A Call to Revisit and Address the Histories of Bullying in Nursing Education

Daly, Zachary; O’Flynn-Magee, Kathy; Rodney, Patricia

doi:10.17483/2368-6669.1249

Cited by 5 publications

(11 citation statements)

References 42 publications

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“…We approach the deliberate neglect or disavowal of nurses’ needs following such events as examples of another kind of violence; namely, the horizontal [ 23 , 24 ] and lateral violence [ 25 – 27 ]. Horizontal violence includes hostile and uncivil behaviours perpetuated laterally across nursing groups or within a hierarchy by educators and employers against student or early-career nurses, sometimes referred to as vertical or hierarchical violence [ 28 ]. The impact of horizontal and lateral violence experienced by early-career nurses can lead to physical manifestations of illness, increased sick days, diminished confidence or self-esteem, psychological impacts such as humiliation and anxiety, disillusionment with the nursing profession, as well as PTSD [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of psychological trauma in nursing and psychiatric nursing students: A small scale qualitative case study

Chachula

Varley²

2022

PLoS ONE

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Entry-level health care professionals are socialized to accept the norms and values associated with institutions in which violence and suffering is considered an anticipated and even routine and normalized part of frontline care. The objective of the study was to illuminate the subjective experience of psychological trauma in graduates from a baccalaureate nursing and psychiatric nursing program using the McGill Illness Narrative Interview, an ethnographic interview guide. Participants included graduates from each program in a western Canadian province who reflected back on their experiences of trauma as students and newly-graduated nurses within their first year of practice as a regulated health professional. Results: Six key themes were identified. Witnessing sudden change in patient or client status and unexpected death; Emotional labour; Faculty incivility; Sabotage, bullying and verbal abuse from the health care team; Exposure to physical violence and sexual inappropriateness; and Mobilizing supports. All exposures were linked to the participants’ definition of psychological trauma. Conclusions: The study findings highlight the power dynamic, abuses, and vulnerability between students, faculty, and their clinical counterparts without adequate recourse. There is a need to foster emotional intelligence, self-efficacy, and resilience when potentially traumatic and stressful experiences occur with student nurse and early-career nursing populations.

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Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of psychological trauma in nursing and psychiatric nursing students: A small scale qualitative case study

Chachula

Varley²

2022

PLoS ONE

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“…In addition, there is a growing problem in nursing education and one that is likely, in part, related to a new and different generation of students. [30][31][32] Bullying or violence in nursing has a decades-long and problematic history in nursing practice 33 that came into particular focus with Meissner's (1986) landmark article "Nurses: are we eating our young?" 34 Meissner discussed a type of bullying that is highly recognized in nursing: that of experienced nurses bullying younger, less experienced nurses.…”

Section: Discussionmentioning

confidence: 99%

“…Historically, one could infer that contemporary issues of bullying were related to their antecedents. 33 Nursing has a history of professional hierarchies and differences in status within the hierarchy, which have contributed to nurses' experience of lateral and downwards violence. 39 Upwards violence, however, has been attributed to other causes in our systematic review, including dissatisfaction with the work environment, workload, jealousy, and prejudice.…”

Section: Discussionmentioning

confidence: 99%

“…Bullying or violence in nursing has a decades-long and problematic history in nursing practice 33 that came into particular focus with Meissner's (1986) landmark article “Nurses: are we eating our young?” 34 Meissner discussed a type of bullying that is highly recognized in nursing: that of experienced nurses bullying younger, less experienced nurses. This lateral or downwards violence in the workplace has a negative impact on patient care and on the nurses who are bullied 35 and is still a problem in nursing.…”

Section: Discussionmentioning

confidence: 99%

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Nurse leaders’ experiences of upwards violence in the workplace: a qualitative systematic review

