Break the Silence: Report Bullying

Save your co-workers life; report bullying. Suicide and Post Traumatic Stress does occur from being bullied in the workplace. Nurses take an oath to do no harm to others. This includes protecting your co-workers from being bullied. Reach out your hand and help your co-workers so they can receive counseling. Nurses Announcements Archive Article

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The importance and impact of bullying in the workplace are significant to nursing in many ways. Bullying threatens the very foundation, of not just nurses, but its business ethics, structure, and productivity. Nursing is a sensitive structure that demands teamwork, dedication, and drive.

The rise of bullying threatens to create barriers in nursing that will result in a negative way. This impact bullying has on nurses impedes their ability to function professionally by interfering with teamwork, morale, and personal health. Prevention is the only way to stop or eliminate bullying. An anti-bullying program must become an integral part of nursing training by deeply embedding the need to identify and prevent this destructive action in the workplace.

A nurse takes the oath to do no harm to others. Nurses dedicate their hearts and minds to practice faithfully in their profession. The qualities a nurse must possess are to be compassionate, sympathetic, and empathetic towards others. These qualities are especially important for nurse managers so they can guide and mentor nurses along with their career path. A nurse manager who lacks these qualities and does not support their nurses creates problems in their working environment.

An unspoken problem is nurse manager bullying. The nursing issue is that nurse manager bullying can cause intimidation and psychological harassment amongst their employees. This harassment can cause the employee to have devastating psychological, physical, emotional, and social outcomes.

It is time in the nursing profession to break the silence that nurse managers who bully nurses create an unhealthy work environment that can result in health problems or cause nurses to resign. Post Traumatic Stress Disorder (PTSD) and suicide do occur in staff who are bullied by their co-workers and/or nurse managers.

It is time to be proactive as nurses and identify bullying behaviors and report them immediately. Look at your co-workers who are being treated poorly reach out your hand and guide them to get counseling so they can heal from this.

Here are some basic suggestions on what to do if bullying occurs in the Workplace:

  1. Send the employee who is being bullied to Employee Health to talk with an appointed staff member who can guide them in where to get counseling.

  2. Remove the employee immediately from the toxic environment and place them in a better working environment so no form of retaliation can occur.

  3. Employee Health should report bullying to the Bullying Task Force. The Bullying Task Force is composed of a Peer Counsel Committee who will review each case. This Peer Counsel Committee is important because it does not consist of management who possibly would not be as objective as a peer.
  4. Implement a Bullying Support Group. This is important in the recovery of staff who are bullied. The Bullying Support Group will utilize a twelve step program much like Alcoholic Anonymous.
  5. Have employees fill out a survey online that can be filled out anonymously and sent directly to the Associate Directors office.
  6. Have Human Resources track all staff who leave a position and have them fill out a bullying survey online.

Exit interviews should be conducted on all employees leaving their jobs. This interview should be kept confidential so it does not interfere with or impact new job opportunities. Surveys should be done that ensure confidentiality in the data collected. In order to collect honest and accurate data, it is extremely important to provide confidentiality. Surveys that ask identifiable data such as age, work level, and sex are often a deterrent for employees to complete the survey honestly. A person's identity can easily be assessed by this information. All of the data collected can be utilized to help strengthen the laws, guidelines, and policies to provide a safe working environment and to stop bullying

Educating hospital staff on the importance of looking for suicide and PTSD symptoms is extremely important. Nurse managers need to be educated that treating their employees in a caring way will help to retain them. They will realize happy employees are more productive and tend to stay in their jobs. Cruelty will cause the human spirit to fail. Nurse managers that bully allow the human spirit to fail in the employees they bully. The human spirit is affected by the consequences of bullying which are physical and psychological changes in the person that is bullied. Jean Watson's Human Caring Theory should be taught to all employees to restore caring in the health care system so bullying behavior can be stopped.

Educating and providing resources to new employee nurses on bullying, the Whistle Blowers Act, and sexual harassment should be incorporated into new employee orientation. All staff would also benefit from a yearly review on these topics. Hopefully, this will keep nurses aware of proper workplace behavior and we can retain nurses. There are programs available for this problem, but many nurses are not aware this issue exists nor how to identify bullying. There are several others that provide information on books, education, and counseling available for anyone who is bullied.

