“Sticks and stones might break my bones, but words can never hurt me.” This nursery rhyme couldn’t be further from the truth. Repeated exposure to negative, disruptive behavior can have a significant impact on you, your colleagues and your patients.
What leads to such behavior in the health care environment? When does bad behavior cross the line into bullying or other types of violence? What can nurses do so that their health care organizations respond effectively and decisively to these threats?
1.Define bullying, lateral violence and horizontal violence.
2.Discuss what leads to bullying in healthcare
3.Explain how healthcare organizations may implement zero tolerance policies and enforce them.
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1. Define bullying, lateral violence and horizontal violence
a. Differentiation among the terms bullying, lateral violence and horizontal violence
b. Behaviors associated with bullying
c. The incidence of the behaviors
2. Discuss what leads to bullying in healthcare
a. The relationship between hierarchical structures and bullying
b. How the perpetuation of bullying infests a culture
c. Lack of uniform reporting mechanisms
3. Explain how healthcare organizations may implement zero tolerance policies and enforcement them
a. Definition of Codes of Conduct
b. Appropriate steps that can be used to address breaches in Codes of Conduct
c. Differentiating between breaches in the Codes of Conduct and raising safety issues
d. Managerial and individual responsibilities related to zero tolerance policies
e. Factors that hinder zero tolerance policies from being enforced.
Dr. Longo worked in a neonatal intensive care unit setting for 22 years as a staff nurse and an assistant nurse manager. She is certified in neonatal intensive care nursing and is a hospital-based Neonatal Resuscitation Program (NRP) instructor. During her master’s program, she became interested in the topic of horizontal violence and completed her thesis, Student Nurses Experiences of Horizontal Violence in the Clinical Setting: Do Nurses Eat Their Young? During her doctoral studies, she continued to research the phenomenon of horizontal violence and completed her dissertation examining the relationships among horizontal violence, oppressed group behavior, manager caring, peer caring, job satisfaction, intent to leave a position, and intent to leave nursing. The results of this work were published in the International Journal of Human Caring. In 2007, Dr. Longo worked with the Center for American Nurses in preparing a pamphlet on bullying and lateral violence in nursing.
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