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Surviving (Even Thriving?

)
2.5 contact hours

in a Toxic Workplace
By Paul E. White and
Kathy Schoonover-Shoffner

ABSTRACT: Anything toxic is


poisonous and harmful—including
a toxic workplace. Surveys of
hundreds of individuals and
organizations reveal three primary
areas that are common in unhealthy
work environments: sick systems,
toxic leaders, and dysfunctional
colleagues.This article draws from
research and offers practical steps on
how to survive, if not change and
thrive, in toxic workplaces.
Illustrations by Denny Bond

KEY WORDS: bullying,


dysfunctional behavior, healthcare,
nursing, organizational communi-
cation, toxic workplace

142 JCN/Volume 33, Number 3 journalofchristiannursing.com

Copyright © 2016 InterVarsity Christian Fellowship. Unauthorized reproduction of this article is prohibited.
C
ynthia* has worked for 10 THE PROBLEM OF TOXIC and respect for the inherent dignity,
years on her unit as a staff WORKPLACES worth, and unique attributes of every
nurse. She used to love going Sadly, true stories like the above person” (American Nurses Association,
to work and appreciated her happen all too frequently in healthcare. 2015, p. 1). This includes relationships
nurse and physician colleagues In their book, Toxic Nursing, Dellasega with colleagues and treating everyone in
who demonstrated respect in their interac- and Volpe (2013) lament that “Toxic the work environment with dignity and
tions. Cynthia felt she made a difference nursing is a real threat to the nursing respect. It also means taking action to
in patients’ lives and was an appreciated profession” (p. 289). How big of a prevent harm to others and responsibil-
member of the team. threat? Surveys reveal that half plan to ity to ensure a culture of civility.
Then, after delivering twin boys, the leave their jobs within the next three In my work (Paul), training managers
department supervisor decided to step years, due to workplace issues (Del- in healthcare settings to communicate
down. Employees assumed things would lasega, 2009; Wilson, Diedrich, Phelps, authentic appreciation in the workplace
continue as they had in the past. The & Choi, 2011). Other studies report (Chapman & White, 2012), I’ve heard
first week on the job, the new supervisor that between 27% and 85% of nurses frequent comments from employees and
held a meeting and told employees things say they are victims of workplace managers about workplace toxicity. My
were going to tighten up, saying, “A new bullying (Becher & Visovsky, 2012; organization surveyed 40,000 ­individuals,
sheriff is in town.” Previously, communi-
cation had been free-flowing, but after a
few months, people were afraid to openly
discuss problems. Gossip and hidden
A recent survey…found that 66% of nurses had either
agendas began to flourish. One of experienced or witnessed bullying.
Cynthia’s colleagues began blaming work
problems on her. When Cynthia talked
to her, the colleague cried, saying her life Christie & Jones, 2013; Wilson et al.). A asking people to share their stories and
was in crisis, and Cynthia was too hard recent survey found that 66% of nurses experiences. Their responses led to
on her. Cynthia felt confused and guilty. either experienced or witnessed follow-up interviews and culminated in
The new supervisor began openly bullying, naming staff nurses as bullies the book Rising Above a Toxic Workplace
embarrassing nurses, technicians, physi- 58% of the time, physicians 38%, (Chapman, White, & Myra, 2014) and
cians, and other managers. Whereas patient care technicians 34%, and nurse the Ratings of Toxic Symptoms (ROTS)
Cynthia had had a good relationship managers 34% of the time (Keller, Scale (White, 2015), which assesses the
with the former supervisor, her new Budin, & Allie, 2016). level of perceived negative characteris-
one took little interest in employees. Toxic workplaces are more than tics in an individual’s workplace. This
Cynicism and fear now rule the work- a threat to employees. Incivility threatens
place. Cynthia feels discouraged, apa- patient safety (Wilson & Phelps, 2013).
thetic, and is considering leaving nursing Wright and Khatri (2015) found that
altogether. nurses experience a psychological/
behavioral response to bullying that
impacts medical errors.Toxicity also costs
Paul E. White, PhD, is a psychologist organizations money from absenteeism
and speaker who advises organizations
on how to create positive workplace
and turnover (Dellasega & Volpe, 2013).
relationships and environments. He is In addition to being unpleasant, toxic
coauthor of Sync or Swim, Rising Above workplaces are professionally unethical.
a Toxic Workplace, and The 5 Languages of Appreciation
in the Workplace. Paul can be reached through http:// The Code of Ethics for Nurses specifies,
www.drpaulwhite.com. “The nurse practices with compassion
Kathy Schoonover-Shoffner, PhD, RN,
is National Director of Nurses Christian
Fellowship USA and Editor-in-Chief of
the Journal of Christian Nursing.

