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the effects of work place violence in the healthcare
the effects of work place violence in the healthcare
the effects of work place violence in the healthcare
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Recommended: the effects of work place violence in the healthcare
Preventing Violence in Healthcare
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.
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...
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...ment, and ensure every facility has a prevention program.
References
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24(7), 33-36.
Rosen, J. (2013). Overview and Summary: Patient and Visitor Violence: What Do We
Know? What Can We Do? OJIN: The Online Journal of Issues in Nursing, 18(1).
Trossman, S. (2010). Not ‘Part of the job’ Nurses Seek an End to Workplace Violence.
The American Nurse. 42(6), 1-6.
New York State Nurses Association. (2011, July). Violence: A Pervasive Problem for
Nurses. Retrieved from the nysna website www.nysna.org/images/pdfs/health_safety/violenceHealthcareBklt.pdf (2013). Workplace Violence. ANA: American Nurses Association, 1-2.
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.
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
The paper will address the problem of nurse hostility toward each other. It will address the etiology of the problem, and suggest some possible solutions or therapy to the problem. It will be discovered if truly preventive programs such as violence-prevention programs
The majority of the articles reviewed found that education on regcognizing and addressing lateral violence was the key to decreasing the its incidence. The difference in the articles is when the education should take place; Ebrahimi, Negarandeh, Jeffrey, and Azizi, (2016) conducted a study on experienced nurses who either committed workplace violence or had witnessed it against new nurses. The small interview style study consisted of questions discussing why the participants felt the violence occurred on new nurses. At the conclusion this study reccommended preparing the experienced nurse on how to support the new nurses, providing education to the new nurses on how to deal with workplace violence, and should problems arise how to help the staff resolve
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
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
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
Assaults in the healthcare setting are recognized as a growing problem. In considering the violence and aggression in mental health units, the larger issue of violence and aggression in mainstream culture must not be ignored. It has been observed that physical attack in a mental health unit setting appear to be happening more frequently while the attacks include patient-to patient and patient-to-staff aggressive behavior. Most commonly, reporting of aggressive behavior toward healthcare staff is noted; however, it cannot be completely explained by patient characteristics or staff member behaviors (Foster, Bowers, & Nijman, 2006). To improve patient control of aggression and violence, an organization must better define the management and reporting of this behavior, identify appropriate management programs and training, and evaluate the frequency and precipitants.
This is largely due to nurses leaving their jobs and/or medical incidents involving patients. A nurse working in an environment lacking civility can create stress and anxiety for the nurse. This, in turn, will lead to poor attitudes, decreased productivity, increased absences, and higher job turnover rates (Kerber, 2015). While working in uncivil environments is unhealthy for the healthcare professionals, it has also been shown to greatly affect patient care. A nurse working in a hostile environment can feel stress and overwhelmed, which can lead to an altered emotional state. Blevins (2015) reports in Impact of Incivility in Nursing that nurses working in this type of environment can “experience stress-related disorders and physical illness” which can decrease work attendance. A nurse or healthcare provider providing patient care in this emotional state can turn their negative feelings into uncivil behavior toward the patient or miss something critical to patient care, leading to patient harm or death. For example, if a nurse is upset about being disrespected from a fellow healthcare worker the nurse might turn her emotions on the patent by not asking the right assessment questions, or writing off a critical detail the patient is reporting. Incivility can also reach the patient level when a nurse is afraid to ask questions regarding patient care to the charge nurse as a result of recent bullying. The opposite is also true; If a patient is being discourteous to a nurse who is being civil and helping to the patient, it might make the nurse unconcerned about patient care satisfaction. This can spiral into an incivility cycle that is hard to
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
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
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.