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Respectful Relationships in the Maternity Service. Maggie O ’ Brien Midwifery Director Auckland District Health Board. Defining Attributes of Bullying. Repeated nature of the behaviour Negative effect of behaviour on the victim

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respectful relationships in the maternity service

Respectful Relationships in the Maternity Service

Maggie O’Brien

Midwifery Director

Auckland District Health Board

defining attributes of bullying
Defining Attributes of Bullying
  • Repeated nature of the behaviour
  • Negative effect of behaviour on the victim
  • The victim finds it difficult to defend themselves (power imbalance)
  • The intent of the bully

Gillen et al 2004

signs of an intimidating culture
Signs of an Intimidating Culture
  • Anything different is automatically wrong and ‘unsafe’
  • Those who do not conform are automatically wrong
  • Hierarchical ‘pecking order’
  • Poor decision making
effects of intimidating culture
Effects of Intimidating Culture
  • High turnover of staff
  • High level of complaints
  • De-skilled workforce
  • Low morale and self esteem amongst staff
forms of intimidating behaviour
Forms of Intimidating Behaviour
  • The use of terror tactics, open aggression, threats, shouting abuse and/or obscenities towards their target.
  • Subjected to constant humiliation or ridicule, belittling their efforts, often in front of others.
slide10
Cont….
  • Removing whole areas of work responsibility from the person, reducing their job to routine tasks which are well below their skills and capabilities.
  • Deliberately withholding information which the person requires to do their job effectively.
  • Refusing reasonable requests for leave, training, etc., or blocking a persons promotion.
slide11
Cont….
  • Ostracizing and marginalizing their target, dealing with the person only through a third party, excluding the person from discussions, decisions, etc.
  • Setting the person what they know are impossible objectives, or constantly changing the work remit without telling the person and then criticize or reprimand them for not meeting their demands.
slide12
Cont….
  • Subjecting their targets to excessive supervision, monitoring everything they do and being excessively critical about minor things.
  • Constantly taking credit for the other person’s work but never taking the blame when things go wrong.
  • Spreading malicious rumours about them and making personal remarks
physiological effects of intimidating behaviour
Physiological Effects of Intimidating Behaviour

Headaches/Migraine

Sweating/Shaking

Feeling/Being sick

Irritable bowel

Raised blood pressure

Inability to sleep

psychological effects of intimidating behaviour
Psychological Effects of Intimidating Behaviour
  • Anxiety
  • Panic attacks
  • Depression
  • Feeling of dread
  • Tearfulness
behavioural effects of intimidating behaviour
Behavioural Effects of Intimidating Behaviour
  • Becoming irritable
  • Becoming withdrawn
  • Becoming aggressive
  • Increased consumption of tobacco/alcohol
  • Obsessive dwelling on the bully and seeking justice or revenge
personal strategies for dealing with intimidating behaviour
Personal Strategies for Dealing with Intimidating Behaviour
  • Support any member of staff that you believe is being intimidated.
  • Discuss with colleagues and make intimidation unacceptable
  • Make it clear to anyone who displays intimidating behaviour to you that you will not accept it.
organizational strategies for dealing with intimidating behaviour
Organizational Strategies for Dealing with Intimidating Behaviour
  • All managers at every level must make it clear that intimidation will not be tolerated.
  • All allegations should be taken seriously and every effort made to resolve issues informally
  • All staff should be made aware of the support of HR and the counseling service