Horizontal Violence and Staff Morale Essay - 1049 Words

When one goes into the profession of nursing it is usually not for the money, job security or the glamour of the job. Those of us who chose nursing as our profession generally care for others and want to make a difference in the world. New nurses are excited to become licensed and to start working in the profession of nursing. When new nurses enter the field of nursing, they are often met with more experienced nurses who have practiced longer and subsequently has more experience. This maybe an opportunity for the new graduate to learn and grow or it can lead to horizontal violence in the work place. Horizontal violence decreases patient safety and job satisfaction drastically. Horizontal violence is unfortunately not new to the†¦show more content†¦The physician began screaming and cursing in the middle of the unit. He questioned her education by stating, â€Å"where did you go to medical school†. The nurse became really upset and began to cry. The behavior exhibited by the physician iss a textbook example of horizontal violence. Behaviors of horizontal violence include name calling, spreading rumors and making threats to someone (Echevarria, 2013). These activities may cause mayhem for the victim of horizontal violence and can drastically reduce patient safety. When a nurse is being bullied through horizontal violence, a patients’ safety is put at a great risk of being affected. Effective communication is necessary for nurses to provide safe and reliable care. According to Purpora and Blegen, approximately 60% of actual errors in patient care result from poor and ineffective communication (para. 3). Horizontal violence causes a decrease in effective communication between caregivers which places the patient’s safety in jeopardy. Horizontal violence decreases staff morale which leaves room for error in the workplace (Longo Smith, 2011). Nurses are more likely to make errors in caring for their patients when they do not have the appropriate support from their coworkers. The demeaning behavior causes the person being bullied not to ask questions or seek assistance when they are unsure of a task. This leads to making assumptions in the care of the patient and unfortunatelyShow MoreRelatedConflict Within The Field Of Nursing850 Words   |  4 Pagesnumber of different levels of the employees. Focusing in on one of those areas would be the nurse to nurse, or horizontal/lateral violence. Tanja and Eliza Schub stated (2015), â€Å"Conflict itself is not inherently negative and can actually be a stimulus for positive change, but conflict between nurses that is either ignored or handled inappropriately is a major source of stress for nursing staff across care settings.† Situations in which the conflict is not being properly dealt with can lead to an increaseRead MoreAre Leadership Mentoring Programs Beneficial? Increasing Patient Care Outcomes?982 Words   |  4 Pagesaim of the literature review was to determine if the initiation of leadership mentoring programs would improve the competence and integration of new nurse leaders to increase patient health outcomes in clinical practice settings. â€Å"Trends such as low morale, a general apathy regarding professional collegiate support, heavier workloads, reduced resources, and higher patient acuity can contribute to job dissatisfaction, poor work performance, and may be putting positive patient health outcomes a t risk†Read MoreLateral Violence in the Workplace1270 Words   |  6 PagesLateral violence in the workplace Lona A Smeltzer Southern New Hampshire University Lateral violence in the workplace Abstract This paper explores five published articles as they relate to the concept of Lateral violence (LV) within the nursing profession and how it directly affects the work environment. The concept of LV is also known as abusive behavior, horizontal violence, bullying, aggression, horizontal hostility, verbal abuse or â€Å"nurses eating their young†. There are fourRead MoreDifference Between Violence And Lateral Violence Essay905 Words   |  4 PagesCivility and Lateral Violence in Nursing Lateral violence is a devastating phenomenon in the nursing workplace. It is also known as ‘horizontal violence’ or ‘workplace bullying (Coursey, Rodriguez, Dieckmann, Austin, 2013). In this evidenced-based paper there will be information provided to figure out why there is lateral violence in the workplace and how to incorporate civility. Lateral violence refers to acts that occur between colleagues, where bullying is described as acts perpetrated byRead MoreWorkplace Bullying Is A Phenomenon That Affects Many Organizations Essay892 Words   |  4 PagesWorkplace bullying is a phenomenon that affects many organizations, especially among healthcare professionals. â€Å"Bullying of nurses has been identified as affecting patient outcomes, occupational stress, and staff turnover with fifty percent of those reported being bullied identified managers or directors as the bullies†(Etienne, 2014, p. 6). This paper will analyze data, information, knowledge, and wisdom continuum as it relates to workplace bullying in the healthcare environment. It will identifyRead MoreThe Effects Of Lateral Violence On The Workplace1159 Words   |  5 Pageswithin many professions in today’s society. Often referred to as lateral violence, this occurrence is