Bullying in the Workplace: Immature Occurrence, or Symptom of Something Worse?

The noble profession of healthcare; where the work started off from compassion and spirit of alleviating others’ suffering.

It is however, very unfortunate that physicians and nurses are not spared from the issue of bullying. We tend to think that bullying only occurs in schools, and are surprised to hear that it also happens in immature settings.

Bullying is a form of directing the bullies’ dissatisfaction inward or towards each other, themselves, and towards those who are less powerful and influential than themselves.

Examples of bullying in the workplace include being spoken in a belittling manner or being lambasted by the older generation for being weak and spoilt.

Studies show that Asian healthcare workers report the largest quantity of workplace-related bullying. The study was carried out in Singapore, showing abuse by nurse managers and colleagues. It also implies that 70% of the staff choose not to report workplace incidents, suggesting that the number of bullying cases might be even higher.

Bullying cases may not be always obvious. It might not be someone yelling at a poor junior nurse in the OT in front of everyone. Shaming, spreading malicious rumors about a co-worker still is bullying, and so are refraining from promotions or the right to take leave.

Why it happens

As previously mentioned, bullying not only happens at immature settings such as in schools, but also at workplaces all the way up to the higher echelons. A stressful environment, poor working conditions and poor leadership are prime vectors for bullying cases in the workplace.

The perpetrators involved in these cases are usually the ones in power. They exercise their power over helpless individuals, humiliating and belittling them in order to make them feel superior. They are usually authoritative, and oppressive in behavior.

There is also a pattern in the victims of such bullying. Doctors and nurses below the age of 30 reported to be more likely to experience workplace bullying. This is due to their position in the workforce- they are generally the lowest tier amongst everyone else, and are prime candidates to be targeted by perpetrators wanting to flex their authority without much of a pushback.

Another study conducted in Asia showed that nurses with high levels of anxiety were almost five times more likely to experience verbal abuse. Because they are by nature unsure of themselves, they do not have the mental standing to push away from bullies’ abuse. Other personality types that are highly associated with bullying are those who are inexperienced, less assertive with their work, lower confidence, and have vulnerable personalities.

Effects

Decline in productivity and effectiveness of care

The physical and emotional health of the victims decreases, which ultimately leads to worse quality of care for patients.

Victims report headaches, sleeping disorders, and medical errors done, which in turn leads to an increase in absenteeism. An increase in absenteeism due to health issues leads to understaffing of a healthcare institution.

Incur costs

Lower morale from victims results in a higher employee turnover rate. This is costly towards the institution; it is far more expensive to constantly replace employees compared to keeping them and increasing their pay year after year. It just doesn’t make much financial sense.

Higher intetion to quit the job leads to career burnouts whuch are much earlier than normal. Impacting non-workplace relationships as well.

Death

When nurse managers or MOs abuse their co-workers by refusing their right to leave, catastrophic results follow. Malaysian newspaper “The Star” reported in May that concerns have been rising about road accidents among tired and overworked doctors. Not too long ago a houseman in Kota Bharu Hospital hit a cow on the way home and died. Nurul Huda Ahmad, a paediatrician in training, died in a motor vehicle accident after nearly 33 hours on duty.

Ways to Stop It

It is not enough to simply tell the staff to “just stop the bullying.” The superiors of the workplace have to encourage their staff to speak out and report any instances or cases immediately. In addition to promoting a safe environment where employees can do so, employers must train effective communication skills to promote reporting as being viewed as an acceptable and necessary behavior.

Moreover, the training provided must encompass business etiquette that touches upon cultural sensitivity practices, and educate the workforce on negative working behaviors. Sometimes, the bullies may not even know about what they’re doing, until pointed out to them.

In the case of management, policies set in place creates a code of conduct to stop these cases. It is important to enforce it consistently for all staff members. Document any violations. This mitigate behaviors like persistent criticism that has no basis.

The way forwards

The act of bullying in a healthcare settings must not and cannot be left to fester. It creates a lot of damage and losses for both the institution and the people working in them. Most of all, the impact on patient’s safety is hit the hardest.

Patients place their utmost trust in the medical world to help them recover and lead productive lives again. Compromised care can deal potential harm in patients; it can mean the difference between a sound mind and a vegetative state, a living patient or a dead one.

