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Horizontal Violence: What Nurses Can Do
In today’s society, several nurses have been exposed to horizontal violence. Horizontal violence, also known as lateral violence or workplace bullying, is considered an act of hostility between nursing professionals. Horizontal violence forms harmful work environments while damaging communication amongst nurses and compromising patient care. It is a proven critical worldwide concern. In the PowerPoint, The Effect of Lateral Violence & Incivility on Quality and Safety, Kathryn Schroeter says,
In 2004, The Institute for Safe Medication Practices published a survey on workplace intimidation. Almost half of the 2,095 respondents, which included nurses, pharmacists and other providers, recalled being verbally
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This caused the respondents to fall vulnerable to horizontal violence. Nurses have the power to put an end to horizontal violence. In order for these nurses to prevent horizontal violence, all nurses within the nursing profession should be taught to stand up for themselves, educate themselves on bullying, show their coworkers that they care about each other, and not let any negativity get to them.
In order to prevent horizontal violence, all nurses in the nursing profession should have to take a test on bullying about how it makes people feel the need to alienate himself or herself from everyone else. The test will include questions on what the nurses are feeling and thinking. It will develop a strong awareness of society among the nurses who are taking the test in order to help fight feelings of alienation. By taking this test, it will give all nurses regardless of their level of practice a sample on what this can do to a nurse who is feeling alienated. The test can result in fewer nurses quitting their jobs because it will help demonstrate the alienation thoughts for every nurse to be able to
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Horizontal violence sometimes causes physical and psychological consequences. For instance, in the movie Cyberbullying, peers were constantly bullying Taylor over social media at her school, which pushed her to her breaking point. By this time, Taylor thought the only option for her to stop the bullying and harassing was to commit suicide, so she did. Like Taylor, thousands of kids are being constantly bullied in school around the world, including nurses. According to “Doctors and Nurses’ Most Likely to Commit Suicide,” Jeremy Laurance explains how “health professionals have higher than average suicide rates because they work in a stressful environment. A total of 342 nurses committed suicide, a rate of 11 per 100,000. The average suicide rate is seven per 100,000 but among women, it is three per 100,000” (Laurance). As stated by “Nurse Against Nurse: Horizontal Bullying in the Nursing Profession,” Granstra expresses how “some of the most common negative outcome are headaches, stress, irritability, anxiety, sleep disturbances, excessive worrying, impaired social skills, depression, etc.” (253). Meaning, horizontal violence has many side effects. Some side effects can be treated while others may become more permanent. By attending voice therapy, a line of treatment that
Lateral Violence in Nursing Lateral violence is an act of aggression that occurs among nurses (Becher & Visovsky, 2012), many nurses are exposed to incidents of lateral violence two or more times weekly (Ceravolo, Schwartz, Foltz-Ramos, & Castner, 2012) (American Association of Nurse Anesthetists, 2014). Lateral violence which is also called bullying, incivility, disruptive behaviors and horizontal violence may be covert or overt acts of verbal or nonverbal aggressions (American Nurses Association, 2011). Lateral violence may be verbal, physical or psychological in nature (Blair, 2013). Victims of lateral violence may have profound psychological effects including fatigue, insomnia, stress, depression, shame, guilt, isolations, substance abuse,
Now a days, in the healthcare field the nurses are known to prevent, promote and improve the health and abilities of patients, families and communities. It is very heartbreaking to hear that in this honorable profession exists violence, bullying which is among not only nurses but also other healthcare professionals. According to the article, Reducing Violence Against Nurses: The Violence Prevention Community Meeting, violence is defined as any verbal or physical behavior resulting in, or intended to result in, physical or physiological injury, pain, or harm. In the healthcare field the term that is used when there is violence between coworkers is called horizontal violence. This is a term that is continued to be used but some hospitals have replaced it with the terms bullying or lateral violence. Horizontal violence is violence between nurses and it explains the behavior nurses have toward their coworkers and other healthcare professionals. This type of violence interferes with working together as a team and communicating between coworkers, which are things that are needed to promote and care for others.
Many registered nurses define horizontal violence differently because being a nurse they have seen many type of horizontal violence throughout his or her career. Horizontal violence defined as bullying or mistreatment of a group or individual physically, verbally and psychologically (Ahrens, 2012). Some examples that would be consider physical would be sexual misconduct. Verbal violence would be rude comments or cussing at one author. In addition, to psychological violence would include being fussed at in front of patients and or their families by a co-worker for doing something wrong and nurses purposely withholding information from another nurse, which causes patient’s needs not to be met. The horizontal violence in the work place puts lots of stress on nurses especially registered nurses (R.N.) . Nurses who tolerate horizontal violence tend to have depression, low self-esteem, missed days from work, become fatigued, burnout, causes hospitals, or clinics to have nurse ret...
Incivility is an issue in nursing. Our profession is of caring and as nurses we do this without second thought. It’s a cruel act of a nurse’s character to treat colleagues the opposite of the values which form why nurses are nurses. An issue of incivility exists among nursing students. According to Karatas, Ozturk, and Bektas (2017), the issue of bullying in the academic setting is well known and frequent. As a family nurse practitioner (FNP) student it is important to be aware
According to (Abdollahzadeh, 2016), the issue of incivility in nursing can be defined as “low intensity” deviant behavior with the intent to harm the target. Nurses are subjected to incivility at a higher rate than other job fields, and this concern is one that has an impact on the mental health and well-being of nurses and can lead to a reduction in job satisfaction and employee recruitment and retention
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...
Khadjehturian, R. E. (2012). Stopping the Culture of Workplace Incivility in Nursing. Clinical Journal Of Oncology Nursing, 16(6), 638-639. doi:10.1188/12.CJON.638-639
It has various negative effects which are persistent in nature, and the individual victim realizes the behaviour as bullying (Wilson, 2016). Bullying is associated with physical and psychological problems among nurses leading to absenteeism, poor performance, low job satisfaction, and increased turnover (Ganz, et al., 2015). The issue of bullying among nurses further affects the entire health care team including patient outcomes and health care costs due to the declining level of nurses’ performance (Becher & Visovsky, 2012). Although bullying exists in the nursing work place, they are silent in nature, and goes undetected (Becher & Visovsky,2012). Hence, identifying and managing workplace bullying needs efforts of individual facing bullying and support of the
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
School shootings and suicides result from continuous bullying. As a result, after time some side effects of...
Incivility is prevalent in the healthcare setting and is a broad term used to describe any negative discourteous manner all the way up to more serious bullying and violent behaviors. If these behaviors go unregulated, then there is the likelihood that low-intensity negative attitudes can turn into aggressive behaviors (Laschinger, Wong, Cummings, & Grau, 2014, p. 6). Consequently, there are serious repercussions which affect the persons involved, directly and indirectly, the work environment within the healthcare organization, and the nursing profession. These repercussions can range from poor work performance to staff retention issues. Therefore, this paper will address the issue of incivility, how it
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.
Vessey, J., Demarco, R., & DiFazio, R. (2010). Bullying, harassment, and horizontal violence in the nursing workforce: The state of the science. Annual Review Of Nursing Research, 28, 133-157. doi:10.1891/0739-6686.28.133