• Kalpana Silwal and Sarala Joshi.
• Chitwan Medical College, Bharatpur, Chitwan, Nepal.
• JNMA J Nepal Med Assoc. 2019 Jul 1; 57 (218): 243-247.

IntroductionVerbal abuse against nurses who are major working force can affect the work performance and productivity in hospital. Verbal abuse is epidemic in tertiary care hospitals though it is most preventable with healthcare professions. The study aims to identify the prevalence of verbal abuse among nurses in a Tertiary Care Hospital.MethodsA descriptive cross-sectional study was conducted among nurses in two tertiary care hospitals in Chitwan using self-administered questionnaire from August-December, 2018. The researcher used the convenient sampling technique and total 331 nurses were taken for the study.ResultsPrevalence of verbal abuse was found to be 122 (36.9 %) [34.25%-39.55% at 95% CI] among nurses. Perpetrators of the verbal abuse were relatives of the patients 64 (48.9%) followed by staff member 29 ( 23.77%), patient 23 (17.6%), management or supervisor 4 (3.1%) and from colleague 2 (1.5%). Frequency of verbal abuse as sometimes, once and all the times were 95 (77.86%), 20 (16.03%) and 7 (5.7 %) respectively. Study showed that verbal abuse was mostly done by relatives of the patient. Consequence of verbal abuse was disturbing memories, thoughts or an image ultimately reducing the job satisfaction. No any action was taken except verbal warning for 20 (58.8%) perpetrators.ConclusionsVerbal abuse is frequently prevalent in nurses and mostly from patient's visitors. Hence, nurses should maintain their respect and authority otherwise it will lead to decrease in their performance that shows direct impact on patient care and consequently the effectiveness of the health care system.

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