Conflict of Interest: Dr. White is


coauthor of books referred to
in this article. Kathy Schoonover-­
Shoffner has no conflict of interest
and did not participate in the double
-blind peer review of this article.

Accepted by peer-review 3/20/2016.

*Names changed to protect privacy.

DOI:10.1097/CNJ.0000000000000289

journalofchristiannursing.com JCN/July-September 2016 143

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article draws from our workplace When individuals do not communicate the message says to do something that
surveys and other research about how to with one another, the necessary infor- previously was against the rules.
survive, if not change and thrive, in mation to make correct decisions and The final form of miscommunica-
toxic workplaces. actions is absent Furthermore, individu- tion includes not checking for understand-
Anything that is toxic is essentially als tend to infer what information is ing. Most agree (intellectually, at least)
poisonous and harmful—hazardous lacking, which leads to errors in that the responsibility for clear
physical waste or a toxic relationship. understanding the true facts.There are communication lies with both the
A toxic workplace has unhealthy different ways to not communicate, sender and receiver of the message. The
characteristics that create damage to including not saying (or doing) anything, only way to make sure the message
employees and potentially to patients, not responding to others’ messages (e.g., received is the message that was
families, and vendors. Common not replying to e-mails), avoiding intended is to use a process of checking
characteristics of a toxic workplace interaction or saying, “I’ll get back to back to assess that the receiver has
include negativity, gossip, blaming and you,” but not doing so. clearly understood the message
making excuses, lack of support from Another way to miscommunicate intended.
administration, bullying, lack of appre- involves communicating inaccurate Policies Not Followed: Healthcare
ciation for work done, inconsistency in messages. This can be characterized by settings have detailed standard operat-
applying policies and procedures, poor giving partial information, distorted ing policies and procedures for patient
morale, high staff turnover, and a general information, incorrect data, or making care, related to federal and state
sense of discouragement (Dellasega & incorrect inferences from data. A staff government laws, rules, and regulations;
Volpe, 2013; Keller et al., 2016;Wilson member may honestly report they are professional regulations; procedures
et al., 2011). In our training groups, 90% late to work “because there was an demanded by insurance companies; and
of participants who have worked in accident on the freeway.” But they may institutional policies and regulations.
healthcare more than three years indicate neglect to say they left home 20 minutes Other unit-specific procedures related
they have worked in a setting character- late, as well. Someone may report being to work assignments, scheduling time
ized by these symptoms.Three primary unable to finish assigned patient care off, and general unit management are
areas are common in unhealthy work due to “a busy shift,” but neglect to say required by one’s supervisor. Although
environments: sick systems, toxic leaders, they took multiple breaks. Christians are healthcare workers will always follow
and dysfunctional colleagues. called to “speaking the truth in love” policies to ensure patient safety, some
(Ephesians 4:15, NIV), meaning we tell can begin to pick and choose which
1: SICK SYSTEMS the truth (versus not say anything, or a nonpatient care-related policies they
When individuals discuss toxic white lie) but do so in a way that honors will follow and which they will not
workplaces, initial thoughts seem to Christ (versus passive-aggressive, etc.). follow as specifically. There are a
focus on negative comments about
leaders and other employees. However,
we found that poor or misunderstood
procedures or policies often underlie a A key component to the health of any workplace (and our
toxic work environment, resulting in individual experience of it) is our response.
an overall sick system. When the
foundational structure of an organiza-
tion is not built well (or not function- The third problem is utilizing indirect
ing well), unhealthy behaviors typically communication. Indirect communication
follow. What are the elements of this can occur by trying to go around the
foundational structure? individual to whom the message or
Poor Communication Patterns are the request should go. Another form is to
hallmark characteristic of structural send information through a messenger.
problems within the sick organization. The purpose is to avoid the negative
This can occur between colleagues; interaction that occurs when the
between supervisor and supervisees; and information is communicated, or, not
up, down, and throughout the organiza- wanting to be held responsible for a
tional structure. Obviously, the more lack of getting a task done.
frequently communication problems Mixed messages are when the content
occur (and in multiple types of relation- of the message does not match the
ships), confusion increases, and it nonverbal presentation. An example is
becomes less likely that good decisions saying, “I’m not angry!” when some-
will be made and implemented. one clearly is upset. Or, the current
The most problematic form of poor message is inconsistent with prior
communication is a lack of communication. information communicated, as when

