Doctors, Nurses, and the Ethics of Bullying « The Nursing Ethics Blog

Bullying, or even subtler forms of interpersonal conflict, can be common in any kind of workplace. But it’s particularly corrosive, and dangerous, in healthcare settings, where effective teamwork really can make the difference between life and death.

See this editorial by Theresa Brown, for the NY Times: Physician, Heel Thyself

…while most doctors clearly respect their colleagues on the nursing staff, every nurse knows at least one, if not many, who don’t.

Indeed, every nurse has a story like mine, and most of us have several. A nurse I know, attempting to clarify an order, was told, “When you have ‘M.D.’ after your name, then you can talk to me.” A doctor dismissed another’s complaint by simply saying, “I’m important.”

via nursingethicsblog.com

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Physician, Heel Thyself - NYTimes.com, Theresa Brown, RN

IT was morning rounds in the hospital and the entire medical team stood in the patient’s room. A test result was late, and the patient, a friendly, middle-aged man, jokingly asked his doctor whom he should yell at.

Turning and pointing at the patient’s nurse, the doctor replied, “If you want to scream at anyone, scream at her.”

This vignette is not a scene from the medical drama “House,” nor did it take place 30 years ago, when nurses were considered subservient to doctors. Rather, it happened just a few months ago, at my hospital, to me.

via nytimes.com

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Bullying sends kids to nurse for more than injury | Reuters

Both bullies and their victims take more trips to the nurse's office than other students - but not just for the obvious reasons.

In a new study published today in Pediatrics, kids involved in bullying were more likely to see the school nurse for illnesses and non-medical symptoms, in addition to injuries.

The finding means that school nurses could be the front line for spotting cases of bullying and bringing them to a stop.

Enlisting school nurses could be "another way of trying to keep a gauge of what's happening among the students in school," Eric Vernberg of the University of Kansas in Lawrence, the study's lead author, told Reuters Health.

"A lot of times, kids may experience some conflict, some bullying, and not involve the teacher or not tell a parent or not tell anybody really," he said, "particularly for a kid that's embarrassed about the difficulty they're having or afraid that saying things about it is going to make it worse in some way."

Recently, evidence has been piling up that being bullied can take a psychological toll on kids -- both during the bullying and later, when they are adults.

via reuters.com

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CDC study links bullying with family violence | Reuters

While bullies and their victims traffic in threats, taunts and fights in the schoolyard, a report on Thursday showed those on both sides are also more likely to live with violence at home.

Violent family encounters were most common among youth who identified as someone who has both bullied and been victimized, the report said.

The association was among findings from a study by the Centers for Disease Control and Prevention, which along with the Massachusetts Department of Public Health analyzed data from middle and high school students across the state.

Massachusetts has been at the forefront of the bullying debate since the widely reported suicides of 15-year-old Phoebe Prince of South Hadley last year and 11-year-old Carl Joseph Walker-Hoover of Springfield in 2009.

via reuters.com

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Report: Communication Breakdown Leads to Hospital Errors - Health Blog - WSJ

We’ve written about how a small but significant number of health-care workers show disrespect for colleagues, dole out verbal abuse and engage in other unacceptable behavior. Now a new report suggests this kind of poor workplace communication can also contribute to medical errors, even if other preventive steps are being taken.

According to a two-pronged survey of operating-room and critical-care nurses conducted by their professional associations and VitalSmarts, a global training and consulting firm, 85% of 2,383 nurses surveyed said they’d been in a situation where measures put in place to reduce errors –  including checklists or hand-off protocols — warned them of a problem that would have otherwise harmed a patient.

That’s the good news. The bad is that 58% of the nurses said they’d been in situations where it was “either unsafe to speak up or they were unable to get others to listen.”

via blogs.wsj.com

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AP Enterprise: Indian youth suicide crisis baffles - Yahoo! News, Poplar, Montana

Chelle Rose Follette fashioned a noose with her pajamas, tying one end to a closet rod and the other around her neck. When her mother entered the bedroom to put away laundry, she found the 13-year-old hanging.

Ida Follette screamed for her husband, Darrell.

He lifted his child's body, rushed her to the bed and tried to bring her back.

"She was so light, she was so light. And I put her down. I said, 'No, Chelle!'"

But the time had passed for CPR, he said, his voice fading with still raw grief. His wife sat next to him on the couch, sobbing at the retelling.

via news.yahoo.com

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Nursefriendly, Inc. A New Jersey Corporation.
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