Workplace Bullying-Nursing or 7th Grade?

Nurses Relations

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I just posted a blog and wanted to share it here because of the reactions I've gotten...this has become a topic of great interest for me in nursing and it is being tied to patient safety. If you have an institution where this has been successfully stopped, please comment.

My 12-year-old daughter has recently been having problems with other kids at school. It's the usual, I-can't-figure-out-who-I-am-so-I'm-going-to-torment-you, 7th grade problems.

Unfortunately, many similarities exist between 7th grade bullying and workplace bullying. You'd expect that maturity would kick in, but I have found that sadly, even though the setting has changed, the behavior has not.

A few months ago, I discovered the book called The No ******* Rule-Building a Civilized Workplace and Surviving One That Isn't by Bob Sutton I do not receive any benefit for plugging this book, but I have to highly recommend it-regardless of your profession.

I am typically an outgoing person, but as an OR nurse working with a small staff, I found myself being torn down to the point where my self-worth was squashed, and my motivation became non-existent. My bullies were referred to as the Triangle of Terror- three women who did what they could to tear down, intimidate, and spread rumors about others. I have to mention that each member of this Triangle had worked there for an extensive amount of time and were very skilled at what they did. Their talent and seniority ensured their value to the department and many surgeons preferred to have them in their case.

It started at the beginning of my employment. Nit-picking my skills, telling my manager that I should have never been hired. If I presented an idea, it was quickly shot down or mocked by one of them. If I worked well with a surgeon, they would loudly point out my imperfections-sometimes right in the middle of the case. After time, I began to believe them. I should have never been hired. If I did well, it must have been a fluke-surely a failure was right around the corner. My paranoia grew as I was certain they were sharing every faulting detail with anyone who would listen.

I had allies, and I was not the only target. Frankly, these friends are what kept me coming back each day. However, because of the environment of fear, even though they witnessed the bullying, and knew it was going on, no one wanted to stand up. Speaking out only reserved your spot as the next victim. It was best to just come, do your job and go home.

The ripple effect from their behavior was crushing. I took my stories home and dumped them on my husband. He could do nothing but helplessly watch and try his best to keep my spirit alive. My attitude and mood were sour every day when I came home and I'm certain my children felt it. My health took a hit and my sick days were used to the max.

After 19 months of being slowly broken, the best thing I did was to quit-even though I was stepping away from my benefits and a job that I loved (I didlove the job itself). Nearly two years after leaving, I think I am finally healing. Writing about it, hearing the experience of others and knowing what they went through has also helped.

Workplace bullying is rampant. From my experience, the same stress, insecurity and competition that drove the 7th grade torment has the ability to manifest it's ugly head in adults-and for some WRONG reason, especially in nursing. In writing this, I am hoping to bring comfort to those who are bullied and awareness to those who might be bullying others. If you've ever wondered if you might be the problem, I encourage you to test yourself and find out! Share your story, speak out and support others....you never know who may be experiencing the same pain, or who you might be able to help!

Specializes in Trauma, Education.

Vanderbilt is the LEADER in this! Gerald Hickson's articles have been my guide in the program we are working on. And yes-the JC SEA#40 is also a top document for this. Not only is it a mental/physical health issue, it is causing mistakes. I think that financial loss will get more of the administrations' attention than compensation claims, sadly....whatever it takes!

Specializes in retired from healthcare.

Such a culture creates two types of workers: those who are actually team players and those who appear to be team players.

I was constantly being summoned into the clinical director's office to discuss my lack of team work.

Word the report in a clean, detached and objective manner. :madface:

.

I told the DoN

1."they are not being a team, they're being a click and other people have problems with them but they're afraid to report it" and she denied the reality of it.

2. "I answer their lights and do things for their patients" and they sit there and watch me and then lie about it.

"Oh no you haven't!"

3. "They have me on what they know is at least twice as much work as everyone else has"

and then lie about it.

The DoN does not seem to understand that I've been exploited this way for months.

4. I had the light on to get help and a co-worker came racing into the room, said "you have the light on" and went racing back out, and I was one step short of screaming at the top of my lungs.

I need help damn it!

Would you be able to quit your lying is not the right way to talk to your co-workers but would have been the only thing they understood.

She also told me, "don't keep on writing me notes, talk to your charge nurse."

"But the charge nurse is busy!"

One smug employee who lied to the charge nurse knowing she would bite my head off,announced "It's like yelling at the dog."

How does "the dog" write an incident report without using the word "lie."

As soon as I mention that they lie, I'm not in a place of detachment.

How can one get through to their charge nurse and co-workers without confronting them that they're lying?

After I changed to another shift, they targeted another victim. Then she sat in a nurses meeting and informed them that "I resent the accusation that I'm not doing my share of the work and as of 3 o clock today I am no longer working here."

