Transcript LATERAL VIOLENCE

DEFINATION
• LATERAL VIOLENCE IS ANY VERBAL OR PHYSICAL ABUSE
BEHAVIOR IN THE WORKPLACE BY ONE EMPLOYEE TO
ANOTHER WHO IS IN EITHER AN EQUAL OR LESSER
POSITION (WOELFLE & MCCAFFERY, 2007)
• RESULTS IN INJURING THE DIGNITY OF ANOTHER
• REDUCES ONE’S CONFIDENCE AND SELF ESTEEM
LATERAL VIOLENCE * AKA*
• HORIZONTAL VIOLENCE
• WORKPLACE INCIVILITY
• BULLYING
• WORKPLACE AGGRESSION
• NURSES EATING THEIR YOUNG
MANIFESTATION
 TALKING BEHIND ONE’S BACK
 DISCOURAGEMENT; HUMILIATION
 BLOCKING CHANCE FOR PROMOTION
 BELITTLING OR CRITICIZING A COLLEAGUE IN FRONT OF OTHERS
MANIFESTATION
 ISOLATING OR FREEZING A COLLEAGUE OUT OF GROUP ACTIVITIES; EXCLUSION
 SABOTAGE; WITHHOLDING PERTINENT INFORMATION
 IN-FIGHTING
 FAILURE TO RESPECT CONFIDENCES AND PRIVACY
 EYEBROW RAISING, SNIDE REMARKS, TURNING AWAY, MAKING FACES
WHY ADDRESS THIS AN ISSUE
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LATERAL VIOLENCE VIOLATES THE CODE OF ETHICS FOR NURSES WITH INTERPRETIVE STATEMENTS (ANA, 2001)
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HTTP://WWW.NURSINGWORLD.ORG/CODEOFETHICS
BARRIERS IMPEDE KNOWLEDGE & SKILL ACQUISITION
TO IMPROVE PROFESSIONAL PRACTICE LIFE
TO
STRESS FOR NEW TO PRACTICE NURSES
TO IMPROVE CONFLICT RESOLUTION SKILLS
TO
ATTRITION
TO STOP NEW GENERATIONS OF NURSES FROM BEING SOCIALIZED INTO NEGATIVE PRACTICES
THE JOINT COMMISSION MANDATES CHANGE FOR PATIENT SAFETY IN SENTINEL ALERT 40
• It’s all about
the Patient
WHO DOES IT IMPACT
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LATERAL VIOLENCE NEGATIVELY IMPACT BOTH THE WORK ENVIRONMENT AND THE NURSE’S ABILITY TO
DELIVER OPTIMAL PATIENT CARE.
40% OF CLINICIANS “KEPT QUIET” OR “IGNORED” AN IMPROPER MEDICATION DUE TO AN INTIMIDATING
COLLEAGUE (INSTITUTE FOR SAFE MEDICATION PRACTICES, 2004).
LOW STAFF MORALE, INCREASED ABSENTEEISM, ATTRITION OF STAFF, DETERIORATION IN THE QUALITY OF
PATIENT CARE.
NURSES LEAVE THE PROFESSION DUE TO LATERAL VIOLENCE AND BULLYING CONTRIBUTING TO THE
NURSING SHORTAGE.
A STUDY OF STUDENT NURSES REPORTED THAT 53% HAD BEEN PUT DOWN BY A STAFF NURSE (LONGO, 2007).
56.9% REPORTED HAVING BEEN THREATENED OR EXPERIENCED VERBAL ABUSE AT WORK (ANA, 2001).
