Guest Editorial

CIRCULATION 61,000 TO ALL REGISTERED NURSES, LPNs, AND STUDENT NURSES IN SOUTH CAROLINA. A Constituent Member of the American Nurses Association and The Center For American Nurses. The Voice of South Carolina Nursing for over 100 years! Volume XVII Number 1 Provided to South Carolina’s Nursing Community by SCNA. Are you a member? January, February, March 2010 Upstate AHEC Guest Editorial Lateral Violence Among Nurses Lateral Violence: It’s Time to Stop this Project Blight on our Profession Dianne Jacobs, MSN, RN–Project Director Peggy Dulaney RN, MSN, PMHCNS-BC and Training Coordinator met, shared what each had been Susan Kyzer, MSN, RN Curriculum & Lydia Zager, MSN, RN, NEA-C doing and developed plans to convene a SC task force. & Training Coordinator The Task Force first met in January 2009 with broad In this issue of the SC Nurse, we are providing a series representation from nurse leaders in practice and academia Nurses eat their young–this is something we have of articles that address the problem of lateral violence and, dedicated to address lateral violence in SC. One priority known for a long time but much like the 800lb gorilla in more importantly, proposing strategies to assist nurses goal of the Task Force was to hold a statewide conference the room–we’ve chosen to ignore it. It now has a name– trying to grapple with this difficult issue. These articles on lateral violence. We are privileged that Alpha Xi Lateral Violence. Over 2000 nurses in Upstate SC have are written by members of a statewide task force that has Chapter of Sigma Theta Tau and the CNL invited us been trained to recognize lateral violence and effectively been working for a year building a coordinated effort to to present much of our work at the Mary Ann Parsons address it. help nurses in SC implement effective programs and Lecture on February 12, 2010 (see ad for conference on We have learned the following about lateral violence processes to create positive workplace environments. page 3). among nurses in the Upstate through personal experience Simultaneously throughout SC, several key groups We hope you will take the time to read the articles and surveys and feedback in our classes: were addressing lateral violence. The Center for Nursing please plan to attend the event on February 12, 2010 for • 85% have been victims of lateral violence Leadership (CNL) has had communication, conflict more information. It is time to Stop the Bullying and • 93% have witnessed lateral violence management and resolution as preventative strategies for Create Positive Workplace Environments in South • Nonverbal innuendo and backstabbing are the most workplace violence in its leadership development programs Carolina! common forms of lateral violence for 15 years with Dr. Phyllis Kritek, internationally known • The experienced nurse is most often the perpetrator expert, as faculty. CNL collaborated with Dr. Rick Foster Reference: • The novice nurse is most likely the victim of the South Carolina Hospital Association in January Gladwell, Malcolm. The Tipping Point: How Little Things • Lateral violence is most often handled by ignoring it 2008 to hold a statewide conference on conflict resolution Can Make a Big Difference. New York: Little, Brown & Co., What we also know is that lateral violence is toxic. with Dr. Kritek as the facilitator. One key attendee was 2002. (This behavior is also known as horizontal violence, Karen Stanley from MUSC, who had been doing research workplace incivility, disruptive behavior and bullying-see and training on lateral violence throughout the state for Task Force Members: the article by Karen Stanley elsewhere in this issue for a several years. The Upstate AHEC had received a 3 year Board of Nursing differentiation of terms) It negatively impacts nurse job satisfaction, retention and ultimately patient outcomes. HRSA grant to do training on lateral violence with a College of Nursing, University of South Carolina goal of reaching 3600 licensed nurses and senior nursing The Joint Commission implemented a new standard on students in the upstate through audience specific classes. DHEC January 1, 2009 requiring hospitals to define all forms of During this same time the ANA House of Delegates Long Term Care disruptive behavior and have a process in place for dealing with it–not just in nursing but for all employees. passed a resolution to systematically address lateral Medical University of South Carolina violence and the SC Psychiatric-Mental Health Chapter Upstate AHEC’s Lateral Violence in Nursing Project followed with a sponsored resolution at the SCNA Annual Office of Rural Health provides a systemic, multi-level approach to addressing the meeting that included a plan to convene a