El Boghdady, M; Ewalds-Kvist, BM
(2023)
Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis.
Langenbecks Arch Surg, 408 (1).
p. 349.
ISSN 1435-2451
https://doi.org/10.1007/s00423-023-03068-z
SGUL Authors: El Boghdady, Michael
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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. 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.
Item Type: | Article | ||||||
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Additional Information: | Correction available at https://doi.org/10.1007/s00423-023-03112-y © The Author(s) 2023 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | ||||||
Keywords: | Bullying, Hostility, Meaning of life, Narcissism, Quality of work-life, Stress, Surgeons, Training, Humans, State Medicine, Surgeons, Bullying, Multivariate Analysis, Patient Safety, Humans, Multivariate Analysis, State Medicine, Bullying, Patient Safety, Surgeons, Surgeons, Hostility, Narcissism, Stress, Quality of work-life, Meaning of life, Bullying, Training, Bullying, Humans, Multivariate Analysis, Patient Safety, State Medicine, Surgeons, Bullying, Hostility, Meaning of life, Narcissism, Quality of work-life, Stress, Surgeons, Training, 1103 Clinical Sciences, Surgery | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Institute of Medical & Biomedical Education (IMBE) Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE ) |
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Journal or Publication Title: | Langenbecks Arch Surg | ||||||
ISSN: | 1435-2451 | ||||||
Language: | eng | ||||||
Dates: |
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||
PubMed ID: | 37666994 | ||||||
Web of Science ID: | WOS:001063500100001 | ||||||
Go to PubMed abstract | |||||||
URI: | https://openaccess.sgul.ac.uk/id/eprint/115712 | ||||||
Publisher's version: | https://doi.org/10.1007/s00423-023-03068-z |
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