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number of reasons why policies may occur when there has not been a clear
not be followed, such as a lack of definition of one’s position and the tasks Table 1:
procedures being in place (unlikely in for which they are responsible. This is Top Ten Characteristics
healthcare settings), poorly designed especially common in a new position or of Toxic Leaders
processes, or processes not being when individuals share responsibilities. 1 Look Good (at least initially)
followed. When employees are not clear about
2 Extreme about Achieving Goals
When policies are not followed, there what they are supposed to do, most tend
generally are four reasons. First, employ- to not do the task (it is less common to 3 Manipulative
ees may not have been trained adequate- take on more responsibility than 4 Narcissistic
ly. In actuality, some initial training assigned). This confusion becomes a 5 Condescending
almost always is given for new employ- breeding ground for employees to make 6 Inauthentic
ees or new policies. However, especially excuses and blame others when tasks
7 Use Others
when an employee is new, he or she is don’t get done. If it is not clear who is
overwhelmed with the amount of responsible, it is easy to pass off responsi- 8 Won’t Address Real Risks
information to process.This, combined bility. Practically, when roles and 9 Take Credit for Success
with normal anxiety, results in poor responsibilities are not clearly defined, 10 Leave Before Things Fall Apart
processing and recall. It is important for customer service declines, as tasks fall
training processes to have ongoing between the cracks. Additionally, when
instruction and review as part of training patients ask questions, they may be end of the meeting, it is unclear who is
and follow-up. In fact,Warner, Sommers, given different answers. This becomes to do what. Working at clarifying (a)
Zappa, and Thornlow (2016) found that highly frustrating for the patient or their what specific actions are to be done, (b)
training through a quality improvement family. who is responsible for each action to be
program increased awareness of and done, and (c) a target date by which
decreased instances of workplace IMPROVING SICK SYSTEMS actions will be reviewed, and (d) to
incivility. One of the challenges in dealing whom the responsible party is to report
The second reason policy may not with organizational/structural issues is progression, makes a significant differ-
be followed is lack of oversight and the limited power and influence most ence in clarifying actions from meetings.
accountability from supervisors. employees have to impact change in Third, when individuals proactively
Managers can be overwhelmed and not the organization at large. Employees collaborate with colleagues on tasks, this
sufficiently monitor whether policies become frustrated because the problem helps facilitate communication.
are followed. Over time, this can lead is with the system, and they feel Proactive collaboration can help
to a lack of compliance. Furthermore, powerless to effect change. develop a sense of teamwork and also
managers need adequate training to be However, individuals do have the communicate that others’ knowledge
effective and may not receive it. ability to change their behavior and and skills are valued and needed.
Some managers avoid conflict, influence colleagues on a daily basis.
which is the third reason policies may We found three positive actions that 2: TOXIC LEADERS
not be followed. Although supervisors can make a difference in an individual’s The second common characteristic
may be aware of noncompliance, given daily sphere. of an unhealthy workplace is the
their personality style (and that of their First is commit to direct communication. presence of toxic leaders at some level.
team members), they choose not to The single most impactful action an A toxic leader can be at any level of
deal with a problem, due to confronta- individual can make is to communicate the organization from Chief Executive
tion avoidance. directly (versus indirectly) with those Officer to a shift supervisor, such as the
A sense of resentment also can lead around him or her. This includes: (a) go charge nurse. Obviously, the more toxic
to policies not being followed. We through the correct channels for leaders scattered across the organiza-
found that when employees do not information and decisions, and (b) tion, the less healthy the organization.
feel valued and appreciated, they start focus on talking to those directly Interestingly, most toxic leaders actually
to rebel passively and feel they do not involved with an issue, rather than have some positive traits and character-
need to comply. Because employees do talking to others who are not directly istics. They often look good initially,
not feel valued by their supervisor or involved. For Christians, the Bible otherwise, they would not have been
employers, why should they strictly strongly supports this approach to hired. However, it becomes clear over
adhere to policies? Over time, passive communication (i.e., Proverbs 17:9; time that they were able to cover their
rebellion can lead to more active Ephesians 4). negative characteristics, or they put a
acting out (complaining, gossip, Second, clarifying individual responsi- positive spin on issues that eventually
bullying, etc.). bilities leads to clarity within the work create problems. In our work with
Lack of Clearly Defined Rules and group. This is especially true in group toxic workplaces, we found 10
Responsibilities is a third major meetings where decisions have been common characteristics of toxic
component of sick systems. This can made about future actions. Often, at the leaders (Table1).

