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The effects of workplace violence in the healthcare
The effects of workplace violence in the healthcare
Horizontal or vertical violence and impacts on quality of care and patient safety
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Lateral violence in the workplace has been a rising issue among nurses and other healthcare staff. Lateral violence is defined by the ANA as a deliberate and harmful behavior demonstrated in the workplace by one employee to another (Jones, C., 2014.). Lateral violence is a significant issue in any work environment. Lateral violence negatively impacts both the work environment and the worker’s ability to work effectively and efficiently.
The target population being used for this thesis consists of nurses, nurse managers, and nursing care assistants. The setting will take place at a hospital in Saginaw, MI on three medical surgical floors. Lateral violence in the workplace has been well researched but there have been few studies examining what
Lateral violence is a major issue that often occurs within the healthcare setting, and it places great impact on the delivery of healthcare. I personally have experienced being a victim of lateral violence within my current workplace setting. In November 2014, I began a new job working with patients dealing with alcohol and substance addiction. I came onto the job with an ADN, while there was an older male nurse with a BSN who started the same time I did. This nurse was assigned to a work a supervisory position on a higher-level monitoring detoxification/behavioral unit. I noticed that there were times when myself, as well as other female nurses, would need to communicate to him that a patient needed to be more closely monitored. On several
Horizontal violence is a form of workplace relational aggression, an experience that is rampant in the nursing profession (McKenna, Smith, Poole, & Coverdale, 2003). The expression, horizontal violence, is used to describe cruel behaviors between colleagues of comparable status, such as registered nurses, in the workplace. Research has shown a variety of destructive peer-to-peer behaviors that are detrimental to the profession and healthcare systems (Farrell, 2001). Nevertheless, little research has been done on “eating their young,” horizontal violence arising between those with unequal power, such as registered nurses and students (Thomas & Burk, 2009).
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
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
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.
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...
Blair, P. L. (2013). Lateral violence in nursing. Journal of Emergency Nursing, 39, 75-78. doi:10.1016/j.jen.2011.12.006
(2016). Workplace Incivility as an Extensively Used, But Seldom Defined Concept in Nursing. Nursing and Midwifery Studies, 6(2).Doi: 10.5812/nmsjournal.41029.
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.
In the early 1980s aggression and violence in the workplace have been a source of a lot of public discussion. (Piquero pg.383) The issues have risen again recently and have mostly been present in management and business fields. Workplace aggression often includes “behavior by an individual or individuals within or outside organizations that is intended to physically or psychologically harms a worker or workers and occurs in a work related”. (Schat& Kelloway Pg. 191) A national survey Conducted by the National Centers for Victims of Crime shows several statistics regarding workplace homicide by type show that is the year of (see fig. 1), violent crimes against victims working or an duty( see fig. 2) and nonfatal workplace violence committed by strangers(see fig. 3
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
According to the Bureau of Justice Statistics (BIS), workplace violence affects 1.7 million people each year. The Bureau of Labor Statistics’ Census of Fatal Occupational Injuries (CFOI) reported 11,613 workplace homicide victims between 1992 and 2006. Averaging just under 800 homicides per year, the largest number of homicides in one year occurred in 1994, while the lowest number occurred in 2006 (CDC).
Research shows horizontal violence to be prevalent in the field of registered nursing. Although a comprehensive quantity of incidences within the profession is undetermined, the literature is in agreement such phenomenon exists and the effects of which require further scholarly observation and evaluation.
Workplace violence is a frustrating issue confronting businesses today. While more data on the reason for violence and how to handle it is getting known, there is frequently no sensible basis for this sort of behavior and, in spite of all that we know or do, fierce circumstances happen. No superintendent is resistant from working environment brutality and no manager can completely anticipate it.Workplace violence can cause many issues for a business, from extra expense, to how to deal with the problem, and prevent it from happening in the future.
Workplace violence is any action or verbal menacing with the intent to inflict physical or psychological violence on others. The US Department of Labor defines workplace violence as “An action (verbal, written, or physical aggression) which is intended to control or cause, or is capable of causing, death or serious bodily injury to oneself or others, or damage to property. Workplace violence includes abusive behavior toward authority, intimidating or harassing behavior, and threats.”("Definitions," n.d.)