Parsons

Gaudine

Patrick

et al. 2021

JBI Evidence Synthesis

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Objective:The objective of this review was to synthesize the qualitative literature on the experience of upwards violence in nursing workplaces directed towards nurse leaders who have authority over those who direct the violence towards them.Introduction:Workplace violence has impacted nursing work life for decades. It has been studied mostly from a downwards and lateral perspective and less often from an upwards direction towards individuals in leadership positions. Little is known about the experiences of nurse leaders or the potential consequences of workplace violence, including what impact upwards violence has on leadership ability and sustainability.Inclusion criteria:This review considered qualitative studies that included nurse leaders who experienced upwards violence in nursing workplaces from nurses they supervise. Nurse leaders were registered nurses or advanced practice nurses employed in a position where they supervised other nursing personnel (eg, registered nurses, licensed practical nurses, nurse practitioners, student nurses). The positions held by nurse leaders included all roles (eg, nurse manager, clinical nurse specialist, nurse practitioner, nursing professor) where the position included supervising other nursing personnel.Methods:The search strategy aimed to find both published and unpublished studies in English from 2000. The search was first conducted in January 2019 and rerun in June 2020. The databases searched included CINAHL, MEDLINE, PsycINFO, and Embase. To ensure full coverage, databases not specific to the nursing profession, but with potential content on upwards violence, were also searched for examples of upwards violence against nurse leaders. These databases were ABI/INFORM, Sociological Abstracts, LexisNexis Academic, Scopus, and Web of Science. The search for unpublished studies included ProQuest Dissertations and Theses, Google Scholar, OpenGrey Repository, Health Business Elite, and Factiva. Papers meeting the inclusion criteria were appraised by two independent reviewers for methodological quality using the JBI critical appraisal checklist for qualitative research. Data extraction was conducted according to the standardized data extraction tool from JBI. The qualitative research findings were pooled using the JBI method of meta-aggregation.Results:Six papers were included in the review yielding a total of 50 findings and nine categories. The categories were aggregated to form three synthesized findings: i) Physical, psychological, financial, and quality-of-work toll of upwards bullying: paying a high price; ii) Coping with violence alone; and iii) What happened to me? My take on the violence. The ConQual scores were low to moderate.Conclusion:The synthesized findings reveal that nurse leaders’ experiences of upwards workplace violence is a troublesome problem that leads to a negative impact on physical and psychological health, and creates a cost in terms of time, money, and efficacy of the workplace.

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“…These authors present several arguments for why nursing students (and the wider nursing profession) may be considered oppressed (and therefore be benefactors of critical theory). First, nurses are predominately women (WHO, 2020 ); second, the nursing profession and nursing education have historically “white” roots (Capucao, 2020 ) and there is evidence of systemic racism (Daly et al, 2020 ); third, nurses are subjected to hierarchical (class) structures in healthcare (Whitehead, 2010 ); and finally, student nurses are educated in higher education sectors and therefore, exposed to nursing academics who have the potential to dominate students due to power imbalances. Freire ( 1970 ) labels this power imbalance as the teacher‐student contradiction .…”

Section: Oppression In Nursingmentioning

confidence: 99%

Education on the Sustainable Development Goals for nursing students: Is Freire the answer?

et al. 2022

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Significant global events in recent years have had a substantial impact on the nursing profession. The COVID-19 pandemic, climate change, and systemic racism are a few of the many complex issues that create a landscape of disruption and uncertainty in healthcare. With the aims of protecting both people and the planet, the United Nations' Sustainable Development Goals offer a road map to combat these global concerns, yet require more widespread consideration as a way forward. Education on the Sustainable Development Goals is recognised as a key aspect for healthcare professionals to take action towards achieving the targets of the goals. For student nurses, the undergraduate curriculum offers an opportunity to enculturate future nurses on the important role they play in the global agenda to transform our world. Brazilian pedagogue Paulo Freire's theoretical approach to education, critical pedagogy, espouses transformation with conscientization, dialogue and liberation, which may create a paradigm shift toward global action. This discussion paper seeks to provide an argument for embedding the Sustainable Development Goals into nursing curricula using the philosophies of Freire's critical pedagogy. It will argue that a critical approach to education is required to create the transformation needed for student nurses to be educated on the Sustainable Development Goals.

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A Call to Revisit and Address the Histories of Bullying in Nursing Education

Cited by 5 publications

References 42 publications

Perceptions and experiences of psychological trauma in nursing and psychiatric nursing students: A small scale qualitative case study

Perceptions and experiences of psychological trauma in nursing and psychiatric nursing students: A small scale qualitative case study

Nurse leaders’ experiences of upwards violence in the workplace: a qualitative systematic review

Education on the Sustainable Development Goals for nursing students: Is Freire the answer?

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