Lateral Violence in Nursing Bridgett Byrd Central Texas College 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.
If conflicts can be successfully managed, student nurses may develop higher levels of motivation and productivity. On the contrary, if conflicts cannot be handled effectively and constructively student nurses may suffer from high stress and burnout, problems appear in interpersonal relations, a decrease in academic performance, and increasing rates of absenteeism (Kantek & Kartal, 2015; Pines et al., 2014). How conflict appears toward student nurses Conflicts can occur between students and faculty management, between students and managers, and between faculty management and instructors, it can also occur between students and instructors (Kantek & Gezer, 2009). The student nurses were mostly influenced and experience interpersonal conflicts with supervisors, colleagues and patients during clinical placement ( Arieli, 2013). For the conflicts between student nurses and patients, the student nurses may face some shocking situations like patients’ suffering and death in the clinical setting.
Burnout syndrome has an adverse effect on the organization, the nurse, and the patient. The question to be answered by this review of research is, In emergency care nursing, are the rates of burnout and fatigue higher than those of other types of nursing? Discussion The Maslach Burnout Inventory
Patients’ lives are at risk and they could be out friends, family or ourselves. Are there important patient concerns? Their safety and the quality of care they receive in the poorly staffed emergency care environment. Staff concerns? Nurses risk their licenses daily when they practice in an environment with unsafe patient to nurse ratios.
Consequently, some of the healthcare workers have PTSD as a result of what they have experienced (Kerasiotis, 2004). Nurse aides who have PTSD and have to work with patients with dementia are more likely to develop higher levels of stress and rates of emotional exhaustion, which leads to burnout. The organizational context is also a determinant in nurses developing quicker burnout in nursing homes. Burnout can expand when organizational resources and support systems are absent within the institution (Chamberlain, 2017). It is imperative for organizations to tackle burnout because it can affect the employee
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.
A culture of bullying where nurses work are likely to experience other negative work related effects such as low job satisfaction, decreased productivity, and lower morale. With this, it may result in different counsequences that threatens nurse’s ability to provide high quality care (Lowenstein, 2013; Broome and Williams-Evans, 2011). Bullying has been defined as: Repeated inappropriate behavior, direct or indirect, whether verbal, physical or otherwise,
Thank you for your post. Working as a registered nurse can be exhausting and challenging, leading to frustration and unhappiness which can equate to burnout. The cause of burnout can occur in response to disruptive patients, beleaguered by direct and continuous contact with clients, mounting desk work, excessive workload, and shift work (Kar & Suar, 2014). Therefore, nurse burnout has been demonstrated by studies to have adverse consequences regarding patient care and safety. Burnout can affect the overall organization by increased turnover, decreasing the productivity of employees regarding increased absenteeism, and reduced quality of service (Nantsupawat, Nantsupawat, Kunaviktikul, Turale, & Poghosyan 2016).
Referencing to Jones, Hamilton, Murry (2015), lack of prioritization can lead to unfinished nursing care, and missed care. “Prioritization strategies of nurses leave patients vulnerable to unmet educational, emotional, and psychological needs” (Jones, 2016). This paper summarizes and reflects on how the lack of prioritization leads to unfinished care and how that is associated with negative nurse, patient, and organizational outcomes (Jones, 2015). Prioritization is highly involved in the clinical setting, prevalence of unfinished care due to lack of prioritization is high among nursing staff, and the staffing and work environments are a stronger influence on unfinished care (Jones, 2015). Work prioritization in the clinical setting has a
The unfriendly workplace was evident by nurses reporting issues of sexual harassment, verbal or physical abuse from coworkers, managers or physicians in the workplace and of the consistent lack of support from other nurses (MacKusick and Minick 2010). Victims of bullying may suffer physical, emotional, and psychological distress. Bennett and Sawarzky (2013) found increased reports of psychosomatic complaints, such as headaches, gastrointestinal disorders, sleep disturbances, eating disorders, and fatigue, among persons who experienced bullying. They also found psychological manifestations (e.g., depression, anxiety, feelings of isolation) and ineffective coping skills occurred and could lead to impaired social skills. In a separate cross-sectional descriptive study of 309 nurses, of 82% (n=253) who reported experiencing bullying in the workplace, 40% (n=124) suffered depression symptoms (Ekici & Beder,