1 Assistant Professor of Emergency Medicine, School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2 Department of Pathology, Loghman-e-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Interpers Violence. 2019 Feb;34(3):642-652. doi: 10.1177/0886260516645575. Epub 2016 Apr 21.
The widespread epidemic of emerging abuse in Emergency Departments (ED) toward residents generates negative effects on the residents' health and welfare. The purpose of this study was to determine and highlight the high prevalence of abuse and harassment toward Emergency residents. In 2011, a multi-institutional, cross-sectional study was conducted at seven Emergency Residencies of central hospitals in Iran. Residents were asked about their age, marital status, postgraduate year (PGY) levels, and work experiences before residency. Prevalence of abuse in four categories was evaluated: verbal abuse; verbal and physical threat; physical assault and sexual harassment; and by whom. The data were analyzed by SPSS version 17.0 (SPSS, Inc., Chicago, IL, USA). Two hundred fifteen of the 296 residents (73%) completed the survey. The prevalence of any type of abuse experienced was 89%; 43% of residents experienced verbal and physical threats, 10% physical assault, and 31% sexual harassment. Verbal abuse and verbal and physical threats without the use of weapons were higher in men in comparison with women ( p< .04). Women were more likely than men to encounter sexual harassment (31% vs. 7%, p< .01). Among the sexual harassment categories, sexual jokes (51%) were the most prevalent between residents. Junior residents (PGY-1) were more likely to experience abuse than senior residents (PGY-2 and PGY-3; p< .01). Patients and their companions were the main agents of abusive behaviors. Abuse and harassment during residency in ED are highly prevalent. Educational programs and effective preventive measures against this mistreatment are urgently required.
急诊科新兴滥用现象的广泛流行对居民的健康和福利产生了负面影响。本研究旨在确定并强调对急诊住院医师的虐待和骚扰的高发生率。2011 年，在伊朗 7 家中心医院的急诊住院医师中进行了一项多机构、横断面研究。要求住院医师报告其年龄、婚姻状况、研究生年级（PGY）水平和住院前的工作经验。评估了四个类别的虐待发生率：言语虐待；言语和身体威胁；身体攻击和性骚扰；以及由谁实施。数据使用 SPSS 版本 17.0（SPSS，Inc.，芝加哥，IL，USA）进行分析。296 名住院医师中有 215 名（73%）完成了调查。经历任何类型虐待的发生率为 89%；43%的住院医师经历过言语和身体威胁，10%经历过身体攻击，31%经历过性骚扰。与女性相比，男性言语虐待和言语及身体威胁（不使用武器）的发生率更高（p<.04）。与男性相比，女性更有可能遭遇性骚扰（31%比 7%，p<.01）。在性骚扰类别中，居民之间最常见的是性笑话（51%）。初级住院医师（PGY-1）比高级住院医师（PGY-2 和 PGY-3）更有可能遭受虐待（p<.01）。患者及其同伴是虐待行为的主要实施者。急诊科住院医师中虐待和骚扰的发生率很高。迫切需要开展教育计划和采取有效预防措施来制止这种虐待行为。
