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. Workplace violence is defined as “any act or threat of physical violence, harassment, intimidation, or other threatening behavior that …show more content…
The most closely relatable theoretical framework to customer client is the Nursing Process Discipline Theory. Many studies have shown that the implementation of Orlando’s theory can lead to improvement of nurse-client relationships while decreasing distress. The Nursing Process Discipline Theory developed by Ida Jean Orlando seeks to understand the role of the nurse in addressing the patient’s needs for help. It is crucial for the nurse to utilize their perception, thoughts, and feelings to explore the meaning of the patient’s behavior. This process allows the nurse to identify the source of distress and to attempt to provide the help needed. The concepts of this theory include function of professional nursing, presenting behavior of the patient, immediate reaction, nursing process discipline as well as improvement (Petiprin, 2016). One of the roles of a nurse is to meet the immediate needs of the patient. Patients typically present to a facility with a requirement that should be identified and met by the nurse. The nurse should be able to identify the problematic situation from the patient to be able to address the need for help. The patient develops their perception of events and circumstances based on their automatic feelings and thoughts which causes the patient to have an immediate response. Observing the response and actions of the patient can assist the nurse in …show more content…
When looking at the function of professional nursing, the attitude, experiences, as well as factors such as demographics, social class, education, and values, can determine how the nurse will view violence in the workplace. These factors that have contributed to the development of the professional nurse can also determine how the nurse views and even reacts to workplace violence and aggression towards them. The qualities of the professional nurse and their background can determine how the human behavior from the patient is viewed and can lead to de-escalation or escalation of violent situations. The behavior of the patient can include cooperation, calmness, anxiety, aggression, or anger. Behaviors of aggression, anger, frustration, and acts of intimidation when patients are experiencing an illness can exacerbate stressful situations which can turn violent. Nurses are typically a target in these situations because they are consistently in contact with the patient throughout their shift. When nurses interact with patients, their actions and reactions to certain circumstances can, most of the time, determine the next interaction with the patient. The behavior of the nurse and the patient are essential at this step, as negativity from one person can cause negative behavior as a response from the next person. Nurses cannot control the actions and behaviors of others; however, they can
A nurse is also a detective. Nurses must be able investigate any situation. Nurses should have situational awareness. Situational Awareness is the ability to identify, process, and comprehend the critical elements of information. That is why monitoring an observing each patient is important so that the nurse can make an effective clinical decision.
The ANA Scope defines a healthy environment as safe, satisfying, and empowering (ANA, 2015). There are factors that can create changes in the workplace that may result as a barrier that prevent the best patient care and health of the nurse. A shortage of nurses can be one of the factors that impedes a healthy environment. Nursing shortages have been linked to increased mortality, staff violence, accidents or injuries, cross infection, and adverse post-op events (McNeil & Sharpe & Benbow, 2012). Staff violence would definitely affect the environment because this would cause a disruption because of the lack of respect in the teamwork that the nurses are supposed to participate in to provide quality
Violence against nursing staff and peer-to-peer assault is a significant problem on adult inpatient psychiatric units (Delaney & Johnson, 2006). OSHA (2015) reports less than two employees per 10,000 in private industry suffered injuries related to workplace violence compared to 7.8 cases per 10,000 employees in hospitals. The negative result of staff injury is the “hidden costs” of low “productivity, morale and employee retention” (OSHA, 2013, p. 4). The current practice model on psychiatric units is an emphasis on maintaining a therapeutic milieu and the use of de-escalation techniques as needed to address agitated, aggressive and assaultive behaviors (Delaney & Johnson, 2006).
"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. "
Introduction 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. Design
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
Present conclusions supported by data, evidence, and information discussed throughout the paper. Do not add new information. Be sure to proofread your entire paper for errors. In summary, horizontal violence poses a significant challenge and threat to the nursing profession, warranting increased focus and attention.
An article conducted on nurses showed that workplaces that consist of incivility in healthcare result in lack of satisfaction, high turnover rates, and adverse patient outcomes (Berry, 2016). The purpose of this article is to address and research the importance of nurse incivility, such as bullying in the workplace and its impact on its turnover rates. Also, this article will further address the strategies and solutions to decrease the high turnover rates in the healthcare setting. Research suggests that as new nurses begin their socialization into the profession that they are encouraged to accept incivility as a professional norm. In one study, results showed that workplace bullying behaviors (WPB) range from 27.3% to 31% for twice-weekly incidents for nurses and 21.3% for daily WPB for novice nurses (Berry, 2012).
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.
Horizontal Violence in Nursing Nursing is a rewarding and growing profession. Yearly, there are about 155,000 new graduate nurses (Changes in, N.D.). Despite this, many organizations are still under the stress of understaffing. This can be due to a concept best known as horizontal violence in nursing.
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
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Incivility 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.
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 essay will give a clear overview of the concept and theories of structural violence and how the idea can be used to encourage more attention on the fundamental cause of poverty and disease. It will as well look at how structural violence has an impact on illness and health. Furthermore, how clinician can lessen the effect of structural violence. The term violence conveys an image of physical or emotional assault on a person.