Lateral violence in nursing

• 1. Tanisha Cartledge RN,BSNKaplan UniversityApril 10, 2012

2. The purpose of this unit is to learn about lateralviolence; costs, contributing factors, effects, andinterventions. 3. By the end of this unit, you should be able to:Describe the term lateral violence nursing.Discuss the contributing factors of lateral violence in nursing. Evaluate the costs of lateral violence. Describe the effects of lateral violence on nurses. Discuss effective interventions to reduce lateral violence. 4. Blooms Taxonomy CategoryObjectiveCreating Develop a 1-3 minute video presentation on any form of lateral violence.Evaluating Evaluate the costs of lateral violence.AnalyzingDifferentiate the various forms of lateral violence.Applying Demonstrate a preventative intervention to reduce lateral violence.UnderstandingDiscuss the effects that lateral violence have on the profession of nursing.RememberingDefine lateral violence terminology. 5. Lateral Violence in nurse-on-nurse aggressionGriffin (2004) describes lateral violence asnurses who covertly or overtly directing theirdissatisfaction inward toward each other,toward themselves, and toward those lesspowerful then themselves. 6. Horizontal ViolenceBullyingAggressionNurses Eating Their Young 7. Development of oppressed group behaviorConflicting work values and leadership styles(Hallberg, 2007) 8. Martin et al. 2008Adapted from Demarco & Roberts, 2003 9. Covert (Not OpenlyAcknowledged)Overt (Done Openly)Name CallingUnfair assignmentsBickering Refusing to help someoneFault Finding IgnoringCriticism Making faces behind someonesIntimidationbackGossipRefusing to only work with certainShoutingpeople or not work with othersBlaming WhiningPut Downs SabotageRaised Eye Browns ExclusionFabricationFailure to Respect PrivacyBroken Confidences( Bartholomew, 2012) 10. 1 st Example of Lateral Violence 11. 2nd Example of LateralViolence 12. Gender Generational Differences Enabling behaviors Complacency Fear of Retaliation(Stanley, 2010) 13. Recruiting, hiring, and orienting a single medical/surgical nurse => $92,000 Replacing a specialty nurse =>$145,000 Patient safety issues Costly medical errors and harmful patient outcomes Significant increase in the costs of delivering patient care Revolving door orientation Continuation of nursing shortage Morale Issues Loss or productivity(Pendry, 2007); (Rosenstein & ODaniel, 2008); (The Joint Commission, 2008) 14. PatientsFamiliesAdministrationPhysiciansDepartment ManagersNursing StaffAncillary Staff 15. Griffin (2005) one in three nurses will leave aposition because of lateral violence.Bartholomew (2006) 60% of recently graduatednurses leave their first position within sixmonths partly as a result of lateral violence andbullying. 16. Psychological affects Physical affects Sleep disordersFatigue Low morale Headaches Apathy Weight loss Feelings of disconnectedness Angina Irritability PTSD BurnoutHypertension Impaired interpersonal Eating disorders relationships Intention or unintentional works absences, resignations(Hastile, 2002) 17. Scenario planning Extend orientation Develop policies and procedures to address negative behaviors Consistently hold everyone accountable for their behavior by setting consequences (Zero tolerance policy) Provide staff training in conflict management and confrontation skills(Rowell, 2007), (Stanley, 2010) 18. Create a 1-3minute skit on lateral violence andupload it on blackboardPlease complete evaluation at this link: http://www.surveymonkey.com/s/L8YHGGR 19. Bartholomew, K. (2006). Ending nurse-to-nurse hostility. Marblehead, MA: HCPRO, Inc..Bartholomew, K. (2012). Lateral violence in nursing: breaking the spell. Retrieved fromhttp://www.nursetogether.com/DesktopModules/EngagePublish/printerfriendly.aspx?itemId=2621&PortalId=0&TabId=102DeMarco, R., Roberts, S. (2003). Negative behaviors in nursing. American Journal of Nursing, 103(3), 113-116.Griffin, D. (2004). Teaching cognitive rehearsal as a shield for lateral violence an intervention for newly licensed nurses. The Journal of Continuing Education in Nursing, 35(6), 257-263.Griffin, M. (2005). Awareness of nurse-on-nurse; abuse helps resolve problem. AORN, 1(5), 3.Hallberg, L. (2007). The origin of workplace bullying: experiences from the perspective of bullyvictims in the public service sector. J Nurse Manage. 15. 332-341.Hastie, C. (2002). Horizontal violence in the workplace. Retrieved fromhttps://www.birthinternational.com/articles/midwifery/69-horizontal-violence-in-the-workplacePendry, P. (2007). Nursing Economics, 25(4): 217-221. 20. Martin, M., Stanley, K., Dulaney, P., Pehrson K. (2008). The role of the psychiatric consultationliaison nurse in evidence based approaches to lateral violence in nursing. Perspectives inPsychiatric Care, 44(1), 58-60.Rosenstein, A., ODaniel, M. (2008). A survey of the impact of disruptive behavior andcommunication defects on patient safety. The Joint Commission Journal of Quality and PatientSafety, 34(8),464-471.Rowell, P. (2007). Lateral violence: nurse against nurse. ANA Online Continuing Education. Silver Spring, MD: American Nurses Association.Stanley, K. (2010). The high costs of lateral violence in nursing. Sigma Theta Tau International Leadership Summit.Skinner, T. (2011). Lateral violence in nursing. Nursing News & Views. 6(1), 13-14.Task Force on the Prevention of Workplace Bullying, (2001). Report of the task force on theprevention of workplace bullying: Dignity at work the challenge of workplace.The Joint Commission (2008). Behaviors that undermine a culture of safety. Sentinel Event Alert,Issue 40.