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[墨西哥一家儿童医院专科培训期间的职场霸凌:一个被忽视的现象]

[Workplace bullying during specialty training in a pediatric hospital in Mexico: a little-noticed phenomenon].

作者信息

Sepúlveda-Vildósola Ana Carolina, Mota-Nova Alma Rebeca, Fajardo-Dolci Germán Enrique, Reyes-Lagunes L Isabel

机构信息

Unidad de Educación, Investigación y Políticas de Salud, Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social, Ciudad de México, México.

出版信息

Rev Med Inst Mex Seguro Soc. 2017;55 Suppl 1:S92-S101.

Abstract

BACKGROUND

Workplace bullying (WB) is a hostile or intimidating behavior that is practiced against workers and has a negative impact on health, job performance, and the learning process. The objective was to research WB magnitude and its associated factors in Mexico.

METHODS

Mixed method study. A survey was designed and administered to all the residents in a pediatric hospital in Mexico who agreed to participate. The survey was divided in two sections: a) resident self-reported events of workplace bullying and associated factors, b) situations and factors of abuse were interrogated in a targeted manner.

RESULTS

137 residents participated in the survey, out of which 32% spontaneously reported have been bullied, and 82.4% harassing behaviors in the targeted section. Personal factors that cause WB in this population were: gender, mental skills and physical appearance. Situations that predispose to harassment were: hierarchy, and lack of supervision. Teachers were more frequently the perpetrators. Factors identified as significant for WB were: being female, younger than 29, studying pediatrics, being unmarried, and having reported harassment spontaneously.

CONCLUSIONS

The frequency of WB and associated factors are similar to those reported by other authors. Half of the residents did not report spontaneously harassing events, but identified them in the targeted section, which suggests that they consider them as part of the "costumes and habits" during their medical training, or they consider them irrelevant.

摘要

背景

职场霸凌(WB)是针对员工实施的一种敌意或恐吓行为,会对健康、工作表现和学习过程产生负面影响。目的是研究墨西哥职场霸凌的程度及其相关因素。

方法

采用混合方法研究。设计并向墨西哥一家儿科医院所有同意参与的住院医师进行了一项调查。该调查分为两个部分:a)住院医师自我报告的职场霸凌事件及相关因素,b)有针对性地询问虐待情况和因素。

结果

137名住院医师参与了调查,其中32%自发报告曾遭受霸凌,在有针对性的部分中82.4%报告有骚扰行为。在这一群体中导致职场霸凌的个人因素有:性别、心智技能和外貌。易引发骚扰的情况有:层级关系和缺乏监督。教师更常是霸凌者。确定为与职场霸凌显著相关的因素有:女性、年龄小于29岁、学习儿科、未婚以及自发报告有骚扰行为。

结论

职场霸凌的频率及其相关因素与其他作者报告的相似。一半的住院医师没有自发报告骚扰事件,但在有针对性的部分中识别出了这些事件,这表明他们将其视为医学培训期间“习俗和习惯”的一部分,或者认为它们无关紧要。

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