Beer Yaakov Ness Tziona Mental Health Center, Be'er Ya'akov, Israel.
Department of Nursing, School of Health Sciences, Ashkelon Academic College, Ashkelon, Israel.
J Psychiatr Ment Health Nurs. 2023 Apr;30(2):255-266. doi: 10.1111/jpm.12865. Epub 2022 Sep 1.
WHAT IS KNOWN ON THE SUBJECT?: Public shaming, especially by consumers of healthcare, is getting worse and has become a specific case of bullying Despite extensive research on physical and verbal violence directed towards mental health workers, the issue of social shaming and bullying by patients or relatives has not been sufficiently researched WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: Mental healthcare workers are exposed to the threat of social shaming and bullying on a regular almost weekly basis Abusive behaviours by patients are associated with professional burnout, decreases in professional functioning and even a tendency to leave the workplace among mental health workers WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The stability and strength of the therapeutic alliance between healthcare giver and psychiatric patient are critical to the success of the treatment There is a need to develop a dedicated organizational policy for the prevention, early detection, intervention and support for teams exposed to social shaming and bullying An emphatic response, and effective intervention in a case of social shaming may improve professional functioning and reduce burnout and intention to leave.
INTRODUCTION: Social shaming can impair caregivers' performance. The prevalence of shaming experienced by mental health workers and the relationships to their function or burnout is unknown.
To examine the associations between exposure to social shaming and bullying by patients, the risk appraisal of negative impact of this behaviour, burnout, professional functioning and intention to leave among mental health workers.
In this cross-sectional study, 122 workers from a psychiatric hospital completed a questionnaire.
Participants reported exposure to social shaming and bullying by patients on a regular basis. Shaming and bullying were significantly associated with lower professional functioning and higher intention to leave, while burnout may at least partially mediate the association between these variables.
The phenomenon of shaming and bullying of mental health workers by patients is common and is associated with lower functioning and higher burnout, which have a negative impact on the patient-caregiver interaction.
There is a need to establish a policy for early detection of shaming of mental health workers in order to prevent burnout or intention to leave. Evidence based interventions, such as the Safewards model, accompanied by assessment of their effectiveness, may help in this effort.
了解以下内容：公众羞辱，尤其是医疗保健消费者的羞辱，情况正在恶化，已成为欺凌的一个特定案例。尽管针对精神卫生工作者的身体和言语暴力进行了广泛的研究，但患者或亲属的社会羞辱和欺凌问题尚未得到充分研究。
精神卫生工作者经常面临社会羞辱和欺凌的威胁，几乎每周都有这种情况。患者的虐待行为与职业倦怠、专业功能下降甚至精神卫生工作者离开工作场所的倾向有关。
医护人员和精神科患者之间治疗联盟的稳定性和强度对治疗的成功至关重要。需要制定专门的组织政策，以预防、早期发现、干预和支持遭受社会羞辱和欺凌的团队。对社会羞辱事件做出回应和有效干预，可能会改善专业功能，减少倦怠和离职意愿。
介绍：社会羞辱会影响护理人员的表现。精神卫生工作者所经历的羞辱程度以及其与功能或倦怠的关系尚不清楚。
研究患者对精神卫生工作者进行的社会羞辱和欺凌行为及其对负面行为风险评估、倦怠、专业功能和离职意愿的影响。
在这项横断面研究中，一家精神病院的 122 名工作人员完成了一份问卷。
参与者报告说经常受到患者的社会羞辱和欺凌。羞辱和欺凌与较低的专业功能和较高的离职意愿显著相关，而倦怠可能至少部分中介了这些变量之间的关系。
患者羞辱和欺凌精神卫生工作者的现象很常见，与较低的功能和较高的倦怠相关，对医患互动产生负面影响。
需要建立一项政策，以便早期发现精神卫生工作者受到羞辱的情况，从而预防倦怠或离职意愿。基于证据的干预措施，如 Safewards 模式，并评估其有效性，可能有助于这方面的工作。
