Carter Rowena, Paphitis Sharli, Oram Sian, McMullen Isabel, Curtis Vivienne
National Health Service Executive (formally Health Education England), London, UK.
South London and Maudsley NHS Foundation Trust, London, UK.
BJPsych Bull. 2024 May 16;49(2):1-8. doi: 10.1192/bjb.2024.32.
Workplace violence and aggression toward healthcare staff has a significant impact on the individual, causing self-blame, isolation and burnout. Timely and appropriate support can mitigate harm, but there is little research into how this should be delivered. We conducted multi-speciality peer groups for London doctors in postgraduate training (DPT), held over a 6-week period. Pre- and post-group burnout questionnaires and semi-structured interviews were used to evaluate peer support. Thematic analysis and descriptive statistical methods were used to describe the data.
We found four themes: (a) the experience and impact of workplace violence and aggression on DPT, (b) the experience of support following incidents of workplace violence and aggression, (c) the impact and experience of the peer groups and (d) future improvements to support. DPTs showed a reduction in burnout scores.
Peer groups are effective support for DPT following workplace violence and aggression. Embedding support within postgraduate training programmes would improve access and availability.
针对医护人员的职场暴力和攻击行为对个人有重大影响，会导致自责、孤立和职业倦怠。及时且恰当的支持可以减轻伤害，但对于应如何提供此类支持的研究却很少。我们为伦敦处于研究生培训阶段（DPT）的医生开展了为期6周的多专业同行小组活动。通过小组活动前后的职业倦怠问卷和半结构化访谈来评估同伴支持。采用主题分析和描述性统计方法来描述数据。
我们发现了四个主题：（a）职场暴力和攻击行为对处于研究生培训阶段人员的影响及经历，（b）职场暴力和攻击事件发生后的支持经历，（c）同行小组的影响及经历，（d）对支持的未来改进。处于研究生培训阶段的人员职业倦怠得分有所降低。
对于经历职场暴力和攻击行为后的处于研究生培训阶段人员，同行小组是有效的支持方式。将支持融入研究生培训项目会改善其可及性和可得性。
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