“The Occupational Safety and Health Administration defines workplace violence as any act or threat of physical violence, harassment, intimidation or other threatening disruptive behavior that occurs at the work site” (Renker et al., 2015). The many types of physical violence that nurses are subjected to include hitting, kicking, voided on, spit on, pushed or shoved, hair pulling and even sexual assault (Hajaj, 2014). Verbal violence includes any derogatory remarks or threats such as swearing or cursing, name calling, sexual harassment, intimidation, slander, and threats of physical contact (Jack et al., 2015). Violence is not just limited to patients but can include family members and visitors as well. According to a study done at a level one …show more content…
In reports from an Australian hospital, Bordignon (2016) found that nurses reported decreased work standards and performance, greater psychological demand and a significant loss of control over tasks when exposed to violence. Jack et al., (2015) gives an idea of the psychological and physical consequences of violence against nurses such as fear, anxiety, post-traumatic stress disorder, guilt, self-blame, shame, and in some cases, injuries and temporary or permanent disabilities. One study gathered data from nurses on how they felt immediately following a violent incident. The study conducted by Jack et al., (2015) found that nurses reported violent events hindered the capacity in which they performed their professional nursing role. They also reported feelings of fear, anger toward patients and even anger toward colleagues when teamwork was not utilized during the event. After a violent event, nurses experienced an intensified sense of awareness and hypervigilance at both work and outside the workplace for days to months following the event (Jack et al., 2015). Nurses reported having difficulty maintaining concentration, ultimately affecting their ability to care for patients (Renker et al., …show more content…
In a study performed by Jack et al. (2015) nurses reported unclear thinking after incidents, being less trusting, feeling less empathy and keeping more distance from violent patients, which ultimately influenced their ability to respond to patient distress and provide quality care. Chang (2016) points out the negative effects of WPV against nurses by saying “workplace violence should be managed more carefully because it can affect patient safety.” This is reiterated by Jack et al. (2015) who notes that more frequent medication errors are being made when patients become violent. In relation to patient care, Ferri et al. (2016) lists the consequences of WPV as deterioration of quality, efficiency, and viability of care provided. One source reveals the extent of the impact on the care that is provided to violent
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...
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
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.
Horizontal violence is not a topic that medical faculties discuss on a day-to-day basis, but it is an enormous problem within the health care system. In this research the author looks at bulling from a registered nurse (r.n.) aspect .The effects on patient centered care can be detrimental for patients and r.n.’s. The work place needs to be a safe place for not only the patients but also the employees. With the rise of new graduate nurses who are employed by the medical facilities, they too are starting to face horizontal violence within the first year on the job, which leads to retention of nurses in the medical field. Horizontal violence will continue to arise if nurses do not stand up to bullying and empower victims to speak up on horizontal violence.
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.
The purpose of this paper is to discuss the issue of incivility in nursing and how this affects the work environment, the importance that this has in the microsystem and the nursing profession and how suggestions on how to create healthy work atmosphere through my advanced practice in the family nurse practitioner field.
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.
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
I am going to apply the theory of Kant’s Deontology to the case regarding assisted suicide for psychological suffering.
Though elderly abuse occurs in many nursing homes, it is preventable. It is the nursing aide 's responsibility to provide quality and comfortable care, free from abuse. Many people are not aware that there are several other types of abuse in addition to physical abuse and many are not aware of the signs. If abuse should occur, anyone who suspects or witnesses the abuse is responsible for reporting it. Knowing the types of abuse, being aware of the signs, and reporting incidents are all ways to prevent abuse in nursing homes.
Nurses continually strive to bring holistic, efficient, and safe care to their patients. However, if the safety and well-being of the nurses are threatened or compromised, it is difficult for nurses to work effectively and efficiently. Therefore, the position of the American Nurses Association (ANA) advocate that every nursing professional have the right to work in a healthy work environment free of abusive behavior such as bullying, hostility, lateral abuse and violence, sexual harassment, intimidation, abuse of authority and position and reprisal for speaking out against abuses (American Nurses Association, 2012).
What is the Effect of Horizontal Violence on The Burn Out Rate of Registered Nurses?
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.)