Bullying, Incivility, and the Generations: Where Do Nurses Learn Incivility

Monday, 18 November 2013

Debbie Nogueras, PhD, ARNP, BC
School of Nursing, Northern Arizona University, Flagstaff, AZ
Deborah S. Adelman, PhD, RN, CNA, BC, CNS
School of Nursing, Kaplan University, Chicago, IL

Learning Objective 1: Identify factors contributing to bullying and incivility in nursing and nursing education

Learning Objective 2: Describe three interventions to control bullying and incivility in nursing education and practice

Purpose: Bullying and incivility in nursing has reached epidemic proportions both in academia and practice.  This presentation will focus on results from a longitudinal, on-going study examining the coping behaviors of nursing students when faced with difficult situations and how proposed early interventions and curricular intervention can break the cycle of violence in the nursing profession.

Methods: Utilizing the "Bullying in Nursing Education Questionnaire" and an additional short answer question, participants identified their level of perceived bullying behavior, and how they have dealt with a challenging situation involving bullying in nursing school or in their position as a professional nurse.  

Results: The majority of the participants in this study reported positive coping behaviors (e.g., reported behavior to superior or person of authority, spoke directly to bully, or warned the not to do it again).  However, many reported negative behaviors (e.g., did nothing, put up barriers, pretended not to see the behavior, or increased use of unhealthy coping behaviors such as smoking, overeating, and increased alcohol consumption).

Conclusion: Interventions grounded in coaching and positive psychology will be presented, incorporating multi-generational challenges, strategies, and techniques which can easily be incorporated into nursing curriculum and professional continuing education offerings.  Questions of whether negative behaviors are generational in nature or solely related to bullying and/or incivility will also be discussed.  This presentation will identify generational differences and potential interventions.  Holistic interventions presented will be broadly categorized as communication, rooting (i.e., centering, presence, and intent), opening (i.e., acknowledging what exists, surrendering, and compassion), and engaging (i.e., remaining calm and taking action).