Although bullying, harassment and intimidation has been an occurring issue in the nursing profession Since its inception, it is only in the past decade it has received global recognition as a worldwide occurring workplace issue with serious consequences. Although it is difficult to grasp the accurate frequency of bullying, harassment and intimidation occurring before the last decade, but Vanderslott (1998) suggests that it is an immense problem with the consequences very hard to judge. The British Crime Survey (BCS) found there were close to 849,000 incidents of Bullying and harassment and intimidation at work in England and Wales in 2002/2003 (Budd, 2001). Professions subjected to a high probability of harassment includes police, firemen, …show more content…
In October 2003 the Commission for Health Improvement (CHI 2004), in synchronicity with the National Health Service (NHS) conducted one of the largest workforce surveys. The results suggested that 37% had experienced harassment, bullying or intimidation at work in the previous year. This is an extremely high and worrying amount of employees in the NHS who are exposed to bullying behaviour. An alarming number of staff has witnessed bullying occurring to other colleagues in the workplace(Quine, 1999). In 2000, the Royal College of Nursing compiled a quantitative questionnaire survey of 6000 RCN members in the UK, excluding student nurses, focusing specifically at their well being and working environment in the health sector. The findings reveal that over the last one year of the study, 20% of nurses had been assaulted at least once while on job, 12% of nurses had been assaulted at least once a week, and 3% experienced assault on a daily basis. Just under half of the respondents included in the survey (49%) had been harassed and assaulted 2–6 times in the previous year. A statistical report compiled by Poster and Ryan (1993) exhibits in great detail that physical assault is worryingly high In the healthcare settings. Sofield and Salmond (2003) and O’Connell et al. (2000) suggests that the main perpetrators of bullying, harassment and intimidation towards nurses in healthcare settings are the patients, their relatives and in some cases the doctors, including supervisors and
Police and prosecutors tend to downplay the violent assaults on health care workers unless someone is severely injured, even though 30 states have felony laws against it (Jacobson, 2014, p. 4). According to a descriptive study conducted by Lisa Wolf there were many instances in, which the legal, judicial system was unwilling to pursue charges against patients, or family members who assaulted nurses. Thus the focus on legislation to make an assault on health care workers a felony crime may have limited efficacy unless efforts are made to address society’s complacency toward violence against nurses (Wolf et al., 2014, p. 3). In Pennsylvania two house bill’s were introduced one in 2011 House Bill 1992.
The organisation must be aware of all of the recent changes in order for the health care provisions to provide the best quality of care. The organisations employ managers who have the duty to ensure that all of the policies are adhered too, staffs are trained on a regular basis and that the improvement of care should be monitored after the training is provided. Health and social care provisions must have polices in place to deal with all forms of bullying or harassment. In accordance with the law if this occurs within the provision it can be dealt with by legislation, as laws are enforced to prevent bullying/harassment from happening. However, the health and social care establishment should still be able to effectively deal with cases like these.
"Civility is an authentic respect for others that requires time, presence, willingness to engage in genuine discourse and intention to seek common ground (Clark, 2010). " Unfortunately I have come to learn that, incivility is a fairly common issue in nursing in regard to nurse-professor, nurse-nurse, nurse-physician, and nurse-resident relationships. I don't believe that it's always meant to be hurtful. Sometimes incivility occurs simply because of the fast-paced environments, long hours and high stressed environment. Regardless, it's inappropriate and unprofessional behavior. "
Whether another nurse or higher medical provider it isn’t right and is a major concern in healthcare. ANA recognizes that incivility, bullying, and violence in the workplace are serious issues in nursing. Currently, there is no federal standard that requires workplace violence protections, but several states have enacted legislation
“While working at a hospital as a Registered nurse, I was being bullied every day at work I became withdrawn, severely depressed, I would break down and cry every day after work. It was a nightmare,” explained Nurse Jackie. Horizontal bullying should not be neglected it is a life-threatening problem affecting the healthcare. Nurse to nurse bullying in the workplace can have an impact on new nurses, the treatment of the patients, and lack of job satisfaction. Imagine being a nurse and additionally feeling nervous about taking care of a challenging patient or meticulously achieving all of the medical records.
