Workplace Bullying Civility Presented By Brooke Platte Kim

Workplace Bullying & Civility Presented By: Brooke Platte Kim Fazio

Introduction “In the rapidly changing climate of health care, education, and the demands placed on providers and educators, especially nurses, the level of stress is extremely high. The incidences of bullying or behaviors of incivility are on the increase” (Parrish, 2016)

Introduction (cont. ) �Bullying is all too common in nursing �Health care is known as one of the most common occupations where employees “eat their young” �Why does the bullying continue? ◦ Nurses believe it is the norm, and are afraid to risk retaliation ◦ New nurses are too afraid to speak up ◦ Managers use silence as a strategy and typically do not know how to address the issue (Thompson, 2013)

Assessment of Health Care Environment � Bullying ◦ ◦ occurs in healthcare all over the world 31% of 511 nurses report bullying in their career in the United States 44% of 1, 100 nurses state they had been bullied in the workplace in Britain 57% of 152 nurses admitted to being bullied in Australia 21% of 286 nurses employed in Turkey were also victims of bullying � Bullying manifests itself in a multitude of different ways: including personal attacks, isolation, exclusion, intimidation, threats, belittlement, or humiliation (Keller, Budin, & Allie, 2016)

Assessment of Health Care Environment (cont. ) � It is difficult to tackle the epidemic of bullying among nurses when a large portion of the population is afraid to speak up ◦ 42% of workers stated that they would not report instances of workplace bullying or harassment � Under-reporting of workplace bullying and harassment occurs with both doctors and nurses � These individuals state they are afraid to speak up about their experiences with bullying because they felt unsafe sharing their concerns (Fleming, 2016)

Assessment of Health Care Environment (cont. ) � Psychological symptoms ◦ Anxiety, depression, loss of confidence and self-esteem, feelings of powerlessness, and hopelessness � Physical symptoms ◦ Headaches, sleep disturbances, elevated blood pressure, and gastrointestinal symptoms � Work consequences ◦ Decreased job satisfaction, decreased teamwork and collaboration, impaired communication, professional disengagement, poorer performance, and impaired decision making (Keller, Budin, & Allie, 2016)

Interferences, Implications, & Consequences What gets in the way of a civil work environment? • Miscommunication • Negative relationships • Not working towards a common goal • Complex/stressful situations (Keller, Budin, & Allie, 2016)

Interferences, Implications, & Consequences (cont. ) Physical Responses • • • Anxiety Depression Feeling powerless Headaches Loss of Sleep Increases BP GI symptoms • PTSD • (Keller, Budin, & Allie, 2016) Effects on Institution as a whole • • • Reduced productivity High turnover Low Commitment levels High rate of Absenteeism Financial Harm

Interferences, Implications, & Consequences (cont. ) What does this mean for the healthcare workforce? • A plan is needed • Healthcare workers need to come together & get involved

Recommendations � Team member education � Specialized � Increased training sessions accountability standards � Development of policies and procedures ( Lim & Bernstein, 2016)

Recommendations How would you answer these questions about yourself? - Do I think the best of others? - Am I welcoming to newcomers? - Do I communicate respectfully? - Do I avoid gossip and rumors? - Am I respectful of others’ privacy? - Do I encourage and support others? - Do I take responsibility for my own actions? - Do I seek and encourage constructive feedback from others?

Conclusion �A call to action! �Nurse & Employer responsibility �Remember to take care of yourself so you can effectively take care of others “Therapeutic communication skills and taking care of yourself are the most important contributions you can make toward creating and promoting civility in your workplace. ” (Parrish, 2016)

References � Clark, C. M. (2014). Seeking civility. American Nurse Today, 9(7), 18 -46. � Fleming, F. (2016). Workplace bullying: A lesson for OH. Occupational Health and Wellbeing. Retrieved from https: //fsulearn. ferris. edu/courses/1/50392. 201605/groups/_33172_1//_1863819_1 /Article%205. pdf � Keller, R. , Budin, W. C. , & Allie, T. (2016). A task force to address bullying. American Journal of Nursing, 116(2). Retrieved from https: //fsulearn. ferris. edu/courses/1/50392. 201605/groups/_33172_1//_1863668_1 /Article%201. pdf � Lim, F. A. , & Bernstein, I. (2014). Civility and Workplace Bullying: Resonance of Nightingale's Persona and Current Best Practices. Nursing Forum, 49(2), 124 -129. doi: 10. 1111/nuf. 12068 � Parrish, E. (2016). Civility and Self-Care in Nursing Go Hand in Hand. Perspectives In Psychiatric Care, 52(2), 81 -81 1 p. doi: 10. 1111/ppc. 12163 � Thompson, G. (2013). Nurse bullying: Whose eating whom? Advance Healthcare Network for Nurses. Retrieved from http: //nursing. advanceweb. com/Features/Articles/Nurse-Bullying-Whos-Eating. Whom. aspx