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A Concept Analysis: Nurse Bullying

N501- Nursing Theory Presentation

Diane Ballester

on 2 November 2014

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Transcript of A Concept Analysis: Nurse Bullying

Why I chose this topic?
Nurses at Work
We care. We protect. We serve.

Somewhere along the line, things change...
Instead of looking to each other for support, we tend to lash out on each other.
Nurse bullying is the repetitive overt or covert actions of one nurse (perpetrator) to another (victim) with the intent to
humiliate, degrade, intimidate or create physical and psychological risks
to the victim (Dellasega, 2009; Katrinli et al., 2010; Longo, 2013; Quine, 2001; Thompson, 2013).
Personal experience

To raise awareness and educate nurses and colleagues about the prevalence of nurse bullying

To suggest strategies to eliminate the existence of nurse bullying such as effective communication, involving nurse leadership, and fostering systems to empower and support nurses
What does nurse bullying look like?
Gossiping, back stabbing, belittling, criticizing, humiliating and insulting other nurses with an intent to defame or discredit (Dellasega, 2009; Katrinli et al., 2010; Quine, 2001; Thompson, 2013)
2. Horizontal or Lateral Violence
Nurse bullying is an act of verbal violence by nurses to nurses (Dellasega, 2009; Katrinli et al., 2010; Longo, 2013; Thompson, 2013).

Absence of hierarchical difference

Majority of nurses are females. Men tend to use physical means to express their frustration while women use more "cerebral" means, using defamation, humiliation, and betrayal of trust (Dellasega, 2009, p. 53).
3. Relational Aggression
Psychological aspects of nurse bullying such as character defamation, humiliation, betrayal, exclusion and intimidation (Dellasega, 2009; Katrinli et al., 2010; Longo, 2013; Quine, 2001; Thompson, 2013)

Results of relational aggression cause severe psychological trauma to those victimized as they often exhibit symptoms similar to those suffering from Post Traumatic Stress Disorder (Thompson, 2013)
1. Power
Bullying has been directly correlated with the need to establish control, authority, or combat insecurities of powerlessness over new or changing conditions (Dellasega, 2009; Katrinli et al., 2010; Longo, 2013; Quine, 2001; Thompson, 2013).

New situations (i.e. having new hires) elicit powerlessness, which lowers self-esteem, triggering the cycle of bullying other nurses to boost self-esteem (negative cycle).

Lack of uninterrupted breaks or meals, inadequate staffing ratios, limited supplies, and lack of recognition of nurses’ contribution fuel this cycle.
A Concept Analysis:
Nurse Bullying

Affected by job burn out
Feelings of failure to create positive patient outcomes
Increasing work demands
Personal and family-related stresses
Job dissatisfaction
By: Diane Ballester
Nurse 501- Nursing Theory
California State Fullerton

Why is this important?
Nurse bullying is detrimental to the workforce.

Creates a toxic, negative learning environment

Decreases nurse and patient safety

Leads to profound job dissatisfaction and is estimated to be one of the leading reasons that forces new nurses to quit (Berry et al., 2012).
Or when a charge nurse or another nurse withholds information, purposely assigns too heavy a patient load, or does not provide assistance when needed, which can lead to decreased patient safety and potentially lead to fatal errors
Next Steps:
Further literature research in order to explore additional defining attributes that pertain to nurse bullying

Establish guidelines to help nurses, managers and colleagues identify nurse bullying

Develop strategies to help nurses find their voice and step up to nurse bullying (
ddress the behavior,
aise awareness and be a
ole model for professional behaviors)

Promote zero tolerance for bullying and to create a healthy, productive and professional work environment
Berry, P., Gillespie, G., Gates, D., & Schafer, J. (2012). Novice nurse productivity following workplace bullying.
Journal of Nursing

Scholarship : An Official Publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau, 44
(1), 80-87.

Dellasega, C. (2009). Bullying among nurses.
The American Journal of Nursing, 109
(1), 52-58.

Dylan, B. (1997). Make you feel my love [Recorded by Adele]. On
Adele: Make you feel my love
[CD]. London, England: XL Recordings.

Katrinli, A., Atabay, G., Gunay, G., & Cangarli, B. (2010). Nurses’ perceptions of individual and organizational political reasons for

horizontal peer bullying.
Nursing Ethics, 17
(5), 614-627.

Longo, J. (2013). Bullying and the older nurse.
Journal of Nursing Management, 21
(7), 950-955.

Quine, L. (2001). Workplace bullying in nurses.
Journal of Health Psychology, 6
(1), 73-84.

Thompson, R. (2013). Take action against nurse bullying: Strategies for individuals.
Medsurg Nursing : Official Journal of the Academy of

Medical-Surgical Nurses, 22
(6), 403-405.

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In your previous units, did you feel like you had the resources you needed to perform your job well? Did you feel supported by your co-workers and management?

What characteristics do you think a bully possesses?

In your nursing experience, have you encountered anyone you would consider a nurse bully?

Have you ever witnessed a co-worker be bullied by another nurse?

Have you ever been the target of nurse bullying?

What strategies were in place in your hospital to prevent nurse bullying?

Discussion Activity:
Full transcript