首页> 外文期刊>The Journal of Emergency Medicine >WORKPLACE VIOLENCE AND SELF-REPORTED PSYCHOLOGICAL HEALTH: COPING WITH POST-TRAUMATIC STRESS, MENTAL DISTRESS, AND BURNOUT AMONG PHYSICIANS WORKING IN THE EMERGENCY DEPARTMENTS COMPARED TO OTHER SPECIALTIES IN PAKISTAN
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WORKPLACE VIOLENCE AND SELF-REPORTED PSYCHOLOGICAL HEALTH: COPING WITH POST-TRAUMATIC STRESS, MENTAL DISTRESS, AND BURNOUT AMONG PHYSICIANS WORKING IN THE EMERGENCY DEPARTMENTS COMPARED TO OTHER SPECIALTIES IN PAKISTAN

机译:工作场所的暴力行为和自我报告的心理健康:应对创伤后的压力,精神困扰以及与巴基斯坦其他部门相比在紧急情况下工作的医生的疲劳

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Background: Little is known about the mental health impact of workplace violence (WPV) among emergency physicians (EPs) working in emergency departments (EDs) in Pakistan and whether this impact varies across specialties. Objectives: Our aim was to measure the prevalence of WPV among EPs in 4 of the largest hospitals in Karachi, Pakistan; to measure the association between the experience of WPV and self-report of post-traumatic stress disorder (PTSD), depression, anxiety, and burnout; to compare the same factors across medical specialties; and to explore the coping strategies used by physicians in dealing with job-related stressors. Methods: A cross-sectional survey was conducted among 179 physicians from 5 specialties (response rate, 92.2%) using standard questionnaires for WPV, PTSD, burnout, current mental distress, and methods of coping. Results: One in 6 physicians reported experiencing a physical attack and 3 in 5 verbal abuse on the job in the previous 12 months. Pathologists were less likely to report any form of WPV compared to all other specialties. There was, however, no difference in experience of WPV between EPs and internists, surgeons, or pediatricians. One in 6 physicians screened positive for PTSD, and 2 in 5 for current anxiety and depression. There was significant comorbidity of mental distress with PTSD. Those who reported experiencing physical attack were 6.7 times more likely to report PTSD symptoms. We also found high rates of burnout (42.4% emotional exhaustion; 72.9% depersonalization) among physicians. Conclusion: Experience of WPV was not uniform across specialties but was generally high among Pakistani physicians. Prevention of WPV should be a high priority for health care policy makers. (C) 2016 Elsevier Inc.
机译:背景:对于巴基斯坦急诊科(ED)工作的急诊医生(EP)中工作场所暴力(WPV)对精神健康的影响知之甚少,而且这种影响是否因专业而异。目的:我们的目的是测量巴基斯坦卡拉奇4家最大的医院中EP的WPV患病率;衡量WPV的经历与创伤后应激障碍(PTSD),抑郁,焦虑和倦怠自我报告之间的关联;比较各个医学专业的相同因素;并探索医生在处理与工作相关的压力源时所采用的应对策略。方法:采用WPV,PTSD,倦怠,当前精神困扰和应对方法的标准问卷,对来自5个专业的179名医生进行了横断面调查(答复率为92.2%)。结果:在过去的12个月中,有六分之一的医生报告遭受身体攻击,五分之三的语言滥用。与所有其他专科相比,病理学家不太可能报告任何形式的WPV。但是,EP医师与内科医生,外科医生或儿科医生的WPV经验没有差异。六分之一的医生筛查PTSD阳性,五分之二的医生检查当前的焦虑和抑郁。 PTSD伴有严重的精神困扰。报告遭受身体攻击的人报告PTSD症状的可能性高6.7倍。我们还发现,医生的倦怠率很高(42.4%的精神疲惫; 72.9%的人格解体)。结论:WPV的经验在各个专业之间并不统一,但巴基斯坦医生普遍较高。预防WPV应成为医疗保健政策制定者的高度优先事项。 (C)2016爱思唯尔公司

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