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Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor

INTRODUCTION: Horizontal violence (HV) is defined as “persistent exposure to interpersonal aggression and mistreatment from colleagues.” Our objective in this pilot, single-site study was to identify sources of HV toward emergency medicine (EM) residents, using the Negative Acts Questionnaire-Revise...

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Autores principales: Jacobson, Ashley A., Colletti, James E., Raukar, Neha P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541973/
https://www.ncbi.nlm.nih.gov/pubmed/36205679
http://dx.doi.org/10.5811/westjem.2022.6.55485
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author Jacobson, Ashley A.
Colletti, James E.
Raukar, Neha P.
author_facet Jacobson, Ashley A.
Colletti, James E.
Raukar, Neha P.
author_sort Jacobson, Ashley A.
collection PubMed
description INTRODUCTION: Horizontal violence (HV) is defined as “persistent exposure to interpersonal aggression and mistreatment from colleagues.” Our objective in this pilot, single-site study was to identify sources of HV toward emergency medicine (EM) residents, using the Negative Acts Questionnaire-Revised (NAQ-R). METHODS: In this investigation we used a descriptive cross-sectional survey design to categorize HV. All voluntary participants were residents in an Accreditation Council for Graduate Medical Education-approved, three-year academic EM residency. Data were collected via electronic survey and occurred six months into an academic year. We collected demographic information and responses to the NAQ-R in 2020. Horizontal violence is subdivided into three categories: work-related; person-related; and physical intimidation. Emergency medicine residents answered questions as they related to their interactions with residents and support staff, which included nursing. RESULTS: A total of 23 of 26 residents responded (89%). Participants were 56% women, 78% white, 11% Hispanic, and 89% heterosexual. Participant clinical year was 39% first-, 39% second-, and 22% third-year residents. Women reported a higher frequency of HV compared to men (1.3 vs 1.1, P =.01). By category, women indicated higher incidence of work-related violence from other residents (P = .05) and staff (P =.02). There was no difference in reported frequency of violence for interns compared to senior residents. CONCLUSION: Our pilot study demonstrated horizontal violence toward EM residents exists and is more prevalent in women.
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spelling pubmed-95419732022-10-11 Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor Jacobson, Ashley A. Colletti, James E. Raukar, Neha P. West J Emerg Med Health Equity INTRODUCTION: Horizontal violence (HV) is defined as “persistent exposure to interpersonal aggression and mistreatment from colleagues.” Our objective in this pilot, single-site study was to identify sources of HV toward emergency medicine (EM) residents, using the Negative Acts Questionnaire-Revised (NAQ-R). METHODS: In this investigation we used a descriptive cross-sectional survey design to categorize HV. All voluntary participants were residents in an Accreditation Council for Graduate Medical Education-approved, three-year academic EM residency. Data were collected via electronic survey and occurred six months into an academic year. We collected demographic information and responses to the NAQ-R in 2020. Horizontal violence is subdivided into three categories: work-related; person-related; and physical intimidation. Emergency medicine residents answered questions as they related to their interactions with residents and support staff, which included nursing. RESULTS: A total of 23 of 26 residents responded (89%). Participants were 56% women, 78% white, 11% Hispanic, and 89% heterosexual. Participant clinical year was 39% first-, 39% second-, and 22% third-year residents. Women reported a higher frequency of HV compared to men (1.3 vs 1.1, P =.01). By category, women indicated higher incidence of work-related violence from other residents (P = .05) and staff (P =.02). There was no difference in reported frequency of violence for interns compared to senior residents. CONCLUSION: Our pilot study demonstrated horizontal violence toward EM residents exists and is more prevalent in women. Department of Emergency Medicine, University of California, Irvine School of Medicine 2022-09 2022-08-19 /pmc/articles/PMC9541973/ /pubmed/36205679 http://dx.doi.org/10.5811/westjem.2022.6.55485 Text en Copyright: © 2022 Jacobson et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Health Equity
Jacobson, Ashley A.
Colletti, James E.
Raukar, Neha P.
Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title_full Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title_fullStr Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title_full_unstemmed Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title_short Horizontal Violence Toward Emergency Medicine Residents: Gender as a Risk Factor
title_sort horizontal violence toward emergency medicine residents: gender as a risk factor
topic Health Equity
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541973/
https://www.ncbi.nlm.nih.gov/pubmed/36205679
http://dx.doi.org/10.5811/westjem.2022.6.55485
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