If the medical field is to become the bastion of healing and wellness, then it must address this recalcitrant issue and not let it grow like an unwanted tumor, damaging the whole system in the process.



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 Working overseas, while initially scary, can be one of the best decisions you ever make. Being outside your comfort zone forces you to grow as you are tested by challenges that not many people will get the opportunity to go through. 

 Depending on where you go, it can be very different from back home. This change in environment builds confidence as a result of changes in your perspective. Not only will it look good on your resume for future career opportunities, a new country is a land of endless discovery that you can make during your downtime after work. 

 Fancy yourself working as a registered nurse in high-tech, ultra-modern Singapore?  Nurses are in high demand , and studies project that it will continue to be high in the years to come. Read on to find out more! 

  About Singapore  
 Be a registered nurse, and have job offer  
 Register with SNB  
 Pay the required fees  
 Obtain a Work Pass  

 About Singapore: 

 A prominent city-state in South-East Asia, Singapore is a truly remarkable place to be. It is seeing an increasing amount of demand for foreign nurses to be employed in the home care sector, although private healthcare institutions are on the rise too. Geographically and culturally similar to Malaysia, so you won’t have too many problems adjusting to the life over there. There are an approximate total of  39,005 nurses  in Singapore according to the Ministry of Health, and the number is steadily increasing over the years to meet demand. 

 Be a registered nurse, and have job offer 

 First you’ll need to complete nursing school/training, and have nursing registration. For those considering migration but have not completed your nursing programmes, the form for registration with MOH (Kementrian Kesihatan Malaysia) can be found  here . Once that is out of the way, you need to have a job offer by a healthcare institution in Singapore first before you can proceed. Pro tip: browse through  MIMS Career  portal. It’s easy to get connected with potential employers! 

 Register with SNB 

 After being offered, then comes the task of registering with the  Singapore Nursing Board (SNB) . There are three things to do here: the first is to apply online, prepare documents for them, and to pay the  stipulated fees . 

 The documents required are: 

 
	 Your passport photograph 
	 Marriage certificate (if applicable) 
	 Transcript of nursing education to include detailed breakdown of credit hours 
	 Any training certificates, graduation certificates, or letter of completion of study 
	 Your Ministry of Health registration certificate 
	 References/Testimonials from previous employer(s). This is to be written by your Head of Department (Nursing). 
 

 It’s important to note that those documents, if not in English, have to be accompanied with certified translated copies. The easiest way to do this is to get it certified by a Commissioner of Oath nearest to you. Also prepare some  “setem hasil” (Duty stamps) , which cost RM10 a piece. 

 These documents, once copied and certified true, will only be accepted in hard copy by mail or in person by SNB. 

 Pay the required fees 

 The fee for application is SGD60 for Foreign-trained nurses. Upon confirmation of registration, there is another fee to be paid, which is your registration fee. It costs about SGD55. You can see the  SNB Fees table here.  

 The process would take about three months, depending on situation. Once SNB approves you, you would be required to either: 

 
	 Sit for an examination to test for competency 
	 An interview, 
	 Or placed on provision monitored by SNB in a place that they see fit. 
 

 Obtain a Work Pass 

 Finally, head towards the the  Ministry of Manpower Singapore ’s site to check what sort of work pass you would need before starting your work stint in Singapore. There are many passes available, so choose wisely! Make sure you double check with your Singapore employer before confirming anything. They should be able to advise you on this. 

 Living in Singapore 

 Singapore is a small, hyperactive country. There are a lot of things to see and do during your downtime. Food lovers rejoice! Home to diverse ethnic groups, Singapore features the best of Chinese, Malay, and Indian cuisine you can find in the region. Take advantage of the numerous food courts the country has. They’re reasonably priced and you can really find some culinary gems. Due to stringent laws, they’re hygienic too! 

 World-class events always make a stop at Singapore. Concerts, charity events, shows… you name it. 

 Traveling to and fro your home country from Changi airport is a breeze. Many companies in Singapore set up shop as a regional hub for doing business across the Asia-Pacific region. As a consequence, many jobs here will have a broader regional scope, so travellers frequently travel in and out the city-state. Because of this, Changi airport is the most efficient in the world. 