There are no governmental laws that prohibit workplace bullying. Governmental laws addressing workplace bullying should be in place. There needs to be a law acknowledging that bullying exists. Once legislation is established then health care organizations will have zero tolerance in allowing this behavior. Strong institutional policies need to be in place in every healthcare organization to prevent bullying in the workplace.

Report Bullying; Break the Silence; Save Your Co-Workers Life

Sarah Yuengling RN MSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

A "no tolerance for bullies" culture sounds very appealing to many new nurses, I'm sure. But then, I'm sure that many of these same nurses do not see their very own bullying behavior as "bullying," and I'm sure they'd be shocked if someone called them on it.

While the majority of complaints about bullying come from brand new nurses who are certain they are being subject to bullying/horizontal violence/lateral violence/whatever the new buzzword might be whenever they receive negative feedback or fail to receive the positive feedback they are convinced is their due, the majority of bullying I've witnessed in the past five years or so is newer nurses bullying older, more experienced nurses.

Rolling your eyes at the preceptor who tells you that you need to sign off your medications immediately rather than just cross them off your scut list and chart them later is just as much bullying behavior as a preceptor who rolls her eyes at the newbie who asks the same question over and over without apparently retaining the answer. Only I've seen it happen far more frequently. We preceptors have taken classes in precepting and take it seriously. Rolling your eyes at the newbie who makes the same mistake over and over is frowned upon, and we all try very hard to be constructive in our feedback, positive in our approach and nurturing to our new staff. The new staff, however, often demonstrates entitled behavior that has some of us yanking out our hair in handfuls.

I am the most experienced nurse in my unit; I am also the oldest. The majority of our staff is in their 20s and 30s, which means that most of them weren't even born yet when I started nursing. Because older nurses are in the minority, we are not included in the social plans of these young nurses. (I've often heard of "being left out of after work plans" referred to as evidence of bullying.) Even though I'm just as proficient with the charting system as my younger colleagues, there exists the attitude that because I'm older, I must be "out of touch with technology." One young nurse asked me how I could function as a nurse now that computers are the norm. I'm sure she didn't think of that as a bullying statement . . . but if I were the type to scream "lateral violence", it could be seen that way.

Newer nurses have expressed derision about "tired old dinosaurs who won't retire," or that they wish older nurses would "retire already and get out of my way." Although you won't find many baby boomers complaining about it, that's lateral violence. The newby who sincerely didn't understand that I was coming to work tomorrow even though my back hurts and I'm limping from my arthritis probably saw her statements as an expression of concern for my health, and not the ignorant, insulting statements that they were. When your back hurts every day and you're suffering from arthritis, NOT coming to work every time you're hurting isn't an option. The newbie who expresses negativity about working with "a crippled old nurse" is being a bully.

So when you're waving your "Bully flag" and making statements about zero tolerance of bullies, keep in mind that "nurses eating their young" is not the beginning and end of lateral violence. Remember that some of those very nurses who are most concerned about BEING bullied are also the same nurses who exhibit the most blatently bullying behavior.

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Ruby Vee said:
A "no tolerance for bullies" culture sounds very appealing to many new nurses, I'm sure. But then, I'm sure that many of these same nurses do not see their very own bullying behavior as "bullying," and I'm sure they'd be shocked if someone called them on it.

While the majority of complaints about bullying come from brand new nurses who are certain they are being subject to bullying/horizontal violence/lateral violence/whatever the new buzzword might be whenever they receive negative feedback or fail to receive the positive feedback they are convinced is their due, the majority of bullying I've witnessed in the past five years or so is newer nurses bullying older, more experienced nurses.

Rolling your eyes at the preceptor who tells you that you need to sign off your medications immediately rather than just cross them off your scut list and chart them later is just as much bullying behavior as a preceptor who rolls her eyes at the newbie who asks the same question over and over without apparently retaining the answer. Only I've seen it happen far more frequently. We preceptors have taken classes in precepting and take it seriously. Rolling your eyes at the newbie who makes the same mistake over and over is frowned upon, and we all try very hard to be constructive in our feedback, positive in our approach and nurturing to our new staff. The new staff, however, often demonstrates entitled behavior that has some of us yanking out our hair in handfuls.

