.3% of the respondents said they did not believe in the safety of clozapine. Difficulty initiating and having no firsthand experience in the superiority of clozapine were reported by 81.2 and 80% of the respondents, respectively. Our results also showed an association between having an academic position and access to appropriate facilities for the control and management of patients treated with clozapine and believing in the safety of clozapine (p < 0.05). Longer work experience (more than 15 years) was associated with a higher prescription of clozapine, belief in greater effectiveness of clozapine, and its safety (p < 0.0001).ConclusionIranian psychiatrists had a good self-perception of knowledge about the efficacy of clozapine for patients with TRS, but concerns about serious side effects are common. Psychiatrists with longer work experience and academic positions were more optimistic towards clozapine use than the younger ones with no academic position. Considering the results in planning the strategies to decrease concerns about clozapine use is recommended.

Exploring Healthcare Professionals' Practices and Attitudes towards Monitoring and Reporting of Severe Adverse Drug Reactions.

Healthcare professionals (HCPs) play a key role in the monitoring of severe adverse drug reactions (ADRs). The present study aims to explore practices and barriers of HCPs in severe ADR monitoring and reporting, to evaluate their attitudes towards the monitoring and to assess the related factors. Self-administered questionnaires produced in hard copy and Google form were sent to 510 HCPs by stratified random sampling. Of the 350 HCPs that responded (68.6%), 44.9% had ever monitored ADRs. The most common practices were the observation of abnormal symptoms for ADR identification (88.5%), discontinuation of the suspected drug for ADR management (88.5%) and advice on recurrent drug allergy for ADR prevention (88.5%). Most HCPs (93.0%) obtained further patient history to identify severe ADRs. The uncertainty of the causal relationship was a major barrier to ADR reporting (60.0%). Pharmacists were more involved with practices in ADR monitoring and reporting (OR 20.405; p < 0.001), whereas longer work experience (>20 years) was negatively related to the practices (OR 0.271; p = 0.024). Over one-third (37.6%) of HCPs had a positive attitude towards severe ADR monitoring. In conclusion, the practices in severe ADR monitoring varied among different professions. However, the barriers to the reporting of ADRs still exist; hence, improving knowledge and cooperation among HCPs should be promoted.

Moral values in the work of a physiotherapist

IntroductionThe goal of the study was to analyse the attitudes towards moral values adopted by Polish physiotherapists. Eight basic moral values were enumerated, namely: professionalism, care, fairness, dignity, autonomy, responsibility, trust, and profes�sional integrity. The chosen values were analysed taking into account the sex, age, education, work experience, workplace and the knowledge of moral rules included in the Code of Professional Ethics of the Physiotherapist of the Republic of Poland and/or in the Rules of Professional Ethics of Physiotherapists (the Polish Chamber of Physiotherapists).MethodsThe study embraced 199 professionally active physiotherapists, with 5 surveys not filled in correctly, which left 194.ResultsVariables such as sex (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) and workplace (&lt;i&gt;p&lt;/i&gt; &lt; 0.016) differentiate the respondents significantly in the context of the studied values. Physiotherapists with longer working experience also declare attitudes more closely based on moral values than physiotherapists with shorter working experience (&lt;i&gt;p&lt;/i&gt; = 0.021). With regard to the adopted attitudes towards values, vital differences between men and women can be observed. Women choose fairness (&lt;i&gt;p&lt;/i&gt; &lt; 0.001) whereas men choose the ethics of care (&lt;i&gt;p&lt;/i&gt; = 0.619). Physiotherapists employed by non-public centres are more oriented towards autonomous decisions than physiotherapists employed by publicly financed centres (&lt;i&gt;p&lt;/i&gt; = 0.048).ConclusionsNumerous factors have been observed differentiating the attitudes of the respondents towards moral values. The differences may evidence a lack of uniform professional culture which might in turn translate into limited respect on the part of society. The variables differentiating the group are modal, thanks to which a change in the moral attitudes of Polish physiothera�pists is possible.

