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Learn MoreFor years, polls have shown that Americans view nurses as having the highest honesty and ethical standards of all professions—not only among healthcare professions, such as doctors, pharmacists, and dentists—but all major professions. Given this overwhelming admiration for nurses, why don’t more people gravitate toward the calling? Why do we continue to see nurses leaving the profession in growing numbers? One common and surprising reason is bullying, from within the profession and among colleagues.
Bullying: Nurses Do What?
Judith Meissner, now professor emeritus at Bucks County Community College in Pennsylvania, famously wrote in 1986, “Nurses eat their young” (Meissner, 1999). She was specifically referring to experienced nurses’ treatment of new nurses. Studies have found that as many as 60% of new nurses who leave their first position within six months do so in response to some form of verbal abuse or harsh treatment from a colleague.
Surveys say that as many as 85% of nurses have been bullied at work (Colduvell, 2017). The American Nurses Association (ANA) defines bullying as “repeated, unwanted harmful actions intended to humiliate, offend, and cause distress in the recipient” (Colduvell, 2017). Bullying is a subset of the broader group of behaviors referred to as workplace incivility.
The literature reveals that bullying between nurses—also called lateral violence—is often the reason a nurse leaves the job, if not the profession. Why is incivility such a widespread issue in this “most trusted” profession? Cheryl Woelfle and Ruth McCaffrey speculated on why nurses bully other nurses in their 2007 Nursing Forum article, “Nurse on Nurse.”
Misplaced Aggression
“Nurses often lack autonomy, accountability, and control over their profession… this can often result in displaced and self-destructive aggression within the oppressed group,” say Woelfle and McCaffrey (Colduvell, 2017). It would be grossly unfair to characterize all experienced nurses as bullies, but bullying among nurses is undeniable. The costs associated with such incivility can be great, including burnout, turnover, and decreased job satisfaction. In their study in Journal of Nursing Administration, Patricia Lewis Smokler and Ann Malecha estimate the annual cost of workplace incivility to be almost $12,000 per nurse (Smokler and Malecha, 2011).
Bullying is often met with silence. While the profession and the healthcare industry tackle the problem, individual nurses need to be part of the solution. “Nurses must realize that their silence equals complicity in the face of bullying and aberrant behavior; standing up to bullies and advocating for a culture of kindness, civility, and compassion for both patients and staff are in the best interests of everyone,” writes Kathleen Colduvell, RN, BSN, BA, CBC on Nurse.org (Colduvell, 2017).
Challenges with Accountability and Authority
Nurses who step forward to report bullying, however, often feel their concerns are not addressed. A nurse describes her experience: “I was bullied by a veteran nurse who despised the fact I was young and moving up the chain of command. She spent countless hours of overtime stalking my charts, finding any error she could, slandering my reputation to other nurses, and even threatening to take my license. When I complained, I was told to keep my head down and ignore her complaints and threats. This caused me to transfer to another department.”
References
Colduvell, K. (2017). “Nurse Bullying: Stand Up and Speak Out,” Nurse.org. Retrieved from https://nurse.org/ articles/how-to-deal-with-nurse-bullying/
Meissner, J. (1999). “Nurses Are We Still Eating Our Young?” Nursing. Retrieved from http://journals.lww. com/nursing/Citation/1999/02000/Nurses_are_we_ still_eating_our_young__.18.aspx
Smokler, L. P. and Malecha, A. (2011). “The impact of workplace incivility on the work environment, manager skill, and productivity,” Journal of Nursing Administration. Retrieved from https://www.ncbi.nlm.nih.gov/ pubmed/21799351
Learn about HealthStream’s solutions designed to help you onboard and retain your nursing staff.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's provider credentialing, privileging, & enrollment solutions for healthcare organizations.
View All CredentialingExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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