Mitchell Dwyer, Phoebe Griffin, Maryam Rouhi, Suzanne Waddingham, Lauri O Brien, Sarah Prior
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引用次数: 0
Abstract
Background: The bullying, harassment, and discrimination (BHD) of junior doctors is associated with negative outcomes for doctors themselves and their patients. This review sought to examine literature relating to BHD among junior doctors in Australia and Aotearoa New Zealand, with a focus on definitions, prevalence rates, perpetrators, experiences/impacts, reporting, and mitigation strategies.
Methods: A scoping review of peer-reviewed and grey literature published from 2015 to 2023 was undertaken. Study participants were exclusively junior doctors in Australia and Aotearoa New Zealand. Six databases were searched during the review: PubMed, PsychInfo, Scopus, Web of Science, ProQuest Dissertations and Theses, and the Cochrane Library.
Results: Eight articles were included in the review. Definitions of "bullying" emphasized the use of repeated behaviors aimed at humiliating or threatening targets. Two studies reported prevalence rates, which were in close agreement with each other. Senior doctors were identified as the most common perpetrators. Junior doctors were reluctant to use available reporting mechanisms, and there was very little evidence in support of mitigation strategies against BHD.
Conclusion: Our review demonstrates that while BHD is prevalent among junior doctors, efforts to address it are hindered by methodological issues, ineffective reporting mechanisms, and a shortage of research aimed at developing and trialing mitigation strategies. Researchers seeking to examine BHD should adopt broad terms that encompass all three concepts. Interventions aimed at addressing BHD should target the attitudes and behaviors of senior doctors. The effectiveness and transparency of reporting mechanisms must be improved in order for junior doctors to fully utilize them.
背景：初级医生的欺凌、骚扰和歧视（BHD）与医生自身和患者的负面结果有关。本综述旨在研究澳大利亚和新西兰的初级医生中与BHD相关的文献，重点关注BHD的定义、患病率、肇事者、经历/影响、报告和缓解策略。方法：对2015 - 2023年发表的同行评议文献和灰色文献进行范围综述。研究参与者完全是澳大利亚和新西兰的初级医生。在回顾期间检索了六个数据库：PubMed， PsychInfo, Scopus, Web of Science, ProQuest dissertation and Theses，以及Cochrane Library。结果：共纳入8篇文献。“欺凌”的定义强调使用旨在羞辱或威胁目标的重复行为。两项研究报告了患病率，这两项研究结果彼此密切一致。资深医生被认为是最常见的肇事者。初级医生不愿意使用现有的报告机制，并且很少有证据支持针对BHD的缓解策略。结论：我们的综述表明，虽然BHD在初级医生中很普遍，但解决它的努力受到方法问题、无效的报告机制以及旨在制定和试验缓解策略的研究不足的阻碍。寻求研究BHD的研究人员应该采用包含所有三个概念的广义术语。针对BHD的干预措施应该针对资深医生的态度和行为。为了使初级医生充分利用报告机制，必须提高报告机制的有效性和透明度。
期刊介绍：
ANZ Journal of Surgery is published by Wiley on behalf of the Royal Australasian College of Surgeons to provide a medium for the publication of peer-reviewed original contributions related to clinical practice and/or research in all fields of surgery and related disciplines. It also provides a programme of continuing education for surgeons. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.
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