I am the most experienced nurse in my unit; I am also the oldest. The majority of our staff is in their 20s and 30s, which means that most of them weren't even born yet when I started nursing. Because older nurses are in the minority, we are not included in the social plans of these young nurses. (I've often heard of "being left out of after work plans" referred to as evidence of bullying.) Even though I'm just as proficient with the charting system as my younger colleagues, there exists the attitude that because I'm older, I must be "out of touch with technology." One young nurse asked me how I could function as a nurse now that computers are the norm. I'm sure she didn't think of that as a bullying statement . . . but if I were the type to scream "lateral violence", it could be seen that way.

Newer nurses have expressed derision about "tired old dinosaurs who won't retire," or that they wish older nurses would "retire already and get out of my way." Although you won't find many baby boomers complaining about it, that's lateral violence. The newby who sincerely didn't understand that I was coming to work tomorrow even though my back hurts and I'm limping from my arthritis probably saw her statements as an expression of concern for my health, and not the ignorant, insulting statements that they were. When your back hurts every day and you're suffering from arthritis, NOT coming to work every time you're hurting isn't an option. The newbie who expresses negativity about working with "a crippled old nurse" is being a bully.

So when you're waving your "Bully flag" and making statements about zero tolerance of bullies, keep in mind that "nurses eating their young" is not the beginning and end of lateral violence. Remember that some of those very nurses who are most concerned about BEING bullied are also the same nurses who exhibit the most blatently bullying behavior.

I think this has more to do with them being rude and having no respect than bullying though.

I'm at least glad this thread is making an effort to bring this reality out in the open if it's so widespread. But this is just... it just seems to belittle experiences of other people who have gone through real bullying by comparison.

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vilma gloria reyes said:
I am so glad that now I can speak about bullying in the workplace, I was one of them, I live in California, and I used to work to a big shot M.D CARDIOLOGIST IN BEVERLY HILLS, who is associated with one of the prestigious hospital in the city. Apparently, I was his rt hand, he used to treat me like a daughter, since I have all the knowledge of a graduated R.N IN COSTA RICA. They had unlicensed people working, even doing radiation procedures for patients, so when I got aboard, they were very impressed about my professionalism with patients, due it to that knowledge that I dad I was bullied, causing me to be on disability. They were calling me African monkey, they were not helping my to assist patients when they needed to be lift to the point that know I had neck disease, rt shoulder surgery, rt hand surgery. I went to severe depression due to this issues, also when the doctor who used to tell me at all time that he loved me, he also denied about me being injured at work. I was even physically abused by a co-worker. Very sad what I suffered with them.. Know I am trying to recuperate and go back to work, but I honestly, I have problems to draw blood, give injections, or start IVs. My finger are so stiff, pain at all times. thank you so much for letting me express my-self.

I'm sorry about what you have gone through. Hopefully you are okay now and far away from those horrible people.

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Honestly I would just keep my head down. I wouldn't go head to head with my boss, my Dad who works home health did kind of the same thing, don't trust anyone in your workplace. Because they may rat on you, and tell your boss. I know it sucks, but if your a cna definetly don't do it, lvn don't do it, fellow RN maybe. Also think about it is it really something you should report. And just let it go in one ear and out the other. Best advice. I had to fight to graduate from nursing school they kicked me out on some ********, and my instructor who seemed to be the primary cause of it all called me and eventually apologized after I got my license. I was still angry, but it faded and now I realize that we all make mistakes. So try and cut your boss some slack. But I think she is probably going to get axed. Hopefully she changes. But also remeber your messing with someone's livelihood bills don't stop. And maybe she just talks big because she is secretly scared of being fired. I am scared of being fired, and it would just about kill me if I was fired, because I love my job and try my best. You could always try a direct approach and ask to take her out to lunch or something else. Drinks, and maybe you can bond with her and both of you can help eachother out.