Contextual factors influencing physicians\u2019 perception of antibiotic prescribing in primary care in Germany\xa0\u2014\xa0a prospective observational study

BackgroundAntimicrobial resistance is a worldwide challenge for health services and systems alike. To reduce the overuse of antibiotics, multifaceted interventions are often used to achieve sustainable effects. It can be assumed that these effects are influenced by contextual factors. Embedded in the cluster randomized trial ARena (Sustainable reduction of antibiotic-induced antimicrobial resistance), the aim of this present study was to identify contextual factors associated with practitioners’ perceptions of antibiotic prescribing in German primary health care.MethodsIn a prospective observational study, data were generated in a three-wave survey study between January 2018 and July 2019. Analysis was performed using logistic regression models. The outcome of interest was the physician perceived impact of participating in the ARena project on decision-making regarding antibiotic prescribing, the independent variables of interest included individual characteristics, intervention arm allocation, primary care network (PCN) environment and characteristics of the medical practice.ResultsForty Six point eight percent (n = 126) of participants indicated to have perceived an impact on their decision-making regarding antibiotic prescribing by participating in the ARena project. Bivariate logistic regression analyses indicated that work experience (odds ratio (OR) 1.05, 95% confidence interval (CI) 1.006–1.103), PCN environment (OR 2.06, 95% CI 1.256–3.363), structural conditions (OR 1.66, 95% CI 1.161–2.371), environment of existing processes (OR 1.46, 95% CI 1.011–2.094), and externally defined general conditions (OR 1.57, 95% CI 1.035–2.378) were associated with physicians’ perceived impact of participating in the ARena project on decision-making regarding antibiotic prescribing. In the multivariable logistic regression analysis, only work experience OR 1.05 (95% CI 1.001–1.104) continuously showed a significant influence.ConclusionsThis study indicates that contextual factors at individual, practice, and system level influence physicians’ perceptions of antibiotic prescribing. Longer work experience appeared to be a significant influencing factor to be considered in antimicrobial stewardship programs.Trial registrationISRCTN, ISRCTN58150046 (registered 13.09.2017).

Effects of the working experience, educational background, professional titles, and hospital grades of intensive care unit doctors on clinical glucocorticoid use in acute respiratory distress syndrome.

Although glucocorticoids are commonly used for patients with acute respiratory distress syndrome in the intensive care unit, the exact attitudes of different intensive care unit (ICU) doctors about glucocorticoid usage are largely unknown. Herein, we investigated the practice of glucocorticoid application for acute respiratory distress syndrome (ARDS) by ICU doctors in China. Questionnaires were developed and sent to ICU doctors at 45 hospitals to perform statistics and analysis. ICU doctors with more working experience and professional titles had more knowledge of ARDS. Glucocorticoids were more likely to be used for ARDS caused by chemical inhalation. Doctors with longer working experience, better educational background, and higher professional titles used fewer glucocorticoids. In addition, 97.2%of the doctors considered using methylprednisolone or hydrocortisone first, 50.9% used glucocorticoids within 24hours of onset, and 37.1% insisted that steroid therapy should last 3 to 5days. Although ICU doctors with more working experience and professional titles have a better understanding of glucocorticoid use in ARDS, the majority of clinical practices and attitudes are similar among different doctors regardless of working experience, educational background, professional titles, or hospital grades.

The phenomenon of workplace bullying among nurses

Introduction The problem of workplace bullying, which carries several pathologies, is becoming a more and more common phenomenon in the work environment. Regardless of the form of aggression or its causes in the workplace, it always significantly affects the employee, causing a number of consequences, ranging from health and psychological to social and professional. The aim of the study was to assess the prevalence of workplace bullying among nurses. Material &amp; methods: The study involved 120 nurses, including 110 women and 10 men. The survey was conducted anonymously, with the consent of the respondents. A proprietary questionnaire was used as the research tool and the NAQ questionnaire was used to assess the workplace bullying phenomenon. A diagnostic survey was used as the research method. Results: In the studied group, the presence of workplace bullying was found in more than half of the nursing staff (54.2%), so it occurred more often than it was absent, but no statistically significant differences were found between the number of respondents affected or not by workplace bullying (p=0.180), it was therefore found that this problem was as common as its absence. Moreover, it was shown that among the respondents with the shortest work experience, workplace bullying was the least frequent. Conclusions: Workplace bullying among nursing staff is a common phenomenon, while respondents with longer work experience are more exposed to these activities. Workplace bullying activities are rarely applied to people with higher education, but to a greater extent they are related to the competences, and therefore directed at work, rather than at the private sphere.

