<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822026000200297</article-id>
<article-id pub-id-type="doi">10.30944/20117582.3021</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acoso moral en hospitales públicos de la provincia de Buenos Aires, Argentina: Estudio prospectivo de actualización - Diez años después]]></article-title>
<article-title xml:lang="en"><![CDATA[Moral harassment in public hospitals of the province of Buenos Aires, Argentina: A prospective update study - Ten years later]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Petrone]]></surname>
<given-names><![CDATA[Patrizio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,NYU Grossman Long Island School of Medicine  ]]></institution>
<addr-line><![CDATA[Mineola New York]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>41</volume>
<numero>2</numero>
<fpage>297</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822026000200297&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822026000200297&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822026000200297&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción. El mobbing es una forma de acoso laboral que implica hostigamiento, exclusión social y obstaculización del trabajo por parte de uno o más compañeros del mismo entorno profesional. El objetivo de este estudio fue identificar los factores de riesgo, origen y frecuencia del mobbing, su vínculo con el estrés psicosocial y su impacto en el personal de salud.  Métodos.  Estudio prospectivo, observacional y descriptivo, para comparar la evolución de este fenómeno luego de diez años, mediante encuestas anónimas a trabajadores incluidos en las Leyes N° 10.471 y N° 10.430 de hospitales públicos de la provincia de Buenos Aires, Argentina, durante 12 meses consecutivos.  Resultados.  Participaron 161 trabajadores sanitarios, de ellos, 69,5 % fueron mujeres. El grupo más representado fue el de 41 a 50 años (34,1 %) de edad. La antigüedad en el trabajo mostró dos picos: 1-5 años (28 %) y 16-20 años (25 %). Se reportaron 109 casos de acoso (67,7 %), principalmente ejercido por superiores jerárquicos (53,2 %).  Conclusiones.  La incidencia de mobbing en el sector salud continúa siendo muy elevada. En este segundo estudio tampoco se halló asociación con variables como sexo, nacionalidad, estado civil, nivel educativo o tipo de contrato. Del mismo modo, la edad y la antigüedad laboral sí mostraron relación directa con el acoso, confirmando su efecto como estresor crónico. Las consecuencias incluyeron síntomas psicosomáticos, depresión, crisis de ansiedad y aumento del ausentismo, afectando la productividad hospitalaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Mobbing is a form of workplace harassment that involves bullying, social exclusion, and work obstruction by one or more colleagues in the same professional environment. The objective of this study was to identify the risk factors, origins, and frequency of mobbing, its link to psychosocial stress, and its impact on healthcare workers.  Methods.  Prospective, observational, and descriptive study to compare the evolution of this phenomenon ten years later, using anonymous surveys of workers included in Laws No. 10471 and No. 10430 of public hospitals in the province of Buenos Aires, Argentina, for 12 consecutive months.  Results.  A total of 161 health workers participated, 69.5% of whom were women. The most represented age group was 41 to 50 years (34.1%). Job tenure peaked at two levels: 1-5 years (28%) and 16-20 years (25%). One hundred and nine cases of harassment were reported (67.7%), primarily perpetrated by superiors (53.2%).  Conclusions.  The incidence of bullying in the healthcare sector remains very high. This second study also found no association with variables such as sex, nationality, marital status, educational level, or type of contract. Similarly, age and length of employment did show a direct relationship with bullying, confirming its effect as a chronic stressor. The consequences included psychosomatic symptoms, depression, anxiety attacks, and increased absenteeism, affecting hospital productivity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[acoso]]></kwd>
<kwd lng="es"><![CDATA[estrés laboral]]></kwd>
<kwd lng="es"><![CDATA[salud mental]]></kwd>
<kwd lng="es"><![CDATA[cultura organizacional]]></kwd>
<kwd lng="es"><![CDATA[abuso emocional]]></kwd>
<kwd lng="en"><![CDATA[bullying]]></kwd>
<kwd lng="en"><![CDATA[occupational stress]]></kwd>
<kwd lng="en"><![CDATA[mental health]]></kwd>
<kwd lng="en"><![CDATA[organizational culture]]></kwd>
<kwd lng="en"><![CDATA[emotional abuse]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petrone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mobbing-Acoso moral: estudio prospectivo en hospitales públicos de la provincia de Buenos Aires, Argentina]]></article-title>
<source><![CDATA[Rev Argent Cirug]]></source>
<year>2018</year>
<volume>110</volume>
<page-range>96-100</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Izquierdo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Castellón-Caicedo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Albadalejo-Monreal]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[García-Izquierdo]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relaciones entre burnout, ambigüedad de rol y satisfacción laboral en el personal de la Banca]]></article-title>
<source><![CDATA[Revista de Psicología del Trabajo y de las Organizaciones]]></source>
<year>1993</year>
<volume>9</volume>
