The prevalence and impact of workplace bullying among anaesthetists

Abstract

Background: Awareness of workplace bullying and its potentially detrimental effects is increasing. Numerous studies have highlighted the problem within the medical field. However, limited studies exist within the South African doctor workforce, and fewer within specific disciplines. This study aimed to determine the prevalence, risk factors, and impact of workplace bullying among anaesthetists within the eThekwini public sector.

Methods: This was a survey-based study, incorporating the use of the Negative Acts Questionnaire-Revised (NAQ-R) to probe the prevalence of bullying objectively and subjectively, with open-ended questions to reveal the impact. Demographic data was also collected. Chi-square tests and logistic regression models were used to analyse the quantitative data, and the qualitative data was analysed thematically.

Results: Workplace bullying was experienced objectively by 38.66% of respondents and subjectively by 32.77%. Women were twice as likely to be bullied than men. Registrars and senior consultants were also more likely to be bullied than medical officers. Having more than five years of experience increases the risk. The negative impact of workplace bullying on personal life, job or career, and patient care is presented. Aspects affected include physical and mental well-being, personal relationships, job satisfaction and performance, and the quality of patient care.

Conclusion: Workplace bullying is a concern within our medical context. Its effect on personal well-being and patient care can be deleterious. Root causes must be investigated, and strategies developed to mitigate this problem.