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Prevalence and Determinants of Bullying Among Health Care Workers in Portugal.
Norton, Pedro; Costa, Viviana; Teixeira, Joel; Azevedo, Ana; Roma-Torres, António; Amaro, Joana; Cunha, Liliana.
Affiliation
  • Norton P; 1 Occupational Health Unit-Hospital Epidemiology Centre, São João Hospital Centre, Porto, Portugal.
  • Costa V; 2 EPIUnit-Institute of Public Health, University of Porto, Porto, Portugal.
  • Teixeira J; 3 Faculty of Education and Psychology, Catholic University of Portugal, Porto, Portugal.
  • Azevedo A; 1 Occupational Health Unit-Hospital Epidemiology Centre, São João Hospital Centre, Porto, Portugal.
  • Roma-Torres A; 1 Occupational Health Unit-Hospital Epidemiology Centre, São João Hospital Centre, Porto, Portugal.
  • Amaro J; 2 EPIUnit-Institute of Public Health, University of Porto, Porto, Portugal.
  • Cunha L; 4 Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal.
Workplace Health Saf ; 65(5): 188-196, 2017 May.
Article in En | MEDLINE | ID: mdl-28061740
Bullying is defined as systematic exposure to humiliation as well as hostile and violent behaviors against one or more individuals. These behaviors are a serious, growing problem, which affects a significant proportion of health care professionals. To support the hospital's risk management policy, a cross-sectional study was undertaken to determine the prevalence of bullying in this institution and identify the determinants of bullying. Bullying was measured using the Negative Acts Questionnaire-Revised, Portuguese version (NAQ-R), a self-administered tool. The questionnaire was made available in digital format on the hospital's internal network (Intranet) and in hard copy; questionnaires were returned via nonidentified internal mail addressed to the occupational health unit or deposited in suggestion boxes located throughout the hospital. Multiple questionnaire delivery methods guaranteed data anonymity and confidentiality. The prevalence of bullying in this hospital was 8% (95% confidence interval [CI] = [6.2, 10.2]). Reported bullying was predominantly vertical and more frequently occurring among nurses, clerical staff, and health care assistants (12.5%, 7.6%, 6.4%, respectively; p = .005). After adjusting for gender, age, occupation, type of contract, and work schedule, only type of contract was significantly associated with bullying in the workplace; the risk of bullying was twice as high among government employees compared to workers with indefinite duration employment contracts ( p = .038). This study identified a high prevalence of bullying among health professionals; hence a program to prevent and control this phenomenon was implemented in this institution.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Personnel, Hospital / Occupational Exposure / Bullying Type of study: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Workplace Health Saf Year: 2017 Document type: Article Affiliation country: Portugal Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Personnel, Hospital / Occupational Exposure / Bullying Type of study: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Workplace Health Saf Year: 2017 Document type: Article Affiliation country: Portugal Country of publication: United States