Climate advocacy among Italian pediatric pulmonologists: A national survey on the effects of climate change on respiratory allergies.

Climate change (CC) is expected to negatively impact respiratory health due to air pollution and increased aeroallergen exposure. Children are among the most vulnerable populations due to high ventilation rates, small peripheral airways, and developing respiratory and immunological systems. To assess the current knowledge among Italian pediatric pulmonologists on the potential effects of CC on pediatric respiratory allergic diseases, a national survey was launched online from February 2020 to February 2021. The members of the Italian Pediatric Respiratory Society (SIMRI) were contacted by email and 117 questionnaires were returned (response rate 16.4%). 72.6% of respondents were females, 53.8% were academic pediatricians, 42.7% had been working >10 years. Most of the participants were aware of the potential health effects of CC and stated that they had noticed an increase in the incidence (90.6%) and severity (67.5%) of allergic respiratory diseases among their patients. About 61% and 41% of participants respectively felt that there had been an increase in the number of children sensitized to pollen and molds. When applying latent class analysis to identify the features characterizing participants with greater awareness and knowledge of CC‐related health effects, two classes were identified: almost 60% of the participants were labeled as “poor knowledge” and those with greater awareness were older, had longer work experience, and were those using the Internet to gather information about CC. There is urgent need to increase pediatricians' awareness of the detrimental effects of CC on children's respiratory health and integrate them in the educational programs of healthcare professionals.

Challenging (-Hindering) Employment and Employee Health

Research has struggled with the task of distinguishing high from low-quality employment. Making the distinction between challenging and hindering job demands in a context of social exchange, our study develops a generalizable heuristic for employment quality research. Latent class analysis with mixture modelling was applied to a sample of 2,143 adults from a diversity of occupations. A two-factor model provided substantial support for the distinction between challenging and hindering employment. Challenging employment was characterized by hard and emotionally demanding work and by provision of greater resources. Hindering employment involved several hindering demands and fewer resources. As predicted, challenging employment was associated with better self-reported general health and less psychological distress. The positive associations between higher education levels and longer work experience and challenging employment also supported the challenging/hindering heuristic. Abstract Research has struggled with the task of distinguishing high from low-quality employment. Making the distinction between challenging and hindering job demands in a context of social exchange, our study develops a generalizable heuristic for employment quality research. Latent class analysis with mixture modelling was applied to a sample of 2,143 adults from a diversity of occupations. A two-factor model provided substantial support for the distinction between challenging and hindering employment. Challenging employment was characterized by hard and emotionally demanding work and by provision of greater resources. Hindering employment involved several hindering demands and fewer resources. As predicted, challenging employment was associated with better self-reported general health and less psychological distress. The positive associations between higher education levels and longer work experience and challenging employment also supported the challenging/hindering heuristic.

KNOWLEDGE OF IN-HOSPITAL CARDIOPULMONARY RESUSCITATION AMONG NURSING STAFF

Aim: To assess the knowledge of medical personnel about in-hospital cardiopulmonary resuscitation and to compare it with the current European Resuscitation Council Guidelines. Furthermore, the study intended to investigate the respondents’ preferences and experiences associated with performing cardiopulmonary resuscitation. Material and methods: The study included 248 nurses working in conservative and surgical wards. The research used an author-designed survey questionnaire, which was made available in electronic form. It consisted of 20 closed single-choice questions. Participation in the study was anonymous and voluntary. Results: A high level of knowledge of in-hospital CPR was found in 30.6%, average in 50.4% and low in 19%. Re¬spondents with work experience of ≤2 years (43.2%) and 3-10 years (36%) were significantly more likely to have a high level of knowledge of in-hospital CPR than those with longer work experience, especially 11-25 years (13.6%), p&lt;0.0001. Most of respondents reported that the type of equipment used for defibrillation did not matter to them (42.3%), while 27.8% preferred the use of a defibrillator spoon, and 29.8% preferred the use of self-adhesive elec¬trodes for defibrillation. The majority of respondents (70.2%) used 1 mg undiluted epinephrine during CPR. A dose of 1 mg epinephrine after 10-fold dilution in 0.9% NaCl solution was used by 20.2% of respondents. Conclusions: The study showed an average level of knowledge on in-hospital cardiopulmonary resuscitation. A signif¬icantly higher level of knowledge was found in younger respondents, those with shorter work experience and higher education, and among men. The type of equipment used during defibrillation did not matter for most respondents. It was also found that the vast majority of respondents had participated in or witnessed cardiopulmonary resuscitation at least once, and more than half knew the professional qualifications gained after a qualification course and speciali-sation in anaesthesia and intensive care nursing.

