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Related literature for employee engagement
Bullying in nursing
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Introduction:
With the increasing number of sicknesses and health issues, it is not surprising for nurses to work in a multifaceted environment. With that, intra/ interprofessional principles traverse with the anticipations of patients, families, students and associates, within the setting of managed care environments, academia, and further health care initiatives. In nursing context, quality evaluation, management and assurance are vital and consider as a friendly and respectful method of communication. Oppositions of these principles were included in the periods of reported descriptive and anecdotal data on intra/inter professional and on client communication. With the amplifying frequency and rates of tenacious bullying, harassment or horizontal violence, it has brought damaging impacts on workplace fulfillment and preservation, and specifically it has also affected the psychological and physical health of nurses which results in poor patient care and danger in poor health results. The issue about the lateral violence and bullying in nursing was chosen to aid nurses to know their rights and offer them solutions in solving this serious problem.
As we can observe, the continuing bullying, harassment among nurses is a grave matter. In improving the science of description and explanation to a level of prevention interference, descriptive models from biology, developmental psychology, intra/interpersonal interactions are labeled together with hypothetical explanations for the occurrence of bullying harassment in nurse workplaces. There are solutions to improving the science of rapport between professional conduct and customer/family/community health care results, these include: enabling the association between explanatory models an...
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...n has been studied between the girls, but not so much among adult women. Intraprofessional bullying, harassment is a worldwide issue. It is harmful to nurses’ welfare and organizational culture. It leads to nursing displeasure, increasing detachment and absenteeism, intent to leave, and interjects intraprofessional communication, and is a vital component in medical errors and patient outcomes. The general quality of available evidence on bullying, harassment is incomplete; there mainly are few data-based intervention studies that provide foundational information valuable for adoption by clinical settings. Though the reasons for this are open to conjecture, in part it may be because of the historic lack of public acknowledgment and/or unwillingness by hospital administrators to recognize or address bullying harassment. Future well-conducted studies are wanted.
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.
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
Berry, P. A., Gillespie, G. L., Gates, D., & Schafer, J. (2012). Novice Nurse Productivity Following Workplace Bullying. Journal Of Nursing Scholarship, 44(1), 80-87. doi:10.1111/j.1547-5069.2011.01436.x
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
The author of this paper has a pretty good understanding of her strengths and weaknesses, and genuinely believes in people. She believes that positivity and encouragement work far better than incivility and punishment. With her career goal of returning to trauma services and becoming a trauma coordinator, the author hopes she can include healthy workplace education in her future trauma prevention program. She would like to use her position as a Trauma Coordinator to reach out to employees and the community to encourage a healthy workplace. With disease processes such as hypertension, autoimmune disorders, depression, anxiety, and PTSD associated with workplace bullying (Healthy Workplace Bill [HWB], 2016), the author feels this education is beneficial, and compliments trauma prevention. Furthermore, she would like to bring some of the tools from the Healthy Workplace Bill (Healthy Workplace Bill [HWB], 2016) to the nurse practice counsel, shared governance committees, and organizational leaders. She would like bullying to be considered a never-event, much like hospital-acquired infections. By employing some of the tactics proposed in the healthy workplace bill, the author of this paper believes she can make a
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
The trauma related to negative behavior can afflict the healthcare environment on many levels, from creating a hostile work environment in which job performance is affected, by increasing job turnover and causing nurses to leave the profession altogether. The Joint Commission states that in the United States 65.6 million workers have experienced or witnessed bullying, psychological harassment affects 38 percent of healthcare workers, and 44 percent of nurses are impacted by this behavior (The Joint Commission, 2016). Inclusively, this behavior can influence the way nurses care for their patients, staffing levels, and the healthcare organization’s
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
According to the American Nurses Association (2015), "incivility can take the form of rude and discourteous actions, of gossiping and spreading rumors, and of refusing to assist a coworker. All of those are an affront to the dignity of a coworker and violate professional standards of respect. Such actions may also include name-calling, using a condescending tone, and expressing public criticism. The negative impact of incivility can be significant and far-reaching and can affect not only the targets themselves, but
This willingness to overlook bullying behaviors is demonstrative of weak management, not only because it fails to adhere to ethical standards, but it is wrongheaded in its assumption that the net sum is a positive for the organization because it fails to make a proper accounting of the seen and unseen costs of bullying in the workplace. It also fails to account for bullying behavior as a contagion, wherein a “civility vacuum” is created (Sutton 2007, 95) because cooperation between employees breaks down, and everyone is out to protect themselves and their positions. According to Sutton, a hospital worker study conducted by Dr. Michelle Duffy on the effects of “morally disengaged” bosses on their workers found that after 6 months, many of the workers demonstrated many of the same traits as their hostile bosses: teasing, put-downs, and coldness (2007,
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
In order to recognize the behavioral patterns to prevent violence, one must understand the definition of workplace violence. According to the American Nurses Association, the definition of workplace violence means any sort of verbal abuse, threatening behavior, or a physical assault occurring in the workplace (“Workplace Violence” 2013). Some of the behaviors that might be observed indicating an act of violence is about to occur are: intimidating, harassing, bullying, inappropriate or aggressive behavior, increased agitation (i.e. snappy comments), inability to be still, noncompliance with simple requests, statements of desperation, references to committing suicide, direct or indirect threats. If these signs are noticed in a patient or family member, the nurse should intervene immediately. It is important to remember that other nurses are also capable of violence and looking for their behavioral warning signs are equal...
KANE-URRABAZO, C. (2007). Sexual harassment in the workplace: it is your problem. Journal Of Nursing Management, 15(6), 608-613. doi:10.1111/j.1365-2834.2007.00725.x