Sexual Harassment of Trained Women
Nurses - Serious Challenge for Working Women in Health Care: A Literature
Review
S. Preetham
Sridar1 and Vijila Kennedy2
1Department of Management Studies, RVS College of
Engineering and Technology, Kannampalayam, Coimbatore
– 641 402,
2RVS Institute of Management
Studies and Research, Sulur, Coimbatore – 641 402,
*Corresponding Author E-mail: preethamsridar_s@yahoo.com
ABSTRACT:
Sexual harassment of trained women nurses in hospitals is not a new issue, but has until recently been a hidden silent one. During the last few years slowly the problem has become more serious which should be understood. This paper uses a literature review to explore the level of sexual harassment that trained women nurses face in their workplace. The paper concludes that employers and law should take up some more measures to help working women to get rid of this serious threat.
KEYWORDS: Sexual Harassment,
Workplace, Employer, Nurses.
Women’s participation in
employment is crucial for their economic empowerment and their sustainability.
However, problems such as sexual harassment in the workplace discourage women
to continue working. Sexual harassment in the workplace though an age-old
problem has emerged as a serious concern recently (Nelien
Haspels and Zaitun Mohamed Kasim, 2004). It is increasingly being recognized as a
violation of human rights and human dignity, which undermines equality of
opportunity and treatment between men and women. As women’s participation is
growing in employment sector, the problem of sexual harassment is a necessary
problem to address to ensure safe and healthy working environment.
Women are forced to face
double jeopardy when it comes to sexual harassment. They are vulnerable to
physical, psychological and sexual abuse in the workplace; they are frequently
subjected to harassment in the public domain of the street. According to a
health survey on safety regulations in hospitals, sexual harassment is likely
to be the most dominant source of stress for nurses (Nari
2003).
The paper is organized as
follows: Following the introduction the second section briefs about how sexual
harassment acts as a challenge for working women, the third section outlines
why sexual harassment is looked as a gender and human rights concern. The fourth section shows the good practices
of judicial activism and the fifth section reviews the sexual harassment
experiences of women nurses. Finally the paper concludes with aim to project
the serious challenge of sexual harassment faced by women nurses.
SEXUAL HARASSMENT AS A
CHALLENGE FOR WORKING WOMEN
Increasing number of Asian
women is going out to work outside home. Many women are forced to deal with
harassment and unwanted attention because they are women. Inequalities in the
position of men and women exit in nearly all societies and
sexual harassment at work is a clear manifestation of unequal power relations.
Women are vulnerable to the harassment because they lack similar power, lack
self confidence and are socialized that they are to suffer in silence. Sexual
harassment is also used as a tool to discourage women who may be seen to be
competing for power. Discussions of sexual harassment in the international
feminist and legal scholarship have been focusing overwhelmingly on the workplace;
however adequate attention is yet to be given in harassment in universities and
in public places. Though women in workplace suffer the problem many times both
the employees and employers deny the existence of the problem. The scarce
employment opportunity and the fear of losing job future silence the victims.
Sexual harassment is still
considered as a flirt, or office romance in workplaces. Myths exist blaming women for enticing men for harassment. The
number of reported cases of sexual harassment is only the tip of the iceberg,
because very few women take action, unless it concerns physical assault and
rape. Actions need to be urgent and effective. Governments, employers and
workers organizations and NGOs in Asia and the Pacific and around the world are
increasingly acting against sexual harassment at work by adopting workplace
polices and implementing them through practical action at the workplace. Legal
protection is necessary but adopting a law is not sufficient to resolve sexual
harassment abuses in workplace. In addition to law, workplace polices are
necessary to protect workers from sexual harassment and enterprises from
expensive measures for redress. Preventive action is key,
large-scale awareness raising and training is needed in workplaces.
Training programmes
would prove fruitful and will work to empower women to response to the problem.
Trade union can play a role in initiating cases of the women and help them
receive adequate compensation and punishment to the perpetrator in absence of
the law.
SEXUAL HARASSMENT AS A
GENDER AND HUMAN RIGHTS CONCERN:
Sexual harassment is a
gender issue and a human right issue, importantly; it violates the right of
women to work in a safe and healthy environment. It is imperative that
stakeholders give the problem its due attention and contribute in promoting a
secure and safe environment for working women.
