Incivility in the operating room: A French anesthesia survey

IF 5.1 2区 医学 Q1 ANESTHESIOLOGY
Julien Raft , Anne-Sophie Lamotte , Philippe Richebé , Hervé Bouaziz
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引用次数: 0

Abstract

Background

Incivilities in healthcare, especially in operating rooms, can cause emotional exhaustion, burnout, and reduced job satisfaction. Verbal and physical aggression, harassment, and sexual misconduct are common in surgical environments, negatively impacting healthcare workers and patient safety. This study assessed the prevalence of incivility in anesthesia teams in France and its impact.

Methods

A survey collecting demographic data and experiences of incivility was distributed to 4232 French Society of Anesthesia and Intensive Care (SFAR) members in 2022. The final sample (n = 873) showed a distribution of gender and professional roles broadly comparable to the overall SFAR membership. An adapted Maslach Burnout Inventory (MBI) was used to measure emotional exhaustion, depersonalization (interpreted here as loss of empathy), and personal accomplishment.

Results

Out of 989 responses, 873 were included (20,6 % of SFAR members), with the following gender distribution: 48 % male and 52 % female. A total of 83 % reported experiencing incivility, and over 60 % witnessed it regularly. The overall effect of incivility was low for emotional exhaustion and loss of empathy. Women reported significantly more verbal aggression, sexual harassment, and deviant behaviors. Emotional exhaustion was higher in women and nurse anesthetists, while anesthesiologists reported greater loss of personal accomplishment. No significant differences in depersonalization or loss of empathy were found.

Conclusion

Incivility is widespread in operating rooms toward anesthesia teams, with notable emotional impacts, especially on women and nurse anesthetists. Despite this, empathy for patients remains largely preserved. Addressing gender and hierarchical dynamics is essential for improve workplace culture and support staff well-being.
手术室中的不文明行为:一项法国麻醉调查
背景:在医疗保健领域,尤其是在手术室,不礼貌会导致情绪衰竭、倦怠和工作满意度降低。言语和身体攻击、骚扰和性行为不端在手术环境中很常见,对医护人员和患者安全产生负面影响。本研究评估了法国麻醉团队中不文明行为的普遍性及其影响。方法于2022年对4232名法国麻醉与重症监护学会(SFAR)会员进行问卷调查,收集统计数据和不文明行为经历。最后的样本(n = 873)显示性别和职业角色的分布与SFAR的整体成员大致相当。采用马斯拉奇倦怠量表(MBI)来测量情绪耗竭、人格解体(这里解释为移情丧失)和个人成就感。结果在989份回复中,873份(占SFAR成员的20.6%)被纳入,性别分布如下:48%的男性和52%的女性。总共有83%的人表示经历过不文明行为,超过60%的人经常目睹这种行为。不文明行为对情绪耗竭和移情丧失的总体影响较低。女性报告了更多的言语攻击、性骚扰和越轨行为。情绪衰竭在女性和麻醉师护士中更高,而麻醉师报告的个人成就感损失更大。在人格解体或共情丧失方面没有发现显著差异。结论手术室对麻醉团队的不文明行为普遍存在,对麻醉团队的情绪影响显著,尤其是对女性和麻醉护士。尽管如此,对病人的同情在很大程度上仍然保留了下来。解决性别和等级动态问题对于改善工作场所文化和支持员工福祉至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.40
自引率
4.50%
发文量
346
审稿时长
23 days
期刊介绍: The Journal of Clinical Anesthesia (JCA) addresses all aspects of anesthesia practice, including anesthetic administration, pharmacokinetics, preoperative and postoperative considerations, coexisting disease and other complicating factors, cost issues, and similar concerns anesthesiologists contend with daily. Exceptionally high standards of presentation and accuracy are maintained. The core of the journal is original contributions on subjects relevant to clinical practice, and rigorously peer-reviewed. Highly respected international experts have joined together to form the Editorial Board, sharing their years of experience and clinical expertise. Specialized section editors cover the various subspecialties within the field. To keep your practical clinical skills current, the journal bridges the gap between the laboratory and the clinical practice of anesthesiology and critical care to clarify how new insights can improve daily practice.
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