How to Identify and Respond to Bullying and Incivility

Workplace bullying is often described as aggressive behaviors that may include: alienating, intimating, public humiliation or sabotaging, and are usually perpetrated by someone in a higher level of authority. This behavior may involve covert or overt acts of verbal and non-verbal aggression. These types of behavior have been reported to result in enough psychological distress to nurses that it has caused them to leave the profession altogether. Nursing Students General Students HowTo

According to the American Nurses Association (ANA), bullying is a major barrier to enhancing the nursing profession. The ANA and other nursing organizations have provided several resources to empower nurses in ending workplace bullying and incivility in the workplace.

According to Dr. Renee Thompson - an expert on the subject, uncivil behaviors include:

  • Condescending body language
  • Texting or talking during someone else's presentation
  • Mocking a co-worker
  • Jamming the copier
  • Gossiping
  • Treating someone like a child

Dr. Renee Thompson continues by saying that bullying is defined as repeated patterns of uncivil behavior with the conscious or unconscious attempt to do harm. This harm is typically directed at an individual or a group and is typically coming from the same person, or groups of people. It is important to understand that bullying is targeted, and repetitive.

Dr. Thompson also says that you should ask yourself the following questions to help in identifying bullying behaviors, or whether you've simply experienced some isolated incivility:

  • Do they behave this way frequently?
  • Do they only behave this way towards select people (maybe you and not anyone else)?
  • Is there an underlying intent to do harm (remember, conscious/deliberate or unconscious/unaware)?

5 Easy Ways To Respond To Bullying:

STEP 1: Remain Confident

By remaining confident in your abilities, you can avoid being a target of bullying behaviors. Just remind yourself that you are a nurse and have met the minimum requirements by your school, your state and the NCLEX (National Council Licensure Examination) to practice as a nurse. You've earned your spot alongside the other nurses and should be treated with respect and dignity. With that being said, it is also your responsibility to know your knowledge limits and seek out additional assistance, guidance and training where appropriate. By demonstrating confidence in your ability to learn and practice as a new nurse, you will surely keep bullies from picking on you.

STEP 2: Remain Professional

It's easy for someone who is being bullied to demonstrate unprofessional behaviors such as arguing, yelling, screaming, using aggressive body language, using profane language or creating a disturbance within operational flow. It is crucial to your success that you remain calm, collected and professional in all of your responses to a bullying individual. Avoid any behaviors or actions that can come back to negatively reflect your level of professionalism.

STEP 3: Confront the Bully

Often times bullying behaviors are not recognized as such by the perpetrator. Regardless of whether bullying behaviors are intentional or not, it is important that you share your concerns with the individual who you feel is bullying you. This is best done after a shift and in an informal matter (i.e. pulling the person to the side, away from other colleagues). This will provide an opportunity for you to be open and honest with the individual. Please note that it is important for you to allow for the person to respond and that you fully listen before making any further judgment. In most cases, the person who demonstrated bullying behaviors will apologize and your working relationship will improve afterward. If this does not stop the bullying behaviors then it is time to report it to the nursing management, which is included in the next step.

STEP 4: Report the Bullying Behaviors

No one wants to get to the point of having to bring someone to the manager's office to be counseled, especially when it's you! Unfortunately, sometimes it is absolutely necessary to involve nursing management when bullying occurs. If the bullying behaviors continue after you confronted the individual(s), then it is imperative that you notify your nursing manager/supervisor immediately. Make sure you provide detailed information regarding the behaviors demonstrated, what your actions were to try to establish resolve, and how these behaviors are affecting you at work. Your manager will then follow through with a plan that will best address the situation.

STEP 5: Advocate for Peer Accountability

Creating a culture of peer accountability should come easy since most nurses come into the profession later in life and have gained a plethora of interpersonal skills, management skills, and have been in some form of supervisory position in previous positions. Even those of you who are entering into nursing as your very first job, you too can hold your peers accountable for their behaviors. By holding everyone on the team equally accountable for their behaviors, bullying behaviors decrease and work morale increases. Always practice by the standards of - if you see something, say something.

