Rhead Rebecca D, Chui Zoe, Bakolis Ioannis, Gazard Billy, Harwood Hannah, MacCrimmon Shirlee, Woodhead Charlotte, Hatch Stephani L
Department of Psychological Medicine, King's College London, UK.
Centre for Implementation Science, Health Services and Population Research Department and Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
BJPsych Open. 2020 Dec 16;7(1):e10. doi: 10.1192/bjo.2020.137.
Harassment and discrimination in the National Health Service (NHS) has steadily increased over the past 5 years with London being the worst performing region. There is a lack of data and research on the impact this is having on staff health and job satisfaction. Such data are necessary to inform the development of effective workplace interventions to mitigate the effects these experiences have on staff.
Examine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey.
In total, 931 London-based healthcare practitioners participated in the TIDES survey. Regression analysis was used to examine associations between the sociodemographic characteristics of participants, exposure to discrimination and harassment, and how such exposures are associated with physical and mental health, job satisfaction and sickness absence.
Women, Black ethnic minority staff, migrants, nurses and healthcare assistants were most at risk of discrimination and/or harassment. Experiencing either of the main exposures was associated with probable anxiety or depression. Experiencing harassment was also associated with moderate-to-severe somatic symptoms. Finally, both witnessing and experiencing the main exposures were associated with low job satisfaction and long periods of sickness absence.
NHS staff, particularly those working in London trusts, are exposed to unprecedented levels of discrimination and harassment from their colleagues. Within the context of an already stretched and under-resourced NHS, in order to combat poor job satisfaction and high turnover rates, the value of all healthcare practitioners must be visibly and continuously reinforced by all management and senior leaders.
在过去5年里，英国国家医疗服务体系（NHS）中的骚扰和歧视现象呈稳步上升趋势，伦敦是表现最差的地区。目前缺乏关于这对员工健康和工作满意度影响的数据及研究。此类数据对于制定有效的职场干预措施以减轻这些经历对员工的影响至关重要。
利用2019年TIDES横断面调查的数据，研究骚扰和歧视对在伦敦各信托机构工作的NHS员工的影响。
共有931名伦敦的医疗从业者参与了TIDES调查。采用回归分析来研究参与者的社会人口统计学特征、遭受歧视和骚扰的情况，以及这些情况如何与身心健康、工作满意度和病假相关联。
女性、少数族裔黑人员工、移民、护士和医疗助理遭受歧视和/或骚扰的风险最高。经历任何一种主要暴露情况都与可能出现的焦虑或抑郁有关。经历骚扰还与中度至重度躯体症状有关。最后，目睹和经历主要暴露情况都与低工作满意度和长期病假有关。
NHS员工，尤其是在伦敦各信托机构工作的员工，正遭受同事前所未有的歧视和骚扰。在NHS已经不堪重负且资源不足的情况下，为了应对工作满意度低和高离职率的问题，所有管理层和高级领导必须切实且持续地强化所有医疗从业者的价值。
