Dissertation/Thesis Abstract

Healing Bullying in Nursing and Nursing Education through Forgiveness
by Pascoe, Sandra, Ph.D., California Institute of Integral Studies, 2020, 124; 28259585
Abstract (Summary)

Bullying has been well-documented in nursing. Reports on the prevalence vary; the literature shows that between 27% and 82% of nurses recounted incidents of victimization (A. Johnson & Benham-Hutchins, 2020, p. 200) with up to 50% of graduate nurses leaving positions within their first 3 years of practice (Frederick, 2014, p. 589). The effects of bullying in healthcare are wide-ranging and have been linked to an increased incidence of medical errors (A. Johnson & Benham-Hutchins, 2020; The Joint Commission, 2008). Many studies have investigated processes to combat bullying, but the profession lacks a clear consensus on a solution. The problem and the application of a solution was explored using a three-pronged approach. The first was a general review of how, why, and when bullying occurs and its effect on both patients and nurses with a specific focus given to power differentials. The second aspect examined the literature for practices and solutions to bullying in school children and forgiveness in psychology from psychological and educational viewpoints. Research shows that forgiveness is a successful intervention in children as well as psychology in dealing with the effects of the bullying as well as the situation of bullying (Pignatelli, 2006; Quintana-Orts & Rey, 2018). Thirdly, the approach examined the feasibility of the forgiveness solution to the problem of nurse bullying, utilizing the psychology of forgiveness. While there is scant literature on the topic of forgiveness and nurse bullying, researchers discovered that the category of restorative solutions to the problem, into which forgiveness falls, were more successful than other approaches such as remedial, corrective, and regulatory, as this category moves away from punishment and blame and toward reparations (Hutchinson, 2009). Forgiveness was discovered to be similar to Watson’s Human Caring Theory, which provides healing through the transpersonal interaction of the caring moment (Sitzman & Watson, 2014). The evidence explored the relationship between forgiveness and healing for the bully and the forgiver and found there is a strong heuristic relationship between the two. The nurse offers forgiveness to the bully, and, like a transpersonal bridge, both the bully and the nurse are healed.

Indexing (document details)
Advisor: Raffanti, Michael
Commitee: Gozawa, Joanne, Thompson, Renee
School: California Institute of Integral Studies
Department: Transformative Studies
School Location: United States -- California
Source: DAI-A 82/6(E), Dissertation Abstracts International
Subjects: Nursing, Psychology, Spirituality
Keywords: Bullying, Forgiveness, Novice nurses, Nursing, Psychology, Restorative solutions
Publication Number: 28259585
ISBN: 9798557032520
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