Mistreatment of Paraguayan medical residents in 2022: a multicenter study

Introduction: Postgraduate residents tend to suffer mistreatment during their hospital practices and these abusive behaviors should not be considered normal. The objective of this study was to describe the frequency and characteristics of abuse in medical residents of Paraguay in 2022. Methodology:...

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Autores principales: Real Delor, Raúl Emilio, Ayala Saucedo, Américo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023
Materias:
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/40440
Aporte de:
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institution_str I-10
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container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic hospital medical staff
sexual harassment
social behavior
surveys and questionnaires
cuerpo médico de hospitales
acoso sexual
conducta social
encuestas y cuestionarios
corpo clínico hospitalar
assédio sexual
comportamento social
inquéritos e questionários
spellingShingle hospital medical staff
sexual harassment
social behavior
surveys and questionnaires
cuerpo médico de hospitales
acoso sexual
conducta social
encuestas y cuestionarios
corpo clínico hospitalar
assédio sexual
comportamento social
inquéritos e questionários
Real Delor, Raúl Emilio
Ayala Saucedo, Américo
Mistreatment of Paraguayan medical residents in 2022: a multicenter study
topic_facet hospital medical staff
sexual harassment
social behavior
surveys and questionnaires
cuerpo médico de hospitales
acoso sexual
conducta social
encuestas y cuestionarios
corpo clínico hospitalar
assédio sexual
comportamento social
inquéritos e questionários
author Real Delor, Raúl Emilio
Ayala Saucedo, Américo
author_facet Real Delor, Raúl Emilio
Ayala Saucedo, Américo
author_sort Real Delor, Raúl Emilio
title Mistreatment of Paraguayan medical residents in 2022: a multicenter study
title_short Mistreatment of Paraguayan medical residents in 2022: a multicenter study
title_full Mistreatment of Paraguayan medical residents in 2022: a multicenter study
title_fullStr Mistreatment of Paraguayan medical residents in 2022: a multicenter study
title_full_unstemmed Mistreatment of Paraguayan medical residents in 2022: a multicenter study
title_sort mistreatment of paraguayan medical residents in 2022: a multicenter study
description Introduction: Postgraduate residents tend to suffer mistreatment during their hospital practices and these abusive behaviors should not be considered normal. The objective of this study was to describe the frequency and characteristics of abuse in medical residents of Paraguay in 2022. Methodology: An observational cross-sectional design was applied. Residents of Paraguayan hospitals who agreed to complete an online survey disseminated through social networks were included. A 23-question questionnaire that assesses psychological, physical, academic, and sexual abuse was used. Additionally, demographic, academic data and aspects related to the reporting of abuse were requested. Results: The questionnaire was filled out by 348 residents. The mean age was 28 ± 2 years and there was a predominance of the female sex (63.2%). Residents of 32 hospitals participated, most of 1st year (50.3%) and clinical specialties (60.6%). According to the questionnaire, 339 residents (97.4%) reported some degree of abuse.  Relating the specialties with the abuse, it was higher in the surgical ones: RR 1.4 95% CI 1.0-1.9 (p 0.01).  The main perpetrators of mistreatment were senior residents (53.7%) and ward managers (31%).  Only the 8% of mistreatment were reported.  The main reason for not reporting abuse was fear that it could cause problems (67.8%). Conclusions: Mistreatment was reported by 97.4% of residents, being higher in surgical specialties.  It is urgent to apply preventive measures to avoid this type of abuse during medical residency.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2023
url https://revistas.unc.edu.ar/index.php/med/article/view/40440
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spelling I10-R327-article-404402023-07-10T12:07:38Z Mistreatment of Paraguayan medical residents in 2022: a multicenter study Maltrato a residentes de medicina del Paraguay en 2022: estudio multicéntrico Ocorrência de maus-tratos contra médicos residentes no Paraguai em 2022: estudo multicêntrico Real Delor, Raúl Emilio Ayala Saucedo, Américo hospital medical staff sexual harassment social behavior surveys and questionnaires cuerpo médico de hospitales acoso sexual conducta social encuestas y cuestionarios corpo clínico hospitalar assédio sexual comportamento social inquéritos e questionários Introduction: Postgraduate residents tend to suffer mistreatment during their hospital practices and these abusive behaviors should not be considered normal. The objective of this study was to describe the frequency and characteristics of abuse in medical residents of Paraguay in 2022. Methodology: An observational cross-sectional design was applied. Residents of Paraguayan hospitals who agreed to complete an online survey disseminated through social networks were included. A 23-question questionnaire that assesses psychological, physical, academic, and sexual abuse was used. Additionally, demographic, academic data and aspects related to the reporting of abuse were requested. Results: The questionnaire was filled out by 348 residents. The mean age was 28 ± 2 years and there was a predominance of the female sex (63.2%). Residents of 32 hospitals participated, most of 1st year (50.3%) and clinical specialties (60.6%). According to the questionnaire, 339 residents (97.4%) reported some degree of abuse.  