Ismail Halim, Dawam Dzualkamal, Muhd Aris Nor Azila, Yew Sheng Qian, Ahmad Hanis, David Chan Chee Hoong, Baharudin Mohd Hafiz, Huam Zhe Shen, Jamaludin Hibatul Hakimi
Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia.
Heliyon. 2023 Dec 12;10(1):e23625. doi: 10.1016/j.heliyon.2023.e23625. eCollection 2024 Jan 15.
Workplace bullying (WPB) among trainee doctors is a concerning problem in Malaysia. However, there is still limited understanding regarding the influence of trainee doctors' personality traits on WPB. Furthermore, the impact of contract employment status on WPB among trainee doctors is not yet well-defined. To address these gaps, this study was aimed to determine the prevalence of WPB among trainee doctors and to examine the association of sociodemographic characteristics, job characteristics, and personality traits with WPB among trainee doctors in Malaysia.
A multi-center cross-sectional study was conducted with 264 trainee doctors in Selangor, Malaysia. Eligible participants were provided with sociodemographic characteristics questionnaire, job characteristics questionnaire, WPB questionnaire, and the Big Five Inventory-10 (BFI-10). Chi-square tests were used to examine the association between: (i) sociodemographic characteristics and WPB, (ii) job characteristics and WPB; and (iii) personality traits and WPB. Multivariate logistic regression was performed to evaluate the association between the significant independent variables (as determined from Chi-square tests) and WPB.
The prevalence of WPB was 45.1 %, with verbal abuse being the most common form of bullying (46.2 %). Chi-square test showed that only marital status and low agreeableness were significantly associated with WPB. Subsequently, multiple logistic regression demonstrated that being married (OR: 1.866; 95 % CI: 1.077-3.234) and low agreeableness (OR: 2.287; 95 % CI: 1.169-4.473) were significant predictors of WPB.
The high prevalence of WPB among trainee doctors could be attributed by marriage and low agreeableness personality traits in this population. In order to minimise WPB and maximise workforce potential, it is essential for healthcare institutions and medical training programmes to recognise this vulnerabilities and take steps to protect and support trainee doctors who are married and/or with low agreeableness personality trait.
实习医生中的职场霸凌（WPB）问题在马来西亚令人担忧。然而，对于实习医生的人格特质对职场霸凌的影响，人们的了解仍然有限。此外，合同制就业状态对实习医生职场霸凌的影响尚未明确界定。为填补这些空白，本研究旨在确定马来西亚实习医生职场霸凌的患病率，并研究社会人口学特征、工作特征和人格特质与实习医生职场霸凌之间的关联。
对马来西亚雪兰莪州的264名实习医生进行了一项多中心横断面研究。符合条件的参与者被提供了社会人口学特征问卷、工作特征问卷、职场霸凌问卷和大五人格量表-10（BFI-10）。卡方检验用于检验以下各项之间的关联：（i）社会人口学特征与职场霸凌；（ii）工作特征与职场霸凌；以及（iii）人格特质与职场霸凌。进行多变量逻辑回归以评估显著独立变量（由卡方检验确定）与职场霸凌之间的关联。
职场霸凌的患病率为45.1%，言语虐待是最常见的霸凌形式（46.2%）。卡方检验表明，只有婚姻状况和宜人性得分低与职场霸凌显著相关。随后，多变量逻辑回归表明，已婚（优势比：1.866；95%置信区间：1.077 - 3.234）和宜人性得分低（优势比：2.287；95%置信区间：1.169 - 4.473）是职场霸凌的显著预测因素。
实习医生职场霸凌的高患病率可能归因于该人群中的婚姻状况和宜人性得分低的人格特质。为了尽量减少职场霸凌并最大限度地发挥劳动力潜力，医疗机构和医学培训项目必须认识到这种脆弱性，并采取措施保护和支持已婚和/或宜人性得分低的人格特质的实习医生。
