Tuesday, 16 April 2013

Bullying in Health-care - Raising Awareness

     "Bullying has been defined as persistent, offensive, abusive, intimidating, malicious or insulting behaviour; abuse of power; or unfair penal sanctions
     Bullying is a very serious issue with serious consequences as bullied health workers report higher levels of job-induced stress, depression, anxiety, and lower levels of job satisfaction.
     The definition of bullying is wide - ranging from innuendo and sarcasm to physical violence. Fears have been expressed that the definition is so wide as to risk unfounded claims.

Types of bullying behaviour:
Threat to professional status

Persistent attempts to belittle & undermine your work 

Persistent & unjustified criticism & monitoring of your work
Persistent attempts to humiliate you in front of colleagues 

Intimidatory use of discipline or competence procedures 
Threat to personal standing
Undermining of your personal integrity
Destructive innuendo & sarcasm
Verbal & nonverbal threats
Making inappropriate jokes about you
Persistent teasing
Physical violence
Violence to property
Isolation
Withholding necessary information from you
Freezing out, ignoring or excluding
Unreasonable refusal of applications for leave, training or promotion
Overwork
Undue pressure to produce work
Setting of impossible deadlines
Destabilization
Shifting of goal posts without telling you
Constant undervaluing of your efforts
Persistent attempts to demoralize you
Removal of areas of responsibility without consultation"


       Keeley PW, Waterhouse ET, Noble SI. Prevalence and characteristics of bullying of trainees in palliative medicine. Palliat Med 2005; 19(1): 84-5.



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