...The High Cost of Horizontal Violence in Nursing Paisley Rojo Gen 200 July 21, 2015 Dr. Davidov The High Cost of Horizontal Violence In nursing, there is a growing concern called, horizontal violence. Horizontal violence is an act of aggression from one nurse to the other. Horizontal violence impedes teamwork, hinders patient care and causes a negative work environment (Becher & visovsky, 2012). Even though workplace politics exists in every profession, the effects of horizontal violence, or bullying, in nursing is a costly behavior. Nurses feel devalued in the workplace and experience psychological effects. Patients are likely to experience less favorable outcomes, and retention is difficult costing facilities large amounts of money to recruit and hire replacements. Types of violence Horizontal violence is physical and or verbal behavior that is believed by the recipient, to be degrading, threatening and considered inappropriate (Bartholomew, 2014). According to Doyle (2001), there are several ways to undermine one's dignity in the workplace. This list includes: humiliating and intimidating the victim, verbally assaulting, and implying threats. Intruding on co-workers, and stalking the targeted person, is another form of horizontal violence. Moreover, repeatedly imposing deadlines and tasks that are unfavorable or impossible is also considered as a form of workplace bullying. Dellasega (2009), states that the participants, willing...
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...Violence towards Nurses in the Health Care Sector We have all heard before of the abuse and violence that happen in nursing homes; but what we tend to hear more about is how nurses are abusing patients, those being patients that are older, disabled and coming closer to the end of their life span. Patients sometimes receive such negative abuse from nurses, this consists of physical abuse which is defined as any action with the intention to cause any physical or bodily harm to someone; for example this would include a nurse hitting or slapping a patient or even pushing them around. You often hear about nurses neglecting their patients, this is a deliberate action where nurses deprive the patients of what they need, this includes a nurse that purposely withholds a patient from eating, drinking or giving them their medication ("Abuse in Canada's Nursing Homes", 2012). It’s quite sad to see how this action takes place in nursing homes; a nursing home is a place for the elderly to go to because they can no longer take care of themselves and they need the assistance in their day to day activities. The nurses in long-term care facilities are there to provide residents with the care that they need and require, as they cannot do it themselves. Patients will often receive mental abuse from staff, that is, an act with the intention to cause any emotional harm to someone ("Abuse in Canada's Nursing Homes", 2012). You often hear about nurses yelling or threatening patients; this seems hard...
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...Lateral violence in the workplace Lona A Smeltzer Southern New Hampshire University Lateral violence in the workplace Abstract This paper explores five published articles as they relate to the concept of Lateral violence (LV) within the nursing profession and how it directly affects the work environment. The concept of LV is also known as abusive behavior, horizontal violence, bullying, aggression, horizontal hostility, verbal abuse or “nurses eating their young”. There are four main themes that appear throughout the five articles. The negative effects that LV has on nurses’ health, moral and sense of worth. The negative impact that LV has on patient care and outcome. The negative impact that LV has on the recruitment and retention of nurses by health care organizations. And who should be responsible for eliminating the phenomenon. Within the articles there is a shared belief that strong leadership is needed to create codes of conduct and enforce zero-tolerance policies. Employees should be provided education and training on effective communication skills as well as conflict resolution. Furthermore nurses should hold themselves accountable through adopting and modeling professional ethical behaviors so that LV can be eradicated from the professional workplace. Keywords: abusive behavior, lateral violence, horizontal violence, bullying, aggression, horizontal hostility, verbal abuse, nurse eating their young. Thesis Even though nursing is known as a caring...
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...Violence Against Nurses in the Emergency Department Kimberly L. Kirk Professional Nursing Practice of the Baccalaureate Nurse August 8, 2014 Violence against Nurses in the Emergency Department According to the National Institute for Occupational Safety and Health, workplace violence is defined as “an act of aggression directed toward persons at work or on duty, ranging from offensive or threatening language to homicide” (Wolf, Delao & Perhats, 2014, p.305). Workplace violence (WPV) can include verbal, physical, and emotional abuse, or any type of threatening behavior that can cause physical or emotional harm. According to the Emergency Nurse’s Association Position Statement (2010), “workplace violence is a serious occupational risk for the emergency nursing workforce and has been recognized as a violent crime that requires targeted responses from employers, law enforcement, and the community.” Due to the lack of research concerning workplace violence and other barriers such as underreporting, failure to prosecute, and lack of management support the enormity, of this issue is grossly underrepresented. Individuals who assault ER nurses should be prosecuted. Without increased and consistent prosecution for assault on emergency nurses, patients and families will still think it’s acceptable to physically or verbally assault a nurse. As the ENA position statement (2010) proposes, stronger legislation is necessary to help decrease the view that violence...
