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Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Those Who Are Bullied Bully Right Back Now we know why the oppressed eat their young and each other. W hat does a primate do when he loses a fight? Inevitably he walks away and swats anoth- er primate who's inno- cently minding his own business. Those who are dominated and oppressed will look to overpower someone else — where have you seen that happen? Yep, be it in the jungle or in the OR (which many liken to a jungle), those who are bullied will resort to aggression among themselves — usually a peer or someone lower down the hierarchy of power whom they perceive as having lesser status: a nursing student or a nursing assistant will do. Psychologists call this phenomenon "submissive aggressive syn- drome." You know it as bullying, horizontal violence or nurse-to-nurse hostility. Some speculate that verbal abuse by physicians contributes signifi- cantly to nurse-to-nurse hostility because nurses pass their anger and frustration with physicians onto coworkers or subordinates. In one study, researchers who observed physicians verbally abusing more than 90% of nurses later witnessed 76% of those nurses exhibit nurse- to-nurse hostility, reports Kathleen Bartholomew, RN, MN, in her book, "Ending Nurse-to-Nurse Hostility." 1 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 7 Editor's Page Dan O'Connor CYCLE OF OPPRESSION When overpowered, primates will walk away and overpow- er an innocent bystander,

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