Ep 165: Incivility and Bullying by Healthcare Providers in the Clinical Setting

Incivility and bullying can be found in all types of environments in our society and that’s unfortunately true with the academic and clinical settings for SRNAs. This can create an environment that interferes with a student’s ability to learn, ability to cope, relationships, health and well-being. Holly Chandler EdD, CRNA, conducted a study with students to learn more about the issues they’re facing and joins us to share her findings and look at the larger problem within the healthcare industry.  

Click the timestamps below to help you navigate through the many topics we discussed.

On This Episode:

More and more awareness is being brought to the issue of bullying in our country but that doesn’t always apply to the workplace. Many of the people we know and work with in nurse anesthesia have been seen incivility and bullying first hand in the operating room.

Unfortunately, SRNAs face this all too frequently and it can foster negativity many aspects of their lives. That’s one of the reasons Holly Chandler EdD, CRNA, an associate professor of Nurse Anesthesia at Bryan College of Health Sciences has been paying close attention to this issue of incivility and bullying.

She said it all began when she went back to school to purse her doctorate. During that program, she was struck by the emphasis they put on treating everyone with respect. That seemed like a stark change from previous educational settings and that’s what drove her interest in the topic. So much so that she conducted a study and spoke to students about their experiences in academic and clinical settings.

She joins us on this episode to discuss the things she’s learned, the impact this has on CRNAs and SRNAs, and what can be done to improve the environments inside operating rooms.

As you get started on the episode, keep an ear out for these topics:

  • What’s the difference between incivility and bullying?
  • Sharon’s experience with bullying in the workplace.
  • Are student’s more at risk for this when rotating sites?
  • Is this behavior more likely when no director is there to monitor students?
  • How can we make students more aware of the resources and how to utilize them to report.
  • What should CRNAs do if they have a colleague behaving this way?
  • Background on her study and how she got students to participate and speak out.
  • Is our behavior as a society making things worse in the operating room?

Check it out the interview at the top of the page and use the timestamps to help you navigate through the many topics we discussed.

3:39 – Why the topic is important

5:19 – Background on Holly

6:56 – Incivility vs Bullying

8:48 – Has Sharon ever felt bullied?

11:13 – SRNAs put in tough position

13:41 – Student risk

17:28 – Reporting

19:47 – Resources that are available

22:40 – What to do if you have a colleague behaving this way?

25:10 – Encouraging people to speak up

27:23 – Self-policing

29:59 – Is this more of a societal trend?

32:35 – Jeopardizing accreditation

34:21 – Lightning Round

“I 100 percent believe that every program in every institution needs to have a zero bullying policy and that’s it. Incivility is another thing. It’s ambiguous, you know. The parties are going to sit down and come to a resolution.”

-Holly Chandler EdD, CRNA





COVID-19 Pandemic

Ep 213: Moral Injury and Nurse Anesthesia

With the increased distress and rationing of care that arose during the COVID-19 pandemic, the topic of Moral Injury (MI) has started to garner much more attention in the world of healthcare. This repeated conflict between an individual’s morality and the management of care causes a deep emotional wound that often drives workers out of the profession altogether. Jerry Hogan, DNSc, CRNA wrote an article about this subject, so we’ve asked him to explain the effects of MI and how CRNAs can resolve this conflict.

Current Events

Ep 212: Thankful for the AANA and Its Ongoing Efforts for CRNAs

It hasn’t been the easiest year for a lot of people, but we know there’s still plenty to be grateful for as we approach another Thanksgiving. Specifically, we wanted to shine the light on the AANA and everything they do for our profession each year. New AANA President Angie Mund, DNP, CRNA is a friend of the show and someone we appreciate quite a bit so we wanted to spend some time with her on this holiday to talk about everything she’s hoping to accomplish over the next year.


Ep 211: Anesthesia Management for a Pheochromocytoma

We’ve had CRNAs and SRNAs ask us to give them the essential information needed to manage a particular case and today we’re going to do that with Pheochromocytoma. This is the second episode in our endocrine surgical procedures series and there will be some valuable info that you might find on exams as well. Here’s the power-packed episode for anesthesia management for a Pheochromocytoma that we hope you get a lot out of.




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J. Cross CRNA
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This podcast is very well put together. I love the hosts Sharon & Jeremy, they do a fantastic job at presenting topics as well as getting great speakers on the show! This is my morning commute podcast everyday! Thank you for all that you do!
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I enjoy listening every morning. Great content and always a pleasure to learn something new.
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I started listening to this podcast religiously early on in my CRNA journey, a year before applying to CRNA school. The content in this podcast was one of my most helpful resources for getting into my first choice school, Wake Forest! It has also been a huge motivator for getting involved with the AANA now and throughout my career. I highly recommend this podcast to every prospective CRNA I meet.
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I appreciate hearing the latest and greatest in the world of Nurse Anesthesiology while also getting Class B credits. Just listen on your commute for a win/win experience. I love the perspectives from Jeremy and Sharon who both ask varied and insightful questions!
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If you’re a CRNA or any medical professional, I highly recommend giving this podcast a listen. Hosts have a great rapport.