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Workplace Violence in Long-Term Care

Learn about horizontal violence in long-term care settings, its types, effects, and how to address it. Understand the impact on individuals and the workplace environment, and discover practical strategies and communication techniques to combat this behavior. References include relevant studies and articles on workplace violence in the healthcare sector.

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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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