Workplace bullying: the effectiveness of a workplace program
Sharon J Stagg1, Daniel J Sheridan, Ruth A Jones
1Shore Health System, Cambridge, MD, USA. sstagg@shorehealth.org
Workplace Health & Safety
|July 24, 2013
Summary
A cognitive rehearsal program reduced workplace bullying among nurses. While many nurses changed their behavior, more interventions are needed to address bullying in healthcare settings.
Area of Science:
- Nursing
- Occupational Health
- Healthcare Management
Background:
- Workplace bullying incurs significant financial costs for healthcare organizations, including nurse replacement.
- Occupational health nurses are positioned to lead initiatives for bullying prevention and elimination.
- Existing strategies for managing workplace bullying require further investigation and enhancement.
Purpose of the Study:
- To determine the effectiveness of a cognitive rehearsal program in decreasing workplace bullying among nurses.
- To assess changes in nurses' behaviors and perceptions regarding workplace bullying following program participation.
Main Methods:
- A pilot study utilizing an Internet-based survey.
- Data collected 6 months post-completion of a 2-hour cognitive rehearsal program.
- Inquiry into witnessed bullying, personal behavior changes, and perceived bullying reduction.
Main Results:
- Half of the nurses reported witnessing bullying behaviors post-program.
- 70% of nurses reported modifying their own behaviors after the course.
- 40% of nurses observed a decrease in bullying behaviors over the 6-month period.
- While 70% felt capable of intervening, only 16% reported acting on bullying incidents.
Conclusions:
- Cognitive rehearsal programs show potential in reducing workplace bullying.
- Nurses' self-reported behavior changes indicate program impact.
- A gap exists between perceived ability to intervene and actual response to bullying.
- Further research is essential to develop comprehensive strategies for preventing and managing workplace bullying in healthcare.
Related Concept Videos
Bullying
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is bullying.
Halo Effect
The halo effect is a cognitive bias in which an individual's overall impression influences judgments about their specific traits. This psychological phenomenon leads people to associate positive characteristics with those they perceive as generally good and negative characteristics with those they view as bad. This effect is particularly influential in social perception, professional evaluations, and decision-making processes.The Psychological Basis of the Halo EffectThe halo effect is rooted...
Stereotype Threat and Self-fulfilling Prophecies
When we hold a stereotype about a person, we have expectations that he or she will fulfill that stereotype. A self-fulfilling prophecy is an expectation held by a person that alters his or her behavior in a way that tends to make it true. When we hold stereotypes about a person, we tend to treat the person according to our expectations. This treatment can influence the person to act according to our stereotypic expectations, thus confirming our stereotypic beliefs. Research by Rosenthal and...
Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
Behavior Modification
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
Barriers to Effective Communication II
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...