no exception in the nursing profession. It is also known as ‘hor izontal violence’ or ‘workplace bullying (Coursey, Rodriguez, Dieckmann, Austin, 2013). In this evidenced-based paper, information will be provided in an effort to identify causes of lateral violence in the workplace and how to encourage civility. Lateral violence is defined as acts that occur between colleagues wherein, bullying isRead MoreCivility And Lateral Violence Within Nursing1068 Words   |  5 Pagesand Lateral Violence in Nursing Civility in the work place, or the lack thereof, has been identified as a growing problem within many professions in today’s society. Often referred to as lateral violence, this occurrence is no exception in the nursing profession. It is also known as ‘horizontal violence’ or ‘workplace bullying (Coursey, Rodriguez, Dieckmann, Austin, 2013). In this evidenced-based paper, information will be provided in an effort to identify causes of lateral violence in the workplaceRead MoreGun Violence Essay1234 Words   |  5 Pages Violence has become a major health issue in the society. Workplace violence is one of the areas that continues to witness a rise. This takes various forms, inclusive are bullying and active gun shooter incidents. This paper will discuss this problem in relation to Nursing. Article Discussion Sadly, gun violence has become a part of everyday life in the United States. Hardly can a week go by without one or more reported incidents of gun violence in schools, nightclubs, work place, churches, andRead MoreHorizontal Violence Against Nurses During Workplace2446 Words   |  10 Pages Horizontal Violence against Nurses in Workplace Cyron Christian Viado Ryerson University Family and Violence CSOC 502 Dr. Maria Wallis June 9, 2015 Horizontal Violence against Nurses in Workplace The primary purpose of health care is to serve the patients’ physical, emotional, and spiritual needs. However in a recent news headline in Vancouver Sun newspaper in February 24, 2015 tackle the stories entitled: B.C. nurses to begin filing charges against violent and aggressive patients. It statedRead MoreEssay about Providing Security for Nurses2909 Words   |  12 Pagesovercome in the profession of nursing is violence (Huston, 2014). Anyone familiar with nursing has long known that violence is the â€Å"redheaded stepchild† of the profession, but for those with an outsider’s perspective looking in, the concept can be somewhat difficult to comprehend. It’s been suggested the confusion may stem from people’s misconception about the true meaning of the term violence, or even simply the disbelief that nurses are even subjected to violence in the first place (Huston, 2014).

Microbiology Bacteria Paper Free Essays

I would not say science is storybook fun, but who knew it become a mystery. Trying to find out what was in our number seven vial would become a battle we were willing to take on. As I began the test of deciding if our little bacteria friend was gram positive or negative, Jordan my science teammate, was putting together a smear plate. We will write a custom essay sample on Microbiology Bacteria Paper or any similar topic only for you Order Now In as little as ten minutes we had discovered by the pink oval shapes we were observing, our microbe friend was a gram negative rod. We had narrowed our search down to five! We decided next we would do oxygen along with a motility test. Along with those, we did a fermentation investigation. These tests would narrow our pursuit down even further. Unfortunately these tests take time. The following day, we curiously went to our ‘stash’ of experiments. As we observed we soon realized our little bacteria was a non-motile, facultative anaerobe. With the observation of acid and gas formation, this microorganism was able to catabolize glucose, lactose and fructose. Our smear plate, with white convex muciod looking colonies confirmed our suspicion. We were now looking at vial number seven with anew respect, he now had a name, and that name was Klebsiella pneumonia. Read also Lab 2 Biology Now that our mystery microbe had a proper name, where would we find it? This bacterium, I found out is ubiquitous in nature, meaning it seems to be present, everywhere at the same time. Just about anywhere you would step, touch or see in nature you could bet this little guy is there. Its family is abundant in soil, water and vegetables. But they have cousins, uncles, second cousins etc. just about everywhere else. â€Å"Wow†, was all I could muster. But our friend not only had a large family in nature, this microbe also found residence inside the human body. The respiratory, intestinal, and urogenital tracts are a favored neighborhood for this microscopic organism. This tiny microbe seems to find just about any region environmentally friendly. Not only is it very versatile in were it lives, I would soon learn it was also just as versatile in what is able to do. This small bacterium could devastate the human body if allowed to. Our secret microbe was considered to be an opportunistic human pathogen, meaning that under certain conditions it may cause disease. All this little guy needed was the perfect scenario and he could ‘thrive’ in only a way harmful bacterium could. Read Chapter 8 Microbial Genetics Persons with underlying diseases such as alcoholism or lung infections were some of their favorite