<page-range>17-26</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sáez]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Llor]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validación de la escala NAQ de Einarsen y Raknes (1997) sobre acoso psicológico en el trabajo (mobbing)]]></article-title>
<source><![CDATA[Comunicación presentada en el VIII Congreso de Psicología Social Simposio Mobbing: una perspectiva psicosocial]]></source>
<year>2003</year>
<publisher-loc><![CDATA[Málaga ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Einarsen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hoel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Negative Acts Questionnaire: Development, validation and revision of a measure of bullying at work]]></article-title>
<source><![CDATA[10th European Congress on Work and Organizational Psychology]]></source>
<year>2001</year>
<publisher-loc><![CDATA[Prague ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hock]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Professional burnout among public school teachers]]></article-title>
<source><![CDATA[Public Personnel Management]]></source>
<year>1988</year>
<volume>17</volume>
<page-range>167-89</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vartia]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The sources of bullying-psychological work environment and organizational climate]]></article-title>
<source><![CDATA[Eur J Work Org Psychol]]></source>
<year>1996</year>
<volume>5</volume>
<page-range>203-14</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matthiesen]]></surname>
<given-names><![CDATA[SB]]></given-names>
</name>
<name>
<surname><![CDATA[Raknes]]></surname>
<given-names><![CDATA[BI]]></given-names>
</name>
<name>
<surname><![CDATA[Rökkum]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mobbing paarbeidsplassen]]></article-title>
<source><![CDATA[Tidsskriftfor Norsk Psykologforening]]></source>
<year>1989</year>
<volume>26</volume>
<page-range>761-74</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zapf]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Knorz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kulla]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[On the relationship between mobbing factors, and job content, social work environment, and health outcomes]]></article-title>
<source><![CDATA[Eur J Work Org Psychol]]></source>
<year>1996</year>
<volume>5</volume>
<page-range>215-37</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hoel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Destructive conflict and bullying at work]]></article-title>
<source><![CDATA[University of Manchester: Institute of Science and Technology]]></source>
<year>2000</year>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petrone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La feminización del sistema sanitario en el sector hospitalario de la provincia de Buenos Aires]]></article-title>
<source><![CDATA[Revista ISalud]]></source>
<year>2013</year>
<volume>8</volume>
<page-range>49-58</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petrone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Avances y retrocesos de la feminización en los equipos de salud]]></article-title>
<source><![CDATA[Diagnóstico y prospectiva en el sistema público de salud de la Provincia de Buenos Aires]]></source>
<year>2014</year>
<page-range>104</page-range><publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Dunken]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Einarsen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Skogstad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bullying at work: Epidemiological findings in public and private organizations]]></article-title>
<source><![CDATA[Eur J Work Org Psychol]]></source>
<year>1996</year>
<volume>5</volume>
<page-range>185-201</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leymann]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The content and development of bullying at work]]></article-title>
<source><![CDATA[Eur J Work Org Psychol]]></source>
<year>1996</year>
<volume>5</volume>
<page-range>165-84</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Einarsen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Raknes]]></surname>
<given-names><![CDATA[BI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Harassment at work and victimization of men]]></article-title>
<source><![CDATA[Violence Vict]]></source>
<year>1997</year>
<volume>12</volume>
<page-range>247-63</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hoel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Salin]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Organizational antecedents of workplace bullying]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Einarsen]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hoel]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Zapf]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<source><![CDATA[Bullying and emotional abuse in the workplace: International perspectives in research and practice]]></source>
<year>2003</year>
<page-range>203-18</page-range><publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Taylor and Francis Books Ltd]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petrone]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Mobbing - Acoso moral en el sector de la salud pública. Violencia psicológica en los trabajadores hospitalarios]]></source>
<year>2016</year>
<page-range>141</page-range><publisher-loc><![CDATA[Buenos Aires ]]></publisher-loc>
<publisher-name><![CDATA[Dunken]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
