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Violence in the workplace and its effect on nursing
The effects of workplace violence in the healthcare
Workplace violence issues
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Recommended: Violence in the workplace and its effect on nursing
of it in the Emergency Department after taking initial and follow-up surveys. Educational programs about the results were also provided to the participants, such as a post-education survey to increase knowledge of what constitutes as workplace violence. Results from this study indicated that after educational programs were implemented, nurses’ perceptions of workplace violence being part of the job were reduced by half and they had a better understanding of workplace violence and what kinds of actions represent it. Furthermore, reporting of violent incidents to superiors increased as a result of this study and nurses felt that the Emergency Department is able to be safer because of their increased awareness and reporting of violence (Stene, …show more content…
Prevention strategies for workplace violence include prevention programs. A qualitative study conducted by Blando, Ridenour, Hartley, & Casteel (2014) in a New Jersey hospital aimed to uncover the perceived barriers of implementing workplace violence prevention programs for hospital staff. Two focus groups comprised of 13 people in one group and 14 people in the other group were asked to submit anonymous discussions about their thoughts about workplace violence prevention programs and what improvements were needed. Results from this study concluded there were seven common themes for barriers: no action taken after reporting violence, different perceptions of what is considered workplace violence, bullying, decreased management accountability, effect of money and management models, increased focus on customer service, and poor law enforcement and social service attitudes about mentally ill patients. Now that the barriers of prevention programs have been addressed, improvements can be made such as increased support from management, education for staff about workplace violence, and increase public policy awareness to help strengthen violence prevention …show more content…
I had never had this type of training before, so I was immediately interested in learning about workplace violence. With this training, I was able to learn about the different types of workplace violence and use critical thinking skills for scenarios on how to de-escalate inappropriate or violent situations. After we completed this training, my nursing class had to post in our online discussion forum about our own personal experiences with workplace violence, what we learned from the required educational course, and what we would have done differently after receiving the training. While I was thinking of what to put down for my own experience for the discussion post, I realized how significant workplace violence is, especially in the health care setting. I knew I have been involved personally at work or during clinical with aggressive, agitated, or violent patients, but I did not associate it with the term ‘workplace violence’. Like many nurses today, workplace violence is unfortunately viewed as part of the job. After I received this training and learned about how prevalent workplace violence is, I knew I wanted to elaborate on it and do more research in order to bring light to a serious issue that has not had the recognition it
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.
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.
Nursing is the initial contact that victims of violence have within the health system. The community Nurse faces the obligation to perform successful preventive interventions and need a better understanding of the causes of individual’s violent behavior in order to truly help their patients. In order to provide proper care to victims and their family, the community nurse should be familiar with screening techniques, recognizing aspects related to abusive behaviors while identifying socioeconomic and cultural factors.
Pam Criss's article in the Journal of Social Work Education, titled Effects of Client Violence on Social Work Students: A National Study shows results on the effects of direct and indirect client violence against a random sample of MSW and BSW students from the National Association of Social Works in the United State. This study looks at how workplace violence is a concern for social work students entering their field placement. These types of violence may be a major factor in the student’s choice of decreased commitment to the occupation. One act of violence can lead the student to fear more acts of violence. In addition, it looks at how a social worker can be affected vicariously by hearing of colleagues being harmed or threatened. Furthermore, a relationship between violence in the work place and the social worker deciding to leave the workplace because of decreased effective organizational commitment due to the negative effects of stress and burnout is also shown (Criss, 2010)
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
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.
Lipscomb, J.A., & McPhaul, K.M. (2004). Workplace Violence in Health Care: Recognized but not Regulated. The Online Journal of Issues in Nursing, 9(3). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume92004/No3Sept04/ViolenceinHealthCare.aspx
Though not all mental health clients are not violent most if not all community agencies have safety plans for preventive measures. Worksite analysis is the primary focus of finding out what areas can be additionally dangerous to clients and staff for hazard prevention controls. Employer and counselor training on work place violence and education on preventative measures such as drills, orientation, and in-services. Anti-violence prevention and general staff involvement in community resources so they are knowledgeable and informed about issues, crisis situations, and referrals.
According to a recent report by the Centers for Disease Control and Prevention (CDC) (2013), workplace violence epidemic in Canada is so concerning that health care professionals are at great risk for developing health problems and nurses may even leave the profession sooner than planned. Within this paper, I will explore the concept of workplace violence and the following three issues of negative impact of my psychological well-being, decreased self-esteem and a sense of powerlessness. In my paper, I will also provide a brief description of a clinical situation from my past nursing experience. I will also discuss the relevance of the topic as it relates to me personally and professionally. Then, I will identify, discuss and analyze three issues within the clinical situation and I will use theory to substantiate the points discussed. I will also discuss how my future practice may be influenced by my clinical situation and I will conclude based on what I have learned during the development of this paper.
First let’s discuss and examine the phrase “Hostile Environment. Incivility and Violence in the Healthcare Workplace.” An area such as: work, school, public places, and other location that can experiences any hostile behavior can be considered a hostile environment. If someone in a location witness, adequate severe stress that interruptus another person ability to complete or work in guards to other subject is considered a hostile environment (Kavaler, Alexander, 2014). Next, is the incivility, to be considered a conflict, disrespect and tension that is created by others impertinences. Incivility can be classified into three different categories ‘client, secondary, corporate. This can be redeemed as an absent of respect and hostility towards
This study explains how patient violence against nurses is a global concern, particularly in mental care field. This may affect well- being of nurses and ultimately whole healthcare system. However, nurses do not use limited methods to stop patient violence and more comprehensive methods needed. The study was conducted to explore nurses’ experiences of these violent events in mental wards and examine suggestions for violence prevention.
Since opening in 2012, the Children’s Hospital that I work for has experienced several threats of verbal and/or physical violence from parents, visitors, and patients to clinical staff; domestic violence amongst parents visiting during their child’s hospital stay; occurrences in which teen and adult gunshot wound victims have been dropped off via personal vehicle to the emergency department; and retrieval of several weapons that have entered the hospital, only to be discovered by visitors and patients volunteering the information of possessing them; for there are no metal detectors to discover these weapons. In recent years, other hospitals in the area have experienced worse. Such as the Pulse mass shooting that occurred 0.4 miles from a hospital
K., Van Mierlo, H., (2008, p. 320), “the purpose of this study was to evaluate the