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Workplace Violence in Long-Term Care

Workplace Violence in Long-Term Care. V. Baker RN-BC, CDONA. Horizontal Violence. What is horizontal violence? Why is it happening to me? What can I do about it? What should I expect? . What is Horizontal Violence?. It can be: Verbal, physical, mental, emotional Obvious or hidden

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Workplace Violence in Long-Term Care

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  1. Workplace Violence in Long-Term Care V. Baker RN-BC, CDONA

  2. Horizontal Violence • What is horizontal violence? • Why is it happening to me? • What can I do about it? • What should I expect?

  3. What is Horizontal Violence? • It can be: • Verbal, physical, mental, emotional • Obvious or hidden • It is a Behavior that is: • insulting, frightening & worrisome • Unprofessional & unacceptable

  4. A Horizontal Violence Experience • Verbal • Gossip, nasty remarks, rude responses, criticism • Physical • Refusing to help, isolating, making faces • Mental • Not sharing information, disrupting work • Emotional • Complaining about to others, sharing secrets

  5. Think about it • Have I ever had this happen to me? • Have I ever seen this happen? • Have I ever been the one doing it?

  6. Have I ever? • Openly criticized another • Kept someone out of ‘my’ group • Run the rumor mill • Blamed others • Complained about a co-worker instead of talking out the problem • Taken trouble home • Had trouble sleeping • Felt depressed because of work relations • Thought about quitting • Questioned “who am I?” Giver Receiver

  7. Horizontal Violence Happens • When people • Feel bad about themselves • Don’t know how to cope • Don’t know how to communicate • Are unhappy with their lives • Have control issues • Choose to act mean

  8. What can be done? • Understand you have a CHOICE • Choice to be mean or nice • Choice to accept or address the issue • Choice to let it make you better or bitter • Follow the “Golden Rule” • Do unto others as you would have done to you Respect yourself and don’t let others bring you down

  9. How do I do that? • Know what Horizontal Violence looks like • Practice looking at myself • Identify it when it happens • Call it what it is • Learn how to deal with it • Stand up for each other • Seek help or report it if needed

  10. Communication • Not what you say but HOW you say it • Take ownership • STOP! Let’s talk calmly in private • Refocus on the patient • “I feel…..” • Be respectful 2 wrongs don’t make a right

  11. Back to basics • Remember Kindergarten • Share • Play fair • Wash your hands • Say your sorry if you hurt someone • When you go out in the world, watch out for traffic, hold hands and stick together.

  12. Nice Matters

  13. No Tolerance • Horizontal Violence has NO place in LTC • Increases stress, burnout & risk for errors • Decreases Quality of Care, teamwork & happiness • Horizontal Violence has consequences • It will be investigated, addressed & disciplined

  14. Review • Been there • Done that • Look in the mirror • Make the right choice • Practice what I’ve learned • Help others • Expect support

  15. References Chapman,R., Perry, L., Styles,I., Combs,S., (2009). Consequences of Workplace Violence. British Journal of Nursing. Vol.18 (20), pp. 1256-1261 Danish,V., Malvey,D., Fottler,M., (2008) Hidden Workplace Violence: What your nurses may not be telling you. The Healthcare Manager. Vol.24 (4), pp. 357-363 Fulgum, R. (1988) All I really need to know I learned in Kindergarten. Random House Publishing Inc. New York Healy, G. (2010) Creating a Culture of Civility takes a Team. Journal of Perioperative Registered Nurses. Vol 93 (1), pp. 106-114 Longo, J. & Sherman, R. (2007) Leveling Horizontal Violence. Nursing Management. Spring, pp. 34-51

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