Perceptions Of Mistreatment Research Articles

Research assistants’ perception of mistreatment and the strategies they prefer to overcome this mistreatment

<p>The purpose of this study is to determine research assistants’ perception of mistreatment from other faculty members and the strategies they prefer to overcome this mistreatment. The sample of this study includes 255 research assistants who work at seven faculties at Kocaeli University, Turkey. This study is in the descriptive survey model. In order to measure research assistants’ perception of mistreatment, “Mistreatment Scale” developed by Harlos and Axelrod (2005) and adapted to Turkish by Günçavdı and Polat (2015); and in order to measure strategies which research assistants prefer to overcome this mistreatment, “Secondary Appraisal Scale” developed by Rogers (1998) were used as data collection tools. It has been found out that research assistants’ perception of mistreatment from faculty showed significant difference depending on personal and organizational variables. Also it has been found out that research assistants used “barriers” strategies mostly to overcome mistreatment. This research has given an idea about research assistants’ experiences about being exposed to mistreatment, but this study is limited to students at Kocaeli University. In the future researches, the samples can be extended by taking research assistants who work at other universities as the sample. </p>

A Diary Study of Daily Perceived Mistreatment and Alcohol Consumption in College Students

A 30-day college student diary study examined daily perceptions of mistreatment, state ego-depletion, and evening alcohol consumption. We found that on days college students reported being ego-depleted, the more negative mistreatment experiences they reported during the day the more they drank that evening. In addition, negative mistreatment experiences were positively related to binge drinking on days students were high in ego-depletion but were negatively related to binge drinking on days students were low in ego-depletion. Perceiving mistreatment leads to increased drinking only on days that people do not have the cognitive resources to cope with being discriminated against more adaptively.

Why Do Young Males Attack Schools? Seven Discipline Leaders Share Their Perspectives

Mass shootings in public places such as political rallies in Arizona, movie theaters in Colorado, and grade schools in Connecticut and Norway are some of the most horrifying events we face in the 21st century. The time has come for us to research, understand, and communicate the causes for perpetrators who wreak such havoc on unsuspecting, unprepared, innocent people. The time has come for a peer-reviewed scientific journal to do everything possible to explore the contributing factors of such violent acts in order to mitigate or prevent them in the future. To this end, Violence and Gender has assembled a multidisciplinary panel of experts to look at the basic information regarding shooters--generally white males between fifteen and thirty years of age--from a wide range of scientific and behavioral perspectives as a foundation for understanding "why." Language: en

Relationship between medical student perceptions of mistreatment and mistreatment sensitivity

Background: National statistics reveal that efforts to reduce medical student mistreatment have been largely ineffective. Some hypothesize that as supervisors gain skills in professionalism, medical students become more sensitive.Aims: The purpose of this study was to determine if medical student perceptions of mistreatment are correlated with mistreatment sensitivity.Method: At the end of their third year, 175 medical students completed an Abuse Sensitivity Questionnaire, focused on student assessment of hypothetical scenarios which might be perceived as abusive, and the annual Well-Being Survey, which includes measurement of incident rates of mistreatment. It was hypothesized that those students who identified the scenarios as abusive would also be more likely to perceive that they had been mistreated.Results: Student perceptions of mistreatment were not statistically correlated with individual's responses to the scenarios or to a statistically derived abuse sensitivity variable. There were no differences in abuse sensitivity by student age or ethnicity. Women were more likely than men to consider it “harsh” to be called incompetent during rounds (p < 0.0005).Conclusion: This study provides preliminary evidence that challenges the hypothesis that medical students who perceive mistreatment by their superiors are simply more sensitive.

Family medicine graduates' perceptions of intimidation, harassment, and discrimination during residency training

BackgroundDespite there being considerable literature documenting learner distress and perceptions of mistreatment in medical education settings, these concerns have not been explored in-depth in Canadian family medicine residency programs. The purpose of the study was to examine intimidation, harassment and/or discrimination (IHD) as reported by Alberta family medicine graduates during their two-year residency program.MethodsA retrospective questionnaire survey was conducted of all (n = 377) family medicine graduates from the University of Alberta and University of Calgary who completed residency training during 2001-2005. The frequency, type, source, and perceived basis of IHD were examined by gender, age, and Canadian vs international medical graduate. Descriptive data analysis (frequency, crosstabs), Chi-square, Fisher's Exact test, analysis of variance, and logistic regression were used as appropriate.ResultsOf 377 graduates, 242 (64.2%) responded to the survey, with 44.7% reporting they had experienced IHD while a resident. The most frequent type of IHD experienced was in the form of inappropriate verbal comments (94.3%), followed by work as punishment (27.6%). The main sources of IHD were specialist physicians (77.1%), hospital nurses (54.3%), specialty residents (45.7%), and patients (35.2%). The primary basis for IHD was perceived to be gender (26.7%), followed by ethnicity (16.2%), and culture (9.5%). A significantly greater proportion of males (38.6%) than females (20.0%) experienced IHD in the form of work as punishment. While a similar proportion of Canadian (46.1%) and international medical graduates (IMGs) (41.0%) experienced IHD, a significantly greater proportion of IMGs perceived ethnicity, culture, or language to be the basis of IHD.ConclusionsPerceptions of IHD are prevalent among family medicine graduates. Residency programs should explicitly recognize and robustly address all IHD concerns.

