Management and administration and non-clinical services staff experiences of co-worker unprofessional behaviour and their reported speaking-up skills: a survey across seven Australian hospitals.
Ryan Daniel McMullan, Tim Badgery-Parker, Ling Li, Rachel Urwin, Johanna Westbrook
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引用次数: 0
Abstract
Purpose: Unprofessional behaviour is highly prevalent among hospital staff and negatively impacts staff wellbeing and patient care. Little is known about the experiences of non-clinical staff. We aimed to examine the types and prevalence of unprofessional behaviour experienced by management/administration staff and non-clinical services staff and their self-reported speaking-up skills.
Design/methodology/approach: A survey was distributed to staff across seven hospitals. Staff were surveyed about their experiences of 21 incivility/bullying behaviours and 5 extreme unprofessional behaviours and about their speaking-up skills. Management/administration staff and non-clinical services staff responses were included in our analysis. We used multivariable logistic regression to examine the associations between unprofessional behaviour, respondent characteristics and speaking-up.
Findings: The response rate for management/administration staff was 48.2% (N = 804) and 19.0% for non-clinical services staff (N = 525). Approximately 89% (N = 712; 95% CI, 86.6-90.7%) of management/administration and 80% (N = 422; 95% CI, 77.1-83.6%) of non-clinical services' respondents experienced incivility/bullying at least once in the preceding 12 months. Management/administration respondents who reported having speaking-up skills experienced frequent incivility/bullying less often (odds ratio [OR], 0.63; 95% CI, 0.44-0.91). This relationship was not found for non-clinical services' respondents (OR, 0.82; 95% CI, 0.51-1.32). There were no differences in the experience of extreme unprofessional behaviour for respondents who reported having speaking-up skills versus those that did not.
Originality/value: Our results provide new evidence about the experiences of previously neglected groups of hospital staff about unprofessional behaviour, their confidence in speaking-up about it, and possible barriers and enablers for this, to inform practice.
期刊介绍：
■International health and international organizations ■Organisational behaviour, governance, management and leadership ■The inter-relationship of health and public sector services ■Theories and practices of management and leadership in health and related organizations ■Emotion in health care organizations ■Management education and training ■Industrial relations and human resource theory and management. As the demands on the health care industry both polarize and intensify, effective management of financial and human resources, the restructuring of organizations and the handling of market forces are increasingly important areas for the industry to address.
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