TY - JOUR
T1 - Impact of workplace discrimination and harassment among National Health Service staff working in London trusts
T2 - Results from the TIDES study
AU - Rhead, Rebecca D.
AU - Chui, Zoe
AU - Bakolis, Ioannis
AU - Gazard, Billy
AU - Harwood, Hannah
AU - Maccrimmon, Shirlee
AU - Woodhead, Charlotte
AU - Hatch, Stephani L.
N1 - Funding Information:
This paper represents independent research funded by the Wellcome Trust [203380/Z/16/Z]. S.H. and I.B. are supported by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and I.B. is supported by the NIHR Collaboration for Leadership in Applied Health Research and Care South London at King?s College Hospital NHS Foundation Trust, King?s College London. C.W. and S.L.H. are supported by the ESRC Centre for Society and Mental Health at King?s College London (ESRC Reference: ES/ S012567/1). The funders had no involvement in study design, data collection, analysis, interpretation or the decision to submit for publication. The views expressed are those of the author(s) and not necessarily those of the funders.
Funding Information:
This paper represents independent research funded by the Wellcome Trust [203380/Z/16/Z]. S.H. and I.B. are supported by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and I.B. is supported by the NIHR Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust, King's College London. C.W. and S.L.H. are supported by the ESRC Centre for Society and Mental Health at King's College London (ESRC Reference: ES/S012567/1). The funders had no involvement in study design, data collection, analysis, interpretation or the decision to submit for publication. The views expressed are those of the author(s) and not necessarily those of the funders.
Publisher Copyright:
Copyright © The Author(s), 2020. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2020
Y1 - 2020
N2 - Background Harassment 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. Aims Examine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey. Method In 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. Results Women, 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. Conclusions NHS 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.
AB - Background Harassment 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. Aims Examine the impact of harassment and discrimination on NHS staff working in London trusts, utilising data from the 2019 TIDES cross-sectional survey. Method In 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. Results Women, 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. Conclusions NHS 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.
KW - Discrimination
KW - harassment
KW - heathcare
KW - inequalities
KW - mental health
UR - http://www.scopus.com/inward/record.url?scp=85107470216&partnerID=8YFLogxK
U2 - 10.1192/bjo.2020.137
DO - 10.1192/bjo.2020.137
M3 - Article
AN - SCOPUS:85107470216
SN - 2056-4724
VL - 7
JO - British Journal of Psychiatry Open
JF - British Journal of Psychiatry Open
IS - 1
M1 - e10
ER -
