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Why Do Nurses Eat Their Young?

Why Do Nurses 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 Root Cause Analysis Inferences, Implications & Consequences

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Why Do Nurses Eat Their Young?

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  1. Why Do Nurses Eat Their Young? Nicki Croel Ferris State University NURS 450

  2. 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 improvements

  3. Horizontal Hostility What is it? Overt and Covert Behaviors Examples

  4. Oppression Theory Paulo Freire

  5. The Theory of the Walking Wounded Dr. Marion Conti-O’Hare (Christie & Jones, 2013)

  6. Assessment of the Health Care Environment Policies ANA Position The Joint Commission Resources ANA

  7. Assessment of the Healthcare Environment Quality and Safety

  8. Root Cause Analysis

  9. Inferences, Implications & Consequences Various Points of View • Nurse • Increased Stress • Burnout • Poor Health Outcomes • Manager • Turnover • Budget • Hospitals • Poor patient outcomes • Increased cost

  10. Recommendations Education Training Conflict Management Teambuilding Documentation

  11. ANA & QSEN Standards QSEN Standards • Teamwork & Collaboration • Safety • Quality Improvement ANA Standards Professional Practice Evaluation Leadership Communication

  12. 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.0000399677.43428.73 Bartholomew, 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, 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, 35(6).doi:10.1097/NHL.0b013e3182861503

  13. 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, 2014 Townsend, 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, 29(6). doi:http://0-dx.doi.org.libcat.ferris.edu/10.1016/j.profnurs.2012.10.008 Wilson, B. L., & Phelps, C. (2013, January). Horizontal hostility: A threat to patient safety. JONA'S Healthcare Law, Ethics, and Regulation, 15(1). Yoder-Wise, P.S. (2011). Leading and managing in nursing, St. Louis, MO: Elsevier Mosby

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