Of course, there is always the potential for meeting resistance in all of these steps provided. Just remember one thing - your determination to provide a positive impact will eventually overshadow the negativity that others may create. With consistent positive role modeling by following the above steps, you will surely help to create a healthy workplace environment!

Specializes in NCLEX Prep Expert - 100% Pass Rate!.

Thank you heron for your contribution to this discussion. The answer to your question can be found in the article as well as the comments within this thread.

Best,

Damion

Damion Jenkins said:

All of my responses were carefully calculated, and although they are heavy with sarcastic tone, I do not feel they were inappropriate.

This was not a simple disagreement, and even if it was, this language did nothing to help nursing students or new nurses. It only exacerbates the problem.

So let me get this straight. Other people's sarcasm=bad, your sarcasm=appropriate. Have I understood you correctly?

You need to take a page from your own book. Your language did nothing to help nursing students or new nurses. It only exacerbates the problem. From a nurse who was bullied as a new nurse you. aren't. helping.

Your negative discourse is just as detrimental as any other person's. Just because you think it isn't doesn't make it so. If you want proof of that your thread, while written with good intention I'm sure, is now lost in a sea of posts from people who agree with me. The only reason people are going to read it now is to watch the fireworks.

And FTR your non-apology apology is duly noted.

Specializes in NCLEX Prep Expert - 100% Pass Rate!.

Thank you Wuzzie for your support and contribution to this discussion.

Best,

Damion

Specializes in Hospice.
Damion Jenkins said:
Thank you heron for your contribution to this discussion. The answer to your question can be found in the article as well as the comments within this thread.

Best,

Damion

You're welcome.

Specializes in CVICU CCRN.

Add me to the list of people who were actually bullied at one time - the time I transferred to my "dream" unit. Believe me, the behavior went far beyond jamming a copier or eye rolling. Think screaming, malicious rumors, personal attacks, being set up, and anonymous hate mail.

I am a confident and articulate person most of the time. I give people the benefit of the doubt and roll with strong personalities as I am aware that I have one myself. I believe in the team though - that we don't all have to be best friends to be successful.

I'm still not sure, two years later, what I did that caused the initial offense or made me a target. I was aware in advance that the unit was going through a major cultural transition and tried to be reserved, open minded, and an active listener while on orientation. It was frustrating and stressful as I was trying to draw on all my previous knowledge to make the situation better. I only made it worse. Some of the behaviors I experienced may have fallen under hazing, and I rolled with that. But one particular person took it really far. I tried to approach management and my educator to express my concerns in a professional way, but I don't think I advocated for myself strongly enough. I stuck it out as long as I could, but when I started absolutely panicking on my drive to work and dreading every phone call, as well as becoming so distracted in my practice that I *did* make mistakes, I left. My husband thinks I should have fought it with the union. I don't think it would have mattered or helped, honestly.

I had mentors that stepped in and tried to fix the situation, but it wasn't enough. I walked away and do not regret it. I love my job and have since advanced to a high acuity CVICU and advanced heart failure program, and it was an excellent fit. I'm learning every day and love that.

Perhaps I simply gave up - but putting my practice and patients at risk because I was so anxious and in my head was an untenable consequence for me. It took me awhile to bounce back, but I did. I still reflect on the situation, but haven't had many new answers.

Working in high acuity critical care develops a lot of strong personalities. For the record, I think that we overstate the bullying issue (jamming copiers) in some effort to bring it to light and mitigate it. Unfortunately, imho, that does a disservice to the cause just as much as ignoring it does.

I worked in business management and then mental health prior to becoming a nurse. There is incivility everywhere. We must find the balance between developing new nurses who critically think and have a thick skin and truly malicious behaviors, which I believe are relatively rare.

Being a new nurse is stressful and it can be difficult for some to not take critiques and corrections personally. It's just part of growing as a nurse. Being hyper vigilant to suspected bullying only makes the problem worse and makes it harder to be a "fit" somewhere. Good self care and a good support system can help put things in perspective. I personally do not share my story much, but it stays with me to a degree. I feel that this article did generate some very valuable discussion, even if it somewhat missed the mark.