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A key aspect for understanding toxic leaders is that
Where’s the Thriving?
I
they are extreme about achieving goals. They are all
s it realistic to think we can thrive in toxic workplaces? about getting the job done, regardless of what it takes
For the Christian nurse, God promises to help us and the costs to others. Sometimes these goals are the
survive in difficult situations (cf. Psalm 23). He also goals of the organization, but often the goals can be
intends for life’s difficulties to help us grow. James, an
personal goals (for self-advancement or ingratiation).
earthly brother of Jesus, was leader of the Jerusalem
church in the decade after Christ’s resurrection. The
They use organizational goals to help further their
church was growing, in spite of increasing widespread personal goals.
opposition. He wrote to the church: Toxic leaders, by nature, are manipulative. That is,
they manipulate people and information to their
Consider it pure joy, my brothers and sisters, own ends. Manipulation is the process of using
whenever you face trials of many kinds, because someone or something for your own goals. Toxic
you know that the testing of your faith produces leaders can be quite effective in manipulating
perseverance. Let perseverance finish its work information. They control and withhold
so that you may be mature and complete, information, only sharing with certain
not lacking anything. James 1:2-4, NIV individuals (or in certain ways), or distort-
ing information to look positive when it
James suggests that tests and challeng-
es can grow us spiritually as we cry out
is not.
to God and work to understand what he Toxic leaders are narcissistic. They view
wants to do in our lives and the lives of those around us. the world almost solely from their point of
James goes on to say (1:5-6, NIV), “If any of you lacks view, and often they see themselves and act as though
wisdom, he should ask God, who gives generously to all they are the center of the universe. They believe they are
without finding fault, and it will be given to him. But when the best, most talented, and smartest individual and that
he asks, he must believe and not doubt….” they are almost always right. Therefore, they believe they
How does God give wisdom? He speaks to us through should be treated specially. Typically, they do not believe
the Bible and spending time with him in prayer, worship, rules, policies, and procedures apply to them. Clearly,
and with other believers. Jesus promised a Counselor,
the Holy Spirit, who would guide us into all truth (John
16:13). As you study Scripture, pray, and talk with wise Rarely do we think about
counselors, ask God to give you specific guidance for
your work situation. ourselves as being dysfunctional.
For example, Ephesians 6 teaches us to put on spiritual
armor. Like a fully-armed soldier prepares for battle, put on
truth, righteousness, the gospel, faith, salvation, and the
Word of God. Applying this passage will help prepare you these characteristics are opposite of how Christians are
for spiritual battles at work. We also are told in Ephesians exhorted to think and act (Philippians 2:3-4).
6 to pray on all occasions with all kinds of requests (v. 18). Toxic leaders are talented at taking the credit for
Serious prayer or intercession for colleagues and the work- others’ successes. If a positive result has occurred, they
place is essential and powerful (1 Peter 3:12). Pray daily, take credit and explain how their actions and decisions
during work, and especially in difficult situations. Ask other
led to that positive outcome. They have no compunction
Christians to pray with you. Ask God for patience and wis-
dom (Job 12:13). When needed, overlook transgressions
about receiving the positive rewards associated with
and forgive (Proverbs 19:11; Ephesians 4:25-32). others’ work (and they have no problem blaming others
Other great Bible passages for dealing with toxic for any and all errors or mistakes).
workplaces focus on our speech. Psalm 15 says be Relating to others in a condescending way is another
blameless, do what is righteous, speak the truth from your characteristic of toxic leaders. Because they view
heart, have no slander on your tongue, do your neighbor themselves as better than others, they routinely make
no wrong, cast no slur on others, and concludes, “He negative critical comments, correcting others in public,
who does these things will never be shaken” (v. 5, NIV). putting others down, and relating in a way that commu-
Read through the Proverbs, which contain numerous refer- nicates they are in a superior position.
ences to our relationships with others and our speech. Toxic leaders become known for their inauthenticity.
The thriving in difficult situations comes as we learn
This can include an overstatement of their education,
and grow. Thriving comes as we act like Jesus and shine
sparks of light in our workplace. God may lead you to
training, experience, and skills. What they have portrayed
leave a toxic workplace, but you will leave well, as you versus their real selves are two separate entities. Some
follow his plan. God’s instructions to “Live a life worthy toxic leaders have smooth social skills and relate in a
of the calling you have received. Be completely humble charismatic way, whereas those close to them see their
and gentle; be patient, bearing with one another in love” disdain for others and a genuine lack of caring.
(Ephesians 4:1-2, NIV), offer a higher calling to pursue, In addition to manipulating information, toxic leaders
as we deal with the challenges of a toxic workplace. use others. People are essentially a tool or resource to

