Musculoskeletal pain among medical residents: role of workplace safety climate and sexual harassment.

BACKGROUND: Workplace factors are important predictors of occurrence of musculoskeletal pain among different occupational populations. In healthcare, a psychologically unsafe work environment can negatively affect the emotional, physical and psychological well-being of physicians. This study aimed to examine the relationship between workplace violence, sexual harassment and musculoskeletal pain among Egyptian physicians in their years of residency. METHODS: We distributed an online self-administered questionnaire to 101 residents working in various healthcare sectors in Egypt. It included sections on demographic data, working conditions, widespread pain index (WPI), pain interference short-form, workplace violence and harassment questionnaire, psychosocial safety climate questionnaire (PSC) and sexual harassment climate questionnaire. RESULTS: All residents had at least one painful site on the WPI (range 1-11). The mean WPI was 3.5 ± 2.4, and 39.6% satisfied the criteria of having widespread pain by having at least 4 pain sites. Widespread pain index showed a weak statistically significant negative correlation with workplace PSC score (rho = - 0.272, p = 0.006), and a statistically significant weak positive correlation with the calculated total abuse index (rho = 0.305, p = 0.002). Workplace violence and abuse, as measured by a calculated abuse index was the only significant predictors of widespread pain among residents. CONCLUSION: WPV was found to be a predictor of musculoskeletal pain among medical residents. Healthcare organizations need to address WPV by employing preventive strategies to minimize its hazardous effects and ensure a safe working environment for physicians.

Impact of workplace violence on anxiety and sleep disturbances among Egyptian medical residents: a cross-sectional study.

BACKGROUND: Workplace violence (WPV) against healthcare workers is a common occurrence worldwide, especially among young physicians and medical residents. This study aimed to explore the negative health impacts of WPV among medical residents in Egypt, and their perception regarding how safe it is to report violence. PURPOSE: To investigate the prevalence of WPV among medical residents, its possible negative health impacts, specifically on sleep quality and mental health, and the perceived workplace safety climate. METHODS: This is a cross-sectional analytic study, using a convenience sample through an online questionnaire. An abuse index was calculated, generalized anxiety disorder (GAD) and sleep quality were collected from the reported outcomes. RESULTS: The study sample included 101 residents (86.1% females). The most common reported form of abuse was verbal abuse, with the most common reported perpetrators being senior staff members (59.4%). About 86% of participants were classified as poor sleepers, while 59.4% had GAD, and there were significant positive correlations between GAD and Global Pittsburgh Sleep Quality Index (PSQI) scores with the abuse index. More than one third (35.6%) of residents reported a very high-risk Psychosocial Safety Climate (PSC) score, and 31.6% of them either strongly agreed or agreed that reporting a sexual harassment claim would be dangerous. CONCLUSION: Workplace violence is common among Egyptian medical residents, with a significant negative impact on sleep quality and a rising risk of GAD. The promotion of a safe workplace environment is essential in protecting the health and wellbeing of medical residents.

Technology facilitated sexual violence: a comparative study between working and non-working females in Egypt before and during the COVID-19 pandemic.

Background: During the COVID-19 pandemic, quarantine measures policies increased Internet usage, leading to technological hazards as technology facilitated sexual violence (TFSV). Aim: The current work aimed to assess TFSV among working and non-working Egyptian females before and during COVID-19. Methods: The current work is a cross-sectional observational comparative study using an anonymous online questionnaire distributed through social platforms among working and non-working Egyptian females. Results: TFSV was reported by 50.3% of the participants; however, regarding some forms of digital sexual violence, there was a significant decrease during COVID-19 lockdown than before it, considering; threatened creation form (7.8%, 12.0%; p = 0.017); non-consensual pornography (31.4%, 51.9%; p < 0.001) and online sexual harassment and cyber-stalking types (80.9%, 89.4%; p < 0.001). Only 17.3% of the study participants knew the identity of the perpetrator. TFSV led 6.4% to abstain from social media, and 3.9% reported the incident to a law agency. Conclusions: The current study revealed that almost half of women experienced TFSV. Although time spent on the Internet by the whole participants during the pandemic was significantly higher than before, there was a significant decrease in some types of TFSV. The current study revealed that divorced females working in non-governmental sectors experienced harassment more significantly than others. There is crucial importance to set laws and penalties against perpetrators of TFSV to provide a safe technological environment for women.