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Specializes in Oncology; medical specialty website.
nurseforlife24 said:
I think this has more to do with them being rude and having no respect than bullying though.

I'm at least glad this thread is making an effort to bring this reality out in the open if it's so widespread. But this is just... it just seems to belittle experiences of other people who have gone through real bullying by comparison.

And your comments belittle the bullying that we older nurses have experienced. New nurses don't have any special claim to this problem; it happens at all phases in nursing.

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mikkie1317 said:
Hello I really appreciate that some light is being shed into this topic. I remember as a New Grad LPN working in a very busy SNF unit, the nurse whom I always received report from would pick on me , she asked me at times if I got my licence in the USA. I dreaded Thursdays and Wednesday because she worked those days and when I complained to the nursing /unit manager she told me that I have to just ignore her because that's just the way she was. she made me cry at report and threaten to report me to the BON for medication errors. I was just a new Nurse I had no clue on what to do. she even went to the extent of spreading rumors about my hygiene, she complained to the unit manager that I did not take a bath and was so uncomfortable around me. I cried my eyes out and looked for someone to turn too but there was no one, I was on my ow I had to find a way for her to get off from me. after 6 months of torture I had enough and finally I stood up to her one day during report, I describes her behavior as being carnivorous and similar to vultures who eat their young and prey on the weak. I further said I am not perfect but always ready to learn and her behavior is toxic and needs attention because she is poisoning the work environment. I told my unit manager that if proper steps are not taken to avoid instances of bullying and hazing then I will call corporate office. The next day I came to work and the nurse and unit manager had quit their jobs. Bullying is definitely a huge problem in nursing and I remember how bad I felt when I was treated badly by a peer nurse. Lets change the saying of Nurses eat their young to Nurses protect their young.

I was in a similar circumstance when I was a 21 year old GN in charge of LVN's who were 15-20 years my senior. One LVN bullied me, and was much larger than I was, she passed me in the hallway and bumped me very hard, knocking me against the wall. Other nurses would tell the tale of how at a former job she beat a RN up in the parking lot of the hospital. I reported her to the nurse manager, and he held a conference with the three of us to discuss the matter. She told the nurse manager that I couldn't prove the bullying, and I told her next time it happened I will prove it... in writing. From that point forward she became my friend, and a hard working co-worker, because I stood up to her. I know it doesn't always work out that way, but I was being tested, and by standing up to her I gained her respect. I totally agree that there should be training programs in place to stop this abuse before it starts, and make it a more friendly environment for the bullied to report behavior,

much the same a there are programs to educate against sexual harassment in the workplace.

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Specializes in Pediatrics, Emergency, Trauma.
Quote

And your comments belittle the bullying that we older nurses have experienced. New nurses don't have any special claim to this problem; it happens at all phases in nursing.

THIS...

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Specializes in Pediatrics, Emergency, Trauma.
Quote

I think this has more to do with them being rude and having no respect than bullying though.

I'm at least glad this thread is making an effort to bring this reality out in the open if it's so widespread. But this is just... it just seems to belittle experiences of other people who have gone through real bullying by comparison.

I'm sorry, but that is incorrect....that is criteria for being a bully, IMHO.

Bullying has no age requirement...a bully is a bully.

If anything, you just belittled the older nurses' bullying experiences....why is that???

1 Votes
Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
nurseforlife24 said:
I think this has more to do with them being rude and having no respect than bullying though.

I'm at least glad this thread is making an effort to bring this reality out in the open if it's so widespread. But this is just... it just seems to belittle experiences of other people who have gone through real bullying by comparison.

Let me be absolutely sure I understand your point. If a preceptor rolls eyes at a new grad, fails to answer her questions in the manner in which the new grad prefers, fails to greet her in the morning and fails to include her in social situations, that is bullying. If the new grad roller her eyes at the preceptor, fails to answer her questions in the manner in which the preceptor deems appropriate, or fails to include the preceptor in social situations, that's just rude and disrespectful bus is not bullying.

Further, if the preceptor or another older nurse complains of the same rude, disrespectful behavior that is deemed bullying when applied to a new nurse, the older nurse is just belittling the experience of other people who have gone through REAL bullying by comparison.