 Miss Malaysian food, culture, and quirks? Johor Bahru is just right across the Causeway (or Second Link, depending on which route you take). The city has seen a rapid modernization in recent years, and will serve as a great relief for homesickness. 

 Public transport is cheap and efficient. Owning a car in Singapore might be a daunting task, but you can comfortably get by with your commute to work on their extensive network of buses, MRTs, and taxis. 

 Crime rate is incredibly low. It is not uncommon to see women walking back home alone in the streets at night, by herself. With a little precaution, you can get around with ease. Your family back home will worry less, so you can have a peace of mind. 

 Conclusion 

 Interested in working in Singapore as a nurse? Signup with MIMS Career, and discover hundreds of job postings for nurses in the country. Just signup, input your details and resume, and you will be able to apply for those job posts with a single click. Not only that, you can save jobs you are interested in for later viewing. 

 Can’t find what you’re looking for? Set up job alerts so we can notify you of new employers that meet your search criteria. 

 Signup with MIMS Career and take your first step in the path to working overseas. It’s safe, simple, and free.

How to Work as A Nurse in Singapore

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 Why do we, as nursing professionals, have to put in effort to continuously learn? 

 The rate of progress in technology is growing at an exponential rate. The more things we discover, the faster we do it. What we learnt in nursing school 10 years ago might already be obsolete next year. As nurses, we are at risk of endangering our patients as our skills are steadily becoming more outdated. 

 Lifelong learning is a term that is freely being thrown around these past two decades. Lifelong learning means that education does not end at the academic level upon graduation; it means new skills, knowledge, and practices are always there to be learnt to improve oneself. 

 New Methods of Nursing 

 Take CPR, for example. 

 A vital procedure, many lives are saved with it. You would think that for something used so much in hospitals, it would be a science that’s very well established. 

 Unfortunately, no. Researchers and new observations change the way CPR is done. A decade ago, CPR was considered futile after a certain amount of time. Now, you are encouraged to  not give up  those chest compressions until medical help arrives. 

 Even the steps for CPR ten years ago are in different order. It used to be A-B-C; clear Airway, apply rescue breaths, then begin compressions.  Now compressions come first and foremost . The reason is because rescue breaths lower chest cavity air pressure, slowing circulation (which is exactly what we do not want in cardiac arrest). 

 The new methods are more effective than the older ones. And it took only ten years for the old methods to become obsolete. 

 Not knowing the newer, more effective method could cost someone his/her life. 

 Renewing Your Nursing License 

 In Malaysia, you have to renew your license every year. 

 When you renew your license, they will check your CPD points:  Continuous Professional Development  points. These are points that you gain when you go for any nursing related courses. 

 For example, attend a Midwifery course and gain 5 CPD points. Attend a Wound Management course and get 3. 

 These points accumulate throughout the year, and when you want to renew your license, you need about 20-30 points. Otherwise, you will not be able to renew, thus leaving you without any form of registration. Meaning you can’t practice nursing! 

 Improving care towards patients 

 Nurses with a higher level of education are able to think more critically of their patients. They are able to aid in diagnosis, notice patterns in communication, and other physical cues that would help in determining the best course of treatment. 

 A nurse with a post-basic in cardiology is much more useful to a cardiologist compared to a general staff nurse. They can work together, exchange information, and execute procedures that the latter would not normally have the ability to do. 

 21st Century patients 

 Nowadays, patients are have more access to information than ever before. They are more learned, and have different set of expectations. They query a lot; so nurses have to be armed with the right set of information to cater to these patients. It goes a long way in establishing their trust towards you. 

 A good nurse-patient relationship is very important to achieve successful recovery. 

 Great nurses are always on the lookout for new, exciting, and better opportunities to grow their career. Find out your next employment with MIMS Career, a fast, secure, and convenient portal to connect you to top-class healthcare employers in MY, SG, ID, and PH.

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	  See if the offer is too good to be true  
	  There is a fee to be paid to "process" your employment  
	  You get the job right away  
	  Unprofessional job interviews  
 

 Job scams 

 In 2013, a South African registered nurse was approached by a man outside the hospital she worked in. The 25-year old man was a recruitment agent for the  KwaZulu-Natal (KZN) Department of Health . He offered her a job at another institution, for better pay and work hours. 

 The nurse saw this as a great opportunity. She accepted it, and he produced a contract and offered her the job.  Then he requested USD220 in cash for the job.  

 Thankfully, the nurse grew suspicious, and realized she was being scammed. She immediately alerted hospital staff who arrested the man. 

   

 Grey's Hospital, where the incident happened. 

 That could have ended a lot worse. Luckily in that nurse's case, she was able to spot the scam job offer. It is hoped that this post can help you to spot these harmful acts and avoid costing you your precious time, money, and dignity. Scammers know that finding a job can be tough, and they trick people by advertising where real employers do. 

 Scams are endlessly creative! This list might not encompass all of them, but it will help you in detecting these harmful job scams. 

 
 1. See If The Offer Is Too Good To Be True 

   

 If it seems like you’ve landed yourself the best offer in the world,  DON’T . The hiring managers will say something to you like: 

 
 You can earn as much as you want, there is no upper limit on your salary. You decide what you earn. You can earn USD5,000 in one week by working at home! 
 

 Run away as fast as you can. These scams like to prey on those desperate for a new job. They take advantage of your desperation by having you excited of their offer. Once they’ve gotten you on their hook, those “employers” can start to demand money, information, and time, just to get your application moving. 

  Watch out for:  

 
	 Really high pay with low amount of working hours 
	 Ability to work anywhere, anytime 
	 Really shady phrases, like “ Drive the sports car you’ve ever wanted after only a few months’ work! ” or " Earn USD3000 by only working FOUR HOURS a week! " 
	 The person contacting you is the President or CEO or other executive level staff. Most of the time, the highest-ranking person contacting you for a job offer is some type of manager or human resources employee. 
 

 2. There is a fee to be paid to "process" your employment 

   

 If the hiring manager contacts you again and informs you that you have to pay [insert amount here] to complete your application, forget it. 

 You might see overseas job offers requiring you to pay a few hundred dollars to "process" your application. They'll claim it's to secure your employment. To sweeten the deal, some of them claim that you'll get back the money within days after you get in the company/institution. 

  Here are the most common ways job scams use to cheat your money, like:  

 
	 Buying their software 
	 Paying a fee to complete your application 
	 Sign up for some insurance program that deducts money from your account every month 
 

 Job scammers make all kinds of promises about your chances of employment, and an astounding amount of them require you to pay them for their services to employ you. It's important to note that the promise of a job is  not  the same thing as a job. If you have to pay for that promise, it's most definitely a scam. 

 3. You get the job right away 

   

 You get the job, without much interviewing, or even applying through anything. The "offer" gets sent to your inbox. They often mention that they got your email from Jobstreet, CareerBuilder, or LinkedIn. 

  Most of the time, these job offers are sent with emails that are similar to emails of legitimate employers. Be careful!  

 
 Imagine if a David Chen from  Ramsay Sime Darby  emailed you about a sweet job offer. If he really worked at RSD, his email would be something like david.c@simedarby.com. Watch out for david.c.simedarby@gmail.com, david.c@gmail.com, david.chen.HR.simedarby@yahoo.com, etc. 

 When in doubt, call up the company and ask for that employee! 
 

  A real company would want to talk to a candidate before hiring him or her.  

 4. Unprofessional job interviews 

   

 Look out for interviews online, such as over  Facebook Messenger . Worse still, are interviews using a software that the scammer asks you to install on you computer. You will risk having your computer infected with harmful malware that can  record what you type  ,  activate your webcam without notifying you , and  hold your personal information as ransom . 

 Look out for interviewers with bad grammar or spelling. If it doesn't seem like what a real professional company would say, don't trust it. 

 
 With some common sense, and a bit of suspicion, you can easily spot scam job offers. The rule of thumb is that if it looks too good to be true, sounds too good to be true, and seems to good to be true, then it's definitely not true. Also look out for shady characters and language. 

 As mentioned above, there is no limit to the creativity of these scam artists and their job offers. The tips mentioned above might cover  ALL  the scam job methods out there, but at least you'll be better prepared, and more aware that these things can happen. 

 As a healthcare-focused job portal site,  MIMS Career  takes the legitimacy of any employer and job posting  very seriously . We screen employers thoroughly, contacting them at various levels, to determine authenticity of said employers. Our  privacy policy  also dictates that we  never  share your personal information to unrelated third parties, nor do we sell them. 

 The next time you're in search of a job, apply through  MIMS Career . Sign up, fill in your details, and apply for job vacancies from top healthcare institutions in  Malaysia ,  Singapore ,  Indonesia , and the  Philippines  with one click. 

 Browse through our extensive database of job postings, updated daily. Our pages are mobile-responsive, so you can save jobs you're interested in on your desktop, and continue reading about it and apply later on your phone. 

 Can't find what you're looking for? Set a job alert, and we'll notify you once a job with your preferences is made available. Sign up now with  MIMS Career . It's fast, convenient, and secure. We do the hard work of verifying scam jobs so you won't have to. 
   

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 A common question asked to academic counselors by prospective nursing students is: “So how’s the life of a nurse? What kind of hours to they work?” 

 It depends. It really depends on your location, academic qualifications, experience, country of practice, working environment… Really, I could make a long list but then the article would be way too long. 

 So our team at MIMS Career has sifted through the working hours of a lot of different types of nurses, so you can have an idea of what kind of career choices you’d have to make to go towards that kind of life. We’ve categorized it in five parts: a little, a bit, normal, a bit more, and a lot. 



 A little (3-5 hours a day) 

 Part-time nurse practitioners 

 These nurses mostly work doing house calls, or are doing contract jobs with non-medical institutions like schools or companies. Their employers do not require their presence most of the time, so as little as 3-5 hours per work session is pretty common. Part-time nurse practitioners usually have another job other than their nursing one. 

  Find out how to become a part-time nurse practitioner in our in-depth nursing career advancement guide HERE.  

 A bit (5-8 hours a day) 

 Locum nurses 

 Locum nurses work part time shifts in clinics or hospitals or other medical-related institutions. They are not on the payroll of the institution they work with; as they are only meant to supplement the institution’s own workforce. On average a locum nurse’s shift is about 5-8 hours. 

 It is more common to see nurses doing locum jobs to supplant their monthly income, but nurses who exclusively do locum jobs exist, albeit rare.  

  Find out part-time locum jobs for nurses on our career portal HERE.  

 Normal (8-10 hours a day) 

 Nurse instructors, academicians, dialysis nurses 

 These nurses work office hours. This is as normal as it gets. Dialysis centers and nursing schools all have regular, fixed schedules that don’t demand anything more than the usual office workday. 

 Same goes for those who work in nursing schools as teachers, trainers, or professors.  You can find out what it takes to be an academician in the nursing world in our article about lifelong learning HERE.  

 These kinds of nurses don’t normally work weekends, and their schedules are mostly the same and predictable. 

 A bit more (10-14 hours a day) 

 Those involved in direct patient care, like emergency room nurses 

 Most of the time, when nurses at the ER say they work a 12-hour shift from 7am to 7pm, they almost always never get to get out on time. There’s always something to do, someone else to cover, or some loose ends to tie up. 

 This is made even worse by working in hospitals with a shortage of staff. Nurses would be brought in to do things that are not in their job scope, because they can do those tasks. But people who are not nurses do not do nursing tasks because they cannot do those tasks. How many times have you been to an ER, and see a nurse doing clerical work at the front desk because the hospital doesn’t have a secretary or clerk? 



 A lot (14-24 hours a day) 



 Paediatric intensive care, intensive care, surgical, labor and delivery. 

 It is very common to see nurses doing double shifts in these wards. Their shifts might be 12 hours, but are sometimes to do two of those shifts back-to-back to reduce shift handovers, staffing overlap, and reduce costs. 

 Moreover, the type of work that this category of nurses do are a bit on the lengthier side. Surgeries can go up to 24 hours, including perioperative care. Intensive care can be very demanding as patients hover around critical states. 

 There is a variety of workloads for nurses. Each type of work suits different people who prioritize different things. With MIMS Career you have the opportunity of applying with ease to the jobs that you want to go into. Signup and apply with our easy, 1-click application process. Browse for jobs in Malaysia, Singapore, Philippines and Indonesia. Save jobs for later if you’re still on the fence. Also, you can opt for job alerts if nothing fancies you. 

  Signup and apply today! It’s fast, secure, and free.

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A common question asked to academic counselors by prospective nursing students is: “So how’s the life of a nurse? What kind of hours to they work?” It depends. It really depends on your location, academic qualifications, experience,...

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