V. Baker RN-BC, CDONA

 What is horizontal violence?  Why is it happening to me?  What can I do about it?  What should I expect?

 It can be: ◦ Verbal, physical, mental, emotional ◦ Obvious or hidden  It is a Behavior that is: ◦ insulting, frightening & worrisome ◦ Unprofessional & unacceptable

 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

 Have I ever had this happen to me?  Have I ever seen this happen?  Have I ever been the one doing it?

GiverReceiver  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?”

 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

 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

 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

 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

 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.

Horizontal Violence Stress Satisfaction Turnover Care

 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

 Been there  Done that  Look in the mirror  Make the right choice  Practice what I’ve learned  Help others  Expect support

Chapman,R., Perry, L., Styles,I., Combs,S., (2009). Consequences of Workplace Violence. British Journal of Nursing. Vol.18 (20), pp 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 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 Longo, J. & Sherman, R. (2007) Leveling Horizontal Violence. Nursing Management. Spring, pp