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horizontal workplace violence in nursing
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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, …show more content…
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 …show more content…
The small study was done to determine how often particpants were exposed to lateral violence. This voluntary study was a web based study to allow anonymoty and consisted of a pretest then an educational session followed by a post test, with a three month follow up survey. The pre-intervention survey showed that staff was seeing lateral violence weekly and post intervention showed a decrease in behaviors to monthly. This shows that education can have a positive impact on decreasing incidents of lateral violence. Myers, et al., (2016) performed their study as through collaboration with a New York State wide study to explore nuurses’ experience with lateral violence. Myers, et al., (2016) offered both online and paper surveys for nurses comfort. The study revealed that lateral violence is seen throughout all roles of nurses from staa nurses to leadership roles. The results of this study led the organizations to perform educational programs and provide open forums to give staff the opportunity to talk about their experiences. Leadership has been made the point people to promote the eduacational programs 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.
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
Having worked individually for two papers so far, I think we should all be able to have access to each other’s articles – so we are able to know which ones to pick for the final group presentation. Given our PICOT and clinical questions, my two questions that I think would help guide our group work would be: 1., What specific violence-preventios program would help curb nurse incivility? 2., Having known the causative factors (etiology) and solutions (therapy) of nurse incivility, what are the ways to promote it, in ensuring that the suggested solutions are strictly adhered to?
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
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.
Blair, P. L. (2013). Lateral violence in nursing. Journal of Emergency Nursing, 39, 75-78. doi:10.1016/j.jen.2011.12.006
It is not normal nor is it okay that bullying and lateral violence against one another in this profession occurs. Marshall (2017), describes the issue of incivility as being the norm. Based on her experiences with incivility the issue gets pushed to the side, ignored or the victim takes on self-blame. Incivility can take the form of rolling eyes, being interrupted while speaking, being yelled at or inappropriately addressed, being made fun of in person or on social media, it may take on the shape or form of physical actions and Marshall’s goal of awareness is whether verbal, psychological or physical it is not normal or
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.
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.
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
(2016). Workplace Incivility as an Extensively Used, But Seldom Defined Concept in Nursing. Nursing and Midwifery Studies, 6(2).Doi: 10.5812/nmsjournal.41029.
The issue of workplace violence in nursing was brought into the light after several studies were performed focused on this topic. A chart shown in the United States Department of Labor, 2004, showed the increasing rates of ...