statewide task Palmetto Health problem. The project targets new graduates, staff nurses, force on lateral violence. managers and nurse leaders with the goal of establishing Upstate AHEC In 2008, all the statewide forces converged. Author and sustaining healthy workplace environments without Malcolm Gladwell would say a, “Tipping Point occurred” Ralph H. Johnson VA Medical Center Charleston lateral violence. Three hour workshops were specifically designed for each target audience. We place special (2002). This occurred when the CNL held a workshop SC Deans and Directors for Nurse Executives and Academic Leaders on Creating emphasis on nurse managers since they are essential to a Safe Work Culture by Building Competencies in South Carolina Nurses Association creating and sustaining positive changes in the workplace. Managing Conflict and Disruptive Behavior featuring South Carolina Organization of Nurse Leaders Upstate AHEC continued on page 3 Dr. Phyllis Kritek. During the conference, Lydia Zager, Student Nurses Association of SC Director of CNL, Dr. Phyllis Kritek and attendees Peggy Dulaney, Chair of the PMH Chapter and a curriculum consultant for Upstate AHEC, Dianne Jacobs, Upstate AHEC Project Director and Susan Kyzer, Curriculum Index Guest Editorial . 1 Chapters: Presort Standard Why So Many Names for Bad Behavior . 2 Spring to Charleston–Joint Workshop of US Postage PAID 2010 Mary Ann Parsons Lectureship Invitation . 3 Women’s & Children’s Chapter and Permit #14 Nurse Educators: Stop the Bullying! . 4 South Carolina AWHONN . 8 Princeton, MN Leaders–Stopping Lateral Violence News from Piedmont District Chapter . 8 current resident or 55371 Begins with You: Lessons Learned . 4 American Nurses Association . 9 Stop Cyber Bullying . 4 Members: Ethical and Legal Resources That Relate to SCNA Membership Application . 10 Lateral Violence . 5 SCNA Consent to Participate . 10 Executive Director’s Report . 6 New & Returning Members . 11 President’s Column . 7 South Carolina Board of Nursing . .12-13 Page 2—January, February, March 2010—The South Carolina Nurse www.scnurses.org Why So Many Names for BAD BEHAVIOR? The South Carolina Nurse (ISSN 1046-7394) is published quarterly and issued in January, April, July and October by the South Carolina Nurses Association, 1821 Gadsden St., by Karen M. Stanley, MS, PMHCNS-BC DISRUPTIVE AND INAPPROPRIATE BEHAVIORS Columbia, SC 29201, (803) 252-4781, website: www.scnurses. & WORKPLACE INCIVILITY: org. Subscription fees: Members $2 per year included in dues as a membership benefit, Institutional subscriptions, $40 per year. There are a variety of terms being used to describe BULLYING negative behaviors among coworkers: disruptive and Single copies $10. Third class postage paid at Columbia, SC. Readers: Send address changes to South Carolina Nurses inappropriate behaviors, workplace incivility, lateral Association, 1821 Gadsden St., Columbia, SC 29201. violence, horizontal hostility, bullying and mobbing. In January 2009, the Joint Commission (TJC) set a leadership Lateral Violence For advertising rates and information, please contact Arthur L. standard that applies to all health care providers. They Horizontal Violence Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. mandated that agencies accredited by them address and Horizontal Hostility correct “disruptive and inappropriate behaviors” in SCNA and the Arthur L. Davis Publishing Agency, Inc. reserve Mobbing the right to reject any advertisement. Responsibility for errors in the work environment. The term “workplace incivility” ©Stanley, K. (2009) advertising is limited to corrections in the next issue or refund of has been used to describe an initial minor incident where price of advertisement. there is no clear intent to harm. However, once the intent The number of terms being used, and the variations in to cause harm is clear, the more specific terms described descriptions of the terms, are no doubt causing confusion. Acceptance of advertising does not imply endorsement or approval below apply (Hutton, 2002). The inclusion of the word ‘violence’ in some terms has by the South Carolina Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement In her nursing study, Griffin (2004) used the term caused concern for many nurses. However, no matter “lateral violence” to describe the 10 most common forms does not imply a product offered for advertising is without merit, what term we use, the fact is that hostile behaviors inflict or that the manufacturer lacks integrity, or that this association of negative behaviors occurring within nursing. Although psychological pain on nurses and are damaging to our disapproves of the product or its use. SCNA and

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