Workplace mistreatment of Swedish health care professionals: prevalence and perpetrators across profession, sex, and birth country

Abstract Background This study explores the prevalence and co-occurrence of workplace mistreatment of nurses and physicians and their perpetrators. We explore the distribution of incivility and identity-based harassment (ethnicity-, gender-based, and/or sexual harassment), combined with sex and birt...

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Main Authors: Britta E. Gynning, Elinor Forsheden Sidoli, Katrina J. Blindow, Emma Cedstrand, Erika L. Sabbath, Emma Brulin
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Health Services Research
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Online Access:https://doi.org/10.1186/s12913-025-12620-0
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Summary:Abstract Background This study explores the prevalence and co-occurrence of workplace mistreatment of nurses and physicians and their perpetrators. We explore the distribution of incivility and identity-based harassment (ethnicity-, gender-based, and/or sexual harassment), combined with sex and birth country in these two professional groups. Methods This cross-sectional study draws on survey data, including an analytical sample of 141,237 Swedish nurses and physicians in 2022. Results Incivility was the most prevalent mistreatment type, ranging from 28.2% among male physicians to 59.5% among nurses born outside Europe. Identity-based harassment ranged from 18.1% among male physicians to 57.8% among nurses born outside Europe. Incivility stemmed most commonly from internal perpetrators (co-workers), and harassment was more commonly experienced by patients or their relatives. Conclusions The mistreatment of healthcare professionals was widespread. Different types of mistreatment often co-occur, but prevalence varies substantially. The protective effect of professional status was dependent on social structures.
ISSN:1472-6963