workplace violance
TRANSCRIPT
Workplace Violence: Open your eyes and you’ll see it,
Open your ears and you’ll hear it!
Bev Holland, MSN, RN, NEA-BC
05/01/2023 Nursing Leadership 2
Objectives: • Introduction of Workplace Violence:
– Horizontal Hostility– Review definitions and examples– Discuss Horizontal Hostility and Lateral
Violence– Discuss impact to Nursing discipline
05/01/2023 Nursing Leadership 3
Workplace violence includes…• Beatings• Stabbings• Suicides• Shootings• Rapes• Near-suicides• Psychological traumas
• Threats or obscene phone calls
• Intimidation• Harassment of any
nature• Being followed, sworn or
shouted at
05/01/2023 Nursing Leadership 4
It also includes…
Sabotage—setting
someone else up to fail
05/01/2023 Nursing Leadership 5
Related Terminology• Horizontal Violence• Disruptive Behavior• Incivility• Horizontal Hostility• Lateral Violence
05/01/2023 Nursing Leadership 6
Horizontal HostilityScientific definition:
A form of power as domination between and among women or minority groups
OR……Nurses eating their young.
05/01/2023 Nursing Leadership 7
Horizontal Hostility = Lateral ViolenceDefinition:
A consistent pattern of behavior designed to control, diminish, ordevalue a peer (or group) that creates a
riskto health and/or safety.
-Gerald Farrell, RN, PhD 2005
05/01/2023 Nursing Leadership 8
Why Does This Happen in the Workplace?
• Isolated from the public• High stress environment• Limited autonomy in practice• High-paced environment• Lack of experienced staff• Cliques or closely bonded groups• Hierarchical climate• Gender imbalance• Attitudes to training• Non acceptance of difference
05/01/2023 Nursing Leadership 9
Profession of Nursing• A nurse is constantly caring.• A nurse rejects her own needs and works
long hours for little reward.• A nurse never complains.• A nurse is always subordinate and
speaks only when spoken to.
05/01/2023 Nursing Leadership 10
Oppression Theory
05/01/2023 Nursing Leadership 11
05/01/2023 Nursing Leadership 12
Risks of Horizontal Hostility
Patient
Safety
Individual
OrganizationFinancia
l
05/01/2023 Nursing Leadership 13
ANA Position Statement• Zero Tolerance• Defines bullying• Incivility can include rude or discourteous
actions, gossiping and spreading rumors, and refusing to help a coworker.
05/01/2023 Nursing Leadership 14
Benchmarking report: A closer look at nurse to nurse hostility
• National survey to 159 nursing professionals
• Responses:– 97% admitted to witnessing hostility– 89% identified that it is a serious issue– 44% responded that their organization is
addressing the problem by providing education
• 30% have adopted a zero tolerance policy• 31% created a system for reporting
05/01/2023 Nursing Leadership 15
Benchmarking…cont
Sadly…45% of respondents rated their facilities responses to the issue as “fair”
05/01/2023 Nursing Leadership 16
Conclusion• Topic discussed for over 20 years• Identified as an issue• Organizations are ‘trying’ to remedy• How do WE choose to address?