Introduction:
Lateral violence, also known as horizontal violence or workplace bullying, poses a significant challenge in the nursing profession. This destructive behavior occurs between colleagues at the same hierarchical level and can have detrimental effects on the well-being of nurses, patient care, and the overall work environment. However, by raising awareness, fostering a positive workplace culture, leading by example, and addressing conflicts promptly, nurses can play a vital role in combating lateral violence. This article aims to provide suggestions on dealing with lateral violence in nursing and making a positive difference.
Understanding Lateral Violence:
Lateral violence encompasses various negative behaviors, including verbal abuse, nonverbal intimidation, exclusion, or sabotage, hazing, directed towards colleagues. It stems from factors such as workplace stress, power imbalances, competition, lack of leadership, lack of teambuilding and unresolved conflicts. By recognizing and understanding the manifestations of lateral violence, nurses can better address and prevent such incidents. Here are some examples that nurses and others in healthcare have had to face:
Being yelled or screamed at in front of others.
Gossiped about behind your back.
Blamed for things that weren’t your fault.
Being assigned undesirable workloads.
Others refusing to help you.
Having your work sabotaged.
Having important information withheld, effecting your care or patient safety.
Having your thoughts or feeling ignored.
Raising eyebrows or making faces in response to your comments.
Being purposely excluded from activities or conversations.
Being physically threatened.
Broken confidences
Snide or abrupt remarks.
Dealing with lateral violence:
Educating and Raising Awareness
Knowledge is power. Nurses should educate themselves and others about lateral violence in nursing. Attend workshops, seminars, or training sessions on workplace bullying and share the gained insights with colleagues, supervisors, and administration. By raising awareness, individuals can collectively work towards creating a healthier work environment.
Fostering a Positive Workplace Culture
A positive workplace culture is essential in countering lateral violence. Nurses should strive to promote respect, collaboration, and support among their peers. Encourage open communication, active listening, and empathy. Engage in team-building activities that strengthen relationships and foster a sense of camaraderie. By creating a culture of respect, nurses can significantly reduce the occurrence of lateral violence.
Leading by Example
Nurses should act as role models by demonstrating respectful behavior towards colleagues. Treat others with kindness, empathy, and professionalism. Recognize and appreciate the contributions of your coworkers. Offer support and encouragement rather than engaging in negative or harmful behavior. By setting the standard for respectful conduct, you can inspire others to follow suit.
Implementing Zero-Tolerance Policies
Organizations should establish and enforce zero-tolerance policies for lateral violence. Develop clear guidelines that explicitly state the consequences for engaging in such behavior. Encourage reporting of incidents without fear of reprisals and ensure that all staff members are aware of the policies in place. Train supervisors and managers to handle complaints effectively and address conflicts promptly.
Encouraging Support Systems
Creating support systems within the workplace can be instrumental in dealing with lateral violence. Encourage the formation of mentorship programs, support groups, or peer counseling initiatives. These platforms provide nurses with a safe space to share their experiences, seek guidance, and receive emotional support