Professional competence of experts in psychosocial work

The professional competence of experts in helping professions was investigated in centers for social work, Republika Srpska. Using a questionnaire, 100 experts from the fields of psychology, pedagogy and social work were questioned. Their communication skills, mediation skills, teamwork skills and the ability to empathize were investigated, as well as the connection between the level of professional competences and the level of education, age and length of professional experience. The results showed that experts in helping professions have a high level of professional competence for psychosocial work. Experts of older age and longer working experience have a lower level of competence, while the level of education does not affect their professional competence. Supervision is recommended as an efficient way to prevent professional burnout, but also to develop personal and professional competencies.

COVID-19 Vaccination Did Not Change the Personal Protective Behaviors of Healthcare Workers in China.

Personal protective behaviors of healthcare workers (HCWs) and dynamic changes in them are known to play a major role in the hospital transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this study, 1,499 HCWs in Chinese hospitals completed an online survey about their knowledge on SARS-CoV-2 transmission and their personal protective behaviors before and after coronavirus disease 2019 (COVID-19) vaccination. Of all the respondents, 89% were vaccinated at the time of the survey and 96% believed that the vaccine was effective or highly effective. Further, 88% of the vaccinated HCWs expressed that they would get revaccinated if the vaccination failed. Compared with HCWs with a lower education level, those with a higher education level had less fear of being infected with SARS-CoV-2 and reported a lower negative impact of the pandemic on how they treated patients. Physicians and nurses were willing to believe that short-range airborne and long-range fomite are possible transmission routes. HCWs with a higher education level had a better knowledge of COVID-19 but worse personal protective behaviors. The fact that HCWs with a longer work experience had worse personal protective behaviors showed that HCWs gradually relax their personal protective behaviors over time. Moreover, vaccination reduced the negative effects of the COVID-19 pandemic on how the HCWs treated patients. Importantly, the survey revealed that after vaccination, HCWs in China did not relax their personal protective behaviors, and it may bring a low potential risk for following waves of variant virus (e.g., delta).

Migration and Health: Freedom of Movement and Social Benefits for Chinese Migrant Workers

Nearly 30% of China’s workforce consists of China’s rural-to-urban migrant workers, accounting for nearly 300 million of China’s population. Even though they have gained freedom of movement since the 1980s, they still have no access to healthcare in urban areas where they work. This study utilizes a mixed method of a survey with a sample of migrant workers from three Chinese emigration provinces (n=817) in 2018 and follow-up interviews with 30 migrant workers in 2020 to examine factors of migration experience affecting migrant worker’s health and healthcare. Using binary logistic regression, we found that migrant workers’ longer work experience is correlated with poorer self-rated health, their better financial status and level of hopefulness towards the future are positively correlated to self-rated health. Qualitative findings shed light on the cumulative effect of the length of work experience and fear of medical cost on migrant workers’ declining health. The lack of portability in health insurance and different reimbursement rates in health care access are structural barriers in health-seeking behaviors among migrant workers. Policy implications are presented in the global context of social rights and freedom of movement.

Professional quality of life among health care professionals in cystic fibrosis and child and adolescent mental health

Purpose is to investigate and compare professional quality of life (ProQoL) among health care providers (HCPs) in cystic fibrosis (CF) ambulances and inpatient clinic for child and adolescent psychiatry. The ProQoL R-IV Inventory was administered to 96 HCPs to investigate: compassion satisfaction, burnout, and secondary traumatic stress (STS). HCPs in CF centers and inpatient psychiatry did not differ in their ProQoL. However, the occupational groups differed regarding STS (F(3,92)=3.726, p=.01). Physicians reported more STS than other groups. Longer work experience was associated with more STS (r=-0.21, p=.04). Regular screening should be put in place to identify HCPs at risk of decreased ProQoL.

