workplace bullying and nursing
TRANSCRIPT
WORKPLACE BULLYING AND
NURSING
Bayfront Health Spring Hill Nursing department
Rachel Provau RN MSNA CNML
Objectives Define Bullying and 3 forms found in Nursing
List 5 recognized categories of workplace violence/bullying
Name 3 stress related complications related to bullying and 3 resources that are available to staff
Explore how bullying behavior affect Patient safety
Review personality types and how to recognize them
Discuss four Charge Nurse leadership styles
Define Civility and discuss ANA recommendations
Discuss 3 actions that address prevention of bullying behaviors
List strategies that can be used in your unit
Bullying Repeated, health-harming mistreatment of one or
more persons (the targets) by one or more perpetrators.
Verbal abuse
Threatening, intimidating or humiliating behaviors (including nonverbal)
Work interference – sabotage – which prevents work from getting done
Males vs Females Conflict styles Men – Direct, aggressive, and/orintimidating.Women – Passive, indirect, and/orManipulative
Relational Aggression-(female bullying)
Relational Aggression Gossip Manipulation Intimidation Exclusion Gestures
Ridicule Teasing Cliques Campaigns Name calling
Click icon to add picture Examples in Nursing:
1. Ignoring- Passive aggressive
2. Rolling of the eyes ( body language)
3. Refusal to answer a question
4. Social media post about a co worker that are not nice
5. Texting 6. Condescending tone of
voice
27% of Adults report they have been bullied at work
One in six Nurses report they have been Bullied in the past Six months
Statistics WBI Instant Polls 817 respondents
(bullied targets and witnesses)
QUESTION:Of the workplace perpetrators of bullying I’ve known, they?
© 2014 Workplace Bullying Institute
82% acted with the deliberate personal intention to harm others
8.6% harmed others but were not aware of the consequences
7.8% followed instructions of superiors in ways that hurt others
1.5% never meant to harm others; were misunderstood
Categories of Workplace Violence Threat to
professional status (public humiliation)
Threat to personal standing (name calling, insults, teasing)
Isolation (withholding information)
Overwork (impossible deadlines)
Destabilization (failing to give credit where credit is due)
How does this affect the work environment of a nursing unit? Lower morale, lower
productivity and increased absenteeism
Rapid and increased turnover
Negative impact on organizational reputation
Contribute to poor patient satisfaction and to preventable adverse outcomes
Increase the cost of care
Bullying and Patient Safety Failing to tell
another nurse that the patients lab results were called to you
Refusing to answer other’s nurses call lights because “those are not my patients”
Nurses eating their young or new orientees – Staffing compromised because no one hired stays
Indifference or ignoring – “That doesn’t mean I have to do it” BSR/HR
Stress complications related to bullying
Physiological Reduced immunity
to infection Headaches and
migraines High blood pressure Waking up more
tired than when you went to bed
Psychological Behavioral Anxiety reactive depression Forgetfulness angry outbursts at
home Increased reliance
on drugs/self medicating
Resources for staff American Nurses
Association (ANA) PACERS CDC Workplace
Violence prevention for Nurses
www.stopbullyingnurses.com
Human Resources TJC RN2RN CNO, HR, ERS EAP Compliance hotline
The Charge nurse and Prevention of Bullying of staff on the unit
What personalities are on your unit?
Divergent Book Series Factions Abnegation
Dauntless
Erudite
Candor
Amity
Which Faction are you? ERUDITE-Characterized by great
knowledge; learned or scholarly (know it alls)
AMITY-cultivating strong relationships and trying to understand each other. (softies)
Which Faction are you? ABNEGATION-active forms of stripping
things from your life.(Stiffs)
DAUNTLESS-Courageously resolute, especially in the face of danger or difficulty; not discouraged. (Toughies)
CANDOR-freedom from bias; fairness; impartiality ( truthsayers)
Leadership and Bullying?
4 quadrants of leadership Obnoxious Aggression-
always challenging directly but don’t care personally what the consequences are
Ruinous Empathy- Destructive Sympathy, Sparing someone's feeling and then having to intervene because of not holding someone accountable
https://youtube/Y9VW7wGO4vY
4 quadrants of leadership Manipulative Insincerity-
Very Sneaky, Manipulative, Pot Stirrer
Radical Candor- using Civility as a communication tool to set expectations of behavior and responsibilities
Bullying and leadership
Radical Candor and Civility The 5 ‘C’s”
Clear Expectations
Clear Capability
Clear Measurement
Clear Feedback
Clear Consequences
Examples
Time Management
Right skills
Outcomes
Fact based to give and to take from others
Repeat, Reward or Release
How Radical Candor is effective to prevent Bullying Being willing as a Leader to: ANA
handout review Set Clear expectations- Clear capability- Clear Measurement – Clear feedback- Clear Consequences-
Actions that address prevention of bullying behaviors
Zero tolerance AIDET S.A.F.E. Educate all team
members Hold all team
members accountable for modeling desirable behaviors
Bullying prevention Strategies Prevention of Bullying-
Responding tp being bullied – Chain of command, HR, Hotline
Responding when being bullied-
What strategies can you suggest?
American Nurses Association (ANA) Code of Ethics (ANA,2001) that states professional nurses have an ethical mandate to become skilled communicators.
References Institute of Medicine.
Keeping Patients Safe: Transforming the Work Environment of Nurses. Nov. 3, 2003
Occupational Safety and Health Administration. Workplace violence in health care: Understanding the challenge. OSHA 3826, 12/2015
Workplace Bullying Institute. The Healthy Workplace Campaign. Healthy Workplace Bill website
The Joint Commission. Behaviors that undermine a culture of safety. Sentinel Event Alert, July 8, 2008;40
American Nurses Association. Incivility, Bullying, and Workplace Violence. ANA Position statement 7/2015
Nursing Times. Bullying in Nursing and ways to deal with it. March 2013
References
Kimmalonescott.com J. Mill- On Liberty ISBN 1-59986-973-X 1859 G. Robins- 25 Rules of Civility + Radical Candor +
Ruinous Empathy LinkedIn Blog 2/10/2016 P.M. Forni- Choosing Civility: The 25 rules of
Considerate Conduct 11/2003 D. Huber- Leadership and Nursing Care
Management ISBN 978-1-4557-4071-0 1996 R. A. Patronis-Jones- Nursing Leadership and
management: Theories, Processes and Practice ISBN 0803613628 9780803613621 2007