Paper
Sunday, November 4, 2007

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This presentation is part of : Caring for the Nurse
Bullying in the Workplace: Recognize it, Reconcile it, Renew from it
Christine Mladineo, BSN, RN, MICU/CICU, Department of Veterans Affairs Medical Center, Cleveland, OH, USA
Learning Objective #1: analyze the dimentions of a bullying situation by comparing bullying with constructive criticism
Learning Objective #2: identify ways to defuse a bully and recover from the perils of a bully

It is hard to image that a few nurses exhibit negative behavior toward other nurses. Sometimes referred to as horizontal violence, bullying is a significant issue faced by many nursing professionals. One study suggests that nurses were more concerned with bullying by another nurse than bullying by doctors or patients. (Farrell, 1997; Farrell, 2001; Raphael, 1992). As a profession that is designed to care and protect people it is ironic that this internal dilemma even exists. Although a bully can infect any type of workplace, nursing is especially susceptible due to inherent stresses and traditional pecking order (Sweet, 2005). A review of literature was done to define salient characteristics of bullying and uncover effective coping in a bullying situation. Using the salient characteristics of bullying will allow the nurse not to confuse a bullying situation and constructive criticism. Nurse targets can learn that self-concept plays an important role in the self-adaptation process that removes power from the bully. Thus self-concept can be used to defuse a potential cycle of bullying, end a cycle that already exists, and assist in recovery. Given the nursing shortage, it is imperative that bullying targets and their advocates stop the presence of bullying, sometimes referred to as "professional terrorism" (Farrell, 1997) in the nurse's workplace.