This reflective essay discusses the occurrence of bullying in the workplace and explores the use of Driscoll's reflective framework to prevent future occurrences. It examines the stages of the framework and proposes strategies to address and prevent workplace bullying.
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Running head: REFLECTIVE ESSAY1 Reflective essay Name Institution
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REFLECTIVE ESSAY2 Reflective essay Introduction To help the registered nurse develop skills and review their effectiveness, reflection is very critical. According to the ‘Registered Nurse Standards for Practice’, Standard 1: Thinks critically and analyses nursing practice, states the registered nurse: develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice (NMBA, 2016). This is for the purpose of giving a meaning to an experience that a nurse comes across as well as providing opportunities so as to establish expectations of an individual and those of the team. Davis, Taylor, and Reyes (2014) argue that reflection is a lifelong way of learning as it helps in questioning the actions of an individual in a positive way thereby understanding the limitations and opportunities that are present in the nursing practice. However, to conduct a successful reflection, it is important for a nurse to use the reflection models so as to objectively observe the nursing practice and improve the performance quality at work (Nicol, & Dosser, 2016). This paper therefore discusses my reflection-on-action I will take to prevent future occurrences of bullying using Driscoll’s reflective framework. Driscoll Model of reflection This model of reflection takes into account three stages which are used to analyze the nursing practice in regards to what happened, so what (understanding the context of what happened) and now what (modifying the future outcomes) (Stonehouse, 2019). The stages presented in this model are very critical in reflecting on individual performance in comparison with the group performance. Moreover, Driscoll model of reflection helps in making necessary adjustments that can help improve the future understanding and effective nursing practice (Allan,
REFLECTIVE ESSAY3 & Driscoll, 2014). I will therefore use this model of reflection as it helps in giving a deeper and more meaningful process of formulating the action plans which can be used for future. What (The occurrence) Anne who is a nurse at my workplace has been bullying and harassing Susan who is a co- worker. This case was reported to me by Susan since I am the manager at the public hospital. Although there are laws guiding the rights of workers within the hospital, Anne has continued with this habit even over the phone when Susan is not at work. I then asked Susan to explain to me the nature of the bullying and harassments she has been receiving from her colleague. Susan explained to me that the bullying was in form of demeaning and hurtful comments. This has been happening on a daily basis. I then asked Susan to show me the hurtful comments she has been receiving from Anne. This was to enable me trace back to the assumed statements as well as understanding the basis of the comments that Susan has been receiving (Allen, Holland, & Reynolds, 2015). According toChatziioannidis, Bascialla, Chatzivalsama, Vouzas, and Mitsiakos (2018), reviewing evidence of bullying is essential in helping determine why an individual is being targeted. Susan looked and sounded distressed to an extent she had to request for a work leave. She looked depressed. It was evident that Susan had increased levels of sadness and her self-esteem had reduced. She also had feelings of social isolation and shame. All these increased her chances of developing mental health issues, substance abuse or even suicide. I then took it to myself to investigate the issue so as to find out why Anne has been bullying Susan, as well as determine the help that Susan needed so that she may get back to work when she is psychologically fit. Moreover, Anne and Susan need to get along so as to enhance collaboration between them.
REFLECTIVE ESSAY4 So what (Understanding the context) When Susan reported to me, I thought that it was just mishap which could be solved between them. Since disagreements are common in workplaces, I felt that Susan was being petty and was just making a big deal out of an issue that they could solve among themselves. However, after my research, I have realized that the bullying and harassment that was subjected to Susan by Anne tremendously affected her psychological and emotional well-being and has the potential of causing physical harm to Susan or even death. I have learnt that since Anne is aware that physical assault is an offence at the workplace, she was using verbal means as there will be no evidence. Anne is also demeaning Susan through messages because when Susan is out of workplace, she may be excused. According to Lee, Lee, and Bernstein (2013), bullying and harassment of colleagues in a hospital creates an atmosphere of fear, humiliation and feelings of powerlessness. I have also learnt that Susan was scared of reporting the incident when it started for fear of being blamed for the situation or that she may end up loosing her job. My involvement in the matter enabled me to discover that Anne demeans and harasses Susan because Susan is vulnerable and non-confrontational. Nurses who are introvert, anxious or even submissive in their roles are likely to be bullied and harassed (Wright, & Khatri, 2015). Therefore, the bullying that Susan has been going through exacerbated her anxiety symptoms. The most dominant factor that influenced Susan’s bullying was her personality traits. The fact that she finds it hard to say no and even being quick to apologize even when she is not guilty proved her vulnerability to Anne thereby prompting her to bully Susan. This proved the opportunistic nature of Anne, the reason as to why she chose Anne who is more vulnerable and easier to intimidate.
