澳大利亚和新西兰重症监护室护士中的欺凌、歧视和性骚扰：一项在线调查。
Bullying, discrimination, and sexual harassment among intensive care unit nurses in Australia and New Zealand: An online survey.
机构信息
School of Nursing, The University of Auckland, Auckland, New Zealand; Cardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, New Zealand, Auckland, New Zealand.
Dept of Intensive Care, Anaesthesia, Pain & Perioperative Medicine, Western Health, Melbourne, Australia; Centre for Integrated Critical Care, Melbourne Medical School, The University of Melbourne, Victoria, Australia.
出版信息
Aust Crit Care. 2023 Jan;36(1):10-18. doi: 10.1016/j.aucc.2022.08.010. Epub 2022 Oct 6.
BACKGROUND
Bullying, discrimination, and sexual harassment are significant problems within healthcare organisations but are often under-reported. Consequences of these behaviours within a healthcare setting are wide ranging, affecting workplace environments, personal well-being, and patient care and leading to increased staff turnover and quality of patient care and outcomes. Whilst there has been some work undertaken in the general nursing workforce, there is a dearth of evidence regarding the extent and impact of these behaviours on the nursing workforce in intensive care units (ICUs) in Australia and New Zealand.
OBJECTIVE
We aimed to determine self-reported occurrences of bullying, discrimination, and sexual harassment amongst ICU nurses in Australia and New Zealand.
METHODS
A prospective, cross-sectional, online survey of ICU nurses in Australia and New Zealand was undertaken in May-June 2021, distributed through formal colleges, societies, and social media. Questions included demographics and three separate sections addressing bullying, sexual harassment, and discrimination.
RESULTS
In 679 survey responses, the overall reported occurrences of bullying, discrimination, and sexual harassment in the last 12 months were 57.1%, 32.6%, and 1.9%, respectively. Perpetrators of bullying were predominantly nurses (59.6%, with 57.9% being ICU nurses); perpetrators of discrimination were nurses (51.7%, with 49.3% being ICU nurses); and perpetrators of sexual harassment were patients (34.6%). Respondents most commonly (66%) did not report these behaviours as they did not feel confident that the issue would be resolved or addressed.
CONCLUSIONS
Determining the true extent of bullying, discrimination, and sexual harassment behaviours within the ICU nursing community in Australia and New Zealand is difficult; however, it is clear a problem exists. These behaviours require recognition, reporting, and an effective resolution, rather than normalisation within healthcare professions and workplace settings in order to support and retain ICU nursing staff.
背景
欺凌、歧视和性骚扰是医疗保健组织中存在的重大问题，但往往报告不足。这些行为在医疗保健环境中的后果广泛，影响工作场所环境、个人福祉和患者护理，并导致员工 turnover 增加以及患者护理和结果的质量下降。虽然在普通护理人员中已经开展了一些工作，但关于这些行为对澳大利亚和新西兰重症监护病房（ICU）护理人员的影响和程度的证据很少。
目的
我们旨在确定澳大利亚和新西兰 ICU 护士报告的欺凌、歧视和性骚扰事件。
方法
2021 年 5 月至 6 月，对澳大利亚和新西兰的 ICU 护士进行了一项前瞻性、横断面、在线调查，通过正式学院、协会和社交媒体进行了调查。问题包括人口统计学和三个单独的部分，分别涉及欺凌、性骚扰和歧视。
结果
在 679 份调查回复中，过去 12 个月中报告的欺凌、歧视和性骚扰总发生率分别为 57.1%、32.6%和 1.9%。欺凌行为的肇事者主要是护士（59.6%，其中 57.9%是 ICU 护士）；歧视行为的肇事者是护士（51.7%，其中 49.3%是 ICU 护士）；性骚扰行为的肇事者是患者（34.6%）。大多数受访者（66%）没有报告这些行为，因为他们对问题是否会得到解决或处理没有信心。
结论
在澳大利亚和新西兰的 ICU 护理人员中确定欺凌、歧视和性骚扰行为的真实程度是困难的；然而，显然存在问题。这些行为需要得到认可、报告和有效解决，而不是在医疗保健专业人员和工作场所中被视为正常化，以支持和留住 ICU 护理人员。
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