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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
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It also includes…
Sabotage—setting
someone else up to fail
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Related Terminology• Horizontal Violence• Disruptive Behavior• Incivility• Horizontal Hostility• Lateral Violence
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Horizontal HostilityScientific definition:
A form of power as domination between and among women or minority groups
OR……Nurses eating their young.
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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
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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.
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Oppression Theory
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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
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Benchmarking…cont
Sadly…45% of respondents rated their facilities responses to the issue as “fair”
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Conclusion• Topic discussed for over 20 years• Identified as an issue• Organizations are ‘trying’ to remedy• How do WE choose to address?
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