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help them achieve their goals. Others
are expendable; it is fine to use you up Table 2:
and throw you away. These leaders care Key Differences Between Functional and Dysfunctional People
more about themselves. Functional Dysfunctional
Toxic leaders, over time, often do
Honesty, Integrity Deceit, withhold information
not address real risks. When circum-
Direct communication Indirect communication
stances (e.g., funding needs) do not line
up with the goals they are pursuing, Responsibilities → Privileges Sense of entitlement
they can ignore the issues, minimize, or Accept responsibility for choices Blame others, make excuses
delegate to others, in part so they can Able to delay gratification Have to meet desires now
blame someone when the situation
Learn from mistakes Expect to be rescued
does not go well. As a result, toxic
leaders can lead organizations into Are real, genuine Focus on image and appearance
significant problems.
Lastly, toxic leaders have a knack for • Document all interactions related to dysfunctional lifestyle), core character-
leaving before things fall apart. They decisions made, instructions given, istics have been identified (Table 2).
seem to identify when reality is going etc. (e.g., with a follow-up email to Overall, individuals who communicate
to hit, and they move on to another you and your boss); honestly and have integrity between
position. As a result, they are able to • Ask leaders to document instruc- what they say and what they do, as
jump from one organization to tions and requests in writing; opposed to not telling the truth or
another, leaving a trail of damaged • Include other individuals in key withholding information, tend to do
institutions behind and avoiding meetings with leaders so a third better. Also, communicating directly
personal loss associated with their party is present. with those involved leads to healthy
practices. When working for toxic leaders, communication patterns. Individuals
employees can become confused about who understand they must demon-
DEALING WITH TOXIC LEADERS what is right and normal. It is critical strate responsibility before experienc-
What are positive actions you can to seek support from an objective ing privileges tend to progress in their
take when working for a toxic leader? party who can give you input and careers more than individuals who have
First, remember that he or she is perspective. Often, working for a toxic a sense of entitlement and being given
leader leads individuals into gray areas privileges before demonstrating
of ethics, morality, and legalities. accompanying responsibility.
Having a wise person of counsel Accepting responsibility for one’s
next to you is strongly suggested choices is a key component. Everyone
(cf. Proverbs 13:20). makes mistakes, but individuals who
accept the responsibility (and conse-
3: DYSFUNCTIONAL quences) for mistakes or poor choices
COLLEAGUES tend to function better at work than
A third key component of an those individuals who consistently
unhealthy toxic work environment is deny responsibility for actions, blame
when you work with one or more others, or repeatedly make excuses for
significantly dysfunctional people. We their choices. Healthy individuals tend
use the term dysfunctional in a to learn from their mistakes, whereas
­descriptive sense, not in a pejorative or dysfunctional individuals seem to
labeling sense. Rather, people who are expect to be rescued from the conse-
dysfunctional have a problem with quences of their choices. Sadly, this pat-
functioning in one or more areas of tern can repeat indefinitely (note the
their lives. Dysfunctionality can be fool discussed in Proverb 26:4-5).
demonstrated in long-term relation- People who delay gratification,
inwardly focused. As a result, s/he will ships, inability to maintain employ- working for rewards over the long term,
use people to avoid accountability for ment, chronic financial difficulties, tend to make better decisions than those
decisions or actions. It is important to drug and alcohol abuse, verbal, demanding instant gratification. And,
take a defensive posture of protecting emotional and physical abuse of although there are numerous differences
yourself. This includes others, and other addictions such between functional and dysfunctional
• Do your work correctly and if as gambling. individuals, a key characteristic is that
unsure about something, ask; When examining those characteris- healthy individuals tend to be real and
• Document everything you do in tics that lead individuals to a long-term genuine—they are who they are.
some way; healthy lifestyle (as opposed to a Dysfunctional individuals focus on