Perception of Elder Mistreatment and Its Link to Help-Seeking Intention: A Comparison of Elderly Korean and Korean American Immigrants

The study examined perceptions of elder mistreatment (EM) and help-seeking intentions in two older Korean cohorts—residents in Korea (n = 124) and Korean immigrants (n = 124) in the United States, recruited using a quota sampling strategy. A mixed method survey utilized four hypothetical scenarios of physical, financial, and psychological abuse and neglect. A majority of participants perceived physical, financial, and psychological abuse scenarios as EM but not the neglect scenario. Multivariate analysis showed strong association between perception of mistreatment and help-seeking intention in the Korea-based cohort for all types of EM. In the immigrant cohort, help-seeking intention was associated with only the physical abuse vignette. The results suggest a need for culturally sensitive, type-specific EM interventions and education and policies on elder neglect in both countries.

Healthcare Mistreatment and Continuity of Cancer Screening Among Latino and Anglo American Women in Southern California

The aim of this research was to examine the relation of perceptions of healthcare mistreatment and related emotions to continuity of cancer screening care among women who reported healthcare mistreatment. The structure of relations among cultural beliefs about healthcare professionals, perceptions of mistreatment, mistreatment-related emotions, and continuity of screening was investigated. Participants included 313 Anglo and Latino American women of varying demographic characteristics from southern California who were recruited using multi-stage stratified sampling. Structural equation modeling confirmed the relation of perceptions of mistreatment to continuity of care for both Anglo and Latino American women, with ethnicity moderating this association. For Anglo Americans, greater perceptions of mistreatment were negatively related to continuity of screening. However, for Latinas the relation was indirect, through mistreatment-related anger. While greater perceptions of mistreatment were associated with higher levels of anger for both ethnic groups, anger was negatively related to continuity of care for Latino but not for Anglo women. Furthermore, cultural beliefs about professionals were indirectly related to continuity of screening through perceptions of mistreatment and/or mistreatment-related anger. These findings highlight the importance of the role of cultural and psychological factors in research and interventions aimed at improving patient-professional relations with culturally diverse women.

Prevalence of Mistreatment or Belittlement among Medical Students – A Cross Sectional Survey at a Private Medical School in Karachi, Pakistan

BackgroundMistreatment or belittlement of medical students either by faculty or fellow students has often been reported. Perception of mistreatment has also been associated with increased degree of psychological morbidity. There is a lack of such studies being conducted amongst the medical students of Pakistan. The aim of this study was to determine the prevalence and forms of perceived mistreatment and presence of mental health morbidity in a private medical school in Pakistan. Also, any association between mental health morbidity and mistreatment was to be identified.MethodsA cross sectional study was carried out on medical students from Aga Khan University Hospital, Karachi, Pakistan during the period of June–September 2007. A self administered questionnaire, adapted from Frank et al and Baldwin et al was distributed to a total of 350 students. The questionnaire consisted of three parts: the first dealing with the demographics of the population, the second concerning the various forms of mistreatment, while the third assessed the mental health of students using the General Health Questionnaire 12(GHQ12). Descriptive statistics were performed. The Chi-square test and Fisher's exact tests were applied.ResultsA total of 350 students were approached out of which 232 completed the questionnaire giving a response rate of 66.2%. Mistreatment was reported by 62.5% (145/232) of the respondents. Of these, 69.7% (83/145) were males and 54.9% (62/145) were females. There was a significant relationship between gender, year division, stress at medical school and possible use of drugs/alcohol and reported mistreatment but no statistical relationship was seen with psychiatric morbidity. The overall prevalence of psychological morbidity was 34.8% (77/221).ConclusionThis study suggests high prevalence of perceived mistreatment and psychological morbidity among Pakistani medical students. However, no association was found between these two aspects of medical student education. There is a need to bring about changes to make the medical education environment conducive to learning. Increased student feedback, support systems and guidance about progress throughout the year and the provision of adequate learning resources may provide help with resolving both of these issues.

