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Conceptual framework for workplace bullying
Workplace bullying costly and preventable synopsis
Workplace bullying costly and preventable synopsis
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Professionalism in the Workplace
Trebora Murphy
Med-Surg Nurs 144
1/30/2015
Cathy Westberry
The purpose of this paper is to explain how bullying affects professionalism in the workplace. Actions of bullying, verbal, and physical abuse affects not only the safety of the patient, but communication between co-workers and has adverse actions on the unit as a whole. For example, a relationship between a superior and a subordinate is unprofessional and leads to chaos in the workplace if not handled correctly. A Charge Nurse and an ER technician embarked on a secret romantic relationship. During the next few weeks, co-workers started to see the work of the two begin to suffer and affect the unit drastically. In the midst of emergencies, they were both nowhere to be found. Staff started to get frustrated and expressed this with questions like, “Where were you? I needed your help, we had four ambulances come in and we did not know where you wanted them to be placed”. They were met with anger and defensiveness and told to mind their business. This type of behavior went on for a while until the Charge Nurse started to let the ER technician work out of the scope of his practice by rooming ambulances, directing RNs on patient care, and starting patient IVs. At this point, the nurses started to complain because the ER technician would
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A physical altercation took place between the Charge Nurse and another nurse, who she had been bullying for some time. It was unsafe, unprofessional, immature, and disorderly. Luckily no patients were harmed, but at that moment we lost the trust of our patients. They no longer saw our hospital as encompassing the values we had on our walls (Reverence, Integrity, Compassion, Excellence) or that the Pillars of our success were even true (Best place to work and practice, Best Place for health and healing, Best Stewardship, Best Access to
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
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...
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...
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.
McNamara, S. A. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN Journal, 95(4), 535-540. doi:10.1016/j.aorn.2012.01.020
Professionalism is defined as one's conduct at work. The quality of professionalism is not restricted to those in occupations with high level of education or high earnings. Any worker regardless of their level of education or occupation should demonstrate a high level of this trait (About.com, 2013). Acting professionally at workplace makes others think of you as reliable, respectful, and competent.
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
Unchecked incivility can lead to burnout among nursing faculty, and allow nursing students to interpret this incivility as the norm (Shanta & Eliason, 2014). Ultimately, it is the nursing faculties responsibility to create a safe learning environment that models the American Nurses Association (ANA) Code of Ethics for Nurses With Interpretive Statements (2017), which charges nurses with creating an environment and culture of
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
Acts of incivility can include discourteous or disdainful speech, public censure, character assassination, or lack of inclusion in patient care decisions (Lachman, 2014). Incivility, both lateral and hierarchal, has been found to occur at all levels of health care including academia and direct health care settings (Lachman, 2014). The prevalence of incivility in the health care work place is a disturbing problem. According to Nikstaitis and Simko (2014) 85% percent of nursing personnel report having experienced incivility in the workplace. Additionally, 39.6% state they intend to leave their place of work due to lateral violence (Nikstaitis & Simko, 2014). Incivility leads to an unhealthy work environment in which decreased morale and high nurse turn-over result in poor patient care and outcomes (McNamara, 2012). Lachman (2015) states that in addition to the effect on staff and patients, the cost of incivility is felt by the employer in cost of new staff training and in decreased insurance reimbursement due to poor patient outcomes and
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 defined as any as any type of repetitive abuse in which the victim of the bullying behaviour suffers verbal abuse, threats, humiliating or intimidating behaviours, or behaviours that interfere with his or her job performance and are meant to place at risk the health and safety of the victim (Murray, 2009). Bullying can take many forms, some blatant, others more subtle. Researchers ha...
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).
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
Namie, Ph.D., Gary, and Ruth Namie, Ph.D. The Bully at Work: What You Can Do to Stop the Hurt and Reclaim Your Dignity On the Job. First Edition. Naperville: Sourcebooks, Inc., 2000. 274-275. Print.