patient safety

The Effect Of Bullying On Nursing and Delivery Of Care

&NewLine;<p class&equals;"wp-block-paragraph">The effect of bullying in nursing can be detrimental&period; Bullying is a form of aggressive behavior in which someone intentionally and repeatedly causes another person injury or discomfort&period; Bullying can take the form of physical contact&comma; words&comma; or more subtle actions&period; &lpar;<a href&equals;"https&colon;&sol;&sol;www&period;apa&period;org&sol;">American Psychology Association<&sol;a>&rpar; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">Growing up in a poor and corrupt country&comma; I experienced oppression and bullying at an early age&period; Freedom of speech did not exist&comma; and the justice system was very partial&period; Beauty was defined as being light-skinned with curly hair and European facial features&period; Only about 5&percnt; of the population matched that description&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph"> In the past&comma; some former classmates used to bully me&period; My mom truly helped me conquer the effect of bullying&period; Also&comma; she has a very strong personality and really empowered me to be the best at everything that I do&period; The effect of bullying was very detrimental to me&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<figure class&equals;"wp-block-image size-large is-resized"><img src&equals;"https&colon;&sol;&sol;i1&period;wp&period;com&sol;nursesophiedebtfree&period;com&sol;wp-content&sol;uploads&sol;2019&sol;11&sol;bullying1&period;png&quest;fit&equals;678&percnt;2C381&amp&semi;ssl&equals;1" alt&equals;"the effect of bullying on nursing care" class&equals;"wp-image-2923" width&equals;"508" height&equals;"286"&sol;><&sol;figure>&NewLine;&NewLine;&NewLine;&NewLine;<h2 class&equals;"wp-block-heading" id&equals;"h-the-effect-of-bullying-on-self-esteem">The Effect Of Bullying On Self-Esteem <&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">I remember telling some of my classmates to stop bullying me because they used to make offensive comments towards me&period; They refused to stop because they enjoyed the oppressive and ridicule jokes and ignored my feelings&period; I wonder if I was their sole victim&quest; I internalized most of my feelings to pretend that the effect of bullying did not impact me&period; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">It was beneficial that my mom taught me about self-esteem and courage because her advice kept me motivated and focused&period; I forgave all my oppressors because I realize that they are often unhappy and miserable people who experienced some type of abuse or oppression at some point in their life&period; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<h2 class&equals;"wp-block-heading" id&equals;"h-bullying-in-nursing">Bullying in Nursing<&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">As a new graduate nurse&comma; I never thought that bullying existed in nursing&period; I quickly noticed some apprehension toward new graduate nurses based on generational differences&period; At the beginning of my orientation&comma; some of the senior nurses told me that they might have graduated a while ago&comma; but they have been on the unit for many years and are very proficient nurses&period; <br><&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">They also mentioned that I needed to listen to them and accept my patient assignments without complaining&period; They expressed the importance of challenging myself to become a proficient nurse&period; That was an oppressive strategy that they adopted to discourage new nurses from advocating for change at the workplace&period; The Effect of bullying in nursing can contribute to poor delivery of care&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph"> The senior nurses&&num;8217&semi; comments and perceptions truly shocked me&period; I shared my opinion with other new graduate nurses&comma; and they validated my observation&period; My patient assignments were often very challenging in comparison to senior nurses&period; To avoid conflict&comma; I decided to accept the assignments because I wanted to exhibit resiliency and teamwork so that I could fit in&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph"> I later realized the more experienced nurses managed to go home on time and had time to take lunch breaks while I struggled with time management and patient care&period; I approached someone else to inquire about the strategy to complete my work on time&comma; so I could also leave early&period; The senior nurses told me that I needed to impress the charge nurses first by accepting patient assignments without rebuttal&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<h2 class&equals;"wp-block-heading" id&equals;"h-the-effect-of-bullying-on-delivery-of-care">The Effect Of Bullying On Delivery Of Care<&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">I finally realized the rationale behind the constant frustration that most nurses often expressed about their assignments&period; It was all due to the effect of bullying in nursing&period; Besides&comma; I witnessed multiple arguments between charge nurses and other staff nurses over patient assignments&period; Some nurses call it &&num;8220&semi;unfair or unsafe assignments&&num;8221&semi; because the patient list often includes multiple discharges&comma; new admissions&comma; and patients with complex medical needs&period; <br><&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">When a nurse has to discharge multiple patients early during the shift&comma; the