Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Int J Health Plann Manage. 2020 Sep;35(5):1065-1082. doi: 10.1002/hpm.2985. Epub 2020 May 28.
Previous studies have indicated that junior doctors commonly experience workplace bullying and that it may adversely impact medical training and delivery of quality healthcare. Yet, evidence on the precursors of bullying among them remains elusive. Drawing on the individual-disposition hypothesis, the present paper examined the relationships of negative affect, personality and self-esteem with workplace bullying among junior doctors. Multilevel analysis of a universal sample (n = 1074) of junior doctors working in the central zone of Malaysia using mixed effects logistic regression was performed. The results indicate that participants with moderate (AOR 4.40, 95% CI 2.20-8.77) and high degree (AOR 13.69, 95% CI 6.46-29.02) of negative affect as well as high degree of neuroticism (AOR 2.99, 95% CI 1.71-5.21) have higher odds of being bullied compared to their counterparts. The findings present evidence that individual traits are associated with junior doctors' exposure to bullying. While victim blaming should be avoided, this suggest that antibullying measures with an interpersonal focus should be considered when developing antibullying initiatives targeted at junior doctors. This includes primary intervention such as cognitive training, secondary interventions such as resource enhancement building and conflict management skills training, and tertiary interventions such as counselling.
先前的研究表明,初级医生普遍经历工作场所欺凌,这可能对医学培训和提供高质量的医疗保健产生不利影响。然而,关于他们之间欺凌行为的前兆的证据仍然难以捉摸。本论文以个体倾向假说为基础,探讨了初级医生的负面情绪、个性和自尊与工作场所欺凌之间的关系。使用混合效应逻辑回归对在马来西亚中心地带工作的初级医生的通用样本(n=1074)进行了多层次分析。结果表明,与具有中度(AOR 4.40,95%CI 2.20-8.77)和高度(AOR 13.69,95%CI 6.46-29.02)负面情绪以及高度神经质(AOR 2.99,95%CI 1.71-5.21)的参与者相比,具有中度和高度负面情绪的参与者被欺凌的几率更高。这些发现表明,个体特征与初级医生遭受欺凌有关。虽然应该避免指责受害者,但这表明在制定针对初级医生的反欺凌措施时,应考虑以人际关系为重点的反欺凌措施。这包括初级干预,如认知训练,二级干预,如资源增强建设和冲突管理技能培训,以及三级干预,如咨询。