An Australian hospital network’s coworker feedback program has shed light on how members of the various health professions feel about their colleagues, and the results make unhappy reading for doctors.
St Vincent’s Health introduced the secure online submission system as part of its ‘Ethos’ initiative, intended to improve the workplace culture at its eight hospitals in Victoria, New South Wales and Queensland.
Staff were asked to report negative or unprofessional behaviour by coworkers, termed ‘Feedback for Reflection’, as well as any positive examples (Feedback for Recognition), with the health service receiving 2504 reports in all between 2017 and 2020.
There was a relatively even split, with 48% of submissions coming in for ‘recognition’ compared to 52% giving a thumbs down to a colleague for their behaviour.
But patterns emerged showing wide variance between each professional group, both in terms of how frequently they took the opportunity to praise or complain about a co-worker and how their behaviour was viewed by others.
Interestingly, submission rates were highest among nurses, who authored 66% of the positive reports and 61% of the negative reports over the three years.
Even taking into account workforce numbers, this equated to approximately 20% of nurses making a submission in that time, compared with only 7% of doctors and 14% of allied health workers.
Nurses were also the most frequent subject of ‘recognition’ submissions, while management and administrative staff were the least.
On the other hand, medical staff were by far the most frequent subjects of negative feedback, with an equivalent of 13% of the group’s doctors receiving a ‘reflection’ submission, compared with 7% of nurses and 6% of allied health staff.
Unprofessional behaviour
Writing in BMJ Open Quality (link here), the researchers stressed this did not necessarily mean 13% of doctors had been the subject of negative feedback, given the likelihood some would have received multiple complaints.
Nevertheless, the numbers were consistent with previous studies which had also found higher rates of unprofessional behaviour among medical staff, they wrote.
Among the reflection submissions, 54% related to ‘being spoken to rudely’, while around a quarter described humiliating or ridiculing behaviour, ‘opinions being ignored’, or shouting respectively.