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...Nursing is one of the most humble jobs a person can have. It requires dedication, selflessness, a sense of pride, and a deeper understanding of the value of a life. It is a profession that vows to provide support, comfort, and care to people in need of help. Nursing is a job that requires constant interactions with peers for the benefit of the patient. But how can one work to his or her full potential when he or she is being harassed and bullied by the very people he or she work with every day? Hearing people whisper your name and snickering, being isolated because you are different, and threatening your well-being all while in charge of taking care of several lives is not what one would expect when working as a nurse, but it is reality. At...
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...JONA Volume 39, Number 7/8, pp 340-349 Copyright B 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Violence Against Nurses Working in US Emergency Departments Jessica Gacki-Smith, MPH Altair M. Juarez, MPH Lara Boyett, MSN, RN, ACNP-BC, CEN Objective: The objective of this study was to investigate emergency nurses’ experiences and perceptions of violence from patients and visitors in US emergency departments (EDs). Background: The ED is a particularly vulnerable setting for workplace violence, and because of a lack of standardized measurement and reporting mechanisms for violence in healthcare settings, data are scarce. Methods: Registered nurse members (n = 3,465) of the Emergency Nurses Association participated in this cross-sectional study by completing a 69-item survey. Results: Approximately 25% of respondents reported experiencing physical violence more than 20 times in the past 3 years, and almost 20% reported experiencing verbal abuse more than 200 times during the same period. Respondents who experienced frequent physical violence and/or frequent verbal abuse indicated fear of retaliation and lack of support from hospital administration and ED management as barriers to reporting workplace violence. Conclusion: Violence against ED nurses is highly prevalent. Precipitating factors to violent incidents identified by respondents is consistent with the research literature; however, there is considerable potential to mitigate...
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...Claire Frances O’Connell b Department of Pre-registration, Nursing Faculty of Health Studies, Buckinghamshire Chilterns University College, Chalfont Campus, Newland Park, Gorelands Lane, Chalfont St. Giles, Buckinghamshire HP8 4AD, United Kingdom b Green Lawns, Kilmona Grenagh Co., Cork, Republic of Ireland Accepted 27 March 2006 KEYWORDS Bullying; Violence; NHS; Higher education; Nurse education Summary This article examines briefly the issue of workplace violence and bullying in the hospital environment, but more importantly how the same and different styles of bullying and intra-staff bullying are emerging in nurse education. The content describes the aetiology of violence and bullying and their place in the National Health Service (NHS) including nursing. It explores bullying as the principle form of intimidation in nurse education, the different types and subtle forms of bullying, why individuals become bullies, dealing with and the consequences of bullying. The legislation, guidelines, policies are part of the recommendations for practice. c 2006 Elsevier Ltd. All rights reserved. Introduction In modern day society, it could be argued that violence and aggression is a common aspect of daily life. Violence and abuse within the hospital setting occurs throughout the entire health care sector (Zernike and Sharpe, 1998; Wells and Bowers, 2002). Over the years, negative incidents including violence, harassment, and aggression and bullying have been steadily increasing...
