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Workplace Violence in Long-Term Care. V. Baker RN-BC, CDONA. Horizontal Violence. What is horizontal violence? Why is it happening to me? What can I do about it? What should I expect? . What is Horizontal Violence?. It can be: Verbal, physical, mental, emotional Obvious or hidden - PowerPoint PPT Presentation
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Workplace Violence in Long-Term Care
V. Baker RN-BC, CDONA
What is horizontal violence? Why is it happening to me? What can I do about it? What should I expect?
Horizontal Violence
It can be:◦Verbal, physical, mental, emotional◦Obvious or hidden
It is a Behavior that is:◦ insulting, frightening & worrisome◦Unprofessional & unacceptable
What is Horizontal Violence?
Verbal◦ Gossip, nasty remarks, rude responses, criticism
Physical◦ Refusing to help, isolating, making faces
Mental◦ Not sharing information, disrupting work
Emotional◦ Complaining about to others, sharing secrets
A Horizontal Violence Experience
Have I ever had this happen to me? Have I ever seen this happen? Have I ever been the one doing it?
Think about it
Have I ever?
Giver Receiver
Openly criticized another
Kept someone out of ‘my’ group
Run the rumor mill Blamed others Complained about a
co-worker instead of talking out the problem
Taken trouble home Had trouble sleeping Felt depressed
because of work relations
Thought about quitting
Questioned “who am I?”
Horizontal Violence Happens
When people ◦Feel bad about themselves◦Don’t know how to cope◦Don’t know how to communicate◦Are unhappy with their lives◦Have control issues◦Choose to act mean
Understand you have a CHOICE◦Choice to be mean or nice◦Choice to accept or address the issue◦Choice to let it make you better or bitter
Follow the “Golden Rule”◦Do unto others as you would have done to
you
Respect yourself and don’t let others bring you down
What can be done?
How do I do that? Know what Horizontal Violence looks like
Practice looking at myself Identify it when it happens Call it what it is Learn how to deal with it Stand up for each other Seek help or report it if needed
Not what you say but HOW you say it Take ownership STOP! Let’s talk calmly in private Refocus on the patient “I feel…..” Be respectful
2 wrongs don’t make a right
Communication
Remember Kindergarten◦Share◦Play fair◦Wash your hands◦Say your sorry if you hurt someone◦When you go out in the world, watch out for traffic, hold hands and stick together.
Back to basics
Nice Matters
Horizontal Violence
StressSatisfaction
TurnoverCare
Horizontal Violence has NO place in LTC◦Increases stress, burnout & risk for errors
◦Decreases Quality of Care, teamwork & happiness
Horizontal Violence has consequences◦It will be investigated, addressed & disciplined
No Tolerance
Review Been there Done that Look in the mirror Make the right choice Practice what I’ve learned Help others Expect support
Chapman,R., Perry, L., Styles,I., Combs,S., (2009). Consequences of Workplace Violence. British Journal of Nursing. Vol.18 (20), pp. 1256-1261
Danish,V., Malvey,D., Fottler,M., (2008) Hidden Workplace Violence: What your nurses may not be telling you. The Healthcare Manager. Vol.24 (4), pp. 357-363
Fulgum, R. (1988) All I really need to know I learned in Kindergarten. Random House Publishing Inc. New York
Healy, G. (2010) Creating a Culture of Civility takes a Team. Journal of Perioperative Registered Nurses. Vol 93 (1), pp. 106-114
Longo, J. & Sherman, R. (2007) Leveling Horizontal Violence. Nursing Management. Spring, pp. 34-51
References