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Bullying within nursing
Bullying within nursing
Impact of incivility on nurses and patient care
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Cultivating Healthful Work Environments Incivility is not a new topic in the nursing community. The saying that, “nurses eat their young” has been around for decades. The manifestation of this phrase includes bullying, lateral and horizontal abuse, incivility, harassment, and disruptive behaviors (Sauer, 2012). Dealing with these behaviors can make or break a new nurse. This paper will explore the issue of incivility, importance to nursing, storytelling, creating a healthful environment, and practice application. Issue of Incivility McNamara (2012) mentioned incivility by Webster’s dictionary definition is a negative trait manifested by a show of disrespectfulness, discourteousness, and ungraciousness. Blevins (2015) wrote an article titled …show more content…
The nursing profession is one of the most demanding and taxing job. It is a business of caring, so if someone is in it for the money, they have chosen the wrong profession. Adding a negative environment into the mix, makes it harmful for an individual. The unfavorable working atmosphere can damage a nurse’s psychologically and financially (Oyeleye, Patricia, O'Connor, & Dunn, 2013). When a nurse is constantly being put down and ridicule by their colleagues directly or indirectly, she will experience anxiety which can lead to poor job performance and absenteeism. Whenever a nurse calls out, other nurses are asked to fill in. If this absenteeism continues, the nurses who are picking up the extra may begin to experience burnout. Burnout will have negative effects in patient care and relationships with the patient and family (Oyeleye, Patricia, O'Connor, & Dunn, 2013). In addition, the negativity the nurse endures could transform her to be a pessimistic and sardonic person. The workplace would be impacted, and this could add on to the unpleasant culture of the unit. The ramification of a negative workplace is high turnover in nursing staff on the unit. Turnover can cause financial strain to the unit’s budget and eventually the hospital (Laschinger, Wong, Cummings, & Grau, 2014). According to Chapovalov & Van Hulle (2015) in their article Workplace Bullying in Nursing part1: Prevention Awareness, the consequences of unhealthy workplace …show more content…
(2015). Impact of Incivility in Nursing. Medsurg Nursing: Official Journal Of The Academy Of Medical-Surgical Nurses, 24(6), 379-380. Boynton, B. (2012). Nurse Leaders' Critical Role in and Collaboration Strategies for Creating Safe, Positive Workplace Cultures. Journal Of Legal Nurse Consulting, 23(2), 31-34. Chapovalov, O., & Van Hulle, H. (2015). Workplace bullying in nursing part 1: prevention through awareness. OOHNA journal, 20-25. Retrieved August 16, 2017. 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 Laschinger, H. S., Wong, C. A., Cummings, G. G., & Grau, A. L. (2014). Resonant Leadership and Workplace Empowerment: The Value of Positive Organizational Cultures in Reducing Workplace Incivility. Nursing Economic$, 32(1), 5-44. Matt, S. B. (2012). Ethical and Legal Issues Associated With Bullying in the Nursing Profession. Journal Of Nursing Law, 15(1), 9-13. doi:10.1891/1073-7472.15.1.9 McNamara, S. A. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN Journal, 95(4), 535-540.
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,
Horizontal violence is an action that has been reported and documented in nursing and other healthcare professions for many years. This type of behavior between nurses has provided very discouraging and truly serious outcomes for nursing professionals and unfortunately for their patients as well. Horizontal violence is “hostile, aggressive, and harmful behavior by a nurse or group of nurses via attitudes, actions words, and/or behaviors.”(Becher, J. & Visovsky, C (2012)). This can be done either overt or covert. Overt, done openly, is when the victim is experiencing name calling, bickering between colleagues, fault finding, c...
Nurses are caring by nature. Nurses care for family members while at home, community members who may be neighbors, church members or friends from school and sports with children in common; however, nurses are known to display uncaring attitudes towards each other. When nurses are discourteous and disrespectful towards one another this may be known as workplace incivility. Incivility is defined by Merriam-Webster as, “the quality of state of being uncivil and a rude or discourteous act” (n.d.). Alexander (2017) related incivility to the events of the 2016 United States election as “rude and impolite behaviors that may be manifested when people feel fear or mistrust” (p. 79). Healthcare is subject to the same negative influence through communication between healthcare providers, educators and patients.
(2016). Workplace Incivility as an Extensively Used, But Seldom Defined Concept in Nursing. Nursing and Midwifery Studies, 6(2).Doi: 10.5812/nmsjournal.41029.
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
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.
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
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
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
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
Yildirim, D. (2009). Bullying among nurses and its effects. International Nursing Review, 56(4), 504-511. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19930081
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.
Malloy, T., & Penprase, B. (2010). Nursing leadership style and psychosocial work enviroment. Journal of Nursing Management, 18, 715-725. Retrieved from EBSCO host
Egues, A. L., & Leinung, E. Z. (2013). The bully within and without: Strategies to address horizontal violence in nursing. Nursing Forum, 48(3), 185-190. doi:10.1111/nuf.12028 Retrieved from http://web.ebscohost.com.suproxy.su.edu/ehost/detail?vid=3&sid=3e