{"title":"转诊医院医护人员的职业骚扰和职业倦怠综合症","authors":"Diego Marín Marín, Alonso Soto","doi":"10.24265/horizmed.2023.v23n3.07","DOIUrl":null,"url":null,"abstract":"Objective: To determine the association between workplace harassment and burnout syndrome among healthcare personnel of a Peruvian referral hospital. Materials and methods: An analytical cross-sectional study which included internists, surgeons, nurses, residents, internsand nursing technicians from the Medicine and Surgery departments of Hospital Nacional Hipólito Unanue in Lima, Peru. The Maslach Burnout Inventory–Human Services Survey (MBI–HSS) and the Negative Acts Questionnaire–Revised (NAQ–R)were used for the assessment of burnout and harassment, respectively. Additionally, the association with age, gender, occupation, marital status, workplace, salary satisfaction, family burden, physical activity, harmful habits, vacations, religious affiliation, number of jobs, monthly remuneration, job tenure, working hours per week, number of patients seen per day, weekly shifts and rest hours was evaluated. A multivariate analysis was conducted using a multiple logistic regression model and the presence or absence of burnout as an outcome variable. Results: The study consisted of 206 participants, out of whom 22 (10.7 %) suffered burnout and 27 (14 %) moderate tosevere harassment. In the bivariate analysis, age (OR 0.94; 95 % CI 0.89–0.99; p = 0.02), marital status such as married and cohabiting (OR 2.85; 95 % CI 1.01–8.06; p = 0.04) and harassment (OR 5.20; 95 % CI 1.92–14.09; p = 0.009) were associatedwith burnout. In the multivariate analysis, the only significant predictor of burnout was workplace harassment. Moderate to severe harassment was associated with OR 4.00 (95 % CI 1.4–11.3; p = 0.009) compared to mild harassment. Conclusions: It is important to identify health workers suffering workplace harassment due to its strong associationwith burnout syndrome. It is essential to carry out further research to understand and address the problem of workplace harassment and its influence on the development of burnout, as well as studies to evaluate interventions aimed at preventing both workplace harassment and burnout.","PeriodicalId":245951,"journal":{"name":"Horizonte Médico","volume":"30 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hostigamiento laboral y síndrome de burnout en personal sanitario en un hospital de referencia\",\"authors\":\"Diego Marín Marín, Alonso Soto\",\"doi\":\"10.24265/horizmed.2023.v23n3.07\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective: To determine the association between workplace harassment and burnout syndrome among healthcare personnel of a Peruvian referral hospital. Materials and methods: An analytical cross-sectional study which included internists, surgeons, nurses, residents, internsand nursing technicians from the Medicine and Surgery departments of Hospital Nacional Hipólito Unanue in Lima, Peru. The Maslach Burnout Inventory–Human Services Survey (MBI–HSS) and the Negative Acts Questionnaire–Revised (NAQ–R)were used for the assessment of burnout and harassment, respectively. Additionally, the association with age, gender, occupation, marital status, workplace, salary satisfaction, family burden, physical activity, harmful habits, vacations, religious affiliation, number of jobs, monthly remuneration, job tenure, working hours per week, number of patients seen per day, weekly shifts and rest hours was evaluated. A multivariate analysis was conducted using a multiple logistic regression model and the presence or absence of burnout as an outcome variable. Results: The study consisted of 206 participants, out of whom 22 (10.7 %) suffered burnout and 27 (14 %) moderate tosevere harassment. In the bivariate analysis, age (OR 0.94; 95 % CI 0.89–0.99; p = 0.02), marital status such as married and cohabiting (OR 2.85; 95 % CI 1.01–8.06; p = 0.04) and harassment (OR 5.20; 95 % CI 1.92–14.09; p = 0.009) were