Evaluating physicians' knowledge, attitude and practice of their ethical responsibilities towards the environmental problem and air pollutionn

Introduction: Today, 25% of diseases in the world are directly or indirectly caused by environmental problems. The present study attempts to clarify physicians’ moral responsibility in this regard and the roles they can play to decrease environmental problems. It also evaluates their attitudes towards and performance of these roles. The clarification of this issue paves the way for interventions through effective education or policy-making, as well as directing useful research. Materials and methods: A questionnaire was developed based on the results of qualitive study. The questionnaire assessed physicians’ awareness, attitude, and performance with regard to their environmental moral responsibilities. Results: Physicians with longer work experience had better performance. Those who worked in offices or at universities had also better performances compared to those working in hospitals. Physicians with more awareness had better performance, especially those who had acquired this awareness through books and educational workshops. The source of information was an effective factor on the gap between physicians’ attitude and performance scores those who had acquired information from books had the narrowest gap and those who had received information from social networks had the widest gap between attitude and performance scores. Conclusion: The health system and the environment and its problems are intertwined and greatly influence each other. Thus this interrelation and the necessity of being concerned and having moral sensitivity were explained.

한국과 태국 군병원 간호장교의 환자안전 지식, 태도, 수행 비교

Purpose: The purpose of this study was to compare patient safety knowledge, attitude, and skills between the Republic of Korea and Thailand nursing officers. Methods: Data were collected from 104 Korean nursing officers and 106 Thai nursing officers using structured questionnaires, patient safety knowledge, attitude and skills. Results: The proportion of men in Korean nursing officers were higher than that of Thai nursing officers, and Thai nursing officers had longer work experience than Koreans. The ROK nursing officer''s patient safety knowledge score was significantly higher than Thai''s (t=5.38, p<.001). However there was no difference between them in patient safety attitude and skills scores. Both countries had no difference in patient safety knowledge, attitude, and skills according to general characteristics. Conclusion: Nursing officers of the two countries had similar levels of patient safety knowledge, attitudes, and skills. However, in order to understand the gaps in patient safety culture, policy, and education programs between them, the two parties need to exchange information and benchmark with each other to strengthen their nurses'' competence in patient care.

Survey of Nursing Staff's Training on Early Warning Ability for Inpatients with "Three Infarcts and One Hemorrhage".

Methods A total of 787 nursing staff in a tertiary referral center in Changsha City, Hunan Province, were selected using a convenient sampling method. We used an online questionnaire designed by ourselves to survey them. The content of the questionnaire primary included basic information, related knowledge of the nursing staff on the potential risk prediction and precontrol of inpatients with “three infarcts and one hemorrhage,” relevant information on improving early warning scores, management of clinical early warning, training needs, and training methods. Results Over 50% of the nursing staff had little understanding about the risk warning knowledge of inpatients with “three infracts and one hemorrhage,” and the degree of understanding was related to education, job title, and working years. The nursing staff with higher education level or professional title or longer working experience have a better understanding of the risk warning knowledge of inpatients with “three infracts and one hemorrhage.” Conclusion The cognitive competence of nursing staff in a tertiary referral center in Changsha City, Hunan Province, on the early warning ability of inpatients with “three infarcts and one hemorrhage” needs to be improved. Medical institutions should actively train nursing staff on early warning ability for inpatients with “three infarcts and one hemorrhage” to improve the nursing staff's awareness and patients' safety and efficiency.

Doctor-patient communication skills: a survey on knowledge and practice of Iranian family physicians

