Hospital largest human resource cost is nursing staff. Hospital allocate most of their personnel budget to nurse recruit and replacing staff. There is no secret that a nursing shortage exist, but nursing have a dirty little secret, which is, “nurses eat their young” (Sincox, 2010, p.8) or the more formal term lateral violence. Lateral violence is a nurse intentionally withholding pertinent patient information, assigning workload of total care and pain seeking patient, turning a blind eye or just plain sabotaging ones’ efforts (Thompson, 2013). One of the reason “new nurses leave their first staff job within the first six months due to some form of lateral violence” (Sincox, 2010, p.8). The nursing shortage coupled with lateral violence is driving
There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
What was once thought of as a profession driven by compassion and the desire to help those in need has now become filled with weary burnt out nurses who have lost sight of their purpose. Stress has caused them to distance themselves from the principles nursing is built upon. Our health care system needs to be revamped to improve the quality of care being administered. Nurses can be proactive and take steps to avoid burning out but, our health care administrators have to take matters into their hands because they have the capacity to initiate change. They must realize the gravity of the situation and take an offensive position to make a stand against the crisis of nursing
Great post! Lateral Violence/bullying is a very good concern and topic of discussion. I’m glad that your group have chosen this topic because it truly does need change. It makes it a very sensitive topic to discuss in the workplace because of fear of losing your job, causing conflict or the repercussions that may come for speaking out. Some nurses will leave while others may stick around and accept the behavior.
That situation affected the organization to the insufficient of excellent nurses available to care for patients and have an effect on those who continued working in a troubling work environment. Granstra (2015) researched that “Bullying results in increased turnover when nurses choose to leave the organization instead of remaining in a workplace where they are unhappy” (p.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
As nurses can act as different roles including educators, communicators and managers, they will involve in so many types of interaction with other healthcare professionals which increase the chance for conflict among them (Higazee, 2015). For the causes of conflict that occur in hospitals, they can be related to competition for resource such as staff, financial sectors and space, inadequate communication, and the opposition of opinion, priorities, roles, beliefs, perceptions, practices, authority and values (Finkelman, 2015; Warner, 2001). Managing conflict can be divided into two aspects, one is conflict prevention, another one is resolution of conflict. Although managing conflict is time consuming, it is necessary to handle it well to prevent the adverse effect on relationship between staff, patient care and productivity which can also influence the job satisfaction and cause increasing in turnover rate (Simpao,
Imagine being a newly graduated nurse and landing a job on your dream unit. There is this one nurse who likes to taunts the new nurses. You began to realize that she does things to make you uneasy and you began to feel like the target of workplace bullying. Horizontal Violence has become a newly coined termed to further define the concept of bullying in the workplace. According to Becher and Visovsky (2012), Horizontal Violence is described as “an act of hostility that creates an undesirable work environment that weakens teamwork in the clinical setting”.
Horizontal Violence in Nursing Nursing is a rewarding and growing profession. Yearly, there are about 155,000 new graduate nurses (Changes in, N.D.). Despite this, many organizations are still under the stress of understaffing. This can be due to a concept best known as horizontal violence in nursing.
If conflicts can be successfully managed, student nurses may develop higher levels of motivation and productivity. On the contrary, if conflicts cannot be handled effectively and constructively student nurses may suffer from high stress and burnout, problems appear in interpersonal relations, a decrease in academic performance, and increasing rates of absenteeism (Kantek & Kartal, 2015; Pines et al., 2014). How conflict appears toward student nurses Conflicts can occur between students and faculty management, between students and managers, and between faculty management and instructors, it can also occur between students and instructors (Kantek & Gezer, 2009). The student nurses were mostly influenced and experience interpersonal conflicts with supervisors, colleagues and patients during clinical placement ( Arieli, 2013). For the conflicts between student nurses and patients, the student nurses may face some shocking situations like patients’ suffering and death in the clinical setting.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Violence against healthcare providers is a significant problem that has been receiving growing attention. Incidents of workplace violence are experienced by nurses and physicians on a day-to-day basis, especially in emergency departments. The corollary of this phenomenon has become a significant matter due to the psychological stress it is placing on healthcare providers, hence affecting their efficiency and productivity. We may often undermine the consequences of workplace violence, but studies show that it may cause distress, apathy, rage, disappointment, helplessness, anxiety, self-doubt, and insecurity of healthcare workers. (Öztunç 360-365)Hence, their entire job performance is decreased and absenteeism is increased.
Theoretical Framework on Violence in the Workplace Violence can be experienced by many different people in different situations in health care. In the healthcare world, nurses are one of the most exposed groups to workplace violence in the world. Circumstances that lead patients to the hospital can be very stressful which can lead to anxiety, agitation, depression. Through using the theoretical framework developed by Ida Jean Orlando, workplace violence can be viewed and applied to address or even prevent violence experienced by nurses possibly. Violence has been a long-standing issue in the workplace.
When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of
With this, it may result in different counsequences that threatens nurse’s ability to provide high quality care (Lowenstein, 2013; Broome and Williams-Evans, 2011). Bullying has been defined as: Repeated inappropriate behavior, direct or indirect, whether verbal, physical or otherwise,