McMullan Ryan D, Badgery-Parker Tim, Li Ling, Urwin Rachel, Westbrook Johanna I
Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Level 6, 75 Talavera Road, New South Wales, Australia.
Future Healthc J. 2025 Jun 6;12(3):100262. doi: 10.1016/j.fhj.2025.100262. eCollection 2025 Sep.
Unprofessional behaviour among hospital staff is prevalent worldwide. Few studies have investigated the experiences of allied health hospital staff. The objective of our study was to examine the types and prevalence of unprofessional behaviour experienced by these staff as well as their self-reported speaking-up skills. We performed a secondary analysis of survey data from staff across seven hospitals. Approximately 92% (=485; 95% CI, 89.6-93.9) of respondents experienced incivility or bullying at least once in the preceding 12 months, and 29.7% (=157; 95% CI, 25.5-34.0) experienced incivility or bullying weekly to multiple times daily. Respondents who reported having speaking-up skills experienced less frequent incivility or bullying (OR, 0.53; 95% CI, 0.35-0.81) than those staff without these skills. Speaking-up programmes may better support staff to address unprofessional behaviour if implemented as part of hospital-wide culture change interventions involving all hospital staff.
医院工作人员的不专业行为在全球范围内普遍存在。很少有研究调查过医院辅助医疗人员的经历。我们研究的目的是调查这些工作人员所经历的不专业行为的类型和发生率，以及他们自我报告的直言不讳的能力。我们对来自七家医院工作人员的调查数据进行了二次分析。在之前的12个月里，约92%（=485；95%置信区间，89.6 - 93.9）的受访者至少经历过一次无礼或欺凌行为，29.7%（=157；95%置信区间，25.5 - 34.0）的受访者每周至每天多次经历无礼或欺凌行为。报告具备直言不讳能力的受访者经历无礼或欺凌行为的频率低于没有这些能力的工作人员（比值比，0.53；95%置信区间，0.35 - 0.81）。如果作为涉及所有医院工作人员的全医院文化变革干预措施的一部分实施，直言不讳计划可能会更好地支持工作人员应对不专业行为。
