Work-Related Bullying

I will be focusing on the negative impact of bullying behaviors in nursing and discussions a behavioral change program to be implemented in the acute care setting. Let me know what you think.


Work-Related Bullying


26%-70% of surveyed nurses reported regular work-related bullying (WRB), (Houck & Colbert, 2017).

78% of nursing students reported bullying behaviors during their college experience, and 1 in 3 new graduate nurses will leave their first positions within six months due to WRB, (Houck & Colbert, 2017).


Justification of Need

-WRB costs employers an estimated $11,582 per nurse, largely related to absenteeism and turnover, (Houck & Colbert, 2017).

-There are direct links between WRB and higher rates of adverse events in the acute care setting, (Kim, Yoo & Seo, 2018).

– Nurse-sensitive indicators (NSIs); hospital acquired infection, development of pressure injuries, and HCAHPS scores are linked to nursing job satisfaction and have been shown to decline in the setting of WRB, (Sturm et al, 2019).


Pre-Implementation Plan

Utilizing Lippitt’s Theory; Assessment, Planning, Implementation, Evaluation, (Mitchell, 2013).

Development of a relationship-based training program for all employees and education materials for patients on their rights and responsibilities during their interactions with staff.

-Drafting/Updating Policies protecting employees from physical or verbal abuse by patients and families.

-Establishment of an anonymous, efficient reporting program to identity specific events and problem areas.

-Electronic tracing of WRB events and correlation with NSIs.

-Administrative support of a zero-tolerance policy for WRB.

-Formation of a collaborative team for the evaluation and disposition of WRB cases.






Houck, N.M., & Colbert, A.M. (2017). Patient safety and workplace bullying. Journal of Nursing Care Quality, 32(2), 164. Retrieved from


Kim, K., Yoo, M., & Seo, E. (2018). Exploring the influence of nursing work environment and patient safety culture on missed nursing care in korea. Asian Nursing Research12(2), 121-126. doi: 10.1016/j.anr.2018.04.003


Mitchell, G. (2013). Selecting the best theory to implement planned change. Nursing Management20(1), 32-37. doi: 10.7748/nm2013.


Sturm, H., Rieger, M., Martus, P., Ueding, E., Wagner, A., Holderried, M., & Maschmann, J. (2019). Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: A cross-sectional explorative study from a german university hospital. PLOS ONE14(1), e0209487. doi: 10.1371/journal.pone.0209487

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