Perundungan dan Stres pada Mahasiswa Kedokteran
DOI:
https://doi.org/10.35790/ecl.v13i1.60736Abstract
Abstract: Bullying tend to occur in the educational process, including inside medical institutions. Bullying is associated with high level of stress, which may influence various aspects of life, including quality of service and patient safety. This study aimed to report various literature regarding bullying and stress in medical students. This was a systematic review study using three databases, namely Google Scholar, PubMed, and Clinical Key. The literatures used should be in Indonesian or English, published during the last five years. Based on the 10 studies reviewed, it was found that bullying still occurred in medical education, with a prevalence of 16% up to 86.8%. The major target of bullying was females. Bullying influenced one’s psychological, academic, and social aspects. Psychologically, bullying was associated with high level of stress, anxiety, and depression. In conclusion, bullying among medical students is associated with stress.
Keywords: bullying; stress; medical students
Abstrak: Perundungan seringkali terjadi dalam proses pendidikan, termasuk di dalam institusi kedokteran. Perundungan dikaitkan dengan stres yang tinggi, yang dapat memengaruhi berbagai aspek kehidupan, termasuk mutu pelayanan dan keselamatan pasien. Penelitian ini bertujuan untuk melaporkan kajian pustaka dari perundungan dan stres pada mahasiswa kedokteran. Penelitian ini menggunakan metode systematic literature review dengan menggunakan tiga database, yaitu Google Scholar, PubMed, dan Clinical Key. Literatur yang digunakan dalam bahasa Indonesia atau bahasa Inggris, yang diterbitkan dalam lima tahun terakhir. Berdasarkan hasil reviu dari 10 penelitian yang didapat, ditemukan bahwa perundungan masih sering terjadi dalam pendidikan kedokteran dengan prevalensi 16% hingga 86,8%. Mayoritas sasaran perundungan ialah perempuan. Perundungan memengaruhi aspek psikolgis, akademis, dan sosial. Secara psikologis, perundungan diasosiasikan dengan stres yang tinggi, kecemasan, dan depresi. Simpulan penelitian ini ialah perundungan pada mahasiswa kedokteran diasosiasikan dengan stres.
Kata kunci: perundungan; stres; mahasiswa kedokteran
References
Undang- Undang Nomor 20 tahun 2013 tentang Pendidikan Kedokteran Bab I Pasal I. Available from: https://jdih.mahkamahagung.go.id/storage/uploads/produk_hukum/file/UU%2020%202013.pdf
University of Rochester. Creating an optimal learning environment. Educator Development Forum; 2021 March 3. Available from: https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/ medicine/ documents/Clinical-Learning-Environment.pdf
Quine L. Workplace bullying in junior doctors: questionnaire survey. British Medical Journal. 2002;324(7342):878-9. Doi: https://doi.org/10.1136%2Fbmj.324.7342.878
Medical Board of Australia and Ahpra. Medical Training Survey 2022. Victoria: Ahpra; 2022. Available from: https://medicaltrainingsurvey.gov.au/Download/2022/2022-Medical-Training-Survey-National-Report.pdf
Nurdianto AR, Zamroni M, Miarsa FRD. Bullying pada mahasiswa pendidikan kedokteran di Indonesia ditinjau dari aspek hukum dan HAM. Jurnal Reformasi Hukum: Cogito Ergo Sum. 2022;5(2):15-25. Available from: https://ejournal.umaha.ac.id/index.php/reformasi/article/view/2078
Ostberg V, Laftman S, Bitte Modin, Lindfors P. Bulllying as a stressor in mid- adolescent girls and boys- association with perceived stress, recurrent pain, and salivaryn cortisol. International Journal of Environmental Research and Public Health. 2018;15(2):364. Doi: https://doi.org/10.3390/ijerph1 5020364
World Health Organization. Stress. 2023 Feb 21. Available from: https://www.who.int//news-room/questions-and-answers/item/stress/?gclid=Cj0KCQiAnfmsBhDfARIsAM7MKi3GxIsnZqq aM1S2PP_0tLjbK_ihAKxRBZqsWcTJGN0cCjeXtj2zbLcaAiNSEALw_wcB
American Psychological Association. How stress affects your health. Washington: American Psychological Association; 2022 Oct 31. Available from: https://www.apa.org/topics/stress/health
Jafri SAM, Zaidi E, Aamir IS, Aziz HW, Imad-ud-Din, Shah MAH. Stress level comparison of medical and non-medical students: a cross-sectional study done at various professional colleges in Karachi, Pakistan. Acta Psychopathologica. 2017;3(2):1-6. Doi: http://dx.doi.org/10.4172/2469-6676. 100080
Rahmayani RD, Liza RG, Syah NA. Gambar tingkat stres berdasarkan stressor pada mahasiswa kedokteran tahun pertama Program Studi Profesi Dokter Fakultas Kedokteran Universitas Andalas Angkatan 2017. Jurnal Kesehatan Andalas. 2019;8(1):103. Doi: 10.25077/jka.v8.i1.p103-111.2019