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...Running head: DIFFUSING ANGRY PATIENTS AND VIOLENCE 2 Assessing and Diffusing the Angry Patient to Prevent Workplace Violence The decline of manners is well noted in society with bullying rampant in the schools and a new breed of language such as “road rage”, going “postal” and “whacked” becoming accepted mainstream lingo. In service transactions, which do include nursing, rudeness is widespread where the customer (i.e., the patient) has the mentality that s/he is always right. Moreover, the healthcare setting, a place where one usually goes for necessities, not optional visits, is often scenes of chaos fraught with intense anxiety and nerves. Those moods and environment coupled together is a powder keg for violence; unfortunately, workplace violence for healthcare workers. Workplace violence (WPV) can take many forms, including verbal and emotional abuse; physical assault; threats of physical violence; bullying, unwanted sexual advances; and various forms of harassment (Chapman, Perry, Styles & Combs, 2009). According to the CDC, healthcare workers are four times more likely to be assaulted in the workplace than people who work in the private sector (Moz, 2009). Nurses are vulnerable to WPV given their occupation requirements and need to interact with patients. Of the various specialties of nursing, nurses who work in the emergency departments (ED), psychiatric units, and nursing homes, often encountered the greatest risk....
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...York University Liberal Arts & Professional Studies Workplace Violence in Healthcare By: Alyssa Mohammad - 210477172 Colleen Duncan-Reid - 209503145 Fifame Sonou - 208122467 Manjot Singh - 210688679 Course: HRM 3470 - Recruitment, Selection, and Performance Appraisal of Personnel Instructor: Dr. Souha R. Ezzedeen Date of Submission: Thursday, November 25, 2010 An emerging health and safety issue in today’s organizations which has detrimental effects on employees as well as employers is workplace violence. This type of violence can be physical or verbal assault. Healthcare organizations recognize that there is a potential for four types of violence. The most common of these four types is client or patient. This occurs when the patient, a visitor or family of a patient is violent towards workers or another patient. Type two is criminal intent which occurs when the perpetrator has no relationship to the workplace. Type three is worker-to-worker. This often includes the perpetrator either employed or previously employed by the organization. Type four which is often not recognized by employers is personal relationship violence (PRV). This type raises the issue of domestic violence in the workplace. The perpetrator has a personal relationship with an employee or a client and is trying to intimidate/hurt the victim through the use of physical force, verbal harassment or manipulation (financial or emotional) in order to maintain control over the...
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...Original Article Mobbing against nurses in the workplace in Turkey inr_815 328..334 S.Y. Efe1 MSN & S. Ayaz2 PhD 1 Specialist, 2 Assistant Professor, Nursing Department, Gazi University Faculty of Health Sciences, Ankara, Turkey EFE S.Y. & AYAZ S. (2010) Mobbing against nurses in the workplace in Turkey. International Nursing Review 57, 328–334 Aim: The aim of the study was to determine whether the nurses have been exposed to mobbing or not, and to reveal the causes of the mobbing between 3 November 2008 and 31 December 2008. Methods: This research was a mixed method study involving survey and focus group interviews. The sample was calculated using sample calculation formula, and 206 nurses were included in the survey study. Four focus group interviews were later carried out with 16 nurses. The survey method and semi-structured question form were used to collect data. The percentage and chi-square were used to evaluate the quantitative data, and for the analysis of the qualitative data, descriptive analyses were made through direct quotations from the nurses’ statements. Findings: According to the mobbing scale, 9.7% of the nurses had been exposed to mobbing, but according to their own declarations, 33% had been exposed. Some of the nurses (25.2%) who expressed that they had been exposed to mobbing reported that the executor of mobbing was the head nurse and 9.2% said that the reason for mobbing was ‘communication problems’. Nurses under 25 years of age and...
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...STRESS IN THE WORKPLACE AND SAFETY ISSUES AMONG NURSES IN THE PHILIPPINES Abstract Personality differences among employees can lead to a tense and less productive work environment. Differences in race, gender, religious conviction, sexual orientation, and age can cause fear and uneasiness among employees. These feelings are often associated with confusion or powerlessness. Diversity and sensitivity training can assist employees in embracing each other’s unique qualities. “To accept differences, we have to understand differences, and there is no better way to do this than to learn to communicate with people who are different than you” (Lieberman, 2007). When employees feel overwhelmed, they can lose self-confidence, become irritable or act withdrawn. This behavior directly impacts productivity, and work becomes less rewarding. J. Segal, R. Segal, Horwitz, Jaffe-Gi[ http://www.termpaperwarehouse.com/essay-on/Managing-Stress-In-The-Workplace/54320 In this article, work-related problems among a sample of nurses in the Philippines are described. Cross-sectional data were collected through a self-administered survey during the Philippine Nurses Association 2007 convention by De Castro, A.B, et al. during the Philippine Nurses Association 2007 convention. Measures included four categories: work-related demographics, occupational injury/illness, reporting behavior, and safety concerns. Approximately 40% of nurses had experienced at least one injury or illness in the past year...
