Health Care Policy Issues
There are many trending topics in health care that arise and affect our workplaces every day. The professional meeting I had the opportunity to attend was the North Texas Organization for Nurse Executives (N-TONE) fall forum. Several health policy issues and opportunities to address them were brought up at the meeting with the main issue to be covered in this overview being workplace violence. TONE is a member of the Texas Nurses Associations Nursing Legislative Agenda Coalition (NLAC), which has helped foster policy change.
Many of the health care policy issues that emerged at the N-TONE forum can be classified under the action areas of prevention and wellness. Their importance and necessity was discussed in
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Underreporting these events of violence is a barrier to prevention and change. (Arnetz, Hamblin, Ager, Luborsky, Upfal, Russell, and Essenmacher, 2016)
There is a substantial amount of peer reviewed literature on the topic of workplace violence in nursing. Johnston, Phanhtharath, and Jackson (2010) discuss the prevalence and forms of violence in healthcare, in addition to strategies to reduce it. The authors reveal that bullying is the most common form of workplace violence especially among nurses. In a survey mentioned in Johnston’s et al. article, over half of the nurses occasionally experienced violence in the workplace as well as witnessed fellow co-workers experience violence. It has been found that nurses are more likely to be abused compared to other professionals in healthcare. Bullying interferes with work productivity. There are several forms of aggression experienced among nurses, including nurse-to-nurse, doctor-to-nurse, patient-to-nurse, and visitor-to-nurse. Those effected by workplace violence experience both physical and emotional consequences. Leaders and managers in healthcare can play an important role in modeling good professional behaviors among nurses as well as enforce the zero-tolerance policy for disruptive
emerge as a professional entity until the beginning of the 20th century, with the progress in biomedical science. Since then, the
Bullying can produce and maintain a poisonous work environment. Nurses who bully can wear down the job satisfaction of their co workers which can result in a loss of productivity and increased absences in the workplace (Stokowski, 2010). Victims of bullying often have a feeling of impending doom and dread when they think about their upcoming work days. Each time the bullying reoccurs, the victims usually
In 2009 unspecified electronic survey was conducted with factors such as type, frequency, perpetrators, and professional/personal concerns on bullying identified (Quine, 2001). The results revealed that out of 330 RN respondents, 72% reported positive to bullying at various occasions in line of their career. Of this segment, clear hostility seemed most frequent in surgical/medical, operational rooms, emergency, obstetrical areas of care and adolescent residential behavioral/ mental health units. The main culprits to these act are non-other than; charge nurses, senior nurses, physicians and nurse managers. This is impartial research among others that have been
Q2-Evaluate Vegemite’s brand image based on the social media research undertaken by Talbot and his team .In light of these historic factors, Why did Talbot want to revitalize the brand?
In a profession where caring is the epicenter of the job, it is disconcerting to see a high occurrence of bullying in the nursing environment. Lateral bullying and lateral violence are terms used to describe bullying, uncivil behavior, disrespect, social devaluing, peer control and verbal, physical and emotional abuse occurring between nurses and or colleagues (Ceravolo et al., 2012). Abusive behaviors from a superior are considered vertical or hierarchal violence and are commonly seen when the superior attempts to control or bully the nurse using their superiority, often leaving the nurse feeling defenseless due to an imbalance in power and control (Broome & Williams-Evans, 2011). Some examples of bullying include harsh criticism, unfairly blaming others for mistakes, and withholding patient care information (Simons et al., 2011). In a recent study measuring workplace bullying, Simons, Stark and DeMarco (2011) found that the most common behaviors those feeling bullied experienced included being assigned workloads they felt were unmanageable, and being ignored or excluded by their peers.
