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加纳医学检验专业人员中的职场霸凌:来自自我报告经历的见解、缓解措施面临的挑战及应对策略

Workplace bullying among medical laboratory professionals in Ghana: insights from self-reported experiences, challenges to mitigation structures, and coping strategies.

作者信息

Duah Evans, Ephraim Richard Kobina Dadzie, Kotam Gabriel Pezahso, Kumordzi Samuel Mawuli, Amoah Samuel, Addy Nii Armah, Kwashie Solomon Dzidzornu Yao, Rahamani Abu Abudu

机构信息

Clinical Laboratory Department, Cape Coast Teaching Hospital, Cape Coast, Ghana.

College of Health and Allied Sciences, School of Allied Health Sciences, Department of Medical Laboratory Science, University of Cape Coast, Cape Coast, Ghana.

出版信息

BMC Health Serv Res. 2025 Feb 25;25(1):310. doi: 10.1186/s12913-025-12458-6.

Abstract

BACKGROUND

Workplace bullying is a major concern in Ghana's healthcare sector, often arising from power imbalances and an excessive emphasis on achieving results at the cost of employee well-being. While bullying among healthcare professionals like doctors and nurses is well-documented, little is known about its prevalence among medical laboratory professionals, who play a vital role in patient care. We assessed bullying in this group to inform strategies for mitigation.

METHODS

We conducted a cross-sectional survey involving 378 medical laboratory professionals. The survey included demographic information, workplace characteristics, the Revised Negative Acts Questionnaire (NAQ-R), and questions about bullying perpetrators, mental health breaks, and anti-bullying policies. Data analysis involved descriptive statistics, the Kruskal-Wallis test, and logistic regression. Results were reported as frequencies, percentages, and odds ratios with 95% confidence intervals (CIs), and statistical significance set at p < 0.05.

RESULTS

44% of the medical laboratory professionals reported experiencing bullying; 29% faced frequent bullying, while 71% encountered it occasionally. Common issues included ignored opinions, unmanageable workloads, gossip, and exclusion. Non-clinical administrative managers were the most frequent perpetrators. Diploma and bachelor's degree holders had higher odds of being bullied compared to master's degree holders (AOR = 6.13, p = 0.013; AOR = 2.56, p = 0.007). Rural professionals had higher odds than urban counterparts (AOR = 2.23, p = 0.007).

CONCLUSION

The high prevalence of workplace bullying among medical laboratory professionals highlights the need for effective policies to enhance workplace conditions and patient care.

摘要

背景

职场霸凌是加纳医疗行业的一个主要问题,通常源于权力失衡以及过度强调以牺牲员工福祉为代价来达成业绩。虽然医生和护士等医疗专业人员之间的霸凌现象有充分记录,但对于在患者护理中发挥关键作用的医学检验专业人员中霸凌现象的普遍程度却知之甚少。我们对该群体中的霸凌现象进行了评估,以为缓解策略提供依据。

方法

我们开展了一项横断面调查,涉及378名医学检验专业人员。该调查包括人口统计学信息、工作场所特征、修订版消极行为问卷(NAQ-R),以及有关霸凌实施者、心理健康休假和反霸凌政策的问题。数据分析包括描述性统计、Kruskal-Wallis检验和逻辑回归。结果以频率、百分比和比值比以及95%置信区间(CI)的形式呈现,统计学显著性设定为p < 0.05。

结果

44%的医学检验专业人员报告称遭受过霸凌;29%的人经常遭遇霸凌,而71%的人偶尔遇到。常见问题包括意见被忽视、工作量难以承受、流言蜚语和被排斥。非临床行政管理人员是最常见的霸凌实施者。与硕士学位持有者相比,文凭和学士学位持有者遭受霸凌的几率更高(调整后比值比[AOR]=6.13,p = 0.013;AOR = 2.56,p = 0.007)。农村地区的专业人员比城市地区的同行遭受霸凌的几率更高(AOR = 2.23,p = 0.007)。

结论

医学检验专业人员职场霸凌现象的高发生率凸显了制定有效政策以改善工作场所条件和患者护理的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ce9/11853304/f939b0fbaf25/12913_2025_12458_Fig1_HTML.jpg

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