ArticleBJPsych open2020
Impact of workplace discrimination and harassment among National Health Service staff working in London trusts: results from the TIDES study.
Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Disclosure experiences in LGBTQ+ healthcare staff: a systematic review and meta-synthesis.BMJ open · 2026Pooled it
- Effects of strategies to tackle racism experienced by healthcare professionals: a systematic review.BMJ open · 2025Pooled it
- Systematic review of well-being interventions for minority healthcare workers.Frontiers in medicine · 2025Pooled it
- Working conditions and mental health of migrants and refugees in Europe considering cultural origin- a systematic review.BMC public health · 2024Pooled it
- Relationship between working conditions and mental health of migrants and refugees/asylum seekers vs. natives in Europe: a systematic review.International archives of occupational and environmental health · 2023Pooled it
- Discrimination Against Healthcare Workers by Patients and Colleagues, Affective Injustice and the Impact on Well-Being and Practice.Bioethics · 2026Article
- Inequalities in NHS staff support among those from ethnic minority and migrant groups during the COVID-19 pandemic.Occupational and environmental medicine · 2026Article
- Article
- Struggles, Strength, and Aspirations: Voices of Healthcare Workers in a Major Hospital System.Journal of racial and ethnic health disparities · 2026Article
- Association between perceived discrimination and depressive symptoms among male and female mining workers in Chile: a sex-stratified analysis and the mediating role of psychological distress.BMC public health · 2026Article
- Middle managers as barriers or enablers in tackling racial discrimination in the NHS: a qualitative research study.BMJ open · 2026Article
- Mental health of healthcare workers in England during the first three years of the COVID-19 pandemic: The NHS CHECK study cohort.PloS one · 2026Article
- Article
- 'Never Going to be a Cut Above [the Rest].' Medical Students' Perceptions of How Their Personal Protected Characteristics Impacted Surgical Learning.Medical science educator · 2025Article
- Beyond skin and accents: tackling nationality-based bias in health care and society.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Vicarious Racism, Direct Racism, and Mental Health Among Racialized Minority Healthcare Workers.Journal of racial and ethnic health disparities · 2025Article
- Guiding principles for accelerating change through health inequities research and practice: A modified Delphi consensus process.PloS one · 2025Article
- Integration experiences of internationally educated diagnostic radiographers working in the UK.PloS one · 2025Article
- Securing human resources for Japan's aging population: a mixed methods study of job satisfaction and well-being among Southeast Asian long-term care workers in Japan.BMC health services research · 2024Article
- How Much Bullying and Discrimination Are Reported by Sexual and Gender Minorities in Orthopaedics?Clinical orthopaedics and related research · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
backgroundHarassment and discrimination in the National Health Service (NHS) has steadily increased over the past 5 years with London being the worst performing region. There is a lack of data and research on the impact this is having on staff health and job satisfaction. Such data are necessary to inform the development of effective workplace interventions to mitigate the effects these experiences have on staff.
aimsExamine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey.
methodIn total, 931 London-based healthcare practitioners participated in the TIDES survey. Regression analysis was used to examine associations between the sociodemographic characteristics of participants, exposure to discrimination and harassment, and how such exposures are associated with physical and mental health, job satisfaction and sickness absence.
resultsWomen, Black ethnic minority staff, migrants, nurses and healthcare assistants were most at risk of discrimination and/or harassment. Experiencing either of the main exposures was associated with probable anxiety or depression. Experiencing harassment was also associated with moderate-to-severe somatic symptoms. Finally, both witnessing and experiencing the main exposures were associated with low job satisfaction and long periods of sickness absence.
conclusionsNHS staff, particularly those working in London trusts, are exposed to unprecedented levels of discrimination and harassment from their colleagues. Within the context of an already stretched and under-resourced NHS, in order to combat poor job satisfaction and high turnover rates, the value of all healthcare practitioners must be visibly and continuously reinforced by all management and senior leaders.
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