Overview
Occupational neurosis encompasses psychological distress and functional impairments arising from adverse work environments, including bullying and poor workplace behavior, impacting various healthcare professions notably midwifery and emergency medicine. 12Diagnosis
Identification of workplace bullying through forensic and occupational medicine assessments 1.
Recognition of critical unprofessional behaviors such as interpersonal conflicts, lack of responsibility, and disrespect towards colleagues 3.Management
Implementation of organizational strategies to address workplace culture, including establishment of environmental organizations and budgets 4.
Leadership and collaborative efforts from professional bodies to improve workplace behavior 2.
Specific remediation programs tailored for professionalism training and feedback mechanisms 3.Special Populations
Pregnancy: No specific evidence provided in abstracts.
Pediatrics: No specific evidence provided in abstracts.
Elderly: No specific evidence provided in abstracts.
Comorbidities: No specific evidence provided in abstracts.Key Recommendations
Establish robust organizational structures and budgets dedicated to workplace environmental health to mitigate occupational neurosis (Evidence: Expert opinion) 4.
Professional bodies should take proactive leadership roles in addressing and improving workplace behaviors through joint initiatives and continuous monitoring 2 (Evidence: Expert opinion).
Incorporate comprehensive professionalism remediation programs within residency training to address unprofessional behaviors effectively 3 (Evidence: Moderate).References
1 Salducci M, Shaholli D. Assessment of workplace bullying in Italy by INAIL: forensic and occupational medicine considerations. La Clinica terapeutica 2023. link
2 Gerrard J, Smith G. Improving workplace behaviour in maternity services. The practising midwife 2016. link
3 Sullivan C, Murano T, Comes J, Smith JL, Katz ED. Emergency medicine directors' perceptions on professionalism: a Council of Emergency Medicine Residency Directors survey. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine 2011. link
4 Aarås A. Company strategies and program for implementing ergonomics. International journal of occupational safety and ergonomics : JOSE 2001. link