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Elizabeth Sloan Davidson MSN, RN, CNE Kimberly Hill DNP, APRN, FNP-C University of Arkansas at Little Rock THE ROLE OF AUTHENTIC LEADERSHIP IN REDUCING NURSING WORKPLACE BULLYING BEHAVIORS Purpose Purpose: The purpose of this activity is to enable the learner to discuss thoughts on what authentic leadership is and how this method of leadership could positively affect nursing workplace bullying Objective #1 The learner will describe how nursing workplace bullying affects nurses’ health and the health of patients. Workplace Bullying Defined: “Work place behavior that could reasonably be considered humiliating, intimidating, threatening or demeaning to an individual or group of individuals, and that is usually repeated over time.” Cleary et al. (2009); Lachman (2014); Spence-Laschinger (2014) OR THIS DEFINITION Workplace Bullying Defined: “Bullying is a situation where one or several individuals persistently and over a period of time perceive themselves to be on the receiving end of negative actions from one or several persons, in a situation where the target of the bullying has difficulty defending him or herself against these actions.” Einarsen, Raknes, Matthieson, Hellesoy, Hoel (2009) How many of you have experienced bullying in the workplace? A. Yes, as a victim B. Yes, as a 0% 0% nc .. . .. ex pe r ie an d no t e ha v No ,I Ye s ,a sb ot h vi ct im by st a nd e im ,a sa vic t Ye s as a 0% r 0% Ye s, bystander C. Yes, as both victim and bystander D. No, I have not experienced bullying Workplace bullying has a direct impact on nurses’ physical and emotional health. A. Strongly Agree B. Agree C. Somewhat Agree D. Neutral E. Somewhat Disagree F. Disagree G. Strongly Disagree 0% 0% 0% 0% 0% 0% So A m ew gree ha tA gr ee So m Ne ew ut ha r t D al isa gr ee Di St s ro n g ag r e ly e Di sa gr ee St ro ng ly Ag r ee 0% Workplace bullying has a direct impact on patient health and outcomes. Strongly Agree Agree Somewhat Agree Neutral Somewhat Disagree F. Disagree G. Strongly Disagree A. B. C. D. E. 0% 0% 0% 0% 0% 0% So A m ew gree ha tA gr ee So m Ne ew ut ha r t D al isa gr ee Di St s ro n g ag r e ly e Di sa gr ee St ro ng ly Ag r ee 0% I believe management style has a direct impact on prevalence rates of workplace bullying. A. Strongly Agree B. Agree C. Somewhat Agree D. Neutral E. Somewhat Disagree F. Disagree St ro ng ly Ag r ee G. Strongly Disagree 0% 0% 0% 0% 0% 0% So A m ew gree ha tA gr ee So m Ne ew ut ha r t D al isa gr ee Di St s ro n g ag r e ly e Di sa gr ee 0% Bullying Effects on Nurses Physical Headaches Anorexia Increased blood pressure GI upset/ nausea Disrupted sleep Bullying Effects on Nurses Physical – cont’d Backaches Chronic fatigue Higher incidence of chronic illness Loss of libido Bullying Effects on Nurses Psychological Anxiety Irritability Depression Panic attacks Low self-esteem Bullying Effects on Nurses Psychological – cont’d Avoidance & withdrawal behaviors Symptoms of Post Traumatic Stress Disorder Feelings of isolation Suicide ideation Suicide Bullying Effects on Patients Very little data regarding effects of nurse bullying on patient health and patient outcomes However, in bullying surveys, nurses consistently relate nurse bullying to decreased communication and subsequential poor or substandard patient outcomes. Cost of Bullying Besides the cost of turnover and training, studies have shown workplace bullying is the cause of 1/3-1/2 of stress related absences. Bullying in the workplace has an estimated cost of $250 million annually I have called in sick to work to avoid a workplace bully. Strongly Agree Agree Somewhat Agree Neutral Somewhat Disagree F. Disagree G. Strongly Disagree A. B. C. D. E. 0% 0% 0% 0% 0% 0% So Ag m re ew e ha tA gr ee So Ne m ut ew ra ha l tD isa gr ee Di sa St gr ro ee ng ly Di sa gr ee St ro ng ly Ag re e 0% Objective #2 The learner will discuss what authentic leadership is and will describe ways to utilize/implement authentic leadership style in the nursing unit Authentic leadership is the same as transformational leadership. A. True B. False 0% Fa lse Tr u e 0% Authentic Leadership defined: The leader who encompasses 4 main characteristics: Self-awareness Relational transparency Balanced processing Internalized moral perspective Authentic Leadership Inventory Used with permission Neider, L. & Schriesheim, C. (2011) My leader clearly states what he/she means. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader shows consistency between his/her beliefs and actions. A. Strongly Agree B. Agree C. Neutral D. Disagree 0% St ro ng ly Di sa gr ee 0% gr ee 0% Di sa 0% Ne ut ra l St ro ng ly Ag re e 0% Ag re e E. Strongly Disagree My leader asks for ideas that challenge his/her core beliefs. A. Strongly Agree B. Agree C. Neutral D. Disagree 0% St ro ng ly Di sa gr ee 0% gr ee 0% Di sa 0% Ne ut ra l St ro ng ly Ag re e 0% Ag re e E. Strongly Disagree My leaders describes accurately the way that others view his/her abilities. A. Strongly Agree B. Agree C. Neutral D. Disagree 0% St ro ng ly Di sa gr ee 0% gr ee 0% Di sa 0% Ne ut ra l St ro ng ly Ag re e 0% Ag re e E. Strongly Disagree My leader uses his/her core beliefs to make decisions. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader carefully listens to alternative perspectives before reaching a conclusion. A. Strongly Agree B. Agree C. Neutral D. Disagree 0% St ro ng ly Di sa gr ee 0% gr ee 0% Di sa 0% Ne ut ra l St ro ng ly Ag re e 0% Ag re e E. Strongly Disagree My leader shows that he/she understands his/her strengths and weaknesses. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader openly shares information with others. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader resists pressures on him/her to do things contrary to his/her beliefs. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader objectively analyzes relevant data before making decisions. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader is clearly aware of the impact he/she has on others. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader expresses his/her ideas and thoughts clearly to others. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader is guided in his/her actions by internal moral standards. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% My leader encourages others to voice opposing points of view. A. Strongly Agree B. Agree C. Neutral D. Disagree E. Strongly Disagree Di sa St ro ng ly Di sa 0% gr ee 0% gr ee 0% Ne ut ra l 0% Ag re e St ro ng ly Ag re e 0% Conclusions What type of leader are you? Can the Authentic Leadership style have a positive effect on reducing workplace bullying? How can each of us make a difference in nursing workplace bullying? 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