Impact of workplace discrimination and harassment among National Health Service staff working in London trusts: results from the TIDES study.
Impact of workplace discrimination and harassment among National Health Service staff working in London trusts: results from the TIDES study.
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DOI：
10.1192/bjo.2020.137
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发表时间：
2020-12-16
期刊：
影响因子：
5.4
通讯作者：
Hatch SL
中科院分区：
文献类型：
--
作者：
Rhead RD;Chui Z;Bakolis I;Gazard B;Harwood H;MacCrimmon S;Woodhead C;Hatch SL
在过去的5年里，国家医疗服务体系(NHS)的骚扰和歧视稳步增加，伦敦是表现最差的地区。缺乏关于这对员工健康和工作满意度的影响的数据和研究。这些数据对于制定有效的工作场所干预措施以减轻这些经历对工作人员的影响是必要的。利用2019年潮汐横断面调查的数据，研究骚扰和歧视对在伦敦信托基金工作的NHS工作人员的影响。总共有931名伦敦的医疗从业者参与了潮汐调查。回归分析被用来检验参与者的社会人口学特征、遭受歧视和骚扰的情况，以及这些暴露与身心健康、工作满意度和疾病缺勤之间的关系。妇女、黑人少数族裔工作人员、移民、护士和保健助理最有可能受到歧视和/或骚扰。经历任何一种主要的暴露与可能的焦虑或抑郁有关。经历骚扰也与中度到重度的躯体症状有关。最后，目睹和经历主要接触都与工作满意度低和长期病假有关。NHS的员工，尤其是那些在伦敦信托公司工作的员工，面临着来自同事前所未有的歧视和骚扰。在NHS已经捉襟见肘、资源不足的背景下，为了应对工作满意度低和高流失率，所有医疗从业者的价值必须得到所有管理层和高级领导人的明显和持续的加强。
Harassment and discrimination in the National Health Service (NHS) has steadily increased over the past 5 years with London being the worst performing region. There is a lack of data and research on the impact this is having on staff health and job satisfaction. Such data are necessary to inform the development of effective workplace interventions to mitigate the effects these experiences have on staff. Examine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey. In total, 931 London-based healthcare practitioners participated in the TIDES survey. Regression analysis was used to examine associations between the sociodemographic characteristics of participants, exposure to discrimination and harassment, and how such exposures are associated with physical and mental health, job satisfaction and sickness absence. Women, Black ethnic minority staff, migrants, nurses and healthcare assistants were most at risk of discrimination and/or harassment. Experiencing either of the main exposures was associated with probable anxiety or depression. Experiencing harassment was also associated with moderate-to-severe somatic symptoms. Finally, both witnessing and experiencing the main exposures were associated with low job satisfaction and long periods of sickness absence. NHS staff, particularly those working in London trusts, are exposed to unprecedented levels of discrimination and harassment from their colleagues. Within the context of an already stretched and under-resourced NHS, in order to combat poor job satisfaction and high turnover rates, the value of all healthcare practitioners must be visibly and continuously reinforced by all management and senior leaders.
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影响因子：
4.9
作者：
Kivimäki, M;Elovainio, M;Vahtera, J
通讯作者：
Vahtera, J
影响因子：
4.4
作者：
Moorthy, Arumugam;Sankar, Thangasamy K.
通讯作者：
Sankar, Thangasamy K.
DOI：
10.1097/01.jom.0000052967.43131.51
发表时间：
2003-02-01
影响因子：
3.2
作者：
Kessler, RC;Barber, C;Wang, P
通讯作者：
Wang, P
影响因子：
0.5
作者：
Kroenke, K;Spitzer, RL
通讯作者：
Spitzer, RL
影响因子：
12.7
作者：
Barnes, Lisa L.;de Leon, Carlos F. Mendes;Evans, Denis A.
通讯作者：
Evans, Denis A.