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新冠疫情期间生物安全措施、社会压力和欺凌对医护人员态度、认知和工作满意度的影响:一项横断面调查。

Impact of biosecurity measures, social pressure and bullying on attitudes, perceptions, and job satisfaction levels among healthcare workers during the COVID-19 pandemic: a cross-sectional survey.

机构信息

Research and Academic Affairs, Larkin Community Hospital, South Miami, FL, USA.

Pediatrics and Child Health, The Aga Khan University, Karachi, Pakistan.

出版信息

BMJ Open. 2022 Jul 25;12(7):e056952. doi: 10.1136/bmjopen-2021-056952.

Abstract

INTRODUCTION

The extent and nature of social pressure and bullying towards healthcare workers (HCWs) during the COVID-19 remains unclear. The following study identifies the effect of social pressure and bullying directed towards HCWs when using biosecurity measures during the COVID-19 pandemic; further, the impact on perceptions, attitudes and job satisfaction level is also explored.

METHODOLOGY

We conducted a cross-sectional survey-based study among 684 Ecuadorian HCWs. The survey consisted of 38 questions related to the frequency, attitudes, and perceptions of biosecurity measures during the COVID-19 pandemic. Exploratory factor analysis was performed to assess the validity of the questionnaire. Associations between variables were analysed using χ and Fisher's exact test. Using SPSS V.25, qualitative and quantitative data were analysed.

RESULTS

Of the 684 participants, 175 (25.59%) experienced or felt bullying or social pressure during the COVID-19 pandemic associated with the use of biosecurity measures. Of these, 40.6% believed it was due to an imbalance of power in the workplace. The perception that HCWs wearing personal protective equipment resulting in bullying was noted in 12% of the respondents. Job satisfaction was positive among 73% of the respondents. Gender (female) and type of institution (public) were noted to contribute towards job satisfaction and bullying experiences.

CONCLUSION

Exposure to social bullying and pressure due to the use of biosecurity measures during the COVID-19 pandemic may result in reduced job satisfaction and thoughts about quitting work.

摘要

简介

在 COVID-19 期间,针对医护人员(HCWs)的社会压力和欺凌的程度和性质尚不清楚。本研究旨在确定在 COVID-19 大流行期间使用生物安全措施时,针对 HCWs 的社会压力和欺凌的影响;此外,还探讨了其对认知、态度和工作满意度的影响。

方法

我们在 684 名厄瓜多尔 HCWs 中进行了一项基于横断面调查的研究。该调查包括 38 个与 COVID-19 期间生物安全措施的频率、态度和认知相关的问题。采用探索性因子分析评估问卷的有效性。使用 χ 和 Fisher 精确检验分析变量之间的关联。使用 SPSS V.25 对定性和定量数据进行分析。

结果

在 684 名参与者中,有 175 名(25.59%)在 COVID-19 期间因使用生物安全措施而经历或感受到欺凌或社会压力。其中,40.6%的人认为这是由于工作场所权力失衡所致。有 12%的受访者认为医护人员穿戴个人防护设备导致了欺凌行为。73%的受访者对工作感到满意。性别(女性)和机构类型(公立)被认为与工作满意度和欺凌经历有关。

结论

在 COVID-19 大流行期间,由于使用生物安全措施而导致的社会欺凌和压力可能会导致工作满意度降低,并产生离职想法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4ec/9327436/e168fed69f22/bmjopen-2021-056952f01.jpg

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