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Essays on workplace bullying in nursing
Workplace violence bullying nurses essay research introduction
Articles on impact of horizontal violence on nurses retention
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Introduction
Nurses are professionals who, besides the caring personality, possess a great deal of patience, loyalty and strong work ethic; however, not all nurses adhere to the standard of ethic in their practice. Inappropriate, aggressive behavior among nurses, which earlier was known as “nurses eat their young”, in todays’ nursing draws particular attention of the health care managers and policy makers under the term of horizontal workplace violence. Among other challenges, which contemporary nursing faces daily, the significance of horizontal violence, or bulling, is in its detrimental effects on the quality of nursing care, workplace satisfaction, workforce retention and the health of nurses (Vessey, DeMarco, & DiFazio, 2011). Knowing
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Aggressive behaviors can be displayed in form of emotional, verbal or physical abuse, sarcastic remarks, unreasonable criticism, ignoring or withholding important information. Workplace violence leads to disrupted communication within the health care team, which, in turn puts the quality of nursing care and clients’ safety at risk. Decreased level of job satisfaction of workers in violent environment leads to increased turnover of nurses, resulting in understaffing and reduced quality of health care services. The victims of workplace violence report emotional exhaustion fear of coming to work, anxiety and depression; they are often pushed to leave the job or, even, the nursing profession. Research indicates that workplace violence is often left unreported; therefore, it is important to implement effective measures on prevention and elimination of workplace violence. Educational programs are essential to promote knowledge and understanding among nurses about workplace violence and strategies for workplace violence prevention. Health care organizations should be guided by established policy which highlights the responsibility of all leaders and employees to be accountable for workplace behavior, and implement a procedure on reporting, documenting and addressing the incidents of workplace violence. Organizations need to turn against horizontal violence, educate employees, and foster a healthy workplace environment which is safe for clients and
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
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.
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
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
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
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.
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.
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
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.
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.
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
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
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
Research indicates the relationship between horizontal violence and the burn out rate of registered nurses to be epistemologically significant due to a determined prevalence of nonphysical violence in the health care setting and the potential nature, severity and ubiquitous state of its prospective consequences. This systematic review will examine the aforementioned phenomenon in further detail with a focus on specific implications, if any, on the burn out rate of registered nurses.