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US Pediatricians' Reports of Feeling Unsafe at Work: Experiences With Harassment and Attacks
Sarah M Marsicek1, Elizabeth A Gottschlich2, Mary Pat Frintner2
1University of Florida (SM Marsicek), Gainesville, Fla.
Insights
Pediatricians face harassment due to misinformation, impacting their sense of safety at work. Addressing these attacks is crucial for well-being and a secure practice environment.
Area of Science:
- Medical Practice
- Public Health
- Workplace Safety
Background:
- Misinformation increasingly leads to harassment and attacks against healthcare professionals.
- Pediatricians advocating for child health may be targets of such attacks.
- Understanding the prevalence and impact of these experiences is vital.
Purpose of the Study:
- To examine pediatrician experiences with harassment and attacks linked to misinformation.
- To assess the association between these negative experiences and feelings of workplace unsafety.
- To compare characteristics of pediatricians who feel unsafe.
Main Methods:
- Analysis of national weighted survey data from 1666 pediatricians (66% participation rate).
- Inquiry into personal and colleague experiences with four types of harassment/attacks in the prior 12 months.
- Multivariable logistic regression to identify factors associated with feeling unsafe at work.
Main Results:
- 30% of pediatricians reported personal harassment/attacks; 49.7% reported colleague/staff experienced them.
- 10.7% of pediatricians reported feeling unsafe at work.
- Feeling unsafe was significantly associated with practice setting (emergency vs. outpatient), location (urban vs. suburban), and experiencing/witnessing harassment.
Conclusions:
- Pediatricians are vulnerable to harassment and attacks fueled by misinformation.
- These negative experiences correlate with increased feelings of workplace unsafety.
- Developing strategies to mitigate harassment is essential to ensure pediatrician safety and well-being.
Objectives:
Examine pediatrician-reported experiences with harassment and attacks related to misinformation and feeling unsafe at work. Compare characteristics and experiences with feeling unsafe.
Methods:
Utilizing national weighted 2023 survey data (66% participation; n = 1666) from the AAP Pediatrician Life and Career Experience Study, we asked about past 12-month experiences (own and colleagues or staff) with harassment and attacks (4 types: physical; verbal in person; on social media; false damaging online reviews) for speaking out for child health and safety. We created summary measures: personally experienced any harassment or attacks (yes to ≥1) and colleague or staff experienced any (yes to ≥1). We also asked how safe they felt at work (very safe/safe/neither safe nor unsafe vs unsafe/very unsafe). Using multivariable logistic regression, we examined feeling unsafe by pediatrician and practice characteristics and experiences with any harassment or attacks.
Results:
Thirty percent reported that they experienced any type of harassment or attack, and 49.7% reported a colleague or staff had; 10.7% felt unsafe at work. The odds of feeling unsafe were higher for pediatricians practicing in emergency department settings compared to outpatient (aOR: 3.59, 95% CI: 1.99-6.47), in urban areas compared to suburban (aOR: 2.06, 95% CI: 1.28-3.31), who personally experienced harassment or attacks (aOR: 1.73, 95% CI: 1.15-2.60), and whose colleagues or staff experienced harassment or attacks (aOR: 1.62, 95% CI: 1.06-2.48).
Conclusions:
Pediatricians are not immune to workplace harassment and attacks with the growth of misinformation. Strategies are needed to mitigate these negative experiences, which were associated with feeling unsafe at work.
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