BackgroundCommunication skills are fundamental to successful medical practice and can greatly impact patient satisfaction, compliance and outcomes. This study evaluated knowledge and practice of doctor- patient communication among the urban family physicians based on main items of Calgary Cambridge Observation Guides.MethodThis cross-sectional study was conducted from July to September, 2019, in a 400 randomly selected sample of family physicians of Shiraz, Fars province. The data collection tool was a self-administered, second-part questionnaire developed by the researchers. Participants were asked about their age, gender, practice setting, and years of work experience and if they received any formal training in doctor- patient communication. Data were analyzed using SPSS (Version 16, SPSS Inc., Chicago, IL, USA). A p-value of less than 0.05 was considered statistically significant.ResultsThe study participants included 204 male and 196 female family physicians with a mean age of 46.7 ± 7.7 years. The mean communication skills knowledge score was 41.5 (SD: ± 2.8) indicating a high level of knowledge. The mean score for practices was 38.7 (SD: ± 3.4), implying a moderate level of practice. Based on Bloom’s scale, nearly 80% of family physicians had good knowledge about doctor-patient communication skills, however, 55% of participants reported moderate to poor level of practice in this regard. Results of multivariate regression analysis suggest that higher levels of related knowledge, having higher age or longer work experience, and working in the public sector can predict better practice scores (P < 0.005).ConclusionThere is a potential gap between knowledge and self-reported practices toward communication skills among a sample of Iranian family physicians. They have fundamental weakness in the most important evidence-based items of doctor- patient communication. Considering significant role of family physicians in prevention and control of non-communicable diseases (NCDs) as an emerging challenge of our country, the topic of communication skills should be inserted as a top educational priority of family physicians.

Evaluation of moral intelligence of healthcare professionals via the &amp;#8220;Survey for Measuring Moral Intelligence in the Provision of Healthcare Services&amp;#8221;

Moral intelligence -through which an individual makes mental evaluation before taking action about a decision- is important in individual-centered healthcare. Using Lawshe Method, we designed the “Survey for Measuring Moral Intelligence in the Provision of Healthcare Services” with “equality”, “empathy”, “moral intelligence”, “justice”, “tolerance”, “self-control”, and “politeness” dimensions (α=.966). Age of the population (physicians and nurses) was 36.44±9.52, consisting 517 (65.5%) women, 538 married participants, 653 employed in public hospitals, and 352 had work experience of <10 years. All participants were moral intelligence-sensitive. Those who had children, worked in a private organization, and had longer work experience were more sensitive with regard to “equality”, which varied by marital status, frequency of working outside normal working hours, and age groups. “Politeness” varied between participants that have worked for >8 hours/day. Using dimensions of this survey as skills is expected to ensure due diligence about rights and dignity in healthcare services.

Workplace Violence Against Chinese Frontline Clinicians During the COVID-19 Pandemic and Its Associations With Demographic and Clinical Characteristics and Quality of Life: A Structural Equation Modeling Investigation.

Background: Workplace violence is a major concern for clinicians worldwide. There has been little data on the epidemiology of workplace violence against frontline clinicians during the COVID-19 pandemic. This study examined the pattern of workplace violence and its association with quality of life (QOL) against frontline clinicians during the outbreak of COVID-19 pandemic in China.Methods: A cross-sectional online study was conducted in China between March 15 and March 20, 2020. Frontline clinicians' experience with workplace violence was measured with six standardized questions derived from the Workplace Violence Scale, while anxiety, depressive, and insomnia symptoms, and QOL were measured using the General Anxiety Disorder Questionnaire, the Patient Health Questionnaire, the Insomnia Severity Index, and the World Health Organization Quality of Life Questionnaire, respectively. Univariate analyses, multivariable logistic regression analyses, and structural equation modeling (SEM) were conducted.Results: A total of 15,531 clinicians completed the assessment; 2,878 (18.5, 95% CI = 17.92–19.14%) reported workplace violence during the outbreak of the COVID-19 pandemic (verbal violence: 16.1%; physical violence: 6.9%). According to multivariable models, key correlates of workplace violence were male gender, longer work experience, higher education level, smoking, working in the psychiatry or emergency department, working in tertiary hospitals, being involved in direct care of infected patients, having infected family/ friends/ colleagues, and frequently using social communication programs. Clinicians working in inpatient departments were less likely to report workplace violence compared to those working in outpatient departments. SEM analysis revealed that both violence and emotional disturbances (anxiety, depression, and insomnia) directly affected QOL (standardized direct effect = −0.031, and −0.566, respectively, P < 0.05), while emotional disturbances partly mediated the association between work violence and QOL (standardized indirect effect = −0.184, P < 0.05).Conclusion: Frontline clinicians were vulnerable to workplace violence during the COVID-19 pandemic. Due to the negative impact of workplace violence on quality of care and clinicians' QOL, health authorities and policymakers should take effective measures to reduce workplace violence against clinicians.