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...Kerstin Duncan NRS-433V Introduction to Nursing Research July 7, 2012 Professor Maria Baptiste Violence in the Emergency Department Reference: Gates, D., M., Gillespie, G., L., & Succop, P. (2011). Violence against nurses and its impact on stress and productivity. Nursing Economic$, 29(2), 59-67. Retrieved from http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=rzh&AN=2010999034&site=ehost-live&scope=site Abstract: XXX The purpose of this study was to examine how violence from patients and visitors is related to emergency department (ED) nurses' work productivity and symptoms of post-traumatic stress disorder (PTSD). XXX Researchers have found ED nurses experience a high prevalence of physical assaults from patients and visitors. Yet, there is little research which examines the effect violent events have on nurses' productivity, particularly their ability to provide safe and compassionate patient care. XXX A cross-sectional design was used to gather data from ED nurses who are members of the Emergency Nurses Association in the United States. Participants were asked to complete the Impact of Events Scale-Revised and Healthcare Productivity Survey in relation to a stressful violent event. XXX Ninety-four percent of nurses experienced at least one posttraumatic stress disorder symptom after a violent event, with 17% having scores high enough to...
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...Violence in the Workplace HCA 250 November 24, 2012 Violence in the workplace has become so bad throughout each state and in the world today. Workplace violence has not only cost American employers in dollars but also in cents. The violence has been taking its toll on the employees day to day. There are beyond numerous numbers of nonfatal acts of violence in the workplace. Who would have thought that waking up in the morning and going to work would be so bad and targeted by violence, discrimination and even some retaliation at work? This has become so sad and disturbing. Now-a-days, children cannot even go to school without being bullied or harassed. The article that was chosen is called “Trends in the Workplace Violence in the Remote Area Nursing Workforce”. This is a very informative article that speaks about the types of violence and how it has increased within the last decade. The article has taken some of the present data of violence in the workplace and compared it to the data that was collected about 13 years ago. The setting of this article took place in Australia and was focused on a few hundred nurses whom worked in rural areas throughout Australia, who worked in the health facilities. According to the article it stated that there has been an “increase in all incidents” that were “reported violence in the workplace between 1995 and 2008” (Opie, Lenthall, & Dollard, 2010). Several times of violence that had been reported were either verbal aggression, physical...
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...become doctors, anesthesiologists, nurses, certified nursing assistants, lab technicians, physical therapist, or work in house keeping. The opportunities for employment are endless, no matter the position an individual chooses to work, they are all equally important for total patient care. However, the majority of the time nurses are the individuals who spend the greatest amount of time with patients and provide the most care under doctors and other staff members orders. In The United States, each state has a nurse’s association that advocates and provides support for nurses. The Wyoming nurses’ associations mission is “to promote the profession...
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...Hinchberger‘s study, “Violence against female student nurses in the workplace”, is a qualitative study regarding the experiences of a sample population of 126 student nurses, and their exposure to violence in the workplace during the clinical portion of their education. Violence against nurses is such a well-known epidemic that the World Health Organization, and a number of other healthcare related organizations, have taken notice and find it to be a major concern. Several studies have been conducted regarding violence against nurses with astonishing results, but there is a lack of research regarding student nurses specifically. With the prevalence of potentially violent patients in emergency rooms from drug abuse, alcohol intoxication, mental illness, and law enforcement using the hospital setting as somewhat of a holding area in certain situations, it is to be expected that there would be some patient on nurse violence. Nursing educators do their best to train students how to avoid and neutralize a potentially violent incident with a patient, but sadly patients do not even account for half of the reported incidents in Hinchberger‘s study. The majority of violent and/or bullying behavior is attributed to coworkers, which is an unfortunate reality. A study by Bartholomew (2006), reported that over 60% of new graduates leave their first job due to a hostile work environment, perpetrated by none other than their fellow nurses. With serious nursing shortages, which are...
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