Making this type of public announcement comes easier to some than others and can be like walking a tightrope without a net.

An ideal DoN would tell the staff, "this is not a place for overgrown junior high girls."

Specializes in NICU, PICU, Transport, L&D, Hospice.

Management determines whether or not bully behavior will be brief or long term.

If you are dealing with a pack of bullies with a history of bully behavior then you are dealing with a management who allows or even promotes bully attitudes and behavior.

The Chris Christie situation in NJ is an excellent example of this. He may not have been personally involved in the political bullying but he has created the administrative attitude that promoted and accepted it as it grew.

That phenomenon will occur in ANY workplace when allowed. It is always a reflection upon the management. ALWAYS.

That's exactly what happened to me as a new nurse in L and D 8 years ago with my orienting nurse: she belittled me for not knowing how to do certain things or asking "stupid" questions, and she never gave me constructive criticism or really helped me learn- she would actually sit at the nurse's station while I worked and stumbled along. She went behind my back and talked about how incompetent I was and how they shouldn't have hired me in the first place. She thrived on my insecurity. My confidence tanked, and I would come home every night in tears, pouring my heart out to my wonderful husband, my rock.

I finally confronted her when I couldn't take it anymore. I took her into an empty patient's room and told her how hurtful her comments were. Her response? Basically: I really don't care about you as a person, you need to get it together and I can't believe you don't know how to do basic things. I blew up at her, telling her off. She stormed away, never bothering me again.

Although management knew what was going on, nothing was ever done. But the damage was done to me emotionally and professionally, thanks to her. I still fight my insecurities.

I'm not there anymore, but have seen this same behavior occur in my other job now, although in a more subtle way. It's sad.

I was bullied at work as well. ( my story in another post). I remember that staff get an "applause" for good work done and the story be read during the huddle for everyone to hear. When I get an applause, the charge nurses don't read it aloud nor they give me the proof. They will just give me the bfast prize and walk away... It's such a subtle but awful way to attack one's confidence.

I'm starting my new job this week and I'm so scared.

Specializes in ICU.

wron post

As many of you stated, bullying really does take a toll on you mentally, emotionally and physically. I have noticed that most bullying occurs in work environments such as clinics and private practices- where SENIORITY is important. I worked for an outpatient clinic and due to having a hard time landing an RN job where I moved, I was more than HAPPY to accept it and began work.

The Nurse Mgr at the time of my hiring was also the lead nurse and she was the kind of bully who LOVES to be NICE, HAPPY, and QUIET (she was petite woman with a mousy voice). She's been there for quiet a while, therefore the MDs and Corporate has grown to love her. She was also the smartest and most educated when you compare her to the others. To make a long story short, she and her lackeys decided it was time for me to leave. They nit pick everything I did, wrote things I did wrong and would report it to the our oncoming nurse mgr (she was stepping down due to pregnancy).

They would leave me in the middle of the chemo room with patients and huddle behind closed doors so they can talk crap about me. (and I could hear one of them!) I NEVER felt so LOW and incompetent in my life. Mistakes I made were NOT fatal (i.e. I picked up the wrong syringe in the med room, no where near a pt)--- while other RNs administered the wrong chemo! :nailbiting: (they were NEVER written up). I was once written up because I charted 1 day late (a common practice in the clinic.) When I tried to ask for justification as to why it was not acceptable for me to chart late, while Nurse X and her pals do it on a daily basis... My oncoming MGR says "because they've been here for a while. You're just starting". Didn't make sense then and doesn't make sense now. I put up with the unethical and unprofessional behaviors for 4 months until I gave up.

I was a confident and competent RN when I walked in that clinic, and I wasn't going to allow them to destroy me. Standing up for myself made me a bigger target and Management nor Corporate was going to take my side over nurses who have been there 5 plus yrs. I was going to try to stick it out because I've grown to LOVE my patients and they LOVED me. But after all that has been said and done, I knew it was time to go. I left and found a new job and much happier. This experience has made me weary of new work environments now though. It's hard for me to open up now. I know in time, it'll go away. But as many of you have said, bullying have long term effects. If you know you are right, stand up for it. :-) If NO ONE wants to listen, then maybe it's time to go. No job is worth your sense of self and being mentally destroyed.[/QUOT

Congrats on leaving such a crappy work environment. I hope they like working short.

Specializes in Trauma, Education.

I am absolutely sickened to see recent postings supporting the concept of bullying in nursing and it being acceptable. This is another form of bullying! To say that 'they just can't take nursing' or other lame, selfish excuses. It is nothing but that-selfish excuses from a bully.

I just want to re-emphasize, as the original author of this post, and spending the last 3 years researching bullying in medicine and nursing especially, that it is NEVER OK for you to be a jerk! You compromise your patients' safety when you are. With patient satisfaction becoming more and more prevalent, I will remind everyone that when your patients hear/see you acting like a jerk, they are going to have poor experiences to report. Those numbers will come back to you.