captives. Along with people who are hospitalized and receive invasive procedures, being their other prime hostages. These guys are on the top ten most known list of nosocomial infection pathogens. Trying to get rid of this pathogen is no easy feat either! Once this type is let in he really does not want to leave. Of course, the first attack to rid the body of this pathogen is to use a timely and aggressive treatment of antibiotics. Even that though, can prove to not be beneficial. Since these little critters are proven to be resistant, meaning, they develop ways to inactivate or neutralize the antibiotic. Many cases have to be treated with cephalosporin’s and aminoglycosides to give the bacteria a two-pronged attack. This bacterium certainly has a powerful army when dispersed. But how does this little fella do this? Well, the pathology for it to become Pneumonia develops when the bacilli invade and multiply within the alveolar spaces. General Biology Ii Study Guide (Online Class) iframe class="wp-embedded-content" sandbox="allow-scripts" security="restricted" style="position: absolute; clip: rect(1px, 1px, 1px, 1px);" src="https://phdessay.com/general-biology-ii-study-guide-online-class/embed/#?secret=NWtLO7Q1Ow" data-secret="NWtLO7Q1Ow" width="500" height="282" title="#8220;General Biology Ii Study Guide (Online Class)#8221; #8212; Free Essays - PhDessay.com" frameborder="0" marginwidth="0" marginheight="0" scrolling="no"/iframe The pulmonary parenchyma becomes consolidated, and the mucoid exudates that fill the alveoli is controlled by macrophages, fibrin, and edema fluid. Neutrophils, our bodies own fighting soldiers are inhibited by a neutral polysaccharide in the capsule of this bacterium. Numerous encapsulated gram-negative bacilli appear free in the exudates and in alveolar macrophages. Then exudates accumulate and the alveolar wall becomes compacted and healthy tissue starts to degrade. This area, where the microbe does its best work, is the area of gas exchange with the blood, a vital part of the human anatomy/physiology. So when this microbe is able to take over, a hefty defense force of antibacterial agents have to come to the battle. Antibiotics themselves though have a become an overused tool. This has become a growing problem and many actions have now come into play to stop the abuse of these products. Some would argue a little too late. This lapse of poor judgment has led to the numerous strains of antibiotic resistant infections. Klebsiella pneumonia is one of the leading culprits. The thing is though, bacteria does not know its playing a dangerous game with us, all bacteria is trying to do is win. References Klebsiella pneumonia . Retrieved from: http://www.klebsiellapneumoniae.org/ (Klebsiella pneumoniae ,† 2011) Klebasiella pneumonia. Retrieved from http://www.histopathology-india.net/Klebsiella_pneumoniae.htm (Dr. Sampuna Roy, 2011) How to cite Microbiology Bacteria Paper, Papers

Five Steps to Conducting a Systematic Review

Question: State the purpose of the study, identify the problem and identify, describe, and critique for appropriateness any research objectives, questions, or hypotheses. If there are none, suggest how those might be stated. Answer: Purpose of the study, and identification of the problem The definition of nursing is changing in todays time. There are some iconic role models in nursing profession. Due to this some nurses chose their profession and try to follow the guideline given by their role models. But in todays time, only a few nurses can live up to the expectations of the patients. The concept of caring between nurses and patients is also changing (Nursingworld.org, 2015). The paper reviews a test to determine the gap between concept of care of nurses and patients. Examination of given literature review The used articles are relevant. The previous theories and studies are described. All the references are not current. Some are within the time span of 1980 and 2000. 16 references are from the last ten years. No sources are from the last 5 years. There is no particular knowledge on relation between care, outcomes and health. There is no certainty of whether nurses and patients have the same definition of care. Examination and critique of study framework The framework is explicitly expressed. In here, the framework is based on substantive theory. It identifies and describes relation between the concepts of interest. The framework reflects on knowledge of nursing. In the nursing profession proper knowledge of patients view on different aspects are very important. There is a difference in opinions of nurse and patient regarding to the care given by the nurse. The framework is done to assess this theory. Appropriateness of research objective. The research objectives were appropriate. Critique of variable. Independent variables are patient and nurses. Dependent variables are caring behavior. Critique of attributes and demographic variables Demographic variable was age of the patients. Critique of the research design. By research design of any study we mean is its study type. It may be descriptive, review, experimental, meta-analytic. The subtypes include variables, hypothesis, research question, experimental design (Khalid S Khan, 2003). The design study in this case is a review. Specifically, it is a systematic review. Grouping was done according