Violence In Education Program Analysis

If those who witness horizontal violence taking place or if the nurse being targeted does not speak up, it can keep occurring until the situation starts to have a negative impact on the targeted nurse. The effects can start to show up in the nurse’s work and in patient satisfaction. It can also lead to the nurse leaving their hospital for a new hospital to work for and it can even lead to the nurse leaving the nursing profession for good. Some nurses deal with this type of stress by seeing it as a challenge that they must endure in order to be become hardy and resilient

Indeed, Fudge (2006) describes this as vertical violence, which means that the act of violence is between senior and junior colleagues. Horizontal violence is across peer groups and similar levels of staff. The most common aggressors or bullies are nurse-managers and supervisors (Leiper, 2005). Certainly, education is very influential in terms of the respect seen among health care professionals, because it has been an ongoing issue as to understanding the hierarchy in the health care profession. The bridge between education and collaboration is still suffering today and it is an issue to address.

Safety is an important factor and is a high priority in healthcare. Kelly, Fenwick, Brekke, and Novaco (2015) shared that workplace violence impairs the staff perceptions of safety. However, both patients and staff are affected by workplace violence in many ways, from physical to emotional aspects. There are many reasons why violence occurs, that will be explained later in this paper. The purpose of this paper is to explain the reason and importance of the chosen phenomenon of interest. Moreover, primary and opposing philosophic viewpoints will be discussed, as well as ways of recognizing and utilizing them in nursing. The ways of knowing patterns in nursing and the utilization of these patterns will be explained, pertaining to nursing care.

The PICOT question: Population of patients, patient’s family in the Emergency Department (P), Workplace violence prevention program to reduce the rate of physical and non-physical violence to hospital staff (I), Patient or workmate, with a violence prevention program compared to violence prevention program (C), Reduction in physical and non-physical abuse to hospital staff (O), Within a period of 60 day trial (T)?

Although parents send their child to school every day to learn, they often come across school violence dealing with bullying, weapons, and threats. School violence has become a serious problem in recent decades throughout many countries. It deals with violence between not only school students, but also attacks by students on school staff. It all began with the Pontiac Rebellion of July 1764. 1927 Andrew Kehoe set bombs off at school in Bath, Michigan. In 1959, Paul Orgeron set off a bomb at a playground in Texas that killed himself alongside teachers and students. Within the time period of the early 1900s until present day the Federal Bureau of Investigation had recorded 272 school violence incidents. (History on School Violence) Violence in school takes many forms and includes, raping, bullying, stealing, harming and killing other students or members of staff. Side effects of school violence after often negative not only does it run the school atmosphere, but it also creates a distraction to students and their concentration. Violence is not something that students see themselves having to deal with at school students who involve

The QSEN competences which are affected are the focus on patient safety and teamwork and collaboration. QSEN defines teamwork and collaboration as the “ability to function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care.” (Pre-Licensure KSA 's). QSEN defines patient safety as “Minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (Pre-Licensure KSA’s). Failure to work with and collaborate with each other can break down morale and communication which in turn can negatively affect the patient. It is important to continue research and studying this topic, because the lasting effects of lateral violence can affect the health of the nurse and the patient long term and affect the revenue and budget of the hospital.

This specific definition of lateral violence is preferred over others because it does not single out relationships between those of different rank or hierarchy. The deliberate and harmful behavior used in this definition can take many forms. In nursing, it can be seen as unintentional, thoughtless acts to purposeful intentional, destructive acts meant to harm, intimidate or humiliate another group or individual (Sincox & Fitzpatrick, 2008). Lateral violence can be verbal, physical, and psychological as well. This definition of LV and its many forms will be used consistently throughout this paper.

According to Purpora and Blegen, approximately 60% of actual errors in patient care result from poor and ineffective communication (para. 3). Horizontal violence causes a decrease in effective communication between caregivers which places the patient’s safety in jeopardy. Horizontal violence decreases staff morale which leaves room for error in the workplace (Longo & Smith, 2011).

