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Discussion on violence on nurses
Discussion on violence on nurses
Harmful effects of horizontal violence in nursing
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Horizontal violence is a form of workplace relational aggression, an experience that is rampant in the nursing profession (McKenna, Smith, Poole, & Coverdale, 2003). The expression, horizontal violence, is used to describe cruel behaviors between colleagues of comparable status, such as registered nurses, in the workplace. Research has shown a variety of destructive peer-to-peer behaviors that are detrimental to the profession and healthcare systems (Farrell, 2001). Nevertheless, little research has been done on “eating their young,” horizontal violence arising between those with unequal power, such as registered nurses and students (Thomas & Burk, 2009). Several databases including Academic Search Premier, JSTOR, CINAHL, MEDLINE, and Cochrane were accessed using the key words “workplace violence,” “nurses,” student nurses,” horizontal violence,” “bullying,” “oppression,” and “intergroup conflict.” The purpose of the literature search was to determine the predominance of horizontal violence among new nurses and nursing students. Horizontal Violence Nurse horizontal violence towards new nurses and nursing students includes methodical, unwelcome or unprovoked behaviors with the intent to upset, control, humiliate, harm, or segregate (Hutchinson, Vickers, Jackson, & Wilkes, 2006). Horizontal violence can be furtive and shrewd (such as withholding information or spreading gossip) as well as obvious and direct, such as reproaching in front of other staff, false complaints, or threatening body language (Hutchinson et al., 2006). Other forms of the experience, described both in nursing and non-nursing literature, include bullying, mobbing, intimidation, and aggression (Farrell, 2001). Bullies form cliques and engage in repetit... ... middle of paper ... ...June). Development of a positive professional identity: Liberating oneself from the oppressor within. Advances in Nursing Science, 22 (4), 71–82. http://dx.doi.org/10.1097/00012272-200006000-00007 Roberts, S. J., DeMarco, R., & Griffin, M. (2009, January). The effect of oppressed group behaviours on the culture of the nursing workplace: A review of the evidence and interventions for change. Journal of Nursing Management, 17 (3), 288–293. http://dx.doi.org/10.1111/j.1365-2834.2008.00959.x Stevens, S. (2002, September-October). Nursing workforce retention: Challenging a bullying culture. Health Affairs, 21 (5), 189–193. http://dx.doi.org/10.1377/hlthaff.21.5.189 Thomas, S. P., & Burk, R. (2009, July–August). Junior nursing students’ experiences of vertical violence during clinical rotations. Nursing Outlook, 57, 226–231. http://dx.doi.org/10.1016/j.outlook.2008.08.004
So, organizations need to educate all nurses of all levels about all forms of discriminatory behaviours occurred in workplaces (Hagey et. al). Moreover, nursing leaders can urge the organizations to develop anti-discrimination policies and support IENs, who face workplace racial discrimination, to report and seek legal justice (CNFU, 2007). It helps enhance patient safety, quality care and also increases inter-professional collaboration. Nursing leaders should take step to ensure that IENs are treated equitably in all health care setting (Franklin et al….). Further, they can promote positive organizational culture to IENs by ensuring equitable treatment in the workplace. Encouraging cultural sharing during formal meetings as well as informal gatherings helps IENs explore Canadian culture also the role of leader in organizational level. Finally, nursing leaders have to sit to talk with the employers to provide sufficient opportunities and resources to help flourish their professional skills then only quality care and patient safety can be
Myers, et al. , (2016) performed their study as through collaboration with a New York State wide study to explore nuurses’ experience with lateral violence. Myers, et al. , (2016) offered both online and paper surveys for nurses comfort. The study revealed that lateral violence is seen throughout all roles of nurses from staa nurses to leadership roles.