associatedwith burnout. In the multivariate analysis, the only significant predictor of burnout was workplace harassment. Moderate to severe harassment was associated with OR 4.00 (95 % CI 1.4–11.3; p = 0.009) compared to mild harassment. Conclusions: It is important to identify health workers suffering workplace harassment due to its strong associationwith burnout syndrome. It is essential to carry out further research to understand and address the problem of workplace harassment and its influence on the development of burnout, as well as studies to evaluate interventions aimed at preventing both workplace harassment and burnout.\",\"PeriodicalId\":245951,\"journal\":{\"name\":\"Horizonte Médico\",\"volume\":\"30 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-09-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Horizonte Médico\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.24265/horizmed.2023.v23n3.07\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Horizonte Médico","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.24265/horizmed.2023.v23n3.07","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
目的:了解秘鲁一家转诊医院医护人员工作场所骚扰与职业倦怠综合征之间的关系。材料和方法:一项横断面分析研究,包括来自秘鲁利马国立医院Hipólito Unanue内科和外科的内科医生、外科医生、护士、住院医生、实习生和护理技术人员。采用Maslach职业倦怠量表-人力服务调查(MBI-HSS)和负面行为问卷-修订(NAQ-R)分别对职业倦怠和骚扰进行评估。此外,还评估了年龄、性别、职业、婚姻状况、工作场所、工资满意度、家庭负担、身体活动、不良习惯、假期、宗教信仰、工作岗位数量、月报酬、工作任期、每周工作时间、每天就诊人数、每周轮班和休息时间的关系。采用多元逻辑回归模型进行多变量分析,并将倦怠的存在与否作为结果变量。结果:该研究包括206名参与者,其中22名(10.7%)遭受过倦怠,27名(14%)遭受中度至重度骚扰。在双变量分析中,年龄(OR 0.94;95% ci 0.89-0.99;p = 0.02),婚姻状况如已婚和同居(OR 2.85;95% ci 1.01-8.06;p = 0.04)和骚扰(OR 5.20;95% ci 1.92-14.09;P = 0.009)与职业倦怠相关。在多变量分析中,唯一显著的倦怠预测因子是工作场所骚扰。中度至重度骚扰与OR 4.00相关(95% CI 1.4-11.3;P = 0.009)与轻度骚扰相比。结论:由于工作场所骚扰与职业倦怠综合症密切相关,因此确定卫生工作者遭受职场骚扰非常重要。有必要开展进一步的研究,以了解和解决工作场所骚扰问题及其对职业倦怠发展的影响,并研究评估旨在预防工作场所骚扰和职业倦怠的干预措施。
Hostigamiento laboral y síndrome de burnout en personal sanitario en un hospital de referencia
Objective: To determine the association between workplace harassment and burnout syndrome among healthcare personnel of a Peruvian referral hospital. Materials and methods: An analytical cross-sectional study which included internists, surgeons, nurses, residents, internsand nursing technicians from the Medicine and Surgery departments of Hospital Nacional Hipólito Unanue in Lima, Peru. The Maslach Burnout Inventory–Human Services Survey (MBI–HSS) and the Negative Acts Questionnaire–Revised (NAQ–R)were used for the assessment of burnout and harassment, respectively. Additionally, the association with age, gender, occupation, marital status, workplace, salary satisfaction, family burden, physical activity, harmful habits, vacations, religious affiliation, number of jobs, monthly remuneration, job tenure, working hours per week, number of patients seen per day, weekly shifts and rest hours was evaluated. A multivariate analysis was conducted using a multiple logistic regression model and the presence or absence of burnout as an outcome variable. Results: The study consisted of 206 participants, out of whom 22 (10.7 %) suffered burnout and 27 (14 %) moderate tosevere harassment. In the bivariate analysis, age (OR 0.94; 95 % CI 0.89–0.99; p = 0.02), marital status such as married and cohabiting (OR 2.85; 95 % CI 1.01–8.06; p = 0.04) and harassment (OR 5.20; 95 % CI 1.92–14.09; p = 0.009) were associatedwith burnout. In the multivariate analysis, the only significant predictor of burnout was workplace harassment. Moderate to severe harassment was associated with OR 4.00 (95 % CI 1.4–11.3; p = 0.009) compared to mild harassment. Conclusions: It is important to identify health workers suffering workplace harassment due to its strong associationwith burnout syndrome. It is essential to carry out further research to understand and address the problem of workplace harassment and its influence on the development of burnout, as well as studies to evaluate interventions aimed at preventing both workplace harassment and burnout.