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Abstract
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Introduction OBJECTIVE: To elucidate whether urology residents in the United States feel bullied by nurses, how respected they feel at work, and whether this impacts personal and patient care.
METHODS: We distributed an IRB-approved online, validated, revised Negative Acts Questionnaire (NAQ-R) to US urology residents in their first year or above. We evaluated bullying through scoring work (total range 5-25), person (total range 9-45) and physical intimidation (total range 3-15) related bullying domains. We also solicited how respected residents feel by different staff on a Likert scale and the perceived personal and professional impact of bullying. Bullying domains were assessed with descriptive statistics and mean total bullying scores (MTBS) and demographics compared.
RESULTS: We received 102 responses (82% MD, 18% DO). One resident reported never experiencing bullying. Overall average MTBS was 28.9±0.9 (17-68). 98.0%, 82.4% and 77.5% of residents reported at least one incident of work, person and physical intimidation related bullying respectively. DO residents reported higher MTBS than MD residents (33.7±2.2 vs. 27.8±1.0, p=0.015). Higher MTBS scores were seen in residents who feared retaliation and considered transferring programs, while lower scores were seen where the resident-nurse relationship was nurtured.
CONCLUSIONS: 98% of residents perceived some degree of bullying and report a negative impact on personal performance and patient outcomes.
Copyright © 2019. Published by Elsevier Inc.
Language: en |