LATERAL VIOLENCE AND THEORY OF NURSE
AS A WOUNDED HEALER
AFTER EXPERIENCING A TRAUMATIC EVENT, AN INDIVIDUAL’S COPING STRATEGIES
ARE EITHER EFFECTIVE OR INEFFECTIVE. WHEN AN INDIVIDUAL’S COPING IS
INEFFECTIVE, THE IMPACT OF THE TRAUMA IS UNRECOGNIZED AND THE PAIN
REMAINS UNRESOLVED. THESE INDIVIDUALS THEN FUNCTION AS A ‘WALKING
WOUNDED,’ AND EXPERIENCE PROBLEMS IN THEIR SOCIAL, INTIMATE, AND WORK
RELATIONSHIPS. IN DENYING THEIR OWN CONFLICTS AND VULNERABILITIES, THESE
INDIVIDUALS PROJECT THEIR ANGER ON BOTH PATIENTS AND COLLEAGUES WHILE
CONSIDERING THEMSELVES UNHARMED, YET BEING LESS ABLE TO EMPATHIZE
WITH OTHERS
JOINT COMMISSION RECOMMENDATION
• FAMILIARIZE STUDENTS WITH THE JOINT COMMISSION EXPECTATION: SENTINEL
EVENT ALERT 40: BEHAVIORS THAT UNDERMINE A CULTURE OF SAFETY
SENTINEL EVENT | JOINT COMMISSION
• IN 2006, THE JOINT COMMISSION ESTABLISHED STANDARDS FOR HEALTHCARE
PROVIDERS THAT INCLUDE A STANDARD OF LEADERSHIP FOR ALL. UNDER THIS
LEADERSHIP STANDARD, AGENCIES ARE MANDATED TO RECOGNIZE AND CORRECT
BEHAVIORS THAT ARE INAPPROPRIATE AND DISRUPTIVE WITHIN THE WORKPLACE.
THIS STANDARD CALLS TO ACTION ALL IN LEADERSHIP POSITIONS (JOINT
COMMISSION RESOURCES, 2006).
TIPS ON PREVENTING LATERAL VIOLENCE (ROWELL, 2010)
• ZERO TOLERANCE TOWARD VIOLENT OF ABUSIVE BEHAVIOR
• PROTECTION FROM RETRIBUTION IF REPORTED
• UTILIZE EMPLOYEE ASSISTANCE PROGRAMS
• INTERRUPT THE VIOLENCE: ASSESS THE NURSING UNIT AND RAISE AWARENESS
• ENCOURAGE OPEN DIALOGUE
• CREATE UNIT SPECIFIC GUIDELINES
REFERENCES
AMERICAN NURSES ASSOCIATION. (2001). HEALTH AND SAFETY SURVEY
CHRISTIE, W., JONES, S., (DECEMBER 9, 2013) "LATERAL VIOLENCE IN NURSING AND THE
THEORY OF THE NURSE AS WOUNDED HEALER" OJIN: THE ONLINE JOURNAL OF
ISSUES IN NURSING VOL. 19 NO. DOI:10.3912/OJIN.VOL19NO01PPT01
COURSEY, J., RODRIGUEZ, R., DIECKMANN, L., & AUSTIN, P. (2013). SUCCESSFUL
IMPLEMENTATION OF POLICIES ADDRESSING LATERAL VIOLENCE. AORN JOURNAL,
97(1), 101-109
DITMER, D. (2010). A SAFE ENVIROMENT FOR NURSES AND PATIENTS: HALTING HORIZONTAL
VIOLENCE, 1(3), 9-14
GRIFFIN, M. (2004). TEACHING COGNITIVE REHEARSAL AS A SHIELD FOR LATERAL
VIOLENCE: AN INTERVENTION FOR NEWLY LICENSED NURSES. THE JOURNAL OF
CONTINUING EDUCATION IN NURSING, 35(6), 257-263.
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REFERENCES
JOINT COMMISSION RESOURCES. (2006). CIVILITY IN THE HEALTH CARE WORKPLACE:
STRATEGIES FOR ELIMINATING DISRUPTIVE BEHAVIOR. JOINT COMMISSION
PERSPECITVE OF PATIENT SAFETY, 6(1), 1-8.
LONGO, J. (2007). HORIZONTAL VIOLENCE AMONG NURSING STUDENTS. ARCHIVES OF
PSYCHIATRIC NURSING, 21(3), 177-178
WOELFLE, C. & MCCAFFREY, R. (2007). NURSE ON NURSE. NURSING FORUM, 42(3), 123-31.
YOUNG, S. (2011). DOES NURSING SCHOOL FACILITATE LATERAL AND HORIZONTAL
VIOLENCE?. TENNESSEE NURSE, 74(3), 1