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Chapter 25
Workplace Violence and Incivility
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc.
Objectives
Describe the types of horizontal violence/incivility that may occur in the workplace and its effects on productivity and morale.
Summarize interventions that can help prevent horizontal violence and incivility.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 2
Horizontal Violence/Incivility
Any unwanted abuse or hostility within the workplace (Stanley, Martin, Nemeth, Michel & Welton, 2007).
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 3
Horizontal Violence/Incivility (Cont.)
Hostile, aggressive or harmful behavior by a nurse or group of nurses toward co-workers via attitudes, actions, words and/or behaviors (Thobaben, 2007).
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 4
Consequences
Impaired intrapersonal relationships
Accidents and poor work performance
Errors
Attrition
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 5
Toxic Work Environment
Tolerance of bullying or intimidation
Lack of trust among workers
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 6
Toxic Work Environment (Cont.)
Lack of trust between workers and management
High levels of stress, frustration, and anger
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 7
Joint Commission Recommendations
Educate all team members.
Hold all team members accountable for modeling desirable behaviors.
Develop and implement policies and procedures.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 8
Joint Commission Recommendations (Cont.)
Develop an organizational process for addressing intimidating and disruptive behaviors.
Provide skills-based training and coaching.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 9
Solutions to Incivility
Nurses and nurse leaders, managers, and supervisors adopt and model professional ethical behavior
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 10
Solutions to Incivility (Cont.)
Recognize and appropriately address bullying and disruptive behavior in the workplace through enhanced conflict management and conflict resolution
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 11
Solutions to Incivility (Cont.)
Reflect on your own behavior and communicate respectfully with each other
Participate in collaborative interdisciplinary initiatives to prevent abuse
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 12
Discussion
Think about your behavior in the workplace. Have you ever acted in a way that might be described as lateral aggression or horizontal violence?
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 13
Discussion (Cont.)
How might you guard against such behaviors?
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 14
Discussion (Cont.)
Do you think you could confront a co-worker participating in an act of lateral aggression?
What would you say?
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 15
References
Center for American Nurses (2008). Policy statement on lateral violence and bullying in the workplace. Author. Approved February 2008. Retrieved February 15, 2013, from http://www.mc.vanderbilt.edu/root/pdfs/nursing/center_lateral_violence_and_bullying_position_statement_from_center_for_american_nurses.pdf.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 16
References (Cont.)
Stanley, K.M, Martin, M.M., Nemeth, L.S., Michel, Y., & Welton, J.M. (2007). Examining lateral violence in the nursing workforce. Issues in Mental Health Nursing, 28(11), 1247-1265.
The Joint Commission. (July 9, 2008). Behaviors that undermine a culture of safety. Sentinel Event Alert, 40. Retrieved October 28, 2009, from http://www.jointcommission.org/sentinel_event_alert_issue_40_behaviors_that_undermine_a_culture_of_safety/.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 17
References
Thobaben, M. (2007). Horizontal workplace violence. Home Health Care Management and Practice, 20(1), 82-83.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. 18