As an instructor of nursing students and medical students, I tell them: if you get a nurse-or anyone, for that matter-who treats you like a jerk, go to your instructor and ask for a re-assignment. That person is not helping anyone except for their insecure ego. I'm hopping mad about this. It is NEVER okay. Don't let anyone tell you it is.

rbs105

I appreciate your willingness to share this. I have what I jokingly refer to as PTSD from my 1st nursing job which In quit after 13 months. I now have a very part-time job which I love, but I need more hours. Yet I am PETRIFIED of applying to another hospital job and I still feel that somewhere - deep down - it WAS me. I wasn't smart enough. Or fast enough. Or whatever!

How do you overcome that? My confidence is so low because of my experience! Is it like this everywhere???

Specializes in Trauma, Education.

Thank YOU! And I am so sorry.... You might be surprised-you may get to a unit that has a great dynamic and will totally help you. Talk to current staff about the nurses who work where you are interested and ask them what their orientation was like. Someone also suggested to me that you talk to a recruiter and get the turnover numbers for a unit. If they have high turnover rates, something is wrong. We have one unit that has an incredibly low rate and they are (amazingly!) one of the highest participants with our anti-bullying campaign. There is definitely a correlation.

I found that just as their passive aggressive ways worked to take me down, I have fought back with my own ways like starting anti-bullying campaigns-Try it! There isn't a single person in quality who would shoot you down for suggesting to start one-unless they are one of those who are afraid of being identified as a bully. You don't need your managers approval to start a hospital-wide initiative that helps staff and patients!

When you do this, you help others who are experiencing it, you increase awareness about the issue and you help yourself in the process. It has been very invigorating for me!

I think that nursing PTSD should be recognized as a true condition though. And that there should be more attention to it to help. You'd think it would be in the best interest of everyone, but not everyone sees bullying as a problem!

Good luck--thank you for posting!

rbs105

Specializes in med, surg,trauma, triage, research.

this is a real shame, not all nurses are bullies but yeah the healthcare field seems to attract people who do like to bully, just big organisations and lots of people being told to what to do is bound to cause friction. The need to exert the power they think they hold and making everyday jobs a drama. Generally having survived bullying I find its because they are in some way threatened by me - this didn't become apparent till much later of course, which is why its important to hang on in there and see it through and I know it can be tough, but the saying "every dog has its day" is true. Often its lack of skills to blame too. Perceived threat brings out the worst in us all so we can all be bullies and it would be naïve to say we weren't. I don't know about going further up the chain of command as sometimes that can be as bad, but certainly seek allies to support you where ever you can and dilute the effect of the bully

Specializes in LPN 8yrs RN BSN 1yr ICU Nurse Magnet Hos.

My DNS/ ADNS & staff nurse always applaud me for my great work with my patients and my thorough nursing notes!!

I am going through the same thing. My weekend supervisor picks on, for no reason and its affecting my job performance, I come home stressed out both my husband and kids can see it. I get anxiety attacks which I never had before. This supervisor is Haitian, and I am white and I feel like she is discriminating against me because I am white, meanwhile other coworkers that are crappy Haitian nurses she doesn't bother. I spoke to DNS I am going to report to corporate this issue! There are other people at my workplace that are being bullied by this supervisor. You are dammed if you do say something to her and don't say something to her!!When I have change of condition on my patient she expects me to know the whole history from A to Z, but she is so dumb she has her BSN she can't even spell. She criticizes me when I give excellent report to EMT's, she then states to me "EMT's make fun of nursing home nurses, cuz they don't know how to give report" I told her you are talking to wrong person. I got to that point that I want to quit but I am not gonna quit they can fire me and pay me unemployment! BECUSE I know that I am an EXCELLENT nurse :)

I couldn't agree more. I have been a nurse for over 23 years and have seen bullying in many areas. I , too am a nursing instructor but I also still work in the ICU in direct patient care.

When I was "birthed" into nursing, bullying did not exist. I was the "baby nurse" with a group of what I would call grandmothers. They were very nurturing and back in those days we had a 12-15 patient assignment on an acute respiratory oncology floor. It was no doubt one of the best and most difficult jobs in my life.

I have done an immense amount of research on bullying as well. In the rural settings, bullying is lower and higher NCLEX scores and nursing attrition rates are lower as well. What is it about the "city" or "Urban" environment which makes us this way. I would like to believe that many of us had the same training in ethics and character in nursing school. My training was more in the lines of Christian nursing vs. secular nursing but, I have found, the Christian or Catholic hospitals are the worst when it comes to this.

We , as nurses, need to get our act together. Who do we really want taking care of us in our "Golden Years?"

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