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REFLECTIVE ESSAY5 Now what (Modifying the future outcomes) After determining the underlying causes, I decided to summon both Susan and Anne so as to help settle the tension between them. Since Anne was the one on the wrong, I made her apologize to Susan by using polite language and tone so that Susan may stop feeling lonely and isolated. I also took Anne to our psychosocial department to get free counseling so that she may accept and learn to live with the incident. Counselling was also very effective in helping her regain her psychological consciousness and enhancing her assertiveness. Although Anne, admitted to her mistakes, I still needed to establish and enforce strong and consistent corporate culture which helps in ensuring inclination of bullying within the hospital so as to prevent such events in future. I decided to train all the employees on the importance of upholding the anti- bullying policies within the workplace. Castronovo, Pullizzi and Evans (2016) argue that the anti-bullying policies within the workplace are of little importance if the employees do not understand their meanings and consequences. This training will ensure that the employees know their rights and when to report cases of bullying so that fair investigation may be conducted and action taken against the offenders. Failure to create awareness will make employees think that such cases are not taken seriously. I will also review the policies of anti-bullying at the workplace. Since the current policies are only applicable within the institution, I will ensure that they cover outside the institution as well. Since in Susan’s case she was bullied and harassed even outside the workplace, it is important to include policies that promote respect to all the employees within and outside the workplace. The revised policies will also provide clear expectations in regards to the interactions among colleagues as well as define the channels of reporting cases of bullying. I will also ensure that I listen to both the formal and informal concerns of the employees. Being aware of sudden shifts and pattern changes in behavior is an
REFLECTIVE ESSAY6 alarming factor which should be investigated by the managers (Koh, 2016). This will help in effectively addressing the concerns and aggressions of the employees before further escalations. Finally, another strategy that I will use in future to prevent bullying at the workplace is being a role model to the junior employees. According toBarr and Dowding (2019), by treating the everyone with reverence, respectful interactions are encouraged throughout all the communication channels. I therefore expect myself to be able to set the overall tone of workplace behavior since the employees will be watching for my cues. Conclusion Reflection is very important in examining actions and experiences of an individual registered nurse so as to enhance clinical knowledge and advancements. Reflecting on specific occurrences on the other hand helps in nurses to autonomously develop in their area of practice. However, distinctive models are used for reflection so as to ensure that the specific experiences are well addressed. In the case of Susan being bullied by Anna, the use of Driscoll model of reflection is very effective in ensuring that implications related to bullying are addressed. This model entails three stages namely what, so what and now what. Throughout the reflection process, the stages of the Driscoll model framework play critical role in ensuring that on-action strategies to prevent future occurrences of bullying are implemented.
REFLECTIVE ESSAY7 References Allan, E. G., & Driscoll, D. L. (2014). The three-fold benefit of reflective writing: Improving program assessment, student learning, and faculty professional development.Assessing Writing,21, 37-55. Allen, B. C., Holland, P., & Reynolds, R. (2015). The effect of bullying on burnout in nurses: the moderating role of psychological detachment.Journal of Advanced Nursing,71(2), 381- 390. Barr, J., & Dowding, L. (2019).Leadership in health care. SAGE Publications Limited. Retrieved fromhttps://books.google.com/books? hl=en&lr=&id=pnWKDwAAQBAJ&oi=fnd&pg=PP1&dq=Driscoll+by+Borton+ %3B&ots=xsScX0m1fh&sig=rl5P4ZvVArMpN7jhrjCNViaLTkI Castronovo, M. A., Pullizzi, A., & Evans, S. (2016). Nurse bullying: a review and a proposed solution.Nursing outlook,64(3), 208-214. Chatziioannidis, I., Bascialla, F. G., Chatzivalsama, P., Vouzas, F., & Mitsiakos, G. (2018). Prevalence, causes and mental health impact of workplace bullying in the Neonatal Intensive Care Unit environment.BMJ open,8(2), e018766. Davis, L., Taylor, H., & Reyes, H. (2014). Lifelong learning in nursing: A Delphi study.Nurse education today,34(3), 441-445. Koh, W. M. S. (2016). Management of work place bullying in hospital: A review of the use of cognitive rehearsal as an alternative management strategy.International Journal of Nursing Sciences,3(2), 213-222.
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REFLECTIVE ESSAY8 Lee, Y., Lee, M., & Bernstein, K. (2013). Effect of workplace bullying and job stress on turnover intention in hospital nurses.Journal of Korean Academy of Psychiatric and Mental Health Nursing,22(2), 77-87. Nicol, J. S., & Dosser, I. (2016). Understanding reflective practice.Nursing Standard (2014+),30(36), 34. DOI:10.7748/ns.30.36.34.s44 Nursing and Midwifery Board of Australia. (2016). Professional standards of practice for registered nurses. Retrieved from https://www.nursingmidwiferyboard.gov.au/documents/default.aspx? record=WD16%2F19524&dbid=AP&chksum=R5Pkrn8yVpb9bJvtpTRe8w%3D%3D Stonehouse, D. (2019). Reflection and you.British Journal of Healthcare Assistants,13(4), 182- 184.https://doi.org/10.12968/bjha.2019.13.4.182 Wright, W., & Khatri, N. (2015). Bullying among nursing staff: Relationship with psychological/behavioral responses of nurses and medical errors.Health care management review,40(2), 139-147.