Healthcare Violence: Why Peers Bully Peers
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Healthcare Violence: Why Peers Bully Peers 6 Contact Hours Release Date: 8/24/2016 Expiration Date: 8/24/2019 Faculty Adrianne Avillion, D.Ed., RN and nursing professional development. Dr. Avillion owns and is the Adrianne E. Avillion, D.Ed., RN, is an accomplished nursing CEO of Strategic Nursing Professional Development, a business professional development specialist and healthcare author. She earned that specializes in continuing education for healthcare professionals her doctoral degree in adult education and her M.S. in nursing from and consulting services in nursing professional development. Her Penn State University and a BSN from Bloomsburg University. Dr. most recent publications include The Path to Stress-Free Nursing Avillion has held a variety of nursing positions as a staff nurse in Professional Development: 50 No-Nonsense Solutions to Everyday critical care and physical medicine and rehabilitation settings with Challenges and Nursing Professional Development: A Practical Guide emphasis on neurological and mental health nursing as well as a for Evidence-Based Education. number of leadership roles in nursing professional development. She Content reviewer has published extensively and is a frequent presenter at conferences Susan Reese, MSN, RN and conventions devoted to the specialty of continuing education Audience The target audience for this education program is nurses who want to decrease the phenomenon of horizontal violence in healthcare organizations. Purpose statement Bullying and violence in the workplace occur far too often. Whether This course presents an overview of horizontal violence as well as it is between professionals of a single discipline or among different characteristics of both abusers and victims. Causes of violence are disciplines, the consequences of bullying and violence are the same. presented as well as strategies to reduce workplace violence. Learning objectives Describe the phenomenon of horizontal violence. Identify the characteristics of persons who commit horizontal Discuss the incidence and prevalence of horizontal violence. violence. Discuss how and why horizontal violence victims are chosen by Explain the causes of horizontal violence. their abusers. Analyze the impact of horizontal violence. Implement strategies to reduce and/or prevent horizontal violence. How to receive credit ● Read the entire course online or in print which requires a 6-hour ○ A mandatory test (a passing score of 70 percent is required). commitment of time. Test questions link content to learning objectives as a method ● Depending on your state requirements you will asked to complete to enhance individualized learning and material retention. either: ● Provide required personal information and payment information. ○ An affirmation that you have completed the educational ● Complete the MANDATORY Self-Assessment and Course activity. Evaluation. ● Print your Certificate of Completion. Accreditations and approvals Elite is accredited as a provider of continuing education by the American Nurses Credentialing Center’s Commission on Accreditation. Individual state nursing approvals In addition to states that accept ANCC, Elite is an approved provider Nursing, Provider # 50-4007; Florida Board of Nursing, Provider # of continuing education in nursing by: Alabama, Provider #ABNP1418 50-4007; and Kentucky Board of Nursing, Provider # 7-0076 (valid (valid through April 30, 2017); California Board of Registered through December 31, 2017). Nursing, Provider # CEP15022; District of Columbia Board of Activity director June D. Thompson, DrPH, MSN, RN, FAEN, Lead Nurse Planner nursing.elitecme.com Page 39 Disclosure Resolution of Conflict of Interest Sponsorship/Commercial Support and Non-Endorsement In accordance with the ANCC Standards for Commercial Support It is the policy of Elite not to accept commercial support. Furthermore, for continuing education, Elite implemented mechanisms prior to the commercial interests are prohibited from distributing or providing planning and implementation of the continuing education activity, to access to this activity to learners. identify and resolve conflicts of interest for all individuals in a position to control content of the course activity. Disclaimer The information provided in this activity is for continuing education medical judgment of a healthcare provider relative to diagnostic and purposes only and is not meant to substitute for the independent treatment options of a specific patient’s medical condition. ©2017: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Elite Professional Education, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Elite Professional Education, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Elite Professional Education, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing, but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers. Introduction What first comes to mind when healthcare employees hear the word against peers and co-workers who are on the same hierarchical level “violence” in relation to their workplaces? Many might respond that of an organization [3,5]. Horizontal violence has far-reaching and they think of an out-of-control emergency department patient under serious consequences. These consequences can affect recruitment the influence of drugs or alcohol who attempts to harm staff members. and retention, increase the risk of errors, negatively affect patient Others may remember a confused, frightened patient who tried to outcomes, and adversely affect the health and well-being of victims strike them. Still others may think about an angry visitor who verbally [3,4,5]. Some researchers believe that this type of violence has reached abused them. These ideas are not uncommon and are understandable. epidemic proportions [2]. In fact, according to the United States (U.S.) Bureau of Labor Statistics Census of Fatal Occupational Injuries (CFQI), of the 4,679 Nursing consideration: Horizontal violence is frequently fatal workplace injuries that occurred in the U.S. in 2014, 403 were underreported. Some reasons given for not reporting HV include a workplace homicides [1]. People who work in healthcare settings are lack of reporting policies and procedures, lack of faith in existing [2] at significant risk for workplace violence. According to information reporting systems, and fear of retaliation . If instances of HV provided by the Occupational Safety and Health Administration are to be reduced, there must be a means of not only reporting its (OSHA), from 2002 to 2013 the rate of serious workplace violence occurrence, but an organizational culture that has a zero tolerance incidents (i.e. those that required days off to recover from an injury) for such behavior. was more than four times greater in healthcare settings than in private HV is sometimes referred to as lateral violence or bullying. It causes industry [2]. Most of the violence in healthcare settings is committed by more harm than any other type of aggression in the workplace, patients. However, violence is also committed by students, co-workers, including bullying of nurses and other healthcare professionals by and visitors. physicians, supervisors, and subordinates [3,6]. Many instances of workplace violence in healthcare settings go unreported, even in facilities that have formal violence incident Nursing consideration: HV is defined as a consistent pattern of reporting systems. Results from a recent survey of 4,738 Minnesota behavior designed to control, diminish, or devalue a peer, which nurses showed that only 69% of physical assaults and 71% of non- gives rise to health and/or safety risks. As previously noted, it is also physical assaults were reported to a manager. One medical center aggression against peers who are on the same hierarchical level of reported that half of verbal and physical assaults by patients against an organization [3,5,6]. It is imperative that nurses at all hierarchical [2] nurses were never reported in writing . For instances of violence to levels in an organization work to fight the phenomenon of HV. be reduced, they must first be reported and acknowledged as a serious problem. EBP alert! Research shows that impaired communication among Nursing consideration: Workplace violence is a significant problem nurses and other members of the healthcare team is a major in healthcare settings. Nurses must advocate for ongoing education cause of errors. Bullying inevitably has a negative impact on of healthcare employees to increase awareness and provide tools to communication. Research also shows that experiencing bullying mitigate workplace violence. or even simply witnessing rude behavior negatively impacts the ability to perform cognitive tasks [4]. Thus, it is imperative that Another type of violence that occurs in healthcare settings is horizontal every effort be made to stop HV and other forms of