法国妇产科住院医师项目中的欺凌和倦怠：一项全国性的横断面研究。

IF 1.6 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of gynecology obstetrics and human reproduction Pub Date : 2025-09-13 DOI:10.1016/j.jogoh.2025.103034

Chloé Gaillard , Camille Durand , Marie Allegrini , Estelle Le Pabic , Estelle Michinov , Ludivine Dion , Vincent Lavoué , Jean Levêque , Linda Lassel , Maela Le Lous , Krystel Nyangoh Timoh

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引用次数: 0

摘要

先前的研究表明，在住院医师期间，即在妇产科（Ob-Gyn）专家中，职业倦怠率很高。与此同时，有关工作场所欺凌行为的报道，尤其是在外科病房，也有所增加。然而，没有研究对法国妇产科住院医生的这些方面进行评估。本研究旨在评估妇产科住院医师职场霸凌的发生率及影响、霸凌与职业倦怠的关系，以及影响职业倦怠的风险因素和保护因素。方法：在2021-2022学年期间，对37个法国妇产科住院医师项目进行了一项全国性、观察性、横断面研究。数据通过匿名在线调查收集，使用诸如Maslach倦怠量表、负面行为问卷-修订（NAQ-R）和医院焦虑和抑郁量表等工具。还收集了社会人口统计数据、工作条件、欺凌的来源/地点以及自杀意念的发生率。采用多变量logistic回归分析相关性。结果：在625名受访者中，52.4%的人报告了NAQ-R测量的欺凌行为。18.4%的人存在职业倦怠，其中职业疲劳（24.3%）、人格解体（34.9%）和个人成就感降低（25.1%）的比例显著。职场欺凌与职业倦怠之间存在显著相关。来自上级的强大社会支持是防止倦怠的保护因素，而频繁遭受欺凌、工作时间过长和压力过大则被认为是主要的风险因素。结论：52.5%的受访员工有过职场欺凌经历，18.4%的受访员工有过职业倦怠。虽然这些调查结果令人担忧，值得关注，但它们反映了选择参加调查的居民的经历，因此可能过度代表了受影响最大的居民。然而，观察到的欺凌和倦怠之间的显著关联强调了制度性策略的必要性，以更好地支持住院医师的福祉，并确保在妇产科住院医师项目中有一个安全、尊重的工作环境。

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Bullying and burnout in French obstetrics and gynecology residency programs: a national cross-sectional study

Introduction

Prior research has demonstrated high burnout rates during medical residency, namely among obstetrics and gynecology (Ob-Gyn) specialists. Concurrently, reports of workplace bullying, particularly in surgical wards, have risen. However, no studies have evaluated these aspects among French Ob-Gyn residents. This study assessed the prevalence and impact of workplace bullying on Ob-Gyn residents, the relationship between bullying and burnout, and the risk and protective factors influencing burnout.

Methods

A national, observational, cross-sectional study was conducted involving 37 French Ob-Gyn residency programs during the 2021–2022 academic year. Data were collected via an anonymous online survey using instruments such as the Maslach Burnout Inventory, Negative Acts Questionnaire-Revised (NAQ-R), and Hospital Anxiety and Depression Scale. Sociodemographic data, working conditions, sources/locations of bullying, and incidence of suicidal ideation were also collected. Multivariable logistic regression was used to analyze associations.

Results

Of 625 respondents, 52.4% reported bullying as measured by the NAQ-R. Burnout was present in 18.4%, with notable rates of professional exhaustion (24.3%), depersonalization (34.9%), and diminished personal accomplishment (25.1%). A significative correlation between workplace bullying and burnout was found. Strong social support from superiors emerged as protective against burnout, whereas frequent exposure to bullying, excessive working hours, and high stress levels were identified as major risk factors.

Conclusion

Our study reveals that 52.5% of responding residents reported experiencing workplace bullying, and 18.4% met the criteria for burnout. While these findings are concerning and warrant attention, they reflect the experiences of residents who chose to participate in the survey, and may therefore overrepresent those most affected. Nevertheless, the significant association observed between bullying and burnout highlights the need for institutional strategies to better support residents' well-being and ensure a safe, respectful working environment in obstetrics and gynecology residency programs.

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来源期刊

Journal of gynecology obstetrics and human reproduction Medicine-Obstetrics and Gynecology

CiteScore

3.70

自引率

5.30%

发文量

210

审稿时长

31 days

期刊介绍： Formerly known as Journal de Gynécologie Obstétrique et Biologie de la Reproduction, Journal of Gynecology Obstetrics and Human Reproduction is the official Academic publication of the French College of Obstetricians and Gynecologists (Collège National des Gynécologues et Obstétriciens Français / CNGOF). J Gynecol Obstet Hum Reprod publishes monthly, in English, research papers and techniques in the fields of Gynecology, Obstetrics, Neonatology and Human Reproduction: (guest) editorials, original articles, reviews, updates, technical notes, case reports, letters to the editor and guidelines. Original works include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses.