Ahern Kathy
The University of New South Wales, Kensington, New South Wales, Australia.
J Perinat Neonatal Nurs. 2018 Jan/Mar;32(1):59-65. doi: 10.1097/JPN.0000000000000306.
Despite whistle-blower protection legislation and healthcare codes of conduct, retaliation against nurses who report misconduct is common, as are outcomes of sadness, anxiety, and a pervasive loss of sense of worth in the whistle-blower. Literature in the field of institutional betrayal and intimate partner violence describes processes of abuse strikingly similar to those experienced by whistle-blowers. The literature supports the argument that although whistle-blowers suffer reprisals, they are traumatized by the emotional manipulation many employers routinely use to discredit and punish employees who report misconduct. "Whistle-blower gaslighting" creates a situation where the whistle-blower doubts her perceptions, competence, and mental state. These outcomes are accomplished when the institution enables reprisals, explains them away, and then pronounces that the whistle-blower is irrationally overreacting to normal everyday interactions. Over time, these strategies trap the whistle-blower in a maze of enforced helplessness. Ways to avoid being a victim of whistle-blower gaslighting, and possible sources of support for victims of whistle-blower gaslighting are provided.
尽管有举报人保护立法和医疗行业行为准则,但报复举报不当行为的护士现象屡见不鲜,举报人往往会陷入悲伤、焦虑的情绪,普遍丧失自我价值感。机构背叛和亲密伴侣暴力领域的文献描述了与举报人所经历的惊人相似的虐待过程。文献支持这样一种观点,即尽管举报人会遭受报复,但他们还会受到许多雇主惯常用来诋毁和惩罚举报不当行为员工的情感操纵的创伤。“举报人煤气灯效应”营造了一种举报人怀疑自己的认知、能力和精神状态的情境。当机构放任报复行为、为其辩解,然后宣称举报人对日常正常互动反应过度时,就会出现这些结果。随着时间的推移,这些策略将举报人困在一种强制无助的迷宫中。文中还提供了避免成为举报人煤气灯效应受害者的方法,以及举报人煤气灯效应受害者可能的支持来源。