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Effects of hospital violence on nurses
Introduction to workplace safety
Effects of hospital violence on nurses
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Hospital Safety
Workplace violence is a serious issue in all workplace settings in the United States, health care included. It is unfortunate that places that offer services to help better people’s health and lives are also places that experience terrifying life-threatening situations, but this is sadly the case. Between the years of 2000 and 2011, there were 154 documented, hospital-related shooting events in 148 hospitals across the nation that affected 253 victims (Kelen, Catlett, Kubut, & Hsieh, 2012). Not only is workplace violence physically harmful to the health care staff and patients, but it also causes emotional harm. According to Blando, O’Hagan, Casteel, Nocera, and Peek-Asa, “Potential for violence affects nurse performance, job satisfaction, employee turnover and retention, and patient satisfaction” (2013).
Analysis
Hospital security has evolved drastically over the years. Starting in the early twentieth century, there was a minimum effort exerted to protect hospitals and health care settings. However, in the mid-twentieth century, a large number of police officers were hired to help secure health care settings because there was a notice of criminal activities occurring in areas relatively near the health care facilities. “It became fairly common for larger police departments to station a police officer at a hospital or at least use a hospital as the hub of the neighborhood beat.” As the threat became more apparent, more police officers were hired to provide additional security (Colling & York, 2009).
In the 1960s, security became a “specialized management service touching all departments and functions of a healthcare organization” which resulted in “the creation of a security department that reported to an admin...
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States Department of Labor. Retrieved from: https://www.osha.gov/SLTC/etools/hospital/er/er.html#content
Official California Legislative Information. (2014). Bill number: AB 508. Legislative Counsel
State of California. Retrieved from: http://www.leginfo.ca.gov/pub/93-94/bill/asm/ab_0501-0550/ab_508_bill_931008_chaptered
Peek-Asa, C., Cubbin, L., & Hubbell, K. (2002). Violent events and security programs in
California emergency departments before and after the 1993 hospital security act. Journal of Emergency Nursing, 28(5), 420-26. doi:10.1067/men.2002.127567
Sandrick, K. (1995). Out of harm’s way. Health Facilities Management, 8(10), 20. Retrieved from: http://web.a.ebscohost.com.libproxy.utdallas.edu/ehost/detail?sid=7cfb6189-1731-4d20-9448-ce7c8ff9d0db%40sessionmgr4001&vid=2&hid=4209&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=hxh&AN=9510130296
The organizing function of the manager consists of developing organizational charts, job descriptions, and statement of work flows ( Liebler and McConnell, 2008, p.53). A healthcare department manager must have knowledge of the job functions, job descriptions, and how those relationships impacts, authority, chain-of-command and communication. As a Wayne County Sheriff Sergeant, the organizational jail chart reveals the decision making process in terms of, (a) major functions,(b) relationship of functions, (c) channels of supervision, and (d) lines of authority and communication and positions( by job titles) within the [jail] units (Liebler & McConnell,2008, p.194).
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
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. The results of this study led the organizations to perform educational programs and provide open forums to give staff the opportunity to talk about their experiences. Leadership has been made the point people to promote the eduacational programs and
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...
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...
This paper will discuss the internal organizational conflict that occurred in the Wake County Department of Emergency Medical Services (EMS) after the formation of the Advanced Practice Paramedic Division (APP). Wake County EMS (WCEMS) is the sole entity with in the Wake county Government structure that is charged with providing prehospital emergency medical care to the visitors and citizens of Wake County. This paper is based on the opinion of the writer; it does not and is not reflective of the department’s opinion or the stance of the county.
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
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
Katharine Evans,James Warner, Elizabeth Jackson. (2007). How much do emergency healthcare workers know about capacity and consent?.Emergency medical journal. 24 (6), 391-393.
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.
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
As a nurse in a psychiatry emergency room, the staff must collaborate for the safety of patients and staff. There is a triage process that must be followed when a patient comes to the Psych ED, security takes any electronic devices, keys, purses, lighters, knives, wallets, etc. A nurse takes a mini-triage, which determines whether a patient needs to go to the medical ED side, if the patient is cleared to go to the Psych ED, the nurse must then decide whether to place the patient in a locked involuntary area or unlocked voluntary area. Any patient that goes into the involuntary waiting area must be searched, and go into a patient gown. Once there the patient must be seen by a nurse, then by a doctor. If a patient is agitated to the point of
Do we give hospital Security enough credit? They are the protection from harm for all the employees, patients, and visitors in the hospital. Now the biggest problem in hospitals is when a disaster happens is there enough security to help out or protect us? Should we hire more security? Should they train their employees to handle different situations? However how many times have hospitals had problems with their security not being able to protect their people? There are multiple factors that you have to look into. what is their job? how much do they even get paid? Have there been any past problems? What is the security policy for the security officers?