Experience in nursing practice with workplace bullying
What has been your experience in nursing practice with workplace bullying? What strategies can help to break the cycle of incivility in nursing practice? Include a rationale to support your response.
Sample Solution
Studies show that nurses are unfortunately at high risk for experiencing bullying [1]. This can come from superiors or colleagues and can manifest in various ways, including:
- Verbal abuse (yelling, insults, sarcasm)
- Intimidation
- Spreading rumors
- Withholding information crucial for patient care
- Unrealistic workloads
- Unnecessary criticism
Full Answer Section
- Beneficence: Healthcare professionals should strive to benefit patients.
- Justice: Healthcare interventions should be distributed fairly and equitably.
- Balancing Autonomy and Beneficence: Promoting healthy behaviors often means encouraging people to change habits they find pleasurable or convenient. How can we encourage these changes without infringing on their autonomy? (e.g., Should sugary drinks be banned?)
- Cultural Sensitivity: Health promotion messages might not resonate with all cultural groups. How can we ensure interventions are culturally sensitive and avoid implicit bias?
- Social Determinants of Health: Factors like poverty, education, and access to healthcare significantly impact health outcomes. How can we address these social determinants alongside individual behavior change? (Applying the principle of justice)
- Stigma and Shaming: Focusing solely on unhealthy behaviors can create stigma and shame, discouraging people from seeking help. How can we promote health in a way that is supportive and non-judgmental? (Respecting autonomy and avoiding maleficence)
- Privacy Concerns: Tracking health data for population health initiatives can raise privacy concerns. How can we ensure data privacy while also utilizing it for public health benefit?
- Focus on Empowerment and Education: Provide individuals with the knowledge and resources to make informed choices about their health.
- Community Engagement: Develop interventions in collaboration with the communities they aim to serve, ensuring cultural relevance and addressing social determinants of health.
- Positive Reinforcement: Focus on the benefits of healthy behaviors and celebrate progress, rather than shaming unhealthy choices.
- Transparency and Consent: Be transparent about data collection and use, and obtain informed consent for participation in health promotion initiatives.