Author:
El Boghdady Michael,Ewalds-Kvist Béatrice Marianne
Abstract
Abstract
Introduction
Disruptive physician behaviour can affect patients’ safety. If surgical trainees throughout higher education experience disruptive behaviour, impaired work-life may follow. Therefore, we aimed to study surgeons' level of narcissism (N), hostility, and stress in relation to their work environment and potential experience of bullying. We also scrutinized search for or presence of meaning in life.
Methods
General surgeons in UK National Health Service from 2 hospitals participated with 3 levels of training: junior trainees (JT), senior trainees (ST), and consultants (CONS). Participants completed 52 VAS-formed questions plus demographics. Modified questionnaires were used for assessments of ‘hostility’, ‘narcissism’, meaning in life, quality of work-life, and bullying.
Results
Altogether 33% of surgeons displayed narcissism and 22% could exhibit disruptive behaviour. By MANOVA significant differences between low, medium, and high narcissism groups were revealed in hostility (p<.01), perceived stress (p=.001), and presence of meaning in life (p<.05). Regression analyses explained hostility both by N-scale (p=.000) and ‘being bullied during training’(p=.009) but negatively by ‘presence of meaning in life’(p=.004). Surgeons’ perceived stress was explained both by N-scale (p=.000) followed by ‘seeing others bullied during training (p=.000) and negatively by ‘working extra days beyond schedule’ (p=.007). The presence of meaning in life was explained mostly by good beneficial stress (p= .000) but negatively both by ‘doing extra work beyond schedule’ (p= .016) and hostility (p= .003).
Conclusion
Surgeons may exhibit disruptive behaviour in a challenging situation. The narcissim-scale was the best predictor of hostility and perceived stress. Being bullied during surgical training predicted hostility. Seeing others being bullied during surgical training predicted stress. Beneficial stress is explained best by surgeons’ experience of the presence of meaning in life.
Publisher
Springer Science and Business Media LLC
Reference29 articles.
1. Patel P et al (2011) The disruptive orthopedic surgeon: implications for patient safety and malpractice liability. J Bone Joint Surg Am 93(21):e1261–e1266. https://doi.org/10.2106/JBJS.J.01933
2. DeLaRosa J (2017) The disruptive physician, how to manage the consequences of being you. Amazon
3. Porto G, Lauve R (2006) Disruptive clinical behavior: a persistent threat to patient safety. In: Patient Safety and Quality Healthcare Available online: https://www.psqh.com/julaug06/disruptive.html
4. Rosenstein A et al (2002) Disruptive physician behavior contributes to nursing shortage: Study links bad behavior by doctors to nurses leaving the profession. Physician Exec 28(6):8–11
5. Edition F (2013) Diagnostic and statistical manual of mental disorders. Am Psychiatric Assoc 21(21):591–643
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