Sexual harassment is a form
of gender discrimination. Men may be subjected to sexual harassment but
majority of the victims are women. In response to the growing awareness about
the adverse impacts of sexual harassment, there have been increasing efforts
around the world not only to break the silence on sexual harassment but also to
take pro-active steps in addressing it. Many sexually harassed individuals put
up with the damaging physical and psychological effects of sexual harassment
because taking action can be daunting, especially in environments that do not
provide moral and practical support. Most often, victims are ashamed and
embarrassed, and worry that they will be labeled as loose women and therefore
prefer to keep quiet about it. Sexual harassment is often described as harmless
’flirting’ and an expression of men’s appreciation for women’, which clearly
ignores the fact that flirting is mutually consensual behavior between two
people whereas harassment is not.
GOOD PRACTICES - Judicial
Activism:
In India, Supreme Court
guideline came about due to the gang rape of Bhanwari
Devi by a group of Thakurs, as punishment for having
stopped a child marriage in their family. Trail court acquitted the accused.
She said that she had nothing to be ashamed of and that the men should be
ashamed for what they have done. With the concrete campaign for justice for Bhawani, in December 1993, the High Court established gang
rape committed out of vengeance. Her fighting spirit provoked women’s groups
and NGO’s to file a class action by certain social activists to bring the
attention towards the societal aberration, and assisting in finding suitable
methods for realization of the true concept of gender equality and prevent
sexual harassment of working women in all work places through judicial process,
to fill the vacuum in existing legislation. The result is the Supreme Court
judgment, which came on 13th August 1997 and gave Vishakha Guideline.
According to the guideline
the duty of the employer shall be to prevent the acts of sexual harassment and
to provide for resolution, settlement or prosecution of acts of sexual
harassment by taking all steps required taking appropriate disciplinary action.
The definition of sexual harassment includes unwelcome sexually determined behavior
as (a) physical contact and advances; (b) a demand or request for sexual favors;
(c) sexually colored remarks; (d) showing pornography; (e) any other unwelcome
physical, verbal or non-verbal conduct of sexual nature.
The guideline also provides
for a complain mechanism in the employer’s organization for redress of the
complaint made by the victim. Such complaint mechanism should ensure time bound
treatment of complaints. A Complaint Committee should be headed by a woman and
not less than half of its members should be women. Complaints Committee should
involve a third party, either NGO or other body who is familiar with the issue
of sexual harassment. Also the guideline ensures that employees should be
allowed to raise issues of sexual harassment at workers’ meeting and in other
appropriate forum and it should be affirmatively discussed in Employer-Employee
Meetings. Awareness of the rights of female employees in this regard should be
created in particular by prominently notifying the guidelines (and appropriate
legislation when enacted on the subject) in a suitable manner.
Following the court order
initiatives have been started in India and Nepal, to draft a specific
legislation-making employer accountable to guarantee safe and healthy workplace
and recognize sexual harassment as misconduct. Indian Bill provides provision
for the formation of special complains committee for effective investigation
and protection of privacy and dignity of victim with compensation provision13.
An alternate Bill is being also prepared by civil societies specially to
include service beneficiaries such as students in educational institutions,
patients in hospitals, customers in banks and also proposed to bring
unorganized sector within it's
framework. In Nepal Civil Societies has already drafted a Bill 14 and
Government is also on the process of it. However there is no parliament since
last three years in Nepal due to this law making process has been affected.
SEXUAL HARASSMENT EXPERIENCES OF WOMEN
NURSES:
Alice
J. Dan, Debra A. Pinsof and Laura L. Riggs
(1995) found in their study that women nurses despite the common response of
avoiding the harasser or ignoring the behavior, nurses recommended increased
awareness of sexual harassment, active and direct responses, and appropriate
sanctions by supervisors to discourage harassing behavior.
A
study which was conducted to determine the prevalence of sexual harassment
among female nurses; to assess how practitioners respond to occurrences of
sexual harassment; and to evaluate the impact of sexual harassment on the
nurses manpower pool. Survey results indicate that 47 percent of the
respondents experienced one or more incidents of sexual harassment in either
their previous job or their current job. The majority of these experiences were
categorized as “suggestive looks,” “sexual remarks,” or “unwanted attention.”
Two percent experienced severe incidents of harassment such as “grossly
inappropriate touching”, “rape or attempted rape.” The harasser was just as
commonly reported to be a patient, a colleague, or a supervisor (Nancy F. Fjortoft, Nina Han, and Mary Lee, 1996).
