在比利时的整体外科培训期间欺凌,破坏行为和骚扰:全国跨部门调查
Francesca Tozzi1, Gilles Soenens2, Halima Guelai3
1Department of Gastrointestinal Surgery, Ghent University Hospital, Ghent, Belgium.
Acta chirurgica Belgica
|February 16, 2026
概括
欺凌,破坏行为和骚扰 (BUBH) 影响了68%的比利时外科住院医生,通常涉及工作负载问题和被忽视的意见. 解决BUBH需要采取积极的措施和支持网络,以改善医疗保健培训环境.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 医疗保健 工作场所动态
背景情况:
- 欺凌,破坏性行为和骚扰 (BUBH) 是要求严格的医疗保健环境中持续存在的问题.
- 这些行为对医疗保健学员的福祉和专业发展构成重大挑战.
- 了解BUBH的流行程度对于改善培训环境至关重要.
研究的目的:
- 调查比利时的整体外科住院医生中BUBH的患病率和特征.
- 在外科培训中识别BUBH的常见形式及其主要事者.
- 检查BUBH最常发生的环境.
主要方法:
- 对比利时的全科外科医生实习生进行了一项横截面的在线调查.
- 该调查使用了经过验证的工具来评估BUBH,该工具是根据莱曼清单和负面行为问卷调整的.
- 收集的数据包括人口统计,BUBH经验,目击事件,报告,事者和管理策略.
主要成果:
- 在56名受访居民中,68%的人报告经历了BUBH,79%的人对同事目睹了它.
- 顾问 (30%) 和护理人员 (21%) 是主要的罪犯.
- 常见的BUBH包括无法管理的工作量 (95%),忽视意见 (93%) 和低于能力的工作 (91%),主要是在手术室和病房.
结论:
- 这是比利时外科培训中关于BUBH的第一个全国性研究,揭示了严重的报告不足.
- 由于BUBH经常被错误识别和报告不足,因此需要提高意识和报告机制.
- 实施积极的措施,教育计划和支持网络对于在外科培训中减轻BUBH至关重要.
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