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Horizontal and Vertical Violence and Incivility
Transcript of Horizontal and Vertical Violence and Incivility
Vertical Violence: violence between a person of authority and those in lower rank (doctor-to-nurse, nurse-to-CNA) Horizontal Violence -Impaired quality of Nursing Care
-Nursing Staff Turnover
-Lower a nurse’s confidence
-Lack of Teamwork
-Hinders full potential as professionals.
-May cause nurses to leave the profession
-Toxic work environments
-Affects staff and patients
-Witnessing bullying can also impair one’s ability to perform tasks. -More accidents and mistakes
-Higher resignation rates
-Altered communication within the medical team
-The ostracized become less confident -Improving with advancement of rights
-Teach about incorporation of teamwork
-Encourage more positive relationships
-Focus on conflict management
-Incorporate nursing values Overt History References Bartholomew, K. (2006). Lateral violence in nursing: Breaking the spell. Retrieved from http://www.nursetogether.com/Career/Career-Article/itemid/2621.aspx
Gerardi, D., Connell, M.K. (2007). The emerging culture of health care: from horizontal violence to true collaboration. Nebraska Nurse, 40(3), 16-18.
Jahner, J. (2011). Building Bridges: An Inquiry into Horizontal Hostility in Nursing Culture and the use of Contemplative Practices to Facilitate Cultural Change. Retrieved from http://www.upaya.org/uploads/pdfs/Jahnersthesis.pdf.
Nurse, N. (2011). Nurses eat their young: resources for lateral violence. Retrieved from http://thenerdynurse.com/2011/04/nurses-eat-their-young-resources-for-lateral-violence.html
Thomas, S.P., & Burk, R. (2009). Junior nursing students’ experiences of vertical violence during clinical rotations. Nursing Outlook, 57, 226-231.
Workplace Violence in Healthcare Settings | CEU for Nurses | NursingCEU.com | Wild Iris Medical Education. (n.d.). Nursing Continuing Education | CEU for Nurses | NursingCEU.com | Wild Iris Medical Education. Retrieved from http://www.nursingceu.com/courses/356/index_nceu.html
Young, S. (2011). Does Nursing School Facilitate Horizontal and Vertical Violence? Tennessee Nurse, pp. 1-4. -Both of these kinds of behavior are found early on in life.
-This violence has long been in the profession and is sometimes thought to be expected for new nurses. ? Do you think this could be because nursing is primarily females? Covert Behavior that is out in the open.
ex: Name calling, bickering, fault finding, criticism, intimidation, gossip, shouting, blaming, put-downs, raised eye brows Behavior that is hidden or secretive.
ex: Unfair assignments, refusing to help someone, ignoring, making faces behind someone’s back, refusing to only work with certain people – or not work with others, sabotage, exclusion, fabrication ? Would you consider this bullying?
Have you experienced this in clinicals?
What would you do if in this situation? This is an issue that is often laughed off in the nursing profession. Also called: Bullying, Horizontal Violence, Lateral Violence, Hostile Work Environment, Harassment, Nurse to Nurse Violence, Horizontal Hostility, Lack of civility According to issues in Mental Health Nursing, Estimates of lateral violence in the nursing workplace range from 46-100%.
Another study showed that one third of the nurses interviewed experienced emotional abuse during their last five shifts. “If you want to take power away from anything, call it by its name.”
Point it out when you see it. Call out nurses who are bullies.
Build the workplace on respect and support
Create an Oath?
Simply speak up -Recent recognition
-Found in many forms
-Cliques are often involved
-Can be due to gender discrimination
-Long standing inequality in the workplace
-Not always very obvious ? Have you seen examples of this? Examples
-Behavior that is intimidating, threatening, or humiliating
-Verbal abuse ? Do you think this issue will ever be erradicated? If yes, how? 1 in 5 new nurses quit because of perceived violence Create an environment where this behavior is known to be unacceptable
Team building between the professions http://thenerdynurse.com/wp-content/uploads/2011/04/Sketch-2010-10-06-04_20_43.png http://www.tnaonline.org/images/stop-wkplace-violence-logo.jpg http://mediacrushllc.com/2012/internet-statistics-2012/ http://stop-b-uon.blogspot.com/2012/01/good-news.html http://www.cnpp.usda.gov/calculatorintro.htm http://www.123rf.com/photo_8579965_crying-unhappy-upset-medical-nurse--doctor-sad-and-depressed-having-stress-breakdown-isolated-female.html http://www.istockphoto.com/stock-photo-17287086-doctor-yelling-into-megaphone-and-pointing-at-someone.php http://www.motionecho.com/2009/07/crazy-fun-video/happy-medical-team-of-doctors-together/ http://yaymicro.com/stock-image/happy-young-nurse-with-an-old-patient/1476779