“While working at a hospital as a Registered nurse, I was being bullied every day at work I became withdrawn, severely depressed, I would break down and cry every day after work.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.
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
Mandatory overtime is a topic most nurses are familiar with. Due to nurse shortages, nurses are often expected to work extra hours in addition to their regular hours. By mandating nurses to work extra hours, it prevents a unit from having to work understaffed and patients will have needs meet. The ill effect of mandating nurses to work overtime greatly outweighs the benefits. Consequently, when mandating extra hours, nurses may feel fatigued and stressed, resulting in unintentional harm to patients.
I regard nurses as a different or high breed of professionals advocating for patients daily and playing a crucial role to deliver the optimum patient care. Nurses are typically known “called to serve” and unlikely to put their interest s behind those of their patients. However, it is very important for nurses to have a voice collectively to represent them via labor union. Some of the reasons of unionization include better wages and benefits, better working conditions, and job security. More often, the desire to unionize can typically be attributed to workers’ perceptions of management as unfair and when they feel that they are not valued or respected by their employer, and other reasons that cannot be measured by dollars (McConnell, 2011,
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways. This issue is not only affecting the hospital, but also the patients. In the article “When Hospital Paperwork Crowds Out Hospital Care” by Theresa Brown argues that nurses have too much paperwork to fill out about their patients. Having too many paperwork takes away from the nurses getting involved with their patients. In my opinion, neither of the arguments are valid because they lacks supporting details .Even though Robbins and Brown are passion about their topic, they both did a great job using pathos
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety. Throughout this paper, I will explore both the pros and cons of mandated nurse-to-patient ratios in order to resolve the question, does nurse to
The AACN Baccalaureate has nine essentials, essential number two “Basic organizational and systems leadership for quality care and patient safety” applies to baby boomer nurses retiring and leaving a big gap in the workforce. With baby boomers leaving the workforce, there will be a demand for nurses and the supply of nurses available will be short, young, and inexperienced. This will affect the quality of care and safety of the patient, which is why this issue needs more attention. Working towards preventing this issue needs to start now as nurses can’t wait till it happens. In essential number two it says “Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care” (AACN, 2008, p.3). Baby boomer nurses will leave important positions like the nurse manager role to be filled by young nurses. These young nurses will lack the knowledge and skills in leadership that a baby boomer nurse has from years of experience. There might be the case where the staff unit is made up of all new grads, how will the young nurse be able to manage the unit? The
The prevention of patient-to-patient assault in an inpatient psychiatric unit is essential for the safety of patients and staff (Perez, 2014). The aim of this quantitative pilot study is to decrease patient-on-patient assaults which, in the long run, may improve patient safety during hospitalization (Staggs, 2015). This chapter discusses the study design and population plan and describes procedures for implementing the project, data collection, data analysis, the institutional review board (IRB) process, and challenges that may occur with initiating the quality improvement project.
Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Mandatory overtime is an issue faced by many nurses across the nation. It is seen as a solution to the nursing shortage crisis; however, it is not a sustainable solution as it has led to an increase in medical errors, increased patient mortality, decreased job satisfaction, nurse fatigue, and deficits in nurse’s work performance. Several states have enacted or are considering laws to prohibit this problem. According to Rubenfire, “This is something that's been going on in hospitals for a very long time,” Ruben noted. “But it is not as focused on as much in the past.”
There are different types of violence that an individual may encounter at some point in their lives due to conflicting values, experiences and knowledge. In a clinical health care setting, newly registered nurses may encounter horizontal violence, while nursing students may experience vertical violence. The term horizontal is used to illustrate violence between two individuals who are either of the same or unequal status, while the term vertical is used specifically to nursing students (Thomas & Burk, 2009). In my opinion, many nursing students, such as myself, we are unaware of these terms because they are not frequently addressed. However, it is certain that it happened, and it will continue to occur if there is no appropriate action is taken to prevent this violence. Everyone deserves to be treated equally with respect regardless of what their status or level in the society.
Globally, it has been documented that all nurses and other direct care health professionals are at substantial risk for violence exposure initiated by patient, families, visitors, health care provider and workplace colleagues (Edward, 2014) . It is estimated by the Occupational Safety and Health Administration (OSHA) 2015 that cases of workplace violence in health sector were four times more than other industries between 2002 and 2013. Violence and aggression incorporate several types of behaviors such as physical (hitting and pushing), verbal abuse (swearing and insulting language), threatening behaviors ( destroying property and throwing objectives) sexual and racial harassment and psychological stress (The Canadian Center of
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective. Improvement of nurse staffing levels will improve the quality of care our patients receive.
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
Workplace violence is when a worker faces a threat of violence. It is something that is a very serious topic and can happen anywhere at any time. Workplace violence can consist of verbal abuse, physical assault, intimidation, sexual harassment, theft, and many others. Workplace violence can occur in almost all areas of various occupations, whether it is by coworkers, managers, or customers. There is one particular group of individuals who face workplace violence more frequently than others do, and those are our healthcare providers. Unfortunately, healthcare associates can experience abuse from patients, as well as, their family members. There are times the provider can encounter unpredictable and challenging circumstances when caring for