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医院中的欺凌行为是否会影响卫生专业人员的健康相关生活质量?

Does bullying in the hospital affect the health-related quality of life of health professionals?

机构信息

Department of Anesthesiology, Hellenic Anticancer Institute, St. Savvas Hospital, Athens, Greece.

Healthcare Management Postgraduate Program, Faculty of Economics and Management, Open University of Cyprus, Nicosia, Cyprus.

出版信息

Work. 2022;73(1):263-272. doi: 10.3233/WOR-210306.

Abstract

BACKGROUND

This study investigates workplace harassment among Greek NHS employees and its impact on Health Related Quality of Life (HRQoL).

OBJECTIVES

In the present study, we highlight that the consequences of workplace harassment and the concomitant damaged satisfaction can negatively affect health-related quality of life in Public Hospitals.

METHODS

A sample of 343 employees from five Athens-based hospitals, including doctors, nurses, administrative and technical personnel, completed the Greek versions of the Leymann Inventory of Psychological Terrorization (LIPT) and the Short Form-36 (SF-36). Multiple logistic regression identified factors associated with mobbing, and adjusted odds ratios were computed.

RESULTS

Out of the 37.5% of the employees who reported experiencing mobbing, 22.7% were bullied daily, and 49.2% almost daily. Furthermore, 66.7% were bullied by colleagues of the same grade, while 58.7% were from superiors. Regarding HRQoL, all SF-36 dimension scores were significantly lower (p < 0.001) for the mobbing victims, compared to others not having suffered workplace harassment.

CONCLUSION

The existence of mobbing in the Greek NHS is evident, and that harms health. Preventing workplace harassment should be high on policymakers' agendas to improve human resource management and health system performance.

摘要

背景

本研究调查了希腊国民保健系统(NHS)员工的工作场所骚扰及其对健康相关生活质量(HRQoL)的影响。

目的

在本研究中,我们强调工作场所骚扰的后果和随之而来的满意度受损会对公立医院的健康相关生活质量产生负面影响。

方法

我们对来自雅典五家医院的 343 名员工进行了抽样调查,包括医生、护士、行政和技术人员,他们完成了希腊语版的莱曼心理恐怖化量表(LIPT)和简短形式 36 项健康调查(SF-36)。多因素逻辑回归分析确定了与欺凌相关的因素,并计算了调整后的优势比。

结果

在报告遭受欺凌的员工中,有 37.5%的员工每天遭受欺凌,22.7%的员工几乎每天遭受欺凌。此外,66.7%的员工受到同级同事的欺凌,而 58.7%的员工受到上级的欺凌。关于 HRQoL,所有 SF-36 维度的评分对于遭受欺凌的受害者都显著降低(p<0.001),而其他没有遭受工作场所骚扰的员工则没有。

结论

希腊 NHS 中存在明显的欺凌现象,且会对健康造成损害。防止工作场所骚扰应该成为政策制定者议程上的重中之重,以改善人力资源管理和卫生系统绩效。

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