I get it! By definition, bullying refers to older nurses being rude and disrespectful to younger; younger nurses being rude and disrespectful to their seniors is just plain rude and disrespectful and therefore OK..

1 Votes
Specializes in Pediatrics, Emergency, Trauma.
Quote

Let me be absolutely sure I understand your point. If a preceptor rolls eyes at a new grad, fails to answer her questions in the manner in which the new grad prefers, fails to greet her in the morning and fails to include her in social situations, that is bullying. If the new grad roller her eyes at the preceptor, fails to answer her questions in the manner in which the preceptor deems appropriate, or fails to include the preceptor in social situations, that's just rude and disrespectful bus is not bullying.

Further, if the preceptor or another older nurse complains of the same rude, disrespectful behavior that is deemed bullying when applied to a new nurse, the older nurse is just belittling the experience of other people who have gone through REAL bullying by comparison.

I get it! By definition, bullying refers to older nurses being rude and disrespectful to younger; younger nurses being rude and disrespectul to their seniors is just plain rude and disrespectful and therefore OK..

Agreed. :yes:

I think the poster's response was as bad as saying "there's no such thing as elder abuse" or "men can't be abused." Or "older ageism??? That's NOT true!"

It's very short sighted...and does nothing to fix decreasing bullying and abusive behavior in this business at all. :blink:

Anyone can be harassed and bullied. :yes:

1 Votes
Specializes in Med-Surg, Ortho, Camp.

While her heart is in the right place, I think the original poster is living in dreamland. The "Bullying Task Force?" Zero tolerance? Never. My wife was an overhouse supervisor for years. She tells me about 2-4 hours of every shift was spent trying to find enough warm bodies to staff the next shift. So, hospitals are not going to fire any bullies, as long as they have the two things you need to be a successful nurse: a license and a pulse. Our mid-sized hospital in a mid-sized city had all the right CEUs and in-services on horizontal violence, it happened all the time, and I never saw anything done about it.

One night I (male) was pushed through a doorway by a female nurse. We all know what would happen to a male nurse if he ever put his hands on a female: instant termination and maybe jail. I have seen too many bad things happen over the years after a write up, so I am very hesitant do do so. However, this nurse had been terrorizing the nurses on my shift for years, so I thought I would "take one for the team," write it up, and make a big deal out of it. I figured we could get rid of her this way. I got a phone call the next day from the DON, asking me to trust her on it. Luckily for me, the security camera caught the whole thing on tape.

Two days later, I found myself giving report to this same nurse who said at the end of report, "If you ever rat on me again, you will regret it." I let it go. Let's be for real. If a male nurse shows any hint of aggression, verbal or otherwise, he is out the door. I left bedside nursing soon afterwards, for that and other reasons. Horizontal violence was a daily occurrence, and I got tired of dealing with it.

Looking back on it, after the second incident, I should have charged that nurse with battery and sued the hospital for not protecting me. I should have gotten the state nursing board involved, as well as the media. I'd be smoking a cigar in my underwear in Tahiti right now if I had.

As it is now, I am the DON in another field. The best way to deal with horizontal violence is to become the boss. I orient my nurses at hire to my absolute zero tolerance policy. No counseling, just termination. I've only had to do that once, about two years ago. I was sitting out of sight, doing some paperwork when I heard a nurse verbally beating up another. A little later, I stopped her in the hall, told her what I had heard, thanked her for her service, and told her I no longer had any meaningful work for her. I then watched her gather her belongings and escorted her to her car. Thank God for living in a "right to work" state. The other nurses pretty much said, "Good riddance," and took up the slack.

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I'm sorry, but that is incorrect....that is criteria for being a bully, IMHO.

Bullying has no age requirement...a bully is a bully.

If anything, you just belittled the older nurses' bullying experiences....why is that???

I'm sorry. But you misunderstand. It wasn't about the age that I had issue with but the gravity. That other nurse was physically abused that resulted in impairment somewhat. The other example was harassment and threats. Like that... I didn't mean to belittle her experience. I just thought it fell under a different category.

What is your definition of bullying btw? Cause in this discussion, it seems to differ for each of us.

1 Votes