Stress and verbal abuse in nursing: do burned out nurses eat their young?
ABSTRACT The purpose of this study was to explore the types and frequency of verbal abuse of nurses by other nurses. Further, this study explored the components, characteristics, consequences and effects of abuse in an effort to better understand the dynamics of verbal abuse of nurses in the workplace. Nurses who experience occupational burnout are more likely to abuse other nurses.
It is believed that nurses have been historically subjected to verbal abuse by colleagues, something previously considered to be done primarily by doctors. The effects and consequences of verbal abuse can be devastating and long-lasting. Research that has focused on its consequences has found that it is both physiologically and psychologically damaging.
Participants completed an adapted survey, incorporating the Verbal Abuse Scale and the Verbal Abuse Survey and demographic questions developed by the researchers. Specifically, types of verbal aggression, the frequency and stressfulness of each type, emotional reaction to verbal aggression, cognitive appraisal of verbally aggressive encounters, and similarity and effectiveness of coping behaviours were explored. The long-term negative effects of verbal aggression, including absenteeism and errors in patient treatment, were also evaluated to determine if verbal aggression is a contributing factor.
Respondents reported that the most frequent source of abuse was nurses (27%), followed by patients' families (25%), doctors (22%), patients (17%), residents (4%), other (3%) and interns (2%). Of those who selected a nurse as the most frequent source, staff nurses were reported to be the most frequent nursing source (80%) followed by nurse managers (20%).
Verbal abuse in nursing is quite costly to the individual nurses, the hospitals and the patients. Nurses who regularly experience verbal abuse may be more stressed, may feel less satisfied with their jobs, may miss more work and may provide a substandard quality of care to patients.
SourceAvailable from: Hanna Wiśniewska-Śliwińska
Dataset: W drodze...T.VIII
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ABSTRACT: Paper Felice Loi, Karl Marlowe, Dominic McLernon-Johnson Millharbour PICU, Tower Hamlets Centre for Mental Health, Mile End Hospital, London, UK Perspective: PracticeKeywords: Broset Violence Checklist; seclusion; violence; psychiatry Abstract Background. Violence is common on acute psychiatric wards. Although seclusion is usually employed as last resort treatment to contain high risky behaviors, its implementation is clouded with uncertainty due to the lack of pragmatic psychometric tools. The Broset Violence Checklist (BVC) is a reliable and validated instrument to predict imminent violence, it is not used to assess the appropriateness of the use of seclusion. Methods. Developed an 8-item modified version of the BVC, the East London Modified-Broset (ELM-Broset). It was retrospectively analyzed for its sensitivity and specificity with regards to secluding high-risky psychiatric inpatients (n = 43; incident n = 313), and to compare it to the BVC for the same inpatient group. Data analyses were carried out using logistic regression and ROC Curves. Results. The ELM-Broset showed good accuracy in predicting the use of seclusion with a sensitivity: 88.2%; specificity: 76.3%; AUC = 0.88; p <0.000; 95% C.I. [0.83, 0.94]; as compared to the predictive value of the standard BVC: sensitivity 82%; specificity: 55%; AUC = 0.74; p = 0.000; 95% C.I. [0.66; 0.82]. Pairwise comparison of the ROC curves showed a statistically significant difference: Δ = 0.148; SE: 0.022; p < 0.0001; 95% C.I. [0.10, 0.19]; with large effect size: Z = 6.63. Conclusions. The ELM-Broset is a sensitive and specific psychometric instrument which can be used to guide the decision-making process when implementing seclusion for high risk psychiatric inpatients.Fourth International Conference on Violence in the Health Sector Towards safety, security and wellbeing for all, pp 304 - 309; 10/2014
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ABSTRACT: Horizontal violence is one of devastating issues as being an obstacle in developing nursing profession. Objective: To identify nurses' perceptions toward horizontal violence in health care settings in Taif City in Saudi Arabia. Method: Quantitative descriptive correlational design was conducted on 100 nurses in selected settings in Taif city, Saudi Arabia. Results: 94% of nurse participants in this study witnessed at least one type of horizontal behaviors during their work. Findings revealed that covert behaviors were more common than overt ones. Covert acts of horizontal violence as perceived by nurse participants focuses mainly on lack of respect and communication between nurses. Fear of retaliation, fear of being ridiculed if asking questions, discouragement and job dissatisfaction were the most common effects of horizontal violence. Participants perceived that Peers including registered nurses and practitioner nurses were the most common perpetrators of horizontal violence. Conclusion: Although horizontal violence was extensively covered in nursing literature, this study demonstrated incessant existence of this problem. Horizontal violence has mischievous effects that extend from the nurse victims to the whole health care team and eventually to the patients. Developing educational programs on appropriate professional behaviors and code of nursing ethics and training courses on conflict managements for nursing staff and managers, is so effective in elimination with horizontal violence cases.International Journal of Science and Research (IJSR) 04/2015; 438(4). · 3.25 Impact Factor