Evidence map›Paper›PMID 27324715›Full record

ArticleBMJ open2016

Consultants as victims of bullying and undermining: a survey of Royal College of Obstetricians and Gynaecologists consultant experiences.

Tariq Shabazz, William Parry-Smith, Sharon Oates, Steven Henderson, Joanna Mountfield

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
14.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  5. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Tariq ShabazzRoyal College of Obstetricians and Gynaecologists, London, UK.
William Parry-SmithRoyal College of Obstetricians and Gynaecologists, London, UK.
Sharon OatesRCOG Workplace Behaviour Champion, Shrewsbury and Telford Hospitals Trust, Princess Royal Hospital, Telford, UK.
Steven HendersonHead of Impact and Social Innovation, Southampton Solent University, Southampton, Hampshire, UK.
Joanna MountfieldRoyal College of Obstetricians and Gynaecologists, London, UK.
Royal College of Obstetricians and Gynaecologists · GBPrincess Royal Hospital · GBSouthampton Solent University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore incidents of bullying and undermining among obstetrics and gynaecology (O&G) consultants in the UK, to add another dimension to previous research and assist in providing a more holistic understanding of the problem in medicine.

designQuestionnaire survey.

settingRoyal College of Obstetricians and Gynaecologists (RCOG).

participantsO&G consultant members/fellows of the RCOG working in the UK.

main outcome measuresMeasures included a typology of 4 bullying and undermining consequences from major to coping.

resultsThere was a 28% (664) response rate of whom 44% (229) responded that they had been persistently bullied or undermined. Victims responded that bullying and undermining is carried out by those senior or at least close in the hierarchy. Of the 278 consultants who answered the question on 'frequency of occurrence', 50% stated that bullying and undermining occurs on half, or more, of all encounters with perpetrators and two-thirds reported that it had lasted more than 3 years. The reported impact on professional and personal life spans a wide spectrum from suicidal ideation, depression and sleep disturbance, and a loss of confidence. Over half reported problems that could compromise patient care. When victims were asked if the problem was being addressed, 73% of those that responded stated that it was not.

conclusionsSignificant numbers of consultants in O&G in the UK are victims of bullying and undermining behaviour that puts their own health and patient care at risk. New interventions to tackle the problem, rather than its consequences, are required urgently, together with greater commitment to supporting such interventions.

Indexed as

GynecologyObstetricsAdultAgedBullyingConsultantsDepressionFemaleHumansMaleMiddle AgedSuicidal IdeationSurveys and QuestionnairesUnited KingdomBullyingConsultantUndermining

Identifiers

PMID27324715
PMCPMC4916587
OpenAlexW2462236164

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.