Patient–Provider and Patient–Staff Racial Concordance and Perceptions of Mistreatment in the Health Care Setting

To determine what roles patient-provider and patient-staff racial concordance play on patients' perceptions within the health care setting. Data from the Commonwealth Fund 2001 Quality of Care telephone survey. Analysis focused on the subsample of 6,066 adults who live in the continental United States and who reported having a regular provider or a usual source of care (n = 4,762). We analyzed patients' responses about perceptions of disrespect, unfair treatment because of race and language, and the belief that he/she would have received better treatment if he/she belonged to a different race. We compared these perceptions of mistreatment with provider and staff racial concordance, controlling for sociodemographic variables. Contrary to our hypothesis, Hispanics were more likely to report being treated with disrespect if in a concordant relationship with their provider than if in a nonconcordant one (odds ratio [OR] 2.42, P < .01). Asians were less likely to report being treated unfairly because of race if in racially concordant relationships with providers than if in nonconcordant ones (P < .05). Hispanics were also less likely to perceive unfair treatment because of language when in concordant relationships with staff as compared to nonconcordant relationships with staff (P < .05). Patients' perceptions of health care relationships may partially depend on racial concordance with providers and staff. The nature of the association between racial concordance and perceived disrespect varies by racial group, indicating that other race-specific factors may also need to be examined.

Physician Assistant Studentsʼ Perceptions of Mistreatment During Training

Purpose: To describe, quantify, and assess the prevalence, type, and outcomes of mistreatment that PA students experience while completing their training. A supportive environment during training is critical to maximizing student learning. One strategy for creating a supportive environment is to eliminate barriers (such as student mistreatment) that create an undesirable climate for learning. Methods: The study utilized a nonexperimental, descriptive, research format using a questionnaire to investigate PA students’ perceptions regarding the occurrence of mistreatment during their training. The survey consisted of 20 questions regarding the forms of mistreatment that the PA students may have experienced. Additional information regarding the location, source, and timing in training was requested in those instances when mistreatment occurred. Results: Seventy-nine percent of the responding students reported experiencing at least one form of mistreatment. Sexually oriented mistreatment was the most frequently reported form (50.4%). Verbal mistreatment was the second most commonly reported form (47.5%). Thirteen percent reported gender mistreatment. Among students reporting to have experienced at least one form of mistreatment, 72% did not report the mistreatment to any school official. Conclusions: The results of this study suggest that significant rates of mistreatment occur among PA students. A limitation of this study is that students who believe that they were mistreated may respond in higher proportions that students who did not perceive mistreatment during their training. The results of this survey should be substantiated with a larger sample of PA students. PA educators should begin to consider strategies designed to prevent and respond to mistreatment.

Assessing medical students' perceptions of mistreatment in their second and third years.

To study medical students' perceptions of mistreatment in their second and third years of training. A questionnaire was distributed at Wayne State University School of Medicine to the class of 1993 at the end of its third year and to the class of 1994 at the end of its second and third years. The students were asked if they had been subjected to various forms of mistreatment; the third-year students were asked to rate their perceptions of each clinical department's response to them on the basis of gender and race-ethnicity, as well as their overall treatment. The students also completed demographic information about age, gender, and marital status, number of children, and race-ethnicity. Results were analyzed using chi-square statistics, multivariate statistical analyses, analyses of variance, and Duncan's post-hoc comparisons. The response rate for the class of 1993 was 71.5%; response for the class of 1994 were 66.9% in their second year and 75.2% in their third year; 41.7% were women, and the racial-ethnic breakdown was 71.2% white/Caucasian, 11.7% black/African American and 16.8% other. There was a significant difference between the percentages of second-year and third-year students reporting any experience of mistreatment (37.2% vs 75.8%, p < .001). Canonical correlation analysis revealed bias in the third year based on gender (p < .0001) and race-ethnicity (p < .0002); both variates were related to sexual humor. The students' perceptions of mistreatment were lowest for family medicine and highest for obstetrics-gynecology and surgery. Perceptions of mistreatment in departments varied significantly by gender and race-ethnicity. The nonwhite males reported the least favorable treatment in most departments. Marked variability in the students' perceptions of mistreatment within departments suggest that a variety of approaches will be required to improve the medical training environment.

A pilot study of medical student 'abuse'. Student perceptions of mistreatment and misconduct in medical school

A pilot study of medical student 'abuse'. Student perceptions of mistreatment and misconduct in medical school

A Pilot Study of Medical Student 'Abuse'

A pilot survey of one third-year medical school class was carried out to explore student perceptions of mistreatment and professional misconduct in medical school training. Students were asked to rate the frequency and cite sources of mistreatment and misconduct among classmates, faculty, residents, and interns. They were also asked to assess the effects of such episodes on their physical health, emotional well-being, social and family life, and attitudes toward becoming a physician. The results indicate that students perceive mistreatment (particularly verbal abuse and unfair tactics) to be pervasive and professional misconduct all too common. As many as three fourths of the students report having become more cynical about academic life and the medical profession as a result of these episodes. Two thirds feel they are worse off than their peers in other professions. More than a third have considered dropping out of medical school and one fourth report they would have chosen a different profession had they known in advance about the extent of mistreatment they would experience. Rather than dismiss these problems as isolated events, we need to examine this issue more closely.