o patients and nurses. Some pilot studies were used for designing this study. The present study was on findings of pilot study Description and critique of the sample and setting. Research studies which were quantitative and had nurses and patients perceptions were included in the study. The studies were from scientific journals. There was an excessive amount of studies but those were not used. The participants had to be adults. The setting was always a hospital or institute. Quantitative research designs were followed. At first, literatures were searched for so that the relevant articles were chosen. A total number of 262 articles were produced. The titles were screened for. Titles which were irrelevant were excluded. The remaining 98 articles were chosen for the next step. Duplicates were considered too. Then, an evaluation was done. Abstracts were checked for inclusion criteria. The ones meeting the criteria went on to the next phase. In the final phase, 51 articles were studied. No extra information was found by searching the references. 29 articles were zeroed on for quality checking. The 29 articles were read and evaluated by a checklist. Some of the studies were excluded that was not meeting inclusion criteria. 5 articles were thus excluded. To check that the exclusion was just, the articles were read twice. No fault was found. The articles finally chosen had in it the caring behavior. The articles had author, publication date, aim of study, sample size, details of population. Synthesis of da ta was then done by narrative approach. 23 articles were reviewed. By power analysis determination of sample size is done which is done to get effective results (Statmethods.net, 2015). No power analysis was done in the study. The samples chosen had some data on perception of nurse and patient about caring behavior. Sometimes participants drop out of the experiments being carried out. This is called sample mortality (Yu, 2015). In the present study there was no sample mortality. Mortality indicators are age-specific rate in death, leading causes behind death (Rand.org, 2002). This systematic review followed the Centre for Reviews and Disseminations guidance. The study was set by considering a large number of evidences gathered from research articles. The setting was appropriate for the study because in the study, a review was to be put up on the study topic. Critique of the measurement instrument. Observation strategy was used for the systematic review. Nominal level of measurement was achieved. Q-methodology and Care-Q instruments were used over here. In this systematic review, 18 of the 23 studies used the Q-methodology. Rest used other instruments. These were Caring Behavior Assessment (CBA), the Caring Behaviours Inventory (CBI), and the Caring Dimensions Inventory (CDI). The instruments are reliable and valid. Procedure for data collection. Q-methodology and Care-Q instrument were used. Critique of the statistical analyses used. Spearmans correlation, t-test, ANOVA was used. These are the science of exploring and presenting data (Fao.org, 2015). Different levels of significance were achieved. The focus of each analysis was on differences between nurses and patients aspects. The statistical procedures used were t-test, Analysis of variance, Spearmans correlation. The statistics are t, F and rho. In some cases specific results and probability were found. Purpose of analysis Statistical procedure Statistic Result Probability (p) differences between the perception of nurse and patient t-test t Not given p = 0 .0001 differences in the comfort, relationship subscales, accessible, anticipates and trusting Analysis of variance F Not given p = 0.05 Correlation for nurses and patients group Spearmans correlation rho 0.94 Not given Critique of the researchers interpretation of findings. The limitation was that some studies used for the review had small samples. Another limitation was that measure of both groups perceptions about caring by the quantitative method were only taken. The paper is useful in giving an idea on perceptions of caring behaviour. The paper can be useful for educational programs for nurses. Further research needs to be done for further knowledge about relationship between patient and nurse in relation with care. References: Khalid S Khan, G. (2003). Five steps to conducting a systematic review.Journal of the Royal Society of Medicine, [online] 96(3), p.118. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC539417/ [Accessed 30 Jun. 2015]. Nursingworld.org,. (2015).Nursing at its Best: Competent and Caring. Retrieved 30 June 2015, from https://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-16-2011/No2-May-2011/Articles-Previous-Topics/Nursing-at-its-Best.aspx Rand.org, (2002).Mortality and Sample Selection: Reply to Noymer | RAND. [online] Available at: https://www.rand.org/pubs/reprints/RP1000.html [Accessed 1 Jul. 2015]. Statmethods.net, (2015).Quick-R: Power Analysis. [online] Available at: https://www.statmethods.net/stats/power.html [Accessed 1 Jul. 2015]. Yu, D. (2015).Threats to validity of Research Design. [online] Web.pdx.edu. Available at: https://web.pdx.edu/~stipakb/download/PA555/ResearchDesign.html [Accessed 1 Jul. 2015]. Fao.org, (2015).6 BASIC STATISTICAL TOOLS. [online] Available at: https://www.fao.org/docrep/w7295e/w7295e08.htm [Accessed 1 Jul. 2015].