Association Between Workplace Bullying Occurrence and Trauma Symptoms Among Healthcare Professionals in Cyprus.

Association Between Workplace Bullying Occurrence and Trauma Symptoms Among Healthcare Professionals in Cyprus.
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DOI:
10.3389/fpsyg.2020.575623
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发表时间:
2020
影响因子:
3.8
通讯作者:
Karanikola MNK
Karanikola MNK
中科院分区:
心理学3区
文献类型:
--
作者:
Aristidou L;Mpouzika M;Papathanassoglou EDE;Middleton N;Karanikola MNK

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工作场所欺凌/暴动是一种极端的工作相关压力源,但也对包括护士在内的医疗保健员工的身心健康构成严重危害。一系列与创伤相关的症状被认为与欺凌受害者有关。这项研究的目的是调查在急诊和重症监护环境中工作的希族塞人护士的工作场所欺凌/暴动相关创伤症状,以及与人口和职业变量的潜在相关性。对113名护士进行了描述性的横断面相关研究。卫生部门-国家案例研究研究工具(WVHS-CCSRI Part C.II-M)第B.CII部分的修订版和修订的次级创伤应激量表(STSS-M)分别用于评估欺凌/聚众频率和与工作场所欺凌/聚众相关的创伤症状。共有46.9%的被调查者报告既有欺凌/哄骗受害经历,又有目击欺凌/哄骗他人的经历(VWB亚组),21.2%的受访者报告仅有欺凌/聚众受害的经历(SVB亚组),10.6%的受访者报告目睹过欺凌/哄骗他人的经历(SWB亚组)。22.3%的受访者没有在工作场所经历或目睹任何欺凌/暴徒行为。创伤症状强度(STSS-M总分)在a)工作场所欺凌/围攻经历频率较高的参与者中更严重(p=0.018),b)vwb亚组与SWB亚组相比(p=0.019),c)在急诊科工作的与在ICU工作的人(p=0.03),d)因欺凌/围攻经历而考虑辞职的人与从未考虑辞职的人(p=0.008),E)那些因举报欺凌/聚众事件而受到惩罚的人与没有举报的人相比(p=0.001),以及f)认为该事件不重要而不应该举报的人与因其他原因而不愿举报的人相比(p=0.048)。这一数据突出表明,需要建立有效和安全的欺凌/围攻举报程序,目的是支持欺凌/围攻受害者和证人,并进一步保护他们的合法权利。工作场所欺凌/暴动的受害者和目击者都需要由精神卫生专业人员评估创伤后应激障碍症状,以便获得有效的治疗。
Workplace bullying/mobbing is an extreme work-related stressor, but also a severe hazard for physical, mental and psychological health in healthcare employees, including nurses. A range of trauma-related symptoms has been linked with bullying victimization. The aim of the study was the investigation of workplace bullying/mobbing-related trauma symptoms in Greek-Cypriot nurses working in emergency and critical care settings, as well as of potential correlations with demographic and occupational variables. A descriptive, cross-sectional correlational study was performed in a convenience sample of 113 nurses. A modified version of the Part B.CII of The Workplace Violence in the Health Sector-Country Case Studies Research Instrument (WVHS-CCSRI Part C.II-M) and the modified Secondary Traumatic Stress Scale (STSS-M) were used for the assessment of bullying/mobbing frequency and workplace bullying/mobbing-related trauma symptoms, respectively. A total of 46.9% of the sample reported experiences of both bullying/mobbing victimization and witnessing of bullying/mobbing to others (VWB subgroup), 21.2% reported solely bullying/mobbing victimization (SVB subgroup) and 10.6% reported witnessing of bullying/mobbing to others (SWB subgroup). A total of 22.3% did not experience or witness any bullying/mobbing at the workplace. Trauma symptoms intensity (STSS-M total score) was more severe in the participants a) with a high frequency of workplace bullying/mobbing experiences compared to those with a moderate frequency of such experiences (p = 0.018), b) of the VWB subgroup compared to those of the SWB subgroup (p = 0.019), c) employed in Emergency Departments compared to those employed in ICUs (p = 0.03), d) who had considered resigning due to bullying/mobbing experiences compared to those who had never considered resigning (p = 0.008), e) who had been punished for reporting a bullying/mobbing incident compared to those who had not (p = 0.001), and f) who considered the incident unimportant to be reported compared to those who avoided reporting due to other causes (p = 0.048). This data highlights the need to establish effective and safe procedures for bullying/mobbing reporting, aiming to support bulling/mobbing victims and witnesses, and further to protect their legal rights. Both victims and witnesses of workplace bullying/mobbing need to be assessed by mental health professionals for PTSD symptoms in order to have access to effective treatment.
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