This case reflects the spirit of a period in which bullying and sexual harassment received a great deal of
Many think that bullying is an issue that occurs more often with minors in a school setting, but horizontal violence in nursing negates this thought. Horizontal violence in nursing is best defined as “bullying that occurs between coworkers” (Granstra, 2015). This bullying cannot only negatively affect seasoned nurses, but also new graduate nurses that may lack confidence in their abilities as they are new to the field. Consequentially, this can
Kantek & Gezer (2009) has indicated that over 50% of the students frequently and 80% occasionally experienced conflicts. Some student nurses reported that they had experienced aggression and bullying in clinical settings from staff nurses, nursing managers, and patients and their families. Nursing students are particularly inexperienced, immature and unprepared to manage conflict and response in avoiding way frequently in conflict situations (Pines et al., 2014). Therefore, more attention and support should be provided to student nurses due to their inability to effectively manage the conflicts they
Conflicts within the nursing profession may be seen among the different age generations, with senior nurses holding different values than new graduates. For example, there are many cases where horizontal violence and bullying occurs between senior nurses and new nurses. However, in most cases, nurse bullying results from ineffective communication (Sauer, 2012). Interprofessional conflict may occur due to the medical hierarchy and existing profession stereotypes. According to Whitehead (2007), a barrier to physician collaboration is the vision of a ‘flattened hierarchy’ where a physician’s traditional power, decision-making responsibility, and status is reduced.
Violence against healthcare providers is a significant problem that has been receiving growing attention. Incidents of workplace violence are experienced by nurses and physicians on a day-to-day basis, especially in emergency departments. The corollary of this phenomenon has become a significant matter due to the psychological stress it is placing on healthcare providers, hence affecting their efficiency and productivity. We may often undermine the consequences of workplace violence, but studies show that it may cause distress, apathy, rage, disappointment, helplessness, anxiety, self-doubt, and insecurity of healthcare workers. (Öztunç 360-365)Hence, their entire job performance is decreased and absenteeism is increased.
Theoretical Framework on Violence in the Workplace Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly. Violence has been a long-standing issue in the workplace.
Theoretical Framework This study is postulated on the theories, concepts and principles regarding on Workplace Bullying and its impact on employees productivity and performance. According to Einarsen’s conceptual framework Model (see Figure 1) of the nature and cause of workplace bullying (Einarsen 2003; as cited in Einarsen, 2005), three elements can describe the causes of workplace bullying: individual, social and organizational. Hoel and Stalin (2003; as cited in Lewis, 2004) suggested that there are four antecedents to organizational causes of workplace bullying, namely: the changing nature of work, how work is organized, the organizational culture, and leadership. The changing nature of work can be attributed to globalization, mergers and the current economic recession, among others (McCarthy, 2003).
Information regarding the reports such as research limitations, level of evidence, research method and design are included in the discussion and implications of nursing. The literature review found that nurse on nurse bullying does indeed effect nurses in a physical and emotional way as well as effecting the adequacy of patient care. Effects of Horizontal Violence in the Workplace on Nurses and Patient Care Introduction Nurses spend approximately 12 hours a day 3-4 times a week working in either a hospital, clinic, or some sort
The responsibility to develop and promote a healthy and safe environment for all workers has to be taken, because existing laws and policies are either ineffective or the general public lacks awareness related to their legal rights. LITERATURE REVIEW Workplace bullying and harassment
Patients who are violent towards hospital staff should be refused treatment Nurses should adopt the ethical principle of deontology and promote good, not harm. There is a binding duty for nurses based on morality. Moreover, there is a strong emphasis of the moral importance of cultivating virtuous character traits such as empathy and compassion in nurses. As virtue ethics are inculcated in medical and nursing students, they ought to have an ethic of care, without biasness, when carrying out treatment plan for all patients (Staunton & Chiarella, 2017). Hospital staff should embrace the ethical principle of beneficence - to actively do ‘good’ to all patients.