Faillace LA. The impact of bullying on mental health. Texas: UT Health Houston; 2021. Available from: https://med.uth.edu/psychiatry/2021/03/12/the-impact-of-bullying-on-mental-health/
AbuAlula NA, Almarwani AM, Mamanao DM, Altarawneh NS, Alharbi MR, Ebeid IA. The relationship between bullying and emotional state among undergraduate nursing students: a cross-sectional study. Nurs Res Pract. 2023:2023:2397229. Doi: 10.1155/2023/2397229
Kurniawan L, Sutanti N, Nuryana Z. Symptoms of post-traumatic stress among victims of school bullying. International Journal of Public Health Science (IJPHS). 2022;11(1):263-7. Doi: http://doi.org/10.11591/ijphs.v11i1.20997
Fakroodeen AAK. Final year medical students; experience of bullying: a study at the University of Cape Town. Cape Town: University of Cape Town; 2023. Available from: https://open.uct.ac.za/server/api/ core/bitstreams/93d89646-ed62-4deb-8ef6-5bad9f672582/content
Fishcer A, Shapiro J, Geiger B. Medical students’ experience of negative communication by superiors in a clinical setting. Journal of Psychiatry and Behavioural Sciences. 2023;6(2):1088. Available from: https://meddocsonline.org/journal-of-psychiatry-and-behavioral-sciences/medical-students-experience-of-negative-communication-by-superiors-in-a-clinical-setting.pdf
Barbier JM, Carrad V, Schwarz J, Berney S, Clair C, Berney A. Exposure of medical students to sexism and sexual harassment and their association with mental health: a cross-sectional study at a Swiss medical school. BMJ Open. 2023;13(4):e069001. Doi: https://doi.org/10.1136/bmjopen-2022-069001
Crombie KE, Crombie KD, Salie M, Seedat S. Medical students’ experiences of mistreatment by clinicians and academics at a South African University. Teach Learn Med. 2023;36(1):13-22. Doi: https://doi.org/10.1080/10401334.2023.2167207
Naothavorn W, Puranitee P, Kaewpila W, Sumrithe S, Heeneman S, van Mook WNKA, Busari JO. An exploratory university-based cross-sectional study of the prevalence and reporting of mistreatment and student-related factors among Thai medical students. BMC Medical Education. 2023;23(1):473. Doi: https://doi.org/10.1186/s12909-023-04462-3
Zia M, Qattum A, Majeed S, Saad M, Hanif F, Rashid S. Sources of stress among medical students. Pakistan Journal of Medical and Health Sciences. 2022;16(04):191. Doi: https://doi.org/ 10.53350/ pjmhs22164113
Barbanti PCM, de Oliveira SRL, de Medeiros AE, Bitencourt MR, Victorino SVZ, Bitencort MR, et al. Prevalence and impact of academic violence in medical education. Int J Environ Res Public Health. 2022;19(18):11519. Doi: https://doi.org/10.3390/ijerph191811519
Algahtani HM, Aldandan L, Jahrami H, Kamal D, Silverman S. Exposure to bullying between medical and non-medical university students in Bahrain. Arab Gulf Journal of Scientific Research. 2023;42(4):1444-52. Doi: https://doi.org/10.1108/AGJSR-04-2023-0160
Makowska M, Wylezalek J. A qualitative study of the mistreatment of medical students by their lecturers in Polish medical schools. Int J Environ Res Public Health. 2021;18(23):12271. Doi: https://doi.org/10.3390/ijerph182312271
Colenbrander L, Causer L, Haire B. ‘f you can’t make it, you’re not tough enough to do medicine: a qualitative study of Sydney-based medical students’ experiences of bullying and harassment in clinical settings. BMC Medical Journal. 2020;20(1):86. Doi: https://doi.org/10.1186/s12909-020-02001-y
Barus J, Safitri N, Husaini. Study of verbal bullying in early adolescents. Journal for Lesson and Learning Studies. 2023;6(1):92-100. Doi: https://doi.org/10.23887/jlls.v6i1.61003
Gusfre KS, Stoen J, Fandrem H. Bullying by teachers towards students- a scoping review. International Journal of Bullying Prevention. 2022;5(4):331-47. Doi: https://doi.org/10.1007/s42380-022-00131-z
Hepburn A. Power lines: derrida, discursive psychology and the management of accusations of teacher bullying. Br J Soc Psychol. 2000;39(4):605-28. Doi: http://dx.doi.org/10.1348/014466600164651
National Institute of Mental Health. I’m so stressed out! fact sheet. Maryland: National Institute of Mental Health. Available from: https://www.nimh.nih.gov/health/publications/so-stressed-out-fact-sheet
Harvard Medical School. What causes depression? Harvard: Harvard Health Publishing; 2022. Available from: https://www.health.harvard.edu/mind-and-mood/what-causes-depression
Mbah RM. The perception of students about school bullying and how it affects academic performance in Cameroon. St. Johns: Memorial University of Newfoundland. 2020. Doi: https://doi.org/10.48336/6KA2-2F62
Loh. JMI, Saleh A. Lashing out: emotional exhaustion triggers retaliatory incivility in the workplace. Heliyon. 2021;8(1):e08694. Doi: https://doi.org/10.1016/j.heliyon.2021.e08694
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