Mobbing in a Greek Public Hospital and the Views Experiences and Beliefs among Health Professionals: A Qualitative Study (Published)
In the last 18 years, a significant increase of incidents of mobbing in occupational health professionals mainly in nursing, medical, and administrative staff. The phenomenon of mobbing and its effects on mental, physical health in health professionals, and consequently on the quality of life, in a workplace is a significant limitation in the psycho-spiritual balance of employees as well as for the proper functioning of the organization. The purpose of the study is to investigate the views, experiences and beliefs of health professionals about the phenomenon of Mobbing. In particular, it was researched on: (a) the understanding of the definition, (b) the adequate information (updating), and (c) the sensitization of health professionals. A qualitative study was carried out using the phenomenological approach. The sample consisted of 12 health professionals (nurses, physicians, and administrative staff) who work in a Greek public hospital. 12 semi-structured interviews were conducted. The semi-structured interview was consisted of 3 main axes with 9 questions in total. The problem of mobbing is a reality and exist in public hospital. Hospital professionals recognize that workplace mobbing is a form of psychological abuse and its forms of expressions are mainly verbal and behavioural. They point out that it can be manifested both by colleagues and superiors, but also by the patients’ relatives/helpers.To avoid such incidents in the health department, the Hospitals Administration, should have an anthropocentric character. The Heads of department, should to be educated and made aware, to know how to address any job harassment, as well as to organize information and awareness seminars for employees and self-help groups, through specific programs support, rehabilitation and reintegration for people who have suffered mobbing.
Background and objectives: The impact of mobbing on the quality of life of Health Professionals (HP) has been studied to a limited extent in Greece. The purpose of this study is the effect of mobbing and the effect of demographic characteristics on the quality of life of health professionals. Materials and Methods: In the present cross-sectional study HP from 11 public Greek hospitals are involved. The sample was (N = 1536) HP, (A = 528) and (C = 1008), average age 39.2 years (SD = 10.3 years). A demographic data form and two tools were used anonymously, self-fulfilling. The World Health Organization questionnaire (WHOQOL-BREF) that measure the quality of life and the WPVB that measures violent psychological behaviour in workplaces. The two-sided level of statistical significance was set at 0.05, while the data analysis was performed with the Statistical Package for Social Sciences (SPSS), version 22.0. Results: Women had lower scores in the Mental Health Scale and the quality life level of independence compared to men (p = 0.003). The tendency of individuals to declare that they had no health problem was associated with higher scores in the four domains of life quality (p <0.001). The tendency of individuals to declare that they have been subjected to mobbing in all domains (p <0.001) was associated with poor quality of life in all its factors (p <0.001). Married suffering mobbing reported better QOL (p = 0.003) and a healthier environment (p = 0.012) than married with children with poor QOL (p = 0.001), poor physical (p <0.001) and mental health (p = 0.009) and reduced social relationships (p = 0.001). The HP (doctors and nurses) with overall mobbing score, p = 0.001, had a better mental health and better social relations than those HP, who worked as Administrative and Technical Staff. Support by friends, relatives, family showed that they are associated with a better quality of life in all its factors. Health Professionals suffering any form of mobbing (p<0,001) have a poor quality of life (p<0,001), poor physical (p<0,001) and mental health (p<0,001) and poor social contacts (p<0,001). Conclusions: Taking into account the results of statistical controls on the effect of mobbing, demographic and other factors (sex, age, job, working years, etc.), it was found that mobbing negatively affects the QOL in general as the working environment is affected, their socio-demographic profile of both genders and their physical, mental and social well-being. Further studies are needed to show the universality of these results.
Knowledge Integration and Service Delivery of Health Professionals in Public Hospitals in South-South Nigeria (Published)
The specific objective of the study was to ascertain the extent to which knowledge integration influences service delivery of health professionals in public hospitals in South-South Nigeria. The study employed a correlation design. A sample of 596 respondents were selected from twelve categorized public hospitals is South-South using Taro Yamani’s formula. 34 questions were formulated in the questionnaire in line with the stated objective of the study. A total of 596 copies of questionnaire were administered and 551 copies were collected showing 92 percent responses, 10 responses were rejected and 541 copies constituting 90 percent of the questionnaire were analyzed. The results showed that there is positive significant relationship between knowledge integration and service delivery of health professionals in public hospitals in South-South Nigeria. The study concluded that the integration of knowledge management in service delivery is a vital aspect of learning in healthcare organization, as new discoveries and knowledge become available to professionals in their respective fields which have to acquire, transmit, retain and use the knowledge. The study therefore, recommends that organizations of various sizes should adequately integrate knowledge management enablers’ factors in their organizational culture and leadership to enhance organizational performance and provision of service quality. The integration of new knowledge in all the units within the healthcare institutions/organizations and adequate implementation of health policies and programmes will help to transform the healthcare delivery into a more cost effective error averse and accountable public resources. There should be an increasing individuals’ confidence in integrating useful knowledge with others. Knowledge integration can be enhanced by increasing employees’ self-efficacy through training. Organizations are expected to help shape and facilitate staff perceptions of knowledge ownership which have been found to enhance their knowledge integration because of internal satisfaction.