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尼日利亚高原州一家三级医疗机构住院医师培训中医生工作场所欺凌及其相关因素。

Workplace Bullying and Its Associated Factors Among Medical Doctors in Residency Training in a Tertiary Health Institution in Plateau State Nigeria.

机构信息

Department of Community Medicine, University of Jos, Jos, Nigeria.

Department of Community Medicine, Jos University Teaching Hospital, Jos, Nigeria.

出版信息

Front Public Health. 2022 Jan 27;9:812979. doi: 10.3389/fpubh.2021.812979. eCollection 2021.

Abstract

BACKGROUND

Bullying is public health problem globally in workplaces with untold deleterious effects on the health and well-being of individuals at the receiving end. Bullying has been found to disrupt social interaction at workplace thereby creating an unhealthy and seemingly unproductive work environment. Studies have reported varying rates of workplace bullying as high as 83% in Europe, 65% in the Americas and 55% in Asia with very little documented in the contemporary African setting and Nigeria in particular. It therefore became imperative to assess the level of bullying and its associated factors among medical doctors in residency training in a tertiary health institution in Plateau state Nigeria.

METHODOLOGY

This was a cross sectional study conducted among resident doctors in Jos University Teaching Hospital between November 2019 and February 2020 using quantitative method of data collection and SPSS version 20 was used for data analysis. Crude and adjusted odds ratios as well as 95% confidence interval were used in this study with a -value of ≤0.05 considered statistically significant.

RESULTS

The mean age of the respondents was 32.3 ± 3.9 years with 78 (62.9%) being 31 years and above. Bullying was currently being experienced by 74 (59.7%) of the respondents with verbal aggression and threats as well as insult and use of derogatory remarks being the forms of bullying experienced by 85.1 and 74.3% of the respondents, respectively. Furthermore, witnessing a colleague being bullied was the sole factor found to be significantly associated with workplace bullying (AOR = 0.18; 95% CI = 0.068-0.449; < 0.001).

CONCLUSION

Workplace bullying has been found to be in existence and relatively high among medical doctors in residency training in this setting with witnessing someone being bullied as its sole associated factor.

摘要

背景

在工作场所中,欺凌是一个全球性的公共卫生问题,对受害者的健康和福祉造成了难以言喻的负面影响。研究发现,欺凌行为会破坏工作场所的社交互动,从而营造出不健康且看似低效的工作环境。已有研究报告称,欧洲的工作场所欺凌率高达 83%,美洲为 65%,亚洲为 55%,但在当代非洲背景下,特别是在尼日利亚,几乎没有相关记录。因此,评估尼日利亚高原州一家三级医疗机构住院医师培训中欺凌的程度及其相关因素变得至关重要。

方法

这是一项横断面研究,于 2019 年 11 月至 2020 年 2 月期间在乔斯大学教学医院的住院医师中进行,采用定量数据收集方法,并使用 SPSS 版本 20 进行数据分析。本研究使用了粗比值比和调整比值比以及 95%置信区间,具有统计学意义的 值为≤0.05。

结果

受访者的平均年龄为 32.3±3.9 岁,其中 78 人(62.9%)年龄在 31 岁及以上。目前有 74 名(59.7%)受访者正在经历欺凌行为,其中 85.1%和 74.3%的受访者分别经历了言语攻击和威胁以及侮辱和使用贬义词等形式的欺凌行为。此外,目睹同事被欺凌是唯一与工作场所欺凌显著相关的因素(AOR=0.18;95%CI=0.068-0.449;<0.001)。

结论

在这种环境下,住院医师培训中的医生中存在且相对较高的工作场所欺凌行为,目睹他人被欺凌是唯一与之相关的因素。

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