Nurses as caring professionals, it is surprising that incivility such as bullying exists in nursing workplace. Workplace bullying is a major occupational health concern among nurses worldwide, and it has increased health care cost due to high turnover (Stagg & Sheridan, 2010). Research shows that 20-25% of nurses suffer from bullying behaviour in the workplace (Wilson, 2016). The prevalence of bullying has many negative consequences such as negative health outcome of the nurse victims, the organizational performance, and the adverse patient outcomes (Wilson, 2016). Hence, combating the issue of bullying in nursing is of heightened importance (Ganz, et al., 2015). Nurse leaders can play an important role in maintaining the positive workplace environment, and prevent the bullying (College of Nurses Ontario, 2017). In this paper, I will explain about workplace bullying in nursing, and how the transformational leadership style can be used to create a positive work environment. For this, I
When examining the circumstances under which incivility thrives in nursing education, it is imperative that the issue is looked at from not only the perspective of the faculty, but from the nursing student
Nurses encounter various challenges in the workplace. One of the most alarming trends is that they often become the victims of physical violence. It should be kept in mind that healthcare settings account for about 60 percent of all violent assaults that occur in various American workplaces (Gates, Gillespie, & Succop, 2011, p. 59). Additionally, more than 50 percent of nurses report that they suffered from physical abuse, at least once (Gates et al., 2011, p. 60). In turn, this tendency makes nurses even more vulnerable to the effects of stress. Moreover, they are likely to feel dissatisfied with their jobs. This paper is aimed at reviewing the scholarly articles that can illustrate the origins of this problem and its impacts on the experiences
Eques, A. L., & Leinung, E. Z. (2013, July-September). The bully within and without: Strategies to address horizonal violence in nursing. Nursing Forum, 48(3), 185-190. https://doi.org/10.1111/nuf.12028
The new nurses may feel bullied and become inclined to leave nursing prematurely. Bullying can be pervasive in the workplace environment and in a study of 612 new graduate nurses, 14% cited this as a significant factor in their decision to leave the profession (D’ambra & Andrews, 2014). Further evidence regarding new nurse retention rates come from a study done at The Children’s Hospital of Michigan. Prior to advocating for higher nurse retention, they had first year new nurse hire retention rates as low as 50% (Hillman & Foster, 2011). Workplace environment and burnout influence new nurse retention as well as high new nurse turnover. Therefore institutions who address these issues with interventions that promote nurse empowerment provide a protective factor and source of positivity for new
Following a study published by the Bureau of Labor Statistics (2016), workers in health care and social assistance settings are five times more likely to be victims of nonfatal assaults or violent attacks compared to the average worker in other occupations. Examples of healthcare violence can include verbal or physical threats and physical attacks by patients (U.S. Bureau of Labor Statistics, 2016). A report done by the American Nurses Association (ANA) found that 43% of nurses and nursing students had been verbally or physically threatened by a patient or a patient’s family member, and 24% had been assaulted (Potera, 2016). These numbers are only taking into consideration for the nurses who do decide to report an assault. Violence is extremely under reported due to lack of a reporting policy, lack of faith in the reporting system, and fear of retaliation (Workplace Violence in Healthcare, 2016). Cultural factors are also a reason as to why underreporting occurs. “Caregivers feel a professional and ethical duty to do no harm to their patients, sometimes putting their own safety and health at risk to help a patient” (Workplace Violence in Healthcare, 2016). The nurse has a responsibility to the patient and will sometimes allow the patient’s bad
Workplace bullying is increasingly being recognised as a serious problem in society. Reports from the general media and professional press suggest that there is increasing evidence that the scale of bullying, harassment and violence amongst health care staff is widespread (UNISON, 2003). Chaboyer, Najman, and Dunn (2001) explain that although nursing in Australia is now considered a profession, the use of horizontal violence, bullying and aggression in nursing interactions has been identified as a serious problem. Levett-Jones (as cited in Clare, White, Edwards, & van Loon, 2002) explains that the recipients or victims of bullying within the nursing profession are often graduate nurses, with 25% of graduates reporting negative experiences. Bullying behaviour often renders the workplace a harmful, fearful and abusive environment and has a devastating effect on the nurse, healthcare team and patient. This essay will discuss the issue of bullying within the nursing profession, with a particular focus on the experiences of graduate nurses. The contributing historical, social, political and economic factors will be explored in order to better understand the origins of this trend. The subsequent impact of bullying on nursing practice will be analysed and recommendations for practice, supported by current literature, will be provided.
