The Studies of Legal Framework between Malaysia and the United Kingdom in Combating Bullying among Junior Doctor

This research critically examines the adequacy of the legal framework in Malaysia in addressing workplace bullying among junior doctors and draws comparative insights from the United Kingdom's legal and institutional measures. Bullying in medical settings, particularly during early career stages, has emerged as a serious concern with detrimental effects on mental health, job satisfaction, professional development, and patient care. Despite growing awareness, underreporting, fear of retaliation, and hierarchical power dynamics continue to hinder effective prevention and resolution in Malaysia. Through an in-depth literature review, analysis of statutory and subsidiary legislation, and a comparative study of healthcare governance structures, the research finds that Malaysia's existing legal instruments, such as the Occupational Safety and Health Act 1994, Employment Act 1955, Code of Professional Conduct 2019 and Good Medical Practice 2019 offer only indirect protections and lack specificity, enforcement, and healthcare-centric orientation. In contrast, the United Kingdom adopts a multi-tiered strategy integrating the Equality Act 2010, Protection from Harassment Act 1997, Worker Protection (Amendment of Equality Act 2010) Act 2023, Freedom to Speak Up Policy, Institutional Safeguards, and Professional Codes of Conduct enforced by the General Medical Council. These mechanisms promote a culture of transparency, protect whistle-blowers, and hold leadership accountable. The research concludes that Malaysia requires a comprehensive policy overhaul, including the enactment of specific anti-bullying legislation, the establishment of independent reporting mechanisms, mandatory training for senior doctors, and cultural reform within healthcare institutions. By drawing on the UK's best practices while adapting to local contexts, Malaysia can create a safer, more supportive working environment for junior doctors, ultimately improving healthcare delivery and patient outcomes.

workplace bullying, junior doctors, legal framework

1. Fnais, N., Soobiah, C., Chen, M. H., Lillie, E., Perrier, L., Tashkhandi, M., & Tricco, A. C. (2014). Harassment and discrimination in medical training: A systematic review and meta-analysis. Academic Medicine, 89(5), 817-827. [Google Scholar] [Crossref]

2. Illing, J., Carter, M., Thompson, N. J., Crampton, P. E., Morrow, G., Howse, J. & Peile, E. (2013). Evidence synthesis on the occurrence, causes, consequences, prevention and management of bullying and harassing behaviours to inform decision making in the NHS. Final Report. Durham University. [Google Scholar] [Crossref]

3. Health Ministry Sets Up Independent Task Force to Improve Work Culture Following Houseman's Death. (2022, May 13). Malay Mail. https://www.malaymail.com/news/malaysia/2022/05/13/health-ministry-sets-up-independent-task-force-to-improve-work-culture-foll/2058740 [Google Scholar] [Crossref]

4. Francis, R. (2013). Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry. The Stationery Office. [Google Scholar] [Crossref]

5. Workplace Bullying Institute. (2021). WBI U.S. Workplace Bullying Survey. https://workplacebullying.org/ [Google Scholar] [Crossref]

6. Occupational Safety and Health Act 1994 (Malaysia). [Google Scholar] [Crossref]

7. Einarsen, S., Hoel, H., Zapf, D., & Cooper, C. L. (Eds.). (2020). Bullying and harassment in the workplace: Theory, research and practice. CRC Press. [Google Scholar] [Crossref]

8. Lutgen-Sandvik, P., Tracy, S. J., & Alberts, J. K. (2007). Burned by bullying in the American workplace: Prevalence, perception, degree and impact. Journal of Management Studies, 44(6), 837-862. [Google Scholar] [Crossref]

9. Mahon, B., Pattani, S., & Cowan, J. (2020). A systematic review of the prevalence of workplace bullying in healthcare settings. International Journal of Workplace Health Management, 13(3), 341-361. [Google Scholar] [Crossref]

10. Malaysian Medical Association. (2024). Survey on bullying among Malaysian doctors: Findings and analysis. https://www.thestar.com.my/news/nation/2023/10/15/two-out-of-five-doctors-have-been-bullied-before-survey-finds [Google Scholar] [Crossref]

11. Carter, M., Thompson, N., Crampton, P., Morrow, G., Burford, B., Gray, C., & Illing, J. (2013). Workplace bullying in the UK NHS: A questionnaire and interview study on prevalence, impact and barriers to reporting. BMJ Open, 3(6), e002628. [Google Scholar] [Crossref]

12. Yamada, D. C. (2008). Workplace bullying and American employment law: A ten-year progress report and assessment. Comparative Labor Law & Policy Journal, 32, 251. [Google Scholar] [Crossref]

13. General Medical Council. (2020). Good medical practice. https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/good-medical-practice [Google Scholar] [Crossref]

14. Hoel, H., & Cooper, C. L. (2000). Destructive conflict and bullying at work. Manchester School of Management, UMIST. [Google Scholar] [Crossref]

15. NHS England. (2016). Freedom to Speak Up: Raising concerns (whistleblowing) policy for the NHS. https://www.england.nhs.uk/publication/freedom-to-speak-up-policy/ [Google Scholar] [Crossref]

16. Baillien, E., Neyens, I., De Witte, H., & De Cuyper, N. (2009). A qualitative study on the development of workplace bullying: Towards a three way model. Journal of Community & Applied Social Psychology, 19(1), 1-16. [Google Scholar] [Crossref]

17. Hickling, L. S., Perez-Iglesias, R., McNeill, A., Dawson, A., Moxham, J., Ruffell, T., ... & Cheeta, S. (2021). Mental health of doctors during the COVID-19 pandemic: A systematic review and meta-analysis. The Lancet Psychiatry, 8(10), 917-930. [Google Scholar] [Crossref]