Relating the specialties with the abuse, it was higher in the surgical ones: RR 1.4 95% CI 1.0-1.9 (p 0.01).  The main perpetrators of mistreatment were senior residents (53.7%) and ward managers (31%).  Only the 8% of mistreatment were reported.  The main reason for not reporting abuse was fear that it could cause problems (67.8%). Conclusions: Mistreatment was reported by 97.4% of residents, being higher in surgical specialties.  It is urgent to apply preventive measures to avoid this type of abuse during medical residency. Introducción: los residentes de postgrado tienden a sufrir maltratos durante sus prácticas hospitalarias y estos comportamientos abusivos no deben considerarse normales. El objetivo fue describir la frecuencia y las características del maltrato en residentes de medicina del Paraguay en 2022. Metodología: se aplicó un diseño observacional de corte transversal. Se incluyó a los residentes de hospitales del Paraguay de aceptaban completar una encuesta online difundida por las redes sociales. Se utilizó un cuestionario de 23 preguntas que evalúa el maltrato psicológico, físico, académico y sexual. Adicionalmente se solicitó datos demográficos, académicos y aspectos relacionados a la denuncia del maltrato. Resultados: el cuestionario fue llenado por 348 residentes. La edad media fue 28 ± 2 años y hubo predomino del sexo femenino (63,2%). Participaron residentes de 32 hospitales, la mayoría era de 1° año (50,3%) y de especialidades clínicas (60,6%). Acorde al cuestionario, 339 residentes (97,4%) refirieron algún grado de maltrato. Relacionando las especialidades con el maltrato, el mismo fue mayor en las quirúrgicas: RR 1,4 IC 95% 1,0-1,9 (p 0,01). Los principales responsables del maltrato fueron los residentes superiores (55,2%) y los jefes de salas (31,8%). La denuncia fue realizada por 8% de los afectados. El principal motivo para no denunciar fue el temor a que realizarla le traería problemas (67,8%). Conclusiones: el maltrato fue referido por 97,4% de los residentes, siendo mayor en las especialidades quirúrgicas. Urge aplicar medidas preventivas para evitar este tipo de abusos durante la residencia. Introdução: há uma probabilidade de que médicos residentes sofram maus-tratos durante seus estágios hospitalares, uma situação que não deve ser normalizada. Este estudo descreve a frequência e as características dos casos de maus-tratos em residentes médicos no Paraguai em 2022. Metodologia: foi aplicado um desenho observacional, transversal. Foram incluídos os médicos residentes em hospitais paraguaios que completaram uma enquete on-line, divulgada através de redes sociais. O questionário continha 23 perguntas, que avaliaram o tipo de maus-tratos, bem como dados demográficos e acadêmicos e aspectos relacionados com a denúncia. Resultados: Foram recebidas 348 respostas de residentes trabalhando em 32 centros hospitalares. A idade média dos residentes foi de 28 ± 2 anos, com predominância do sexo feminino (63,2%). Quanto ao tempo de atuação, a maioria deles estava em seu primeiro ano (50,3%), em especialidades clínicas (60,6%). Quase todos relataram ter sofrido algum tipo de abuso (97,4%). A análise relacional entre tipologia dos maus-tratos e especialidade médica mostrou valores mais altos na área cirúrgica; RR 1,4 IC95% [1,0-1,9] (p<0,01). Os principais autores de maltrato foram os residentes seniores (55,2%) e os chefe de área (31,8%). A denúncia foi feita por 8% dos residentes afetados, sendo o medo de represálias a principal razão para a não denúncia (67,8%). Conclusões: a ocorrência de maus-tratos foi 97,4%, com especial atenção à área cirúrgica. Os dados mostram a urgência de aplicar medidas preventivas para evitar este tipo de abuso durante a residência. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text texto texto text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/40440 10.31053/1853.0605.v80.n2.40440 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 No. 2 (2023); 112-118 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 Núm. 2 (2023); 112-118 Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 n. 2 (2023); 112-118 1853-0605 0014-6722 10.31053/1853.0605.v80.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/40440/41217 https://revistas.unc.edu.ar/index.php/med/article/view/40440/41406 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0