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presenting a certain image and appear- what areas do I lean toward the the situation with a dysfunctional
ance to others, which often is not dysfunctional side, and what steps colleague.
reality-based. can I take to prevent acting in these
Although there are obvious pat- ways?” KEY TO STOPPING TOXICITY:
terns associated with functional versus First, it is important to do a self- OUR RESPONSE
dysfunctional people, overall, unhealthy assessment to determine how we One difficulty in explaining factors
individuals relate in ways that cause contribute to unhealthy interactions. that lead to unhealthy workplaces is
distress. These relational patterns We all have the capability to make the tendency to focus on external
include situations worse by contributing to factors—the sick systems, toxic leader,
• Framing an issue as a crisis that has negative interactions, failing to correct or dysfunctional colleagues. However, a
to be dealt with immediately misleading information, or by being key component to the health of any
(although the crisis has been passive and doing nothing. workplace (and our individual experi-
developing over time); ence of it) is our response. Who we are,
• Being adept at making those around our attitudes, behavior, and speech are
them feel like problems are not their key components that impact us and
issue but yours; Most toxic leaders actually those around us.
Creating false guilt; if you don’t Toxic workplaces are sometimes
help them, you are insensitive and
have some positive traits noted in the literature from a victim
uncaring (“How can you call and characteristics. mentality: Woe is me! See how bad my
yourself a Christian?”); job is! But this is an unhealthy
• Feeling fogged and confused about perspective. Focusing on Wo! I work in
a situation after talking with such a bad place! does not help anyone.
dysfunctional individuals; you may Second, it is important to accept It’s important to look at our options
question your prior beliefs and that you cannot change the other in dealing with the situation. Bible
thinking about the situation; person. We intellectually assent to teacher John Maxwell states, “Life is
• Creating problematic situations, this, but our speech belies our 10% what happens to me and 90%
and if you don’t intervene, the thoughts because we often state, how I react to it” (Goodreads, 2016).
consequences may be severe. The “Why don’t they just….?” or “If they Working in a toxic environment can
problem may ruin the dysfunction- would only….” The reality is we are be overwhelming. It can feel like so
al person’s life (personally or never able to change someone else. much is wrong that it’s discouraging to
professionally); may make you, your We can set an example of healthy know how to make a difference. But
department, or the organization behavior. And remember, the best one person can influence not only
look bad; or there may be negative predictor of future behavior is their interactions, but the interactions
consequences to others (patients present behavior. around them. Although you may not
and families). Third, when dealing with dysfunc- be able to correct major structural
tional individuals, understand that you problems, you can start in small ways.
DECREASING DYSFUNCTION will likely feel blamed or responsible for An important principle is just start
The challenge in talking about whatever the problem is. Avoid taking somewhere. Inaction in a toxic work-
dysfunctional individuals is that we responsibility for things you did not do. place is your greatest enemy. Things
almost always frame the dysfunction- Plan ahead for how you will handle you can do include
al person as being someone else. accusations and what you will state • Commit to focusing on direct
Rarely do we think about ourselves about your contribution to a problem. communication;
as being dysfunctional. The focus be- With regard to the issue of rescuing • Make authentic, positive comments
comes on others being the problem an individual from their choices, it is to others;
and the one(s) who need to change. important (ahead of time, if possible) to • Don’t engage in negative interac-
In reality, all of us are bent to some set boundaries regarding what you are tions, excuse yourself and walk away
degree. Scripture teaches that our and are not willing to do. We may be (Ephesians 4:29-32);
hearts are deceitful (Jeremiah 17:9), willing to help a colleague to a certain • Turn negative gossip into positive
and we all make mistakes (Psalm degree, but not fully complete all of his conversation, say good things about
106:6; Romans 3:23). We have an or her responsibilities. We may be others (Grosser, Lopez-Kidwell, &
innate propensity toward not doing willing to work extra to cover some- Labinca, 2010);
the right thing, including not telling one’s shift and/or extra break, but only • Work at clarifying your roles and
the truth, being overly focused on once every two months. We may be responsibilities, including responsi-
ourselves, and blaming others. It is willing to loan them $20 one time, but bilities for tasks agreed on in
therefore important when discussing no more.You are wise to seek support meetings;
toxic workplaces and dysfunctional and input from an outside, objective • Set limits on what you are willing
qualities to stop, reflect, and ask: “In individual, who can help you assess and not willing to do;

