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工作场所欺凌和暴力是塞尔维亚急诊医生隐性压力源和工作能力的影响因素。

Mobbing and Violence at Work as Hidden Stressors and Work Ability Among Emergency Medical Doctors in Serbia.

机构信息

Center for Healthcare Analysis, Planning and Organization, Institute of Public Health of Niš, 18000 Niš, Serbia.

Department of Social Medicine and Public Health, Faculty of Medicine, University of Niš, 18000 Niš, Serbia.

出版信息

Medicina (Kaunas). 2020 Jan 13;56(1):31. doi: 10.3390/medicina56010031.

Abstract

People employed in emergency medical services represent a professional group which encounters events beyond ordinary human experience, great work demands, the risk of professional disputes, and stressful situations. The goal of this study is to examine the presence of mobbing and violence at work, as well as their influence on work ability of emergency medical doctors. The survey is conducted in Emergency Medical Service (EMS) in Niš in the period between December 2017 and January 2018. Using standardized questionnaires on psychosocial conditions in work environment (COPSOQ II) and work ability index (WAI) this study encompasses 79 doctors. For estimation of the examined factors' influence on WAI linear regression analysis was used. : EMS doctors were exposed to abuse in 30.4% of the cases. The decline in WAI is significantly related with exposure to violence by patients (β = 0.727), exposure to physical violence (β = 0.896), exposure to abuse several times (β = 0.691) and exposure to ill-treatment by patients (β = 0.750). : The results indicate that in the examined doctors mobbing and workplace violence are very much present and have a negative impact on their work, and therefore on the quality of health care.

摘要

从事紧急医疗服务的人员代表着一个专业群体,他们会遇到超越人类寻常经验的事件、高强度的工作要求、职业纠纷风险以及压力重重的工作环境。本研究的目的在于调查工作场所中欺凌和暴力现象的存在及其对急诊医生工作能力的影响。该调查于 2017 年 12 月至 2018 年 1 月在尼什的紧急医疗服务中心进行。研究使用了标准化的工作环境心理社会条件问卷(COPSOQ II)和工作能力指数(WAI)对 79 名医生进行了调查。为了评估所研究因素对 WAI 的影响,采用了线性回归分析。结果显示,30.4%的急诊医生曾遭受过虐待。WAI 的下降与遭受患者暴力(β=0.727)、遭受身体暴力(β=0.896)、多次遭受虐待(β=0.691)和遭受患者虐待(β=0.750)显著相关。结果表明,在被调查的医生中,欺凌和工作场所暴力非常普遍,对他们的工作以及医疗保健质量产生负面影响。

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