Causes Of Incivility In Nursing

Great post! Lateral Violence/bullying is a very good concern and topic of discussion. I’m glad that your group have chosen this topic because it truly does need change. It makes it a very sensitive topic to discuss in the workplace because of fear of losing your job, causing conflict or the repercussions that may come for speaking out. Some nurses will leave while others may stick around and accept the 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

This case study highlights the conflict that can arise between nurse practitioners (NP) and physicians due to lack of proper communication, poor physician attitude, and lack of respect. Clarin (2007) labels these items as barriers that inhibit effective collaborative care and ultimately hinders the goal of medical institutions. In this case study, the way that the physician treated the new NP encourages other physicians in the practice or staff members that it is acceptable to treat another provider in this manner. This poor behavior will continue the cycle of disrespect and distrust when we should be collaborating with one another in the healthcare field. Not to mention, creates an unhealthy work environment. A key component in effective

Imagine being a newly graduated nurse and landing a job on your dream unit. There is this one nurse who likes to taunts the new nurses. You began to realize that she does things to make you uneasy and you began to feel like the target of workplace bullying. Horizontal Violence has become a newly coined termed to further define the concept of bullying in the workplace. According to Becher and Visovsky (2012), Horizontal Violence is described as “an act of hostility that creates an undesirable work environment that weakens teamwork in the clinical setting”. Managing bullying is the regular assessment of exposures of violence in healthcare facilities. As a junior nursing student I gravitated toward this topic because I will be graduating soon

Healthcare workers suffer the most when it comes to workplace violence. Violence in the workplace can have major effects on the victim such as depression and post-traumatic stress disorders. It can also lead to many emotional behaviors such as feeling sad, angry, disgust or fear felt by the victim. These emotions can have an influence on work functioning. Violence in the healthcare work is a major issue and is constantly growing than any other work field. “Healthcare workers are 16 times more at risk of experiencing violence from patients or clients than other service workers” (Lanctôt, N., & Guay, S. 2014). The most common abuse seen in the healthcare work is verbal abuse ranging from 22 to 90%, and the least being physical assault ranging

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. Although these traditional beliefs may still be held among not only physicians but also the public, IPE and IPC allow for the potential of “better communication and development of relationships between health care professions that can be valuable even within a hierarchical system” (Whitehead, 2007, p.

Workplace incivility affects our everyday interactions, professional nursing relationships and our organizations. It is important to be aware of incivility to address it. Incivility in the workplace doesn’t have to be a major event, but it may be little things daily that can make a huge impact. This affects the employee which impacts productivity and patient care. Employee turnover rates, job dissatisfaction, and poor workplace environments can be attributed to incivility. Employees may feel as though they are unable to report incivility due to retribution or loss of employment. It is time for people that need help to be courageous and speak up. Incivility in the work environment needs to stop.

A literature review was conducted to answer the following evidence-based research question "What are the effects of horizontal violence in the workplace on nurses and patient care?" The review includes a systematic review, two qualitative reviews, one quantitative review and a mixed method review that will aid in answering the research question while focusing on the effects of horizontal violence on nurses and what interventions could possibly be used to prevent this type of violence in the workplace. These studies were retrieved through various electronic databases in which will be discussed in the remainder of the literature review. The literature that was used were all published within the last five years with four of them being published in the United States and one from the United Kingdom. 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.

According to the data from Health Resources and Services Administration Bureau of Health Professions (2013), there were 2.8 million Registered Nurses (RNs) and 690,000 Licensed Practice Nurses (LPNs) were working in the period from 2008-2010, in the United States. The nursing workforce grew substantially in 2000s, by RNs growing by more than 24.1 percent and LPNs by more than 15.5 percent. The population of nurses are facing multiple challenges at the workplace, such as shortage in staffing, nurse turnover, increased workload, long working hours, poor relationship with co-workers, lack of support from the management, and eventually these challenges create high level of nurse burnout. It is estimated that job- related burnout measure using the Maslach Burnout inventory – Human Services Survey, 36.5 % of nurses having high level of burnout. The researchers at the Center for Health Outcomes and Policy Research at the University Of Pennsylvania School Of Nursing, estimates if nurse burnout reduces by 10 %, could prevent thousands of hospital acquired infections and reduce the health care expense (Potera, 2012).

Since starting the LPN program, I have seen some unprofessional actions presented by some of the facilities. For example, we were visiting Life Care Center South Hill a few weeks ago and arrived at 5 AM and was expected to be on the floor by 6 AM for the shift exchange and report. However, more than a handful of the nurses, including the aids were at least 15 minutes late for their shift almost every single day that we were there. Patient’s call lights were going off and been left unanswered due to the night shift had already “signed off” from their shift. On top of it, two aids argued with each other very loudly I might add, in front of everyone. I saw this as very unprofessional because regardless of the issues that we have with other coworkers, they should be taken with each other in a private manner and if it does not get resolved, then it should be taken to the next higher up position such as the nursing supervisor. Punctuality is just one of the key components in professionalism.

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. This results in

There are numerous people that view or assume that conflict is destructive. But some other individuals perceive conflict in a different insight because there can be made changes to address the problems regarding the conflict. There are positives perspectives on conflict like it provides opportunities for individuals to present contradictory yet fairly valid views that allow the understanding of their contributions to their jobs. Many Health care workers face recurrent conflicts because of the lack of communication and making assumptions. Many staff members may claim that they are no conflicts in there workfield others may argue that this is the outcome of not acknowledging conflict.The majority of conflicts uprise from

The nursing profession is no stranger to workplace violence. Violent displays of behavior can come down from those that hole managerial positions to subordinate staff through a top down hierarchy in a vertical manner. This can occur through such actions as with holding raises or promotions, unequal distribution of resources, unfair staffing assignments, among others. There is also nurse to nurse violence through interactions with peers of the same staff position. The display of lateral violence in nursing is an issue that is hurting the profession as a whole.

Vaccination against influenza is the most important intervention used by public health to prevent unnecessary hospitalization and death among high risk populations. In order to create a program one must understand the target group. Therefore, the study would be conducted on the group of people who are particularly at high risk of getting the flu or those who are less likely to receive medical care. Questions would be asked to determine their greatest needs and what can be done to improve the health of the community. To understand the needs of these individuals, a discussion will take place with community and social service staff that work directly with the high risk populations. This study would be conducted using qualitative and quantitative

Hermann, M. (2014, April 29). I am a Nurse – National Nurses Week. [video file].

Nurses who are victims of bullying might take more sick days, look for opportunities from other organizations and abandon their occupation. Absenteeism from work caused by horizontal bullying is increasing. Many nurses do not have the encouragement or the capability necessary to manage with bullying and just fail to come to work in order to avoid the experience, mainly if they are aware that they are going to be teamed up with a “bully” for that certain shift. Absenteeism increase to costs that are not necessary for the organizations and adds a burden to the remaining staff, resulting to an increase turnover and nurse disengagement. While interning at the Miami Jewish Health Systems, the report shows about 150 nurses who quit at the same time due to horizontal bullying. That situation affected the organization to the insufficient of excellent nurses available to care for patients and have an effect on those who continued working in a troubling work environment. Granstra (2015) researched that “Bullying results in increased turnover when nurses choose to leave the organization instead of remaining in a workplace where they are unhappy” (p.