1. Socio-ecological Phenomenon Bullying occurs not only because of the individual bully characteristics, but also the actions of peers, bystanders, leaders, acceptable norms in the environment, culture, community, and/or society that either serve to reinforce acts of bullying behaviors or eradicate The Plan: BE AWARE and Care Bullying Exists Acknowledge it Watch for it Act on it Reflect on the action Empower staff to address it and Care, because it matters! RWJF Executive Nurse Fellows Project Team 2012-2015 The PACERS: Passionate About Creating Environments of Respect and CivilitieS Rita Adeniran, Beth Bolick, Ric Cuming, Cole Edmonson, Bern Khan, Linda Lawson, & Deb Wilson Civility Tool-kit: Resources to Empower Healthcare Leaders to Identify, Intervene, and Prevent Workplace Bullying Adeniran, R., Bolick, B., Cuming, R., Edmonson, C., Khan, B., Lawson, L., & Wilson, D. (2015). Civility tool-kit: Resources to identify, intervene, and prevent workplace bullying. Retrieved from www.stopbullyingtoolkit.org. RWJF Executive Nurse Fellows Program, funded by the Robert Wood Johnson Foundation and administered by the Center for Creative Leadership and the University of North Carolina Chapel Hill School of Nursing. Workplace incivility and bullying is any negative behavior that demonstrates a lack of regard for others. Bullying exists, call it what it is, it can lead to a loss of valuable human capital and medical errors. Our Challenge We all must learn the skill to address incivility in the workplace; it needs to be built into every curriculum and every orientation Process for Change Actively engage frontline staff, patients, and organizational leaders in environmental assessment, policy development, implementation, and ongoing monitoring Build system awareness of the impact of the issue in healthcare Use multi-prong approaches available in the tool-kit to include prevention and intervention Integrate bullying prevention and minimization education to curriculum, system orientation, and ongoing training at all levels  Develop a language of collaboration  Determine code words  Provide a gracious practice environment in which students, staff, and organizational leaders can all learn to be more respectful – many behaviors are difficult to unlearn. It takes commitment and practice to change! Mandate American Nurses Association Position Statement on Incivility, Bullying, and Workplace Violence “All RNs and employers in all settings, including practice, academia, and research, must collaborate to create a culture of respect that is free of incivility, bullying, and workplace violence.” Retrieved from http://www.nursingworld.org/DocumentVault/Position-Statements/Practice/Position-Statement-on-Incivility-Bullying-and-Workplace- Violence.pdf http://www.nursingworld.org/DocumentVault/Position-Statements/Practice/Position-Statement-on-Incivility-Bullying-and-Workplace- Violence.pdf The Joint Commission Statement on Behaviors that Undermine a Culture of Safety “To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team.” Retrieved from http://www.jointcommission.org/assets/1/18/SEA_40.PDFhttp://www.jointcommission.org/assets/1/18/SEA_40.PDF www.stopbullyingtoolkit.org The Conversation is Changing “Bullying has long existed in health care; it was the ugly secret that no one wanted to talk about. However, the culture of acceptance and silence that accompanied it is finally being broken. The conversation is changing to focus on creating civil cultures that embrace collegiality and respect.” - Edmonson & Bolick