Eat Their Young Nicki Croel Ferris State University NURS 450 Objectives Define horizontal hostility Discuss theories related to horizontal hostility Assessment of the health care environment ID: 511752
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Slide1
Why Do Nurses Eat Their Young?
Nicki Croel
Ferris State University
NURS 450Slide2
Objectives
Define horizontal hostility
Discuss theories related to horizontal hostility
Assessment of the health care environment
Root Cause Analysis
Inferences, Implications & Consequences
Recommendations for quality and safety improvementsSlide3
Horizontal Hostility
What is it?
Overt and Covert Behaviors
Examples
Overt Behaviors
Covert Behaviors
Name-calling, bickering, fault-finding, backstabbing, criticism, intimidation, gossip, shouting, blaming, using put-downs, raising eyebrows
Unfair assignments, sarcasm, eye-rolling, ignoring, making faces behind someone’s back, refusing to help, sighing, whining, refusing to work with someone, sabotage, isolation, exclusion, fabrication.Slide4
Oppression Theory
Paulo Freire Slide5
The Theory of the Walking Wounded
Dr. Marion Conti-O’Hare
Conti-O’Hare’s Assumptions
All human being experience violence/trauma
in their lives.
Trauma may be of a personal or professional
nature, or both.
Pain/fear from traumas experienced can frequently
be carried throughout life.
Trauma does not automatically resolve without
intervention.
The ability to cope
with trauma has a profound effect on one’s ability to care for others.
Trauma can be transformed and transcended; only then can the experience
of healing be used to help others.
Healing involves moving from being a ‘walking wounded’ to being a ‘wounded healer.’Therapeutic use of self is dependent of the degree that trauma has been transformed and transcended in a person’s life. The wounded healer represents the highest level of using self-therapeutically. Professions in which there are many walking wounded need to heal themselves in order to survive.
(Christie & Jones, 2013)Slide6
Assessment of the Health Care Environment
Policies
ANA Position
The Joint Commission
Resources
ANA Slide7
Assessment of the Healthcare Environment
Quality and SafetySlide8
Root Cause AnalysisSlide9
Inferences, Implications & Consequences
Various Points of View
Nurse
Increased Stress
Burnout
Poor Health Outcomes
Manager
Turnover
Budget
Hospitals
Poor patient outcomes
Increased cost Slide10
Recommendations
Education
Training
Conflict Management
Teambuilding
Documentation Slide11
ANA & QSEN Standards
ANA Standards
Professional Practice Evaluation
Leadership
Communication
QSEN Standards
Teamwork & Collaboration
Safety
Quality ImprovementSlide12
References
American Nurses Association. (2006). 2006 House of delegates resolution: Workplace abuse and harassment of nurses. In
American Nurses Association
.
American Nurses Association. (2010).
Nursing scope and standards of practice
(
2nd
ed., pp. 32-62). Silver Spring, MD: Nursebooks.org.
Barton, S. A.,
Alamri
, M. S.,
Cella
, D., Cherry, K. L.,
Curll
, K., Hallman, B. D
.,… & Zuraikat, N. (2011, August). Dissolving clique behavior. Nursing Management, 42(8). doi:10.1097/01.NUMA.0000399677.43428.73Bartholomew, K. (2006). Ending nurse-to-nurse hostility: Why nurses eat their young and each other. Marblehead, MA: HCPro.
Christie, W., & Jones, S. (2013, December 9). Lateral violence in nursing and the theory of the nurse as the wounded healer.
OJIN: The Online Journal of Issues in
Nursing
,
19
(1). doi:10.3912/OJIN.Vol19No01PPT01
CRC Press. (2012).
Epidemic of medical errors and hospital-acquired infections
(). In W.
Charney
& . (Eds.). Boca Raton, FL: Taylor & Francis Group.
Dellasega
, C. A. (2009, January). Bullying among nurses [Electronic version].
American Journal of Nursing
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109
(18).
Griffin, M. (2004, November). Teaching cognitive rehearsal as a shield for lateral violence: An intervention for newly licensed nurses [Electronic version].
The
Journal
of Continuing Education in Nursing
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35
(6
).
doi:10.1097/NHL.0b013e3182861503Slide13
References
Longo, J. (2013, August). Bullying and the older nurse.
Journal of Nursing Management
,
21
. doi:10.1111/jonm.12173
QSEN Institute. (
n.d.
) Pre-licensure KSAS. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/
Sauer, P. Do nurses eat their young? Truth and consequences.
Journal of Emergency Nursing
,
38
(1).
doi:10.1016/j.jen.2011.08.012
The Joint
Commission. (2008, July 9). Sentinel event alert, issue 40: Behaviors that undermine a culture of safety. In The Joint Commission. Retrieved April 18, 2014Townsend, T. Break the bullying cycle. American Nurse Today, 7(1). Retrieved from CINAHL.Vogelpohl, D. A., Rice, S. K., Edwards, M. E., & Bork, C. E. (2013, November). New graduate nurses' perception of the workplace: Have they experienced bullying?
Journal of Professional Nursing
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29
(6).
doi:http
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Wilson, B. L., & Phelps, C. (2013, January). Horizontal hostility: A threat to patient safety.
JONA'S Healthcare Law, Ethics, and Regulation
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15
(1).
Yoder-Wise, P.S. (2011).
Leading and managing in nursing,
St. Louis, MO: Elsevier Mosby