Presentation on theme: "Nurse to Nurse Bullying: A Sepsis in Healthcare Susan Strauss, RN, Ed.D. Harassment & Bullying Consultant."— Presentation transcript:
Nurse to Nurse Bullying: A Sepsis in Healthcare Susan Strauss, RN, Ed.D. Harassment & Bullying Consultant
Objectives To define bullying and harassment To discuss the misconduct within nursing practice incorporating The Joint Commission’s Disruptive Behavior Standard, Nursing Social Policy Statement, Nursing Code of Ethics, and the Scope and Standards of Nursing Practice To identify theories, causes and contributing factors of bullying in nursing To discuss nursing leadership’s role in the prevention and intervention of bullying To practice communication techniques in confronting bullying behavior To develop a prevention and intervention action plan to implement for North Dakota Nurses Association
The art of nursing is based on caring and respect for human dignity. ANA, (2010). Scope and Standards of Practice
Standards of Professional Performance (ANA) Collaboration Collegiality Ethics Research Resource utilization Professional practice evaluation Education Quality of Practice Leadership Environmental Health
Code of Ethics for Nurses (ANA) Relationship with colleagues and others….precludes…any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others.
Code of Ethics for Nurses (ANA) Preservation of integrity including…verbal abuse from…coworkers.
Code of Ethics for Nurses (ANA) Responsibility for the healthcare environment; Responsible for contributing to a moral environment that encourages respectful interactions with colleagues, support of peers, and identification.
Definition of Bullying Bullying is persistent, repeated, malicious, offensive, and intimidating behavior which humiliates, degrades and displays a lack of dignity and respect for the target resulting in them feeling vulnerable and threatened.
“Bullying may be more appropriately considered a form of organizational defiance rather than simply a form of interpersonal conflict.” Hutchinson, M., Wilkes, L., Jackson, D. Vickers, M.H. (2010). Integrating individual, work group and organizational factors: Testing a multidimensional model of bullying in the nursing workplace. Journal of Nursing Management 18,173-181.
Patriarchy “finds its way into everyone who grows up breathing and swimming in it, and once inside us, it remains however unaware of it we may be….we are involved, if only by our silence.” Allan Johnson: The Gender Knot: Unraveling Our Patriarchal Legacy
Oppressors’ actions perceived _________ Internalize oppressor’s thoughts & _______ Believe in own _______ Powerlessness Hopelessness Dislike of _______ Displaced _____ Oppression
Horizontal Violence 60% new RNs leave 1 st job 1 in 3 RNs quit Adaptive response Symptomatic
“Rather than challenging the masculine hegemony of management, some women – particularly those who employ bullying tactics – may be conforming to the masculine ethic that underpins many management practices.” Simpson, R., Cohen, C. (2004). Dangerous work: The gendered nature of bullying in the context of higher education. Gender, Work and Organizations, 11(2), 182.
Large number of women in power positions = less female to female bullying
Women Hostile to other Women Cowan, G., Neighbors, C., DeLaMoreau, K., Behnke, C. (1998). Women’s hostility toward women. Psychology of Women Quarterly, 22, 267-284. Lowered self-esteem Hostility toward men Lowered self-efficacy Increased emotional dependence on men Less intimacy Less life satisfaction Acceptance of interpersonal violence
Common Law Tort Claims Against Managers & Organizations Aiding & Abetting Assault & Battery False Imprisonment Intentional infliction of emotional distress Negligent hiring or supervision Personal Injury Intentional interference with business relationship Breach of contract
38 Harassment As a Legal Issue Title VII of the 1964 Civil Rights Act
Refusal or delay in sharing information Spreading rumors Sabotaging one’s work Making a false complaint _____________ Verbal and/or physical abuse _____________ ____________ Poor performance review Destruction of property Refusal to meet or delays in meeting Threats _______________ Retaliation
What To Do If It Happens To You Document, document, document Report Stop Follow Policy
Title IX No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving federal financial assistance.
14 th Amendment: Section 1983 Violated student’s constitutional rights Failed to receive, investigate, act upon complaints Failed to train employees. District’s policy, practice, or custom must cause the alleged constitutional injury.
Sexual Harassment Incidents in Schools Younger and Younger Ages More sexually violent Often mis-labled as bullying Source: Stein, Nan (2005). A Rising Pandemic of Sexual Violence in Elementary and Secondary Schools: Locating a Secret Problem. pp. 33-52, Duke Journal of Gender Law and Policy. Often not responded to by: School Officials Law Enforcement
Grade Level When First Experienced 0%5%10%15%20% K-2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th Boys Girls AAUW Study - 1993
Gender-based Harassment Threatening and harassing behaviors based on enforcement of gender-role expectations.
Bullying Definition? De-genders problem of sexual harassment/violence Defers attention away from sexual harassment/violence Mislabel interferes with prevention and intervention Obscures legal liability Erodes students’ rights
School Officials Indifferent Unresponsive “go sit down” “Ignore him”
Key Actions Commitment from administrationCommitment from administration Policy and Procedure Policy and Procedure Training Training Consequences – x2 Consequences – x2 Teachable moment Teachable moment Title IX Coordinator Title IX Coordinator
The nursing profession is particularly focused on establishing effective working relationships and collaborative efforts essential to accomplish its health-oriented mission. ANA, (2010). Nursing’s Social Policy Statement:The Essence of the Profession, 2010