18. Occupational Safety and Health Act 1994 (Malaysia), Section 15. [Google Scholar] [Crossref]

19. Occupational Safety and Health (Amendment) Act 2022 (Malaysia). [Google Scholar] [Crossref]

20. Employment Act 1955 (Malaysia), Part XII. [Google Scholar] [Crossref]

21. Malaysian Medical Council. (2019). Code of Professional Conduct 2019. [Google Scholar] [Crossref]

22. Malaysian Medical Council. (2019). Good Medical Practice 2019. [Google Scholar] [Crossref]

23. Medical Act 1971 (Malaysia), Part V. [Google Scholar] [Crossref]

24. Equality Act 2010 (UK), Chapter 15. [Google Scholar] [Crossref]

25. Protection from Harassment Act 1997 (UK). [Google Scholar] [Crossref]

26. Worker Protection (Amendment of Equality Act 2010) Act 2023 (UK). [Google Scholar] [Crossref]

27. NHS England. (2019). Freedom to Speak Up Guardian role in a nutshell. https://www.england.nhs.uk/publication/freedom-to-speak-up-guardian-role/ [Google Scholar] [Crossref]

28. NHS Employers. (2020). Dignity at work: Bullying and harassment. https://www.nhsemployers.org/ [Google Scholar] [Crossref]

29. General Medical Council. (2021). Workplace culture and environment. https://www.gmc-uk.org/about/how-we-work/corporate-strategy-and-business-plans/supporting-a-profession-under-pressure/workplace-culture-and-environment [Google Scholar] [Crossref]

30. Majrowski v Guy's and St Thomas' NHS Trust [2006] UKHL 34. [Google Scholar] [Crossref]

31. Rayner, C., & Cooper, C. L. (2003). The black hole in 'bullying at work' research. International Journal of Management and Decision Making, 4(1), 47-64. [Google Scholar] [Crossref]

32. Housemen Bullying Due to Absence of Stringent SOP – Expert. (2022, May 5). Sinar Daily. https://www.sinardaily.my/article/174384/malaysia/national/housemen-bullying-due-to-absence-of-stringent-sop-ndash-expert [Google Scholar] [Crossref]

33. Dyer, C. (2020). UK introduces new legal duty on employers to prevent workplace harassment. BMJ, 371, m4547. [Google Scholar] [Crossref]

34. Ministry of Health Malaysia. MyHELP Online Complaint System. https://myhelp.spab.gov.my/eApps/system/index.do [Google Scholar] [Crossref]

35. Advisory, Conciliation and Arbitration Service. (2020). Bullying and harassment at work: A guide for managers and employers. https://www.acas.org.uk/ [Google Scholar] [Crossref]

36. Tong, G., & Ariff, S. U. (2024, October 6). Flushing out toxic workplaces. The Star. https://www.thestar.com.my/news/nation/2024/10/06/flushing-out-toxic-workplaces [Google Scholar] [Crossref]

37. Dewan Rakyat, Parliamentary Debate, 19 February 2025, page 13 (Hansard). https://www.parlimen.gov.my/hansard-dewan-rakyat.html [Google Scholar] [Crossref]

38. Dewan Rakyat, Parliamentary Debate, 26 November 2024, Fifteenth Parliament, Third Session, Meeting 3, Hansard, Parliament of Malaysia, p. 114f. [Google Scholar] [Crossref]

39. Free Malaysia Today. (2023, February 20). False complainants harass civil servants via online complaints system. https://www.freemalaysiatoday.com/category/nation/2023/02/20/false-complainants-harass-civil-servants-via-online-complaints-system [Google Scholar] [Crossref]

40. Gov.UK. Workplace bullying and harassment. https://www.gov.uk/workplace-bullying-and-harassment [Google Scholar] [Crossref]

41. Health and Safety Executive. (2020). Managing the causes of work-related stress: A step-by-step approach using the Management Standards. HSE Books. [Google Scholar] [Crossref]

42. International Labour Organization. (2019). Violence and harassment in the world of work. ILO Publications. [Google Scholar] [Crossref]

43. Keashly, L., & Harvey, S. (2005). Emotional abuse in the workplace. In S. Fox & P. E. Spector (Eds.), Counterproductive work behavior: Investigations of actors and targets (pp. 201-235). American Psychological Association. [Google Scholar] [Crossref]

44. Leymann, H. (1996). The content and development of mobbing at work. European Journal of Work and Organizational Psychology, 5(2), 165-184. [Google Scholar] [Crossref]

45. Nielsen, M. B., & Einarsen, S. (2012). Outcomes of exposure to workplace bullying: A meta-analytic review. Work & Stress, 26(4), 309-332. [Google Scholar] [Crossref]

46. Samnani, A. K., & Singh, P. (2012). 20 years of workplace bullying research: A review of the antecedents and consequences of bullying in the workplace. Aggression and Violent Behavior, 17(6), 581-589. [Google Scholar] [Crossref]

47. Spector, P. E., & Fox, S. (2005). The stressor-emotion model of counterproductive work behavior. In S. Fox & P. E. Spector (Eds.), Counterproductive work behavior: Investigations of actors and targets (pp. 151-174). American Psychological Association. [Google Scholar] [Crossref]

48. Vartia, M. A. L. (2001). Consequences of workplace bullying with respect to the well-being of its targets and the observers of bullying. Scandinavian Journal of Work, Environment & Health, 27(1), 63-69. [Google Scholar] [Crossref]

49. Zapf, D., & Einarsen, S. (2005). Mobbing at work: Escalated conflicts in organizations. In S. Fox & P. E. Spector (Eds.), Counterproductive work behavior: Investigations of actors and targets (pp. 237-270). American Psychological Association. [Google Scholar] [Crossref]

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