Chowdhury Mashrin L, Husainat Maha M, Suson Kristina D
Detroit Medical Center, Detroit, MI.
Children's Hospital of Michigan, Detroit, MI.
Urology. 2019 May;127:30-35. doi: 10.1016/j.urology.2018.11.062. Epub 2019 Feb 10.
To elucidate whether urology residents in the United States feel bullied by nurses, how respected they feel at work, and whether this impacts personal and patient care.
We distributed an Institutional Review Board-approved online, validated, revised Negative Acts Questionnaire to US urology residents in their first year or above. We evaluated bullying through scoring work (total range 5-25), person (total range 9-45), and physical intimidation (total range 3-15) related bullying domains. We also solicited how respected residents feel by different staff on a Likert scale and the perceived personal and professional impact of bullying. Bullying domains were assessed with descriptive statistics and mean total bullying scores (MTBS) and demographics compared.
We received 102 responses (82% MD, 18% DO). One resident reported never experiencing bullying. Overall average MTBS was 28.9 ± 0.9 (17-68). 98.0%, 82.4%, and 77.5% of residents reported at least 1 incident of work, person, and physical intimidation-related bullying, respectively. DO residents reported higher MTBS than MD residents (33.7 ± 2.2vs 27.8 ± 1.0, P = .015). Higher MTBS scores were seen in residents who feared retaliation and considered transferring programs, while lower scores were seen where the resident-nurse relationship was nurtured.
Ninety percent of residents perceived some degree of bullying and report a negative impact on personal performance and patient outcomes.
阐明美国泌尿外科住院医师是否感到受到护士的欺负，他们在工作中感受到的受尊重程度，以及这是否会影响个人和患者护理。
我们向美国一年级及以上的泌尿外科住院医师发放了一份经机构审查委员会批准的在线、经过验证和修订的负面行为问卷。我们通过对与工作（总分范围5 - 25）、个人（总分范围9 - 45）和身体恐吓（总分范围3 - 15）相关的欺负领域进行评分来评估欺负行为。我们还通过李克特量表征求住院医师对不同工作人员尊重程度的感受以及欺负行为对个人和职业的影响。对欺负领域进行描述性统计评估，并比较平均总欺负得分（MTBS）和人口统计学特征。
我们收到了102份回复（82%为医学博士，18%为医学博士）。一名住院医师报告从未经历过欺负行为。总体平均MTBS为28.9 ± 0.9（17 - 68）。分别有98.0%、82.4%和77.5%的住院医师报告至少发生过1次与工作、个人和身体恐吓相关的欺负事件。医学博士住院医师报告的MTBS高于医学博士住院医师（33.7 ± 2.2对27.8 ± 1.0，P = 0.015）。在害怕报复并考虑转项目的住院医师中MTBS得分较高，而在培养了住院医师 - 护士关系的地方得分较低。
90%的住院医师察觉到某种程度的欺负行为，并报告这对个人表现和患者预后有负面影响。
