Workplace harassment and burnout syndrome among health personnel at a referral hospital
DOI:
https://doi.org/10.24265/horizmed.2023.v23n3.07Keywords:
bullying, harassment, non-sexual, burnout, professionalAbstract
Objective: To determine the association between workplace harassment and burnout syndrome among healthcare personnel of a Peruvian referral hospital. Materials and methods: An analytical cross-sectional study which included internists, surgeons, nurses, residents, interns
and nursing technicians from the Medicine and Surgery departments of Hospital Nacional Hipólito Unanue in Lima, Peru. The Maslach Burnout Inventory–Human Services Survey (MBI–HSS) and the Negative Acts Questionnaire–Revised (NAQ–R)
were used for the assessment of burnout and harassment, respectively. Additionally, the association with age, gender, occupation, marital status, workplace, salary satisfaction, family burden, physical activity, harmful habits, vacations, religious affiliation, number of jobs, monthly remuneration, job tenure, working hours per week, number of patients seen per day, weekly shifts and rest hours was evaluated. A multivariate analysis was conducted using a multiple logistic regression model and the presence or absence of burnout as an outcome variable. Results: The study consisted of 206 participants, out of whom 22 (10.7 %) suffered burnout and 27 (14 %) moderate to
severe harassment. In the bivariate analysis, age (OR 0.94; 95 % CI 0.89–0.99; p = 0.02), marital status such as married and cohabiting (OR 2.85; 95 % CI 1.01–8.06; p = 0.04) and harassment (OR 5.20; 95 % CI 1.92–14.09; p = 0.009) were associated
with burnout. In the multivariate analysis, the only significant predictor of burnout was workplace harassment. Moderate to severe harassment was associated with OR 4.00 (95 % CI 1.4–11.3; p = 0.009) compared to mild harassment. Conclusions: It is important to identify health workers suffering workplace harassment due to its strong association
with burnout syndrome. It is essential to carry out further research to understand and address the problem of workplace harassment and its influence on the development of burnout, as well as studies to evaluate interventions aimed at preventing both workplace harassment and burnout.
Downloads
References
Vandenbroeck S, Van Gerven E, De Witte H, Vanhaecht K, Godderis L. Burnout in Belgian physicians and nurses. Occup Med (Lond) [Internet]. 2017;67(7):546-54.
Norton P, Costa V, Teixeira J, Azevedo A, Roma-Torres A, Amaro J, et al. Prevalence and determinants of bullying among health care workers in Portugal. Workplace Health Saf [Internet]. 2017;65(5):188-96.
Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory. 3ra ed. Palo Alto: CA; 1996. p. 191-218. Disponible en: https://www.researchgate.net/profile/Christina-Maslach/publication/277816643_The_Maslach_Burnout_Inventory_Manual/links/5574dbd708aeb6d8c01946d7/The-Maslach-Burnout-InventoryManual.pdf
Doolittle BR. Association of burnout with emotional coping strategies, friendship, and institutional support among internal medicine physicians. J Clin Psychol Med Settings [Internet]. 2021;28(2):361-67.
Udho S, Kabunga A. Burnout and associated factors among hospitalbased nurses in northern Uganda: A cross-sectional survey. Biomed Res Int [Internet]. 2022;2022:8231564.
Shanafelt TD, West CP, Sinsky C, Trockel M, Tutty M, Satele DV, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin Proc [Internet]. 2019;94(9):1681-94.
Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ [Internet]. 2012;344:e1717.
Maticorena-Quevedo J, Beas R, Anduaga-Beramendi A, Mayta-Tristan P. Prevalencia del sindrome de burnout en medicos y enfermeras del Peru, ENSUSALUD 2014. Rev Peru Med Exp Salud Publica [Internet]. 2016;33(2):241-7.
Sauer PA, Mccoy TP. Nurse Bullying: Impact on nurses' health. West J Nurs Res [Internet]. 2017;39(12):1533-46.
Crebbin W, Campbell G, Hillis DA, Watters DA. Prevalence of bullying, discrimination and sexual harassment in surgery in Australasia. ANZ J Surg [Internet]. 2015;85(12):905-9.
