An analysis of factors affecting the reduction of bullying in the hospital emergency environment using structural-interpretive modeling

Ziaaddini, Mohammad; Abolhasani, Mohamaad sadegh; Zarezadeh, Mohamaad; Salarikhah, Elahe; Khazaei, Homa; GHorbani, Farzaneh

Volume 21, Issue 4 (1-2023) jhosp 2023, 21(4): 36-46 | Back to browse issues page

‎ 20.1001.1.20081928.1401.21.4.4.2

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Ziaaddini M, Abolhasani M S, Zarezadeh M, Salarikhah E, Khazaei H, GHorbani F. An analysis of factors affecting the reduction of bullying in the hospital emergency environment using structural-interpretive modeling. jhosp 2023; 21 (4) :36-46
URL: http://jhosp.tums.ac.ir/article-1-6530-en.html

An analysis of factors affecting the reduction of bullying in the hospital emergency environment using structural-interpretive modeling

Mohammad Ziaaddini¹

, Mohamaad sadegh Abolhasani ^*

², Mohamaad Zarezadeh³

, Elahe Salarikhah⁴

, Homa Khazaei⁵

, Farzaneh GHorbani⁶

1- Assistant Professor, Department of Management, Rafsanjan Azad University
2- Doctoral student of public administration, management department, Rafsanjan Azad University.sadegh.abolhasani@yahoo.com
3- Assistant Professor, Health Management and Policy Research Center, Department of Healthcare Management, Faculty of Health, Yazd University of Medical Sciences
4- Senior expert in healthcare services management, Shahid Sadoughi University of Medical Sciences, Yazd
5- Ph.D. student of public administration, department of management, Rafsanjan Azad University
6- Social work expert, Shahid Sadoughi University of Medical Sciences, Yazd

Abstract: (934 Views)

Background and purpose: Considering the dimensions of organizational bullying and the context of its creation in the emergency department of the hospital, the decrease in the quality of patient care and the increase in dissatisfaction with the services received and the limited research studies in this area, the research was conducted in the emergency department of a hospital of Yazd University of Medical Sciences.
Materials and methods: To carry out this descriptive-analytical research, the interpretive structural modeling method was used. The experts included 30 doctors, nurses, and nurses who were either working in the emergency department of a Yazd University of Medical Sciences hospital or had experience of service in this department. From the extraction of these factors, they were returned to them for scoring, and the effects of these factors were measured from their point of view, and the final analysis was done by MATLAB software.
Results: The results show that the greatest effect in reducing bullying is related to "adequate training for personnel to communicate" and "proper and courteous treatment in the face of clients" (with influence power of 5) and the least effect is related to "creating a suitable comfortable environment". and "Perform appropriate triage" (with penetration power of 1).
Conclusion: Considering the destructive effects of bullying, creating appropriate mechanisms to reduce this phenomenon shown in this research and using the factors identified by the people involved in bullying can prevent this phenomenon, which occurs frequently in the emergency room of the hospital.