Barriers To Reporting Workplace Violence Include
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Health care workers in inpatient facilities experienced workplace violence at least __________ higher than the rate of private sector workers overall.
5-12 times
About only ______ percent of nurses report incidents of violence.
20-60
Barriers to reporting include:
- a health care culture that considers workplace violence as part of the job - a perception that violent incidents are routine - lack of agreement on the definition of violence - fear of being of being accused of inadequate performance - lack of awareness of the reporting system - a belief that reporting will not change anything - a practice of not reporting unintentional violence - lack of manager/employee support - lack of training to reporting workplace violence - a fear of reporting supervisory workplace violence
ANA 2010 Position Statement
Just Culture
ANA 2016 National Nurses Week Theme
culture of safety
American College of Healthcare 2017 Document
Leading a Culture of Safety: A Blueprint for Success
TJC considers assault a
sentinel event
2015 ANA position statement
Incivility, Bullying and Workplace Violence
_______ is one of the biggest barriers towards reducing workplace violence
lack of reporting
Levels of Prevention
primary, secondary, tertiary
primary prevention
stopping violence before it occurs. develop education and other strategies to identify risk, increase buffers and reduce vulnerabilities in order to prevent workplace violence
secondary prevention
immediate and effective response to violence including emergency care. intervention intended to address emergent short term consequences and reduce the negative impact of workplace violence
tertiary prevention
long term responses to violence. intervention intended to reduce the long-term negative and rehabilitation consequences of workplace violence
T/F: power plays a role
true
civility
polite and courteous behavior
incivility
communication that is rude, impolite, discourteous, and lacking in good manners
bullying
incivility beyond impoliteness
types of violence
lateral vertical vicious
academic incivility
speech/action disrupting harmony in teaching/learning
contributing factors to incivility
stress rapid change
solutions to incivility
dont eat your young mentoring positivity
ethical prohibitions to incivility
some state laws 2016 TJC guidelines ANA code of ethics professional standards, codes of conduct
workplace incivility includes
workplace hostility bullying lateral violence horizontal violence vertical violence workplace violence
workplace incivility
the threat of violence or the actual causing of physical harm to workers either inside or outside the workplace
applying ____ can be helpful in reducing incivility
QSEN
Keys to prevent workplace violence include
talking about problems not participating in incivility self care
__________ is needed to end workplace incivility
leadership
wellness
positive state of health that is continually changing
illness
Physical manifestations and subjective experiences
disease
functional or structural disturbance
health
A state of complete physical, mental, and social well-being; is not merely an absence of disease
shift from treatment if illnesses to....
health promotion (focus on primary prevention)
assessment needs to consider:
-age -current health status -presence of risk factors -health preferences and values -social relationship
health promotion definition
the process of enabling people to increase control over and improve their health
health promotion includes
individual family community population environment
variables to health
biological psychological cognitive
cosanguineous
blood relationships
affinal
marital relationship
family of orgin
the family into which one is born
roles, relationships and strengths
parietal roles role learning family size and configuration sibling interaction
nurse's role
work with people to enhance health
health: primary prevention
focused on optimizing health and preventing disease ex nutrition and wearing a seatbelt
health: secondary prevention
early treatment to limit disabilities ex. screenings, colonoscopy, EKG
health: tertiary prevention
optimizing the management of a condition ex. helping ppl who had a stroke with speech therapy, restorative/disease management
accurate
accirately detect illness
reliable
has to prove the same results even when different ppl perform it
which statement best describes the relationship between caring and civility in nursing
Engaging in civil behavior is a way to demonstrate caring for a client coworkers and others
A nurse manager is concerned about instability on her unit. The nurses on dayshift gossip about the night nurses unlicensed assistive personnel complain that the nurses refused to help them turn morbidly obese clients and during staff meetings everyone looks at their phones. When the nurse manager shared her concerns with the supervisor she identifies the specific problem as___.
lateral violence
Which statement about incivility in the educational setting is true? Select all that apply.
incivility in the educational setting may involve administrators faculty and students Instability among nursing educators is sometimes related to differences in educational backgrounds and professional preparation There is a correlation between increase student stress and student and civility
students in Dr. Reynolds nursing fundamentals class routinely leave scathing reviews of him on the professor rating website refused to participate in class activities and complain to the dean about how strict Dr. Reynolds is. What activity are the students engaged in?
Academic incivility
Rodney a new RN just started training on a busy medical surgical unit. He has been warned that the experience nurses on the unit will probably expect him to pay his dues just as they had to. This type of initiation practice is commonly referred to as___.
nurses eat their young
Mara is reviewing her class notes on instability in nursing ethics. Which of the following notes should she request clarification about?
The a N a code of ethics mentions extending respect to all encounters except for colleagues
Which of the following behaviors would be considered civil in both the classroom and clinical setting? Select all that apply.
assume Goodwill listen to and respect others be on time
kerell is listing examples of civil classroom behavior for the nursing students in her study group. Which examples of the other members of the study group question?
Play computer games quietly so as not to disturb others
which of the following behaviors are characteristic of both bullying and lateral violence? Select all that apply.
can escalate to physical actions intimidation name calling verbal sarcasm use of social media to attack target
What is the main difference between bullying and lateral violence?
Lateral violence occurs primarily in the work setting
Lateral violence (horizontal violence)
workplace bullying
vertical violence
Bullying from a superior, or vertical violence, is a type of harassment that can permeate the entire organization and have a detrimental effect on its effectiveness.
eating your young
type of vertical violenece; any quality of power between the experienced nurse or faculty member and the new nurse or nursing student.
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