Westmount Nursing Inc. is a for profit chain with seven different nursing homes. It has a grown from a small few bed facility to a facility with 4 different divisions that made to help make seniors more independent. The Westmount Nursing Homes were in search for a chief executive officer and president, which was filled by Shirley Carpenter. After Shirley Carpenter came on to the company, many changes were made and implemented. Some implementations were successfully, but she was also challenged with many problems with the Union Federation of Nurses and the Board of directors regarding wages and total quality management implementation. My recommendation would be for Shirley to stop the implementation of total quality management and focus on
Lateral violence is a widespread issue in the nursing profession. An overview of relevant literature indicates that incivility, bullying, and workplace violence
This is relevant for me as it is for everyone in the healthcare industry. We all want to work in an environment that is free from violence especially in an environment that is already full of stress. It is good to know that there are governmental sanctions for those that violate harassment or violence regulations in the workplace. We still need management to be accountable with those under their direction, disciplining and counseling problem employees as necessary. Because of this threat that constantly hangs over our heads we as nurses should develop a process or plan
based on research, about 40% of nursing staff have been bullied in some ways. Ms. Augustin Doreus was also given the opportunity to be a nurse planner of a lateral violence series for the entire hospital. The series have been very successful, with about 300 to 400 total attendees so far. Based on the attendee’s evaluation of the program, they would encourage everyone to participate, and they think that the series were much needed, and that it is an excellent program.
One of the founders of humanistic psychology, Abraham Maslow, often pondered over why he did not go insane. Maslow, like any great psychologist, questioned what made him stand apart from others – I relate strongly to this.
Lateral violence in nursing is a topic that is beginning to attract a lot of attention. One study showed that the higher the incidence of workplace incivility, the lower the rate of productivity (Leiws, 2011, p. 44). Others have shown a correlation in the occurrence of lateral violence and decreased productivity and increased turnover, making this an important issue to address in the field of nursing (Ostrofsky, 2012, p. 20).
One of the must have necessities of a human being is the provision of sound health care and every government, both national or local is obligated to offer this essential service to all the citizens without favor or any discrimination of any kind. Where else it is paramount that every employer to make sure the health and the safety of the employees are given the first priory. This will make sure the employees who are injured during the work are taken care of, and they are relieved the burden of the cost of health care. Thus, it is common to find most companies get the services of insurance companies and other organizations which provide health care programs for workers such as IndUShealth to make sure the welfare of the employees is in safe
Several models and concepts arose in preventative measures to workplace violence in nursing. One conceptual model, according to Covert Crime at Work, is “a conceptual model derived from 370 surveys show working conditions conducive to bullying, thus helping to identify risks early and to prevent unhealthy environments from developing.” After recognition of these research and studies, organizations such as Occupations Safety and Hazard Association, American Nurses Associations, and etc, have implemented guidelines to prevent workplace violence in nursing.
The mention of the subject of bullying arouses various scenarios of young middle school or high school children hitting and taking advantage of one another. Due to this mentality, we have believed that the act of bullying is one the ends in childhood. However, it is sad that this act has progressed into adulthood and penetrated into the nursing profession. I am in the Blue team, thus the problem this paper is going to address is,“Horizontal Violence among new graduate nurses.” Horizontal violence is simply the act of bullying and abuse among nurses that occurs in every level of clinical practice, research and education (Egues & Leaning, 2013).
“The first step in teaching nurses how to decrease bullying by others is to help them understand what to do and what not to do when confronted by a bully” (Rocker, 2008, Education, para. 13). Nurses need to be aware of how to recognize horizontal violence, and how to be able to stop it. Furthermore, Baltimore (2006) explained that nurses need to try and resist the temptation of participating in gossip which could ultimately result in people losing respect for nurses (p. 35). Nurses also need to be respectful and value differences among other nurses. Each nurse is unique and may have different ways of implementing his/her type of care. Therefore, it is crucial that nurses respect these differences (Rocker, 2008, Policy, para. 14). If nurses are able to be consciously aware of these small things, it can make a huge difference on how they treat other coworkers, and how others view them. Not only is it important for nurses to understand what horizontal violence is, but managers of hospitals need to be well educated of this as well. Brunt (2011) stated that managers have a key role in preventing and altering horizontal violence in the workforce. It is important that managers create an environment where staff members feel comfortable coming to the managers with concerns. Managers need to be educated about how to deal with the negativity of horizontal violence (p. 7). Managers can improve relationships, trust, and productivity and reduce tension by