A practice that has been put in place is the use of call buttons that are installed and easily available for the staff to use when dealing with escalating patients. Within this Veterans Affairs Hospital, the inpatient geriatric unit has at least 2-3 cases of patient-on-patient assault each month. For those that are very aggressive, this is currently being addressed by the use of one-on-one staff and antipsychotic medications. Clinicians are expected to be able to assess whether intervention is needed to protect other patients and staff from patients’ violence, to assess when patients pose a sufficient level of risk, and to assess when patients who have been hospitalized can be safely discharged to the community. However, surveys of practitioners suggest that many receive little formal training in violence risk assessment. (McNeil, et al. 2009) The limitations of formal training in risk assessment for violence suggested by such surveys underscore the need for education in this topic, hence the relevance of this educational training. Nurses on the front lines of care are ill-prepared to deal with this, hence the need for training. (Peek-Asa, et al.

Horizontal violence is a hidden pattern of individual behavior in controlling other individual that risk health and safety (Hinchberger, 2009). According to Roche, Duffield and Catling-Paull, violence can be describe as emotional abuse, threat, or actual violence in any health care setting. Although the definition varies according to situations and practice settings, there is agreement that workplace violence has a negative impact on the health and wellbeing of nurses and the delivery of quality nursing care (Hinchberger, 2009). Violence mostly occur in any health care setting, However, it mostly occur in emergency department, waiting room, psychiatric ward and geriatric unit on which people involved psychological situations.

Today, homicide is the second leading cause of death for people between the ages of 10 and 24; when discussing youth violence the range is extended beyond 18 and in to the mid twenties (CDC). In addition to murder, non-fatal injuries are another large part of the picture of youth violence. In 2007, 668,000 young people between the ages of 10 and 14 were treated for violence related injuries at hospital emergency rooms (CDC). In 2007, a large representative sample of the country’s high school students were surveyed; 35.5% of students surveyed answered ‘yes’ when asked if “they had been in a physical fight in the previous twelve months”, and 4.2% of students surveyed answered ‘yes’ when asked if they had been “in a physical fight one or more times in the previous twelve months that resulted in injuries that had to be treated by a doctor or nurse (CDC). As this survey was conducted with a representative sample, it helps to give one a good picture of the aggregate youth violence problem in the United States of America.

With all of these regulations and standards in place, one would think that all nurses work at the same standard that has been outlined and therefore safety is of no concern. Yet, a peer review conducted a study on the safety of student and graduate nurses. They concluded that unprofessional image consisted of repetitive errors, disrespect, anger, defensiveness, overconfidence, low confidence, and apathy.

It may surprise many student nurses that most horizontal violence in school and the workplace does not entail physical violence. New graduate nurses need an understanding of what horizontal violence is and have the skills to prepare them for the likelihood of being not just a victim of, but the perpetrator of this behavior. Intimidating behavior distracts from patient care and can ultimately place the patient at risk for harm. Recognizing the behaviors that are considered horizontal violence, showing respect for peers, and having the tools to intervene will foster positive working relationships and a safer patient environment.

It was Saturday night while I was just starting on my shift and getting the handover report from the outgoing nurse, when the public address system announced a “Code Black”. A code black in the hospital setting means that there is an emergency situation involving personal threats to the safety of staff and the public including assaults, confrontation, hostage situation but mostly threats of personal injury or attack. The hospital is in partial lockdown and nobody can get in and out for fear of violent retribution from both the perpetrators and victims’ family; the patient being brought in the emergency room usually with stab injuries or gunshot wounds. It has been a fairly normal occurrence nowadays that nobody was unfazed with the announcement. We have seen recently on the news about the Orlando massacre where 49 people were killed and 53 injured due to gun violence influenced by a terrorist intent. If the congress will not do any substantial changes with the law and its implementation to curb this violent act of terrorist and mentally deranged individuals, then it wont be long before it will reach an epidemic proportion that it can happen to us in our own backyard. It is happening now in our community, sporadic incidence as it seems, it is very concerning and cannot be ignored. Because a lot of people, both men, women and children are dying everyday from gun violence, and the current

Sustained exposure to violence in the workplace including aggression, abuse, and bullying can have serious physical and psychological consequences, causing some nurses to consider leaving the profession. Workplace violence, including disruptive physician behaviour, also results in decreased patient safety. Clearly, violence against nurses is an important issue among nurses, their patients and the nursing profession at large ( RNAO, iaBPGR, 2009 p.30). Likewise, the ICN report revealed that 75 per cent of nurses do not feel safe from assault in their workplace and up to 95 per cent reported having been bullied at work ( ICN,2001.p. 3).