Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment.

Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment.
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DOI:
10.1136/bmjopen-2017-018766
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发表时间:
2018-02-24
期刊:
影响因子:
2.9
通讯作者:
Mitsiakos G
Mitsiakos G
中科院分区:
医学3区
文献类型:
--
作者:
Chatziioannidis I;Bascialla FG;Chatzivalsama P;Vouzas F;Mitsiakos G

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本研究的目的是调查欺凌行为的流行程度,报告欺凌行为的障碍和心理健康影响,并分析工作中的心理支持是否会影响医疗保健工作场所欺凌行为的受害者。自我管理问卷调查。希腊17家医院共有20个新生儿重症监护室,398名保健专业人员(医生、护士)。问卷内容包括人口统计数据、负面行为问卷修正(NAQ-R)行为量表、欺凌来源数据、施暴者简介、原因因素、采取的行动和不报告欺凌的原因、心理支持以及用于调查心理困扰的12项一般健康问卷(GHQ-12)得分。NAQ-R测量的欺凌发生率在医生和护士中分别为53.1%和53.6%。在人口统计数据中,受欺凌者与未受欺凌者在性别和工作经验方面存在差异。粗略NAQ-R得分在女性、年轻和没有经验的员工中较高。在经历过欺凌的受访者中,44.9%的人认为自己是受害者。目睹他人受欺凌的占83.2%。肇事者主要是45-64岁的女性,最可能是主管/高级同事。不报告欺凌行为的常见原因是自我交易和害怕后果。霸凌行为与人格特质和管理方式有关。那些被欺负、自称受害者和目睹别人被欺负的人的GHQ-12得分更高。此外,工作中的心理支持对欺凌受害者也有帮助作用。欺凌和目击的发生率极高,而一半的受害者并不认为自己是受害者。受害者和证人的心理健康受到严重影响,必须在工作中提供支持,以确保雇员的良好心理健康状况。
The aim of this study is to examine the prevalence, to report barriers and mental health impact of bullying behaviours and to analyse whether psychological support at work could affect victims of bullying in the healthcare workplace. Self-administered questionnaire survey. 20 in total neonatal intensive care units in 17 hospitals in Greece. 398 healthcare professionals (doctors, nurses). The questionnaire included information on demographic data, Negative Act Questionnaire-Revised (NAQ-R) behaviour scale, data on sources of bullying, perpetrators profile, causal factors, actions taken and reasons for not reporting bullying, psychological support and 12-item General Health Questionnaire (GHQ-12) scores to investigate psychological distress. Prevalence of bullying measured by the NAQ-R was 53.1% for doctors and 53.6% for nurses. Victims of bullying differed from non-bullied in terms of gender and job experience, among demographic data. Crude NAQ-R score was found higher for female, young and inexperienced employees. Of those respondents who experienced bullying 44.9% self-labelled themselves as victims. Witnessing bullying of others was found 83.2%. Perpetrators were mainly females 45–64 years old, most likely being a supervisor/senior colleague. Common reasons for not reporting bullying was self-dealing and fear of consequences. Bullying was attributed to personality trait and management. Those who were bullied, self-labelled as a victim and witnessed bullying of others had higher GHQ-12 score. Moreover, psychological support at work had a favour effect on victims of bullying. Prevalence of bullying and witnessing were found extremely high, while half of victims did not consider themselves as sufferers. The mental health impact on victims and witnesses was severe and support at work was necessary to ensure good mental health status among employees.
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