The results of a study conducted in a hospital
showed that 37.1% of female nurses had been harassed sexually. Physicians were
identified as the primary instigators of sexual harassment. The most common
reactions against harassers were anger and fear; frequently reported negative
effects of sexual harassment were disturbed mental health function, decline in
job performance, and headache. "Did nothing" was the coping method
used most commonly by the nurses. About 80% of sexually harassed nurses did not
report the incident of sexual harassment to hospital administration. The lower
working status and power of nurses in the workplace, poor working conditions in
healthcare settings, and insufficient administrative mechanisms, including the
present law and regulations against sexual harassers, were identified as
important factors in the work environment. (Nancy F. Fjortoft,
Nina Han, and Mary Lee,1996)
A study explored
the incidence of sexual harassment of hospital nurses by patients, including
factors affecting sexual harassment and the nurse's reactions, in order to
prevent sexual harassment and achieve a good nurse/patient relationship.
Fifty-five percent of nurses had been sexually harassed. However, nurses tended
to react very moderately. It was assumed that hospital nurses were reluctant to
react assertively against sexual harassment from patients because of emotional
and occupational rules in nursing care. They suggested that collective coping
mechanisms are important in dealing with hospital-based sexual harassment.
Nurses need to assert themselves positively against sexual harassment in order
to improve their working environment and occupational status (Hibino
Yuri, Inagaki
Michiko and Ogino Keiki, 2005).
Yuri Hibino, Keiki Ogino and Michiko Inagaki (2006)
conducted a study to determine the
prevalence and details of sexual harassment of female nurses by patients and
nurses' reactions in Japanese hospitals. 55.8% of female nurses who have ever
been sexually harassed by atients. Conversely, nurses
tended to react passively and moderately and, in many cases, they did not
attempt to stop the patients. Relatively few incidents were reported to the
appropriate supervisors
Yusuf Celik, Sevilay Senol Celik, Dr. Celik, (2007) conducted a study
to identify the prevalence and
sources of sexual harassment against nurses in Turkey, its consequences, and
factors affecting harassment experiences. A Descriptive survey was conducted among 622
nurses working in eight Ministry of Health hospitals in Turkey. Participants were surveyed with a Sexual
Harassment Questionnaire, consisting of the sociodemographic
characteristics of participants, types of sexual harassment, sources, feelings,
ramifications, and ways to cope with sexual harassment behaviors. Frequency and
percentage distributions, chi-square, and logistic regression were used for
data analysis.
Julie
Cogin and Alan Fish (2009) conducted a study among
538 nurses working in 8 different hospitals to examine prevalence of sexual
harassment (SH) in nursing and the environmental factors that contribute to
incidents of SH. The results of this
study assist health professionals to adopt proactive practices for managing SH
and plan a workforce where SH is minimized.
This study illustrates the prevalence of different types of SH and the causes
for male and female nurses that have not been investigated previously.
CONCLUSION:
The aim of the article was to project the serious
challenge of sexual harassment faced by women nurses. Iniquitous laws, even if
originally drafted to prevent the exploitation of women, have no place in the
altered social paradigm. At the same time, however, it is extremely important
to ensure that permitting women to work night shifts is accompanied by the
necessary steps to make their work environment secure and comfortable. Measures
to deter sexual harassment must be implemented and services such as transport
facilities must be made available. Significantly, the Madras High Court was
alive to the danger of permitting women to work night shifts without the
necessary facilities and safeguards. The Court has directed employers to
provide canteen, transport and medical facilities for women. Just as
importantly, the Court has issued a few guidelines to discourage the
possibility of sexual harassment by ruling that women should not be employed in
less than batches of ten and directing employers to set up a complaint
mechanism to deal with charges of those victimised
sexually. It was the Supreme Court in 1997 that defined sexual harassment and
directed employers, both public and private, to take steps to prevent it. It is
only natural that any decision which increases the risk of women being subject
to sexual harassment be accompanied by firm measures to minimise
this danger. As long as women are provided safe and comfortable working
environments, there is no reason to prevent them from working night shifts. The
employer has to take due care to prevent their women employees from the serious
threat of sexual harassment.
REFERENCES:
Received on 12.11.2010 Accepted on 01.01.2011
©A&V Publications all right reserved
Asian
J. Management 2(1): Jan. – Mar. 2011 page 01-04