Lateral Violence: Breaking the Cycle Jennifer L. Embree DNP, RN, NE-BC, CCNS Clinical Nurse Specialist Clinical Operations Consultant Visiting Assistant Professor Indiana University School of Nursing President-Indiana State Nurses Association National Federation of Nurses Fourth Annual Labor Academy © Copyright 2013

Objectives Define lateral violence, its antecedents, and consequences Identify personal responses and nursing’s responsibility to mitigate lateral violence

Self-Recognition, Awareness What is your role? Recognize it? Stop doing it? Stop collaborating? Put mitigators in place? Help others deal with it? How do you see yourself? What do you bring to each relationship and what should you modify? 3

Is Lateral Violence a Reality? Pervasive, > 20 years (circumferential) Resolutions from multiple organizations Employers- establish and maintain prevention program and culture of intolerance for reprisal (ANA, 2008; ICN, 2007; CNA, 2008; AACN, 2007; ISMP, 2004; OSHA, 2008; Joint Commission, 2008, 2009) 4

Define This Disruptive Behavior 5 How will you define it?

What Leads to Lateral Violence? 6

Situations and Responses Which of the ten most frequent forms of lateral violence are most concerning to you? Which of these are you choosing to personally work on? 7

Interventions: Recognize the Behavior Raise awareness that disruptive behavior is unacceptable and potential impact on staff, environment, and patient safety Follow those well-developed policies… Practice Responses…. 8

Scenarios and Your Opportunities What are your personal opportunities? 9

Expected Behaviors of Professionals 10

Take Aways From Today