根据性别,居民遭遇破坏性行为的差异
Takashi Watari1,2,3, Virginia Sheffield2,3, Yuji Nishizaki4
1General Medicine Center, Shimane University Hospital, Shimane, Japan.
Medical teacher
|December 5, 2023
概括
男性实习医生报告说,与女性住院医生相比,医生和护士的破坏性行为 (DB) 比率更高. 这项研究强调了医疗培训计划中的工作场所虐待的性别差异.
科学领域:
- 医学教育 医学教育
- 医疗保健 专业主义 医疗保健 专业主义
- 医学中的性别研究.
背景情况:
- 破坏性行为 (DBs) 对医疗保健环境和学员福祉产生负面影响.
- 了解DB患病率的性别差异对于有针对性的干预至关重要.
研究的目的:
- 调查和量化受训医生经历的破坏性行为中的基于性别的差异.
- 确定男性和女性居民遇到的DB的来源和类型.
主要方法:
- 国家横截面研究使用基于网络的,自主管理的问卷.
- 对5,403名第一年 (PGY1) 和第二年 (PGY2) 居民进行调查,这些居民参与了通用医学间歇性检查 (GM-ITE).
- 统计分析包括调整的赔率比,以考虑混因素.
主要成果:
- 大约35%的居民报告说,在过去的一年中经历了DB.
- 男性居民报告说,与女性相比,医生 (38.4%对27.6%,p < 0.001) 和护士 (35.8%对32.9%,p = 0.037) 的DB暴露率更高.
- 经过调整后的分析证实,男性住院居民的医生 (aOR 1.59) 和护士 (aOR 1.17) 经历 DB 的几率增加.
结论:
- 在实习医生中,破坏性行为的普遍性存在显著的基于性别的差异.
- 男性居民更有可能从医生和护士那里经历DB.
- 有针对性的,以性别为基础的干预措施是必要的,以促进尊重医疗环境,并支持居民的福祉.
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