Ling M, Young CJ, Shepherd HL, Mak C, Saw RP. Workplace bullying in surgery. World J Surg [Internet]. 2016;40(11):2560-6.
Rouse LP, Gallagher-Garza S, Gebhard RE, Harrison SL, Wallace LS. Workplace bullying among family physicians: A gender focused study. J Womens Health (Larchmt) [Internet]. 2016;25(9):882-8.
Kim Y, Lee E, Lee H. Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses. PLoS One [Internet]. 2019;14(12):e0226506.
Sa L, Fleming M. Bullying, burnout, and mental health amongst Portuguese nurses. Issues Ment Health Nurs [Internet]. 2008;29(4):411-26.
Andrade C. Understanding relative risk, odds ratio, and related terms: as simple as it can get. J Clin Psychiatry [Internet]. 2015;76(7):e857-61.
Gil-Monte PR. Factorial validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish professionals. Rev Saude Publica [Internet]. 2005;39(1):1-8.
Einarsen S, Hoel H, Notelaers G. Measuring exposure to bullying and harassment at work: Validity, factor structure and psychometric properties of the Negative Acts Questionnaire-Revised. Work & Stress [Internet]. 2009;23(1):24-44.
Viterbo Silva I, de Aquino EML, de Matos Pinto IC. Psychometric properties of the Negative Acts Questionnaire for the detection of workplace bullying: an evaluation of the instrument with a sample of state health care workers. Rev Bras Saude Ocup [Internet]. 2017;42:e2.
World Medical Association. Declaration of Helsinki-Ethical principles for medical research involving human subjects [Internet]. WMA.
Desrumaux P, Gillet N, Nicolas C. Direct and indirect effects of belief in a just world and supervisor support on burnout via bullying. Int J Environ Res Public Health [Internet]. 2018;15(11):2330.
Takeuchi M, Nomura K, Horie S, Okinaga H, Perumalswami CR, Jagsi R. Direct and indirect harassment experiences and burnout among academic faculty in Japan. Tohoku J Exp Med [Internet]. 2018;245(1):37-44.
Bae SR, Hong HJ, Chang JJ, Shin SH. The association between Korean clinical nurses' workplace bullying, positive psychological capital, and social support on burnout. Int J Environ Res Public Health [Internet]. 2021;18(21):11583.
Llewellyn A, Karageorge A, Nash L, Li W, Neuen D. Bullying and sexual harassment of junior doctors in New South Wales, Australia: rate and reporting outcomes. Aust Health Rev [Internet]. 2019;43(3):328-34.
Hu YY, Ellis RJ, Hewitt DB, Yang AD, Cheung EO, Moskowitz JT, et al. Discrimination, abuse, harassment, and burnout in surgical residency training. N Engl J Med [Internet]. 2019;381(18):1741-52. doi: 10.1056/NEJMsa1903759.
Wilson JL. An exploration of bullying behaviours in nursing: a review of the literature. Br J Nurs [Internet]. 2016;25(6):303-6.
Pisanti R, Lombardo C, Lucidi F, Violani C, Lazzari D. Psychometric properties of the Maslach Burnout Inventory for Human Services among Italian nurses: a test of alternative models. J Adv Nurs [Internet]. 2013;69(3):697-707.
Bambi S, Foa C, De Felippis C, Lucchini A, Guazzini A, Rasero L. Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors. Acta Biomed [Internet]. 2018;89(6-S):51-79.
Purpora C, Cooper A, Sharifi C, Lieggi M. Workplace bullying and risk of burnout in nurses: a systematic review protocol. JBI Database System Rev Implement Rep [Internet]. 2019;17(12):2532-40.
Ajoudani F, Baghaei R, Lotfi M. Moral distress and burnout in Iranian nurses: The mediating effect of workplace bullying. Nurs Ethics [Internet]. 2019;26(6):1834-47.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Horizonte Médico (Lima)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Horizonte Médico (Lima) (Horiz. Med.) journal’s research outputs are published free of charge and are freely available to download under the open access model, aimed at disseminating works and experiences developed in biomedical and public health areas, both nationally and internationally, and promoting research in the different fields of human medicine. All manuscripts accepted and published in the journal are distributed free of charge under the terms of a Creative Commons license – Attribution 4.0 International (CC BY 4.0).