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The effects of workplace violence in the healthcare
The effects of workplace violence in the healthcare
The effects of workplace violence in the healthcare
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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
Ellis, J. R., Hartley, C. L. (2012). Nursing in Today’s World: Trends, Issues, and
Management. Philidelphia, PA: Kluwer/Lippincott Williams & Williams.
King, C. (2012). Managing Agitated Behaviour in Older People. Nursing Older People.
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.
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
Nurse horizontal violence towards new nurses and nursing students includes methodical, unwelcome or unprovoked behaviors with the intent to upset, control, humiliate, harm, or segregate (Hutchinson, Vickers, Jackson, & Wilkes, 2006). Horizontal violence can be furtive and shrewd (such as withholding information or spreading gossip) as well as obvious and direct, such as reproaching in front of other staff, false complaints, or threatening body language (Hutchinson et al., 2006). Other forms of the experience, described both in nursing and non-nursing literature, include bullying, mobbing, intimidation, and aggression (Farrell, 2001). Bullies form cliques and engage in repetit...
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 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
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.
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...
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
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.
The presence of specific types of disruptive behavior is unknown, but evidence is clear that disruptive behaviors exist among health care professionals. Nursing and health care in general focuses on patient care. Individuals that demonstrate disruptive behavior can damage the integrity of patient care, and create a hostile work environment. This leads to decrease patient satisfaction, safety issues, and health care providers to seek a more professional work environments (Lachman, 2014). Despite the negative outcomes from disruptive behavior, it is still present in many health care facilities. One- report states that 39% of graduates witness bullying in their first year of practice, and 31% said they were the victims of bullying (Lachman, 2014). The author also notes that 85% of nurses experience horizontal/lateral violence. Large amounts of health care professionals witness disruptive behaviors. Often these behaviors are unreported, one survey found that 40% of practitioners remain quite ...
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.
Nursing is a healthcare profession that helps prevent, promote and optimize the health and abilities of families and communities. With such a noble and caring profession is very sad that violence, or bullying, exists among nurses and other healthcare disciplines. This type of violence is called lateral or horizontal violence. Violence is defined as any inappropriate behavior confrontation or conflict that causes low self esteem or other injuries. Horizontal violence is known to be the type of violence between coworkers. For some people this type of violence new and in the healthcare field, nurses world, it describes the behavior nurse have towards colleagues or other healthcare entities. This type of behavior interferes with communication and teamwork needed in order to promote and care for others. For this reason this type of behavior not only affects healthcare workers but also the community and families that we are taking care of. At the end of all if there is a behavior that causes another nurse to be offended or inability to perform their job is considered to be horizontal violence (Morse, K.J., 2008).
Workplace violence in the nursing profession has been extensively reported and documented. It is associated with serious negative consequences both for the nurse and their patients. Such disruptive behaviors in the nursing profession severely impact the emotional and mental well-being of the nurses that in turn affects retaining qualified and experiences staff in a healthcare organization. Such type of violence is considered as a major occupational hazard and condemned by major nursing organizations including the CENTER for American Nurses and American Nurse Organization. In the nursing profession workplace violence includes several types of negative behavior such as lateral violence, bullying and aggression. Lateral or horizontal violence is described as harmful or disrespectful behavior towards a coworker or a group of coworkers which in essence denies them of their basic human right and has a profound negative effect on their self-esteem and confidence (Becher & Visovsky, 2012). While lateral violence is mostly observed among peers or coworkers bullying is generally observed between a higher authority staff and those working under them such as a nursing supervisor and a staff nurse. Bullying is mostly verbal in nature which involves the use of abusive language, intimidation, insult and using authority to subdue, threaten or humiliate their subordinates (Lateral Violence and Bullying, 2008). When nurses are subjected to any kind of horizontal violence or bullying over a period of time it unduly affects them with physical, emotional, mental and financial consequences. In addition such workplace violence also brings forth negative consequences for the healthcare organization and patients in particular. Thus given the seriousness o...
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
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