College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
Therefore, this position statement is relevant because these abuses can be seen in day-to-day healthcare environment. The effects of violence in nursing can be harmful to the proper function within a workplace. It can be damaging to the nursing profession and patient care. According to (Johnston et al., 2010, p.36), workplace violence is “spreading like a ‘superbug.’” Studies have shown, that lateral violence, nurse-on-nurse, has been one of the highest incidence of violence within the workplace. Also, statistics have shown that lateral violence has one of the most emotional impacts on an individual. This will be further discussed below. For these reasons, it is important for healthcare workers to validate the detrimental effects violence can have in the workplace, and be prepared to combat and prevent workplace violence.
Ever seen a nurse who is afraid to return to work? What about a nurse that comes home on crutches, has bruises, or even just comes home with an emotional break down? These are all results of workplace violence in a healthcare setting. It is a very real issue that is currently on the rise. This sort of violence can result from an angry patient, visitor, or even another nurse on a variety of units. Unfortunately, because the healthcare setting can become very hostile, nurses are always going to be at risk for violence. The only way to fight violence is to attempt to prevent it by recognizing the behavioral patterns that lead to a violent outbreak, redirect the person on the verge of a violent action, and ensure each facility has a prevention program.
Eisenstark, Lam, McDermott, Quanbeck, Scott and Sokolov (2007) reported that twenty five percent of mental health nurses working in public sector hospitals take the major risk in violent attacks from patients resulting a series injury: the prevalence rate being as high as three times that of any vocational group (Del Bel,2003).this number implies that nurses physical as well as emotional health is being compromised largely each day (Lanza, 1992). Another study done from five mental health inpatient units over a period of seven months, indicated that seventy-eight percent of violent incidences came from nurses (Jones, Owen, Tarantello, and Tennant,1998).Nurses are not the only ones being challenged by violence. A study done by Albert Banerjee et.al (2008) in long term care facilities, a shocking number of personal support workers have been a victim of workplace violence. Almost half (43%) of support workers reported they experience violence in everyday work activities. 16.8% of registered nurses and one quarter (24.6%) of licensed practical nurses, registered practical nurses, and registered nursing assistants experience violence on a daily basis. In 2000, social service workers incidence injuries also rose by 9.3 from work related assaults and injuries. As significant as this numbers could be, the numbers could go higher if those underreported cases are reflected that’s comes with the employees belief, “reporting won’t change
Research shows horizontal violence to be prevalent in the field of registered nursing. Although a comprehensive quantity of incidences within the profession is undetermined, the literature is in agreement such phenomenon exists and the effects of which require further scholarly observation and evaluation.
If a nurse is being bullied at work they will not feel safe. This problem is critical as it extends beyond the well-being of the nurse and into the functioning of the unit they work within as well as into the quality of care provided to the patient. As identified in Nursing’s Agenda for the Future (2002) there are multiple strategies which could be used to end bullying and ensure a safe work environment for all nurses. An approach which combines many of them would be for nurses to be involved in determining how bullying is dealt with and prevented on a national level. They need to work together to ensure that employers support the pursuit to end bullying and will enforce any policies that are developed. As part of prevention all nurses must be able to easily access professional development so that there is no issues between veteran and new nurses in regards to what they have learned. Likewise, veteran nurses who foster relationships with and the training of new nurses should be acknowledged and compensated for sharing their knowledge. Finally, education about the issue of bullying must highlight patient care as the center of the issue and illustrate how a bad working relationship between two nurses can be dangerous to the