Be it an out-patient encounter with a victim of domestic violence presenting with non-specific complaints, or post-rape care of a victim at a primary care facility, health workers' appreciation of this societal problem is an important part of the solution.
At King's Daughters Medical Center, Chief Executive Fred Jackson sent all his workers an appreciation letter with a crisp $100 bill for full-time workers and $50 for part-timers just as the economy was nose-diving.
The main motivating factors for health workers were appreciation by managers, colleagues and the community, a stable job and income and training.
A study in rural Viet Nam found that "the main motivating factors for health workers were appreciation by managers, colleagues and the community, a stable job and income and training", while "the main discouraging factors were related to low salaries and difficult working conditions" [ 106].
A study in Vietnam, (included in the review just cited) found that the main motivating factors for health workers were appreciation by managers, colleagues and the community, a stable job, income, and training, while the primary factors for dissatisfaction were low salaries and difficult working conditions [ 45].
A survey among medical and nursing staff in Cyprus found that positive HW relationships with co-workers, evidenced by appreciation and respect between doctors and nurses, enhanced workplace trust and was ranked as the second strongest motivator after remuneration [ 45].
One worker said: "Respect and appreciation, that's what I think is important".
The likely reasons for the high stated satisfaction include community appreciation, health worker expectations, and organizational structure [ 21, 30, 31].
After decades of global competition — the biggest difference from the thirties — American workers have a sober appreciation of their relative unimportance in the grand scheme.
