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An outpatient being assessed for mental health issues becomes verbally abusive and combative. Before the staff can initiate the appropriate safety measures, he kicks one of the nurses in the abdomen.
A bereaved husband whose wife expired in the ED returns to the ED the next day with a gun and shoots and injures a doctor and two nurses before he can be subdued.
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According to an article published last year in
The Atlantic
, “hospital patients are attacking staff at an alarming rate, and there are no federal regulations requiring employers to provide any protection.”
Lateral violence also is an issue — we’ve heard the term, we know it exists. As wonderful and positive as nursing collegiality and camaraderie are, we know nurses frequently report being victims of this type of employee-on-employee violence.
Bullying, one form of lateral violence, is defined by the ANA as “repeated, unwanted harmful actions intended to humiliate, offend and cause distress in the recipient.” Incivility is defined as “rude, discourteous, disrespectful actions that may or may not have negative intent behind them.”
By Eileen Williamson
MSN, RN
Violence can manifest from any direction
What leaders can do
Professional organizations are there for us
The thought of working in a caring, giving profession, of ministering to others, yet facing violence on the job is difficult to comprehend. When it occurs, we find it upsetting at the very least and horrific at worst.”
— Eileen Wiliamson, RN
10 quick tips leaders can use
1
Be aware of the risks for violence nurses face each day. 2
Attend facility training programs on workplace violence.
3
Update yourself on new rules and regulations on violence.
4
Keep abreast of current legislation on workplace violence.
5
Inform management of unit safety problems you identify.
6
Know the patient behaviors that can escalate to violence.
7
Let your voice be heard when it comes to lateral violence.
8
Report any concerns you have about a troubled coworker.9
Advocate for the anti-violence measures your unit needs.
10
Remember that it’s your workplace and yours to keep safe.
EDITOR'S NOTE:
Eileen Williamson, MSN, RN, is the former senior vice president and chief nurse executive at OnCourse Learning. Williamson continues to write for Nurse.com by OnCourse Learning and serves in a consultant role.BACK TO TOP
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