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Types of Violence
Toxic Environments
Workplace Violence
100
Perp has no relationship to business or its employees (robbery, shoplifting, trespassing)
What is Criminal Intent (Type 1)
100
High stress, Inadequate staffing, Organizational change, Unrealistic expectations
What is toxic environment
100
$11,581 per nurse per year; Hiring and recruiting 1 nurse $60-$100k
What are costs of workplace violence
200
Perp has relationship w/businesss and is violent while being served. Large proportion happens in health care
What is Customer/Client (Type 2)
200
No tolerance policy for bullying, Develop new shared values and goals that promote, empowerment, communication, and collaboration, Encourage reporting of violence, Publish non retaliation policy for reporting, Floor nurses need to actively participate in development of culture, Identify patterns and triggers for violence and eliminate them
What are conditions that foster bullying
200
Costs $12 billion/year
What is cost of poor communication
300
Perp is an employee (or ex employee) who attacks or threatens another employee
What is Worker on worker (Type 3)
300
"The silent treatment," Spreading rumors, Humiliation and put-downs, Failure to support a nurse because you "don't like them," Manipulating or intimidating another nurse into doing something
What are subtle behaviors of bullying
300
Criminal Intent (Type 1): Perp has no relationship to business or its employees (robbery, shoplifting, trespassing); Customer/Client (Type 2): Perp has relationship w/businesss and is violent while being served. Large proportion happens in health care
What are nurse client related violence
400
Perp has a relationship with intended victim, not necessarily employee (domestic violence, assaulted or threatened while at work)
What is Personal Relationship (Type 4)
400
Education/training/coaching, Hold everyone accountable for actions, Development of policy/procedure, Surveillance system, Support reporting/documentation of behavior, Encourage communication
What are joint commission suggested actions for bullying
400
Understaffed, Transportation of patients, Long waits for healthcare, Overcrowded waiting areas, Solo work with patients, Poor environmental design, Lack of security, Poor training, Lack of policies for prevention, Patients with weapons, Presence of gangs, drugs, alcohol
What are risk factors for workplace violence.
500
Ranges from verbal to physical; bullying to intimidation Termed “relational aggression” Been reported in nursing for over 20 years Cause new nurses high absentee rate and often leave the field after their first year
What is horizontal violence
500
Supervisors educate all employees on workplace violence, starting with nursing leaders. Educate on prevention of, bullying and intimidation. Intervene for horizontal violence.
What are educational interventions to prevent bullying
500
High stress, Inadequate staffing, Organizational change, Unrealistic expectations
What are precipitating conditions to toxic environments and workplace violence.