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• Do what you say you will do. “Let the system? How is her new supervi- Dellasega, C., & Volpe, R. (2013). Toxic nursing: Managing
bullying, bad attitudes and total turmoil. Indianapolis, IN:
your ‘Yes’ be ‘Yes,’ and your ‘No,’ sor a toxic leader? In what ways is her Sigma Theta Tau International.
‘No’” (Matthew 5:36-37, NIV); colleague dysfunctional? Most Goodreads. (2016). John C. Maxwell quotes. Retrieved
• Document interactions, conclusions, importantly, based on what you’ve from http://www.goodreads.com/author/quotes/68.
and decisions made; learned here, what are steps Cynthia John_C_Maxwell
• Seek outside counsel from a healthy can take to survive in this toxic Grosser, T., Lopez-Kidwell,V., & Labinca, G. (2010). A
social network analysis of positive and negative gossip
individual, perhaps an older person environment? By identifying key steps in organizational life. Group & Organization Management,
(Job 12:12); for Cynthia, you are on your way to 35(2), 177–212. doi:10.1177/1059601109360391
• Don’t seek counsel from unhealthy change, surviving in your difficult Keller, R., Budin,W. D., & Allie,T. (2016). A task force to
individuals (Psalm 1:1); workplace. address bullying: How nurses at one hospital implemented
an antibullying program. American Journal of Nursing, 116(2),
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