Child and Family Psychiatry Department, King Edward Medical University, Mayo Hospital, 22-C Phase 1, Defense Housing Authority, Lahore, Pakistan.
Singapore Med J. 2010 Jul;51(7):592-5.
The aim of this study was to determine the prevalence of workplace bullying among junior doctors in Pakistan, identify the types and sources of bullying behaviours and investigate the perceived barriers to making complaints against bullying.
We conducted a cross-sectional survey of junior doctors using convenience sampling in three tertiary care hospitals in two provinces of Pakistan. Demographic details and information about the different types of bullying behaviours experienced by junior doctors in the 12 months preceding the study were collected using a previously validated list of 20 such behaviours. Respondents were also asked to indicate the sources of bullying, any complaints made and if not, the reasons behind it. The data was analysed using the Statistical Package for the Social Sciences.
A total of 654 doctors participated in the study. 417 (63.8 percent) of them reported experiencing one or more type of bullying in the past 12 months. 436 (66.7 percent) doctors had witnessed the bullying of others. The most common source of bullying was consultants (51.6 percent). 306 (73.4 percent) respondents did not make a complaint against the bullying.
Bullying is faced by a fairly large proportion of junior doctors in Pakistan. The most frequent perpetrators of this bullying are consultants. Major changes are required at the national, organisational and individual levels in Pakistan to tackle the bullying problem and prevent its adverse consequences in an already vulnerable healthcare delivery system.
本研究旨在确定巴基斯坦初级医生中工作场所欺凌的流行率，确定欺凌行为的类型和来源，并调查对欺凌行为提出投诉的感知障碍。
我们在巴基斯坦两个省的三家三级保健医院使用便利抽样对初级医生进行了横断面调查。使用先前验证的 20 种此类行为的清单收集了初级医生在研究前 12 个月经历的不同类型的欺凌行为的人口统计学细节和信息。受访者还被要求指出欺凌行为的来源、是否提出投诉，如果没有，则背后的原因。使用社会科学统计软件包对数据进行了分析。
共有 654 名医生参加了这项研究。其中 417 名（63.8%）报告在过去 12 个月中经历过一种或多种类型的欺凌。436 名（66.7%）医生目睹过他人遭受欺凌。欺凌行为最常见的来源是顾问（51.6%）。306 名（73.4%）受访者未对欺凌行为提出投诉。
在巴基斯坦，相当大比例的初级医生面临欺凌问题。这种欺凌行为的最常见肇事者是顾问。在全国、组织和个人层面都需要进行重大变革，以解决欺凌问题，并防止其在本已脆弱的医疗服务提供系统中产生不利后果。