nurse becomes available for early admission&period; There are a comprehensive nursing assessment and data collection that nurses should complete during each patient admission&period; This process can be lengthy when patients are unable to provide some of the information due to cognitive deficits or other medical reasons&period; Thus&comma; the effect of bullying in nursing can impact the delivery of care&period;<&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<figure class&equals;"wp-block-image size-large is-resized"><img src&equals;"https&colon;&sol;&sol;i1&period;wp&period;com&sol;nursesophiedebtfree&period;com&sol;wp-content&sol;uploads&sol;2019&sol;11&sol;bullying-workplace&period;png&quest;fit&equals;678&percnt;2C381&amp&semi;ssl&equals;1" alt&equals;"the effect of bullying on nursing care" class&equals;"wp-image-2925" width&equals;"508" height&equals;"286"&sol;><&sol;figure>&NewLine;&NewLine;&NewLine;&NewLine;<h2 class&equals;"wp-block-heading" id&equals;"h-bullying-can-be-detrimental-at-the-workplace">Bullying Can Be Detrimental At The Workplace<&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">Nurses&excl; It is unacceptable to tolerate bullying at work in fear of losing your job or for other reasons&period; The effect of bullying can be detrimental to your health and wellbeing&period; For example&comma; some of my peers often try to intimidate me during nursing handoff&comma; i&period;e&period;&comma; change of shift report because they believed every task should have been completed before the end of shift&period; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">However&comma; nursing is a twenty-four-hour duty&comma; so a nurse will not be able to complete all patient&&num;8217&semi;s care in one shift&period; Besides&comma; some nurses attempted to educate me at the patient bedside&comma; I immediately stopped the behavior and reminded them that the location was inappropriate for an unplanned educational activity&period; <br><&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">I am sure many of you can relate to my experience&period; Bullying at the <a href&equals;"https&colon;&sol;&sol;dictionary&period;cambridge&period;org&sol;dictionary&sol;english&sol;workspace">workspace<&sol;a> should never be accepted and should be reported immediately to your chain of command or Human Resources&period; In the past years&comma; bullying contributed to <a href&equals;"https&colon;&sol;&sol;nursesophieconsulting&period;com&sol;signs-of-suicide-that-everyone-should-know&sol;">suicide<&sol;a>&period; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<h2 class&equals;"wp-block-heading" id&equals;"h-conclusion">Conclusion<&sol;h2>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">I learned to advocate for myself because I am not the problem&period; Unfortunately&comma; I cannot live to please everybody&period; I can only strive to be the best that I can be&period; Everyone should stand against bullying&period; Besides&comma; I obtained some knowledge in labor laws and able to reference some of the regulations to my peers and my superior whenever I express my concerns at the workspace&period; <&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">It is very easy to blame yourself when being bullied or oppressed because the goal is for you to feel intimidated and uncomfortable&period; I have become an advocate for myself and others because the impact of bullying can be detrimental and sometimes irreversible&period; Lastly&comma; I love my brown skin and have accomplished great things in my professional career&period; One of the best highlights in my professional career is when I was chosen to guide the royal couple&period; <br><&sol;p>&NewLine;&NewLine;&NewLine;&NewLine;<p class&equals;"wp-block-paragraph">It was an honor to guide Prince Charles and his wife on tour as a clinical nurse supervisor&period; As you can imagine&comma; I became more confident&period; The effect of bullying can be catastrophic&comma; but you should advocate for yourself and others to prevent harmful events&period; You should believe in yourself&comma; and you shall accomplish great things&period; <&sol;p>&NewLine;

Nurse Sophie, MSN,RN, LNC

Nurse Sophie has been a registered nurse for over fifteen years. I have a Master's degree in nursing, and my clinical experiences include staff nurse, charge nurse, clinical nurse supervisor, nurse manager, and most recently, nurse consultant in Quality; Patient Safety and legal nursing. I was always passionate about system operations and practice standards. I have completed over 2000 hours of medical chart reviews. I am an expert in clinical investigations, and I also develop event timelines. I can assist the legal team with the Discovery process: Deposition, Interrogatories questionnaire, event timelines, locate expert witnesses, and more. I provide and formulate clinical opinions based on the investigative summary. I also provide nurse coaching services to nurses who experience burnout and looking for a career transition advice. I have been there! Done that! I used to feel overwhelmed when I was younger a bedside nurse and wanted to quit nursing until I changed my mindset and faced my fear of the unknown. After multiple failures, I successfully transitioned out of the direct care settings. It was the best decision that I have ever made. Please send me a request to receive 1:1 career coaching from Nurse Sophie. Nurse Sophie, MSN, RN, LNC Legal Nurse Consultant Patient Safety Specialist website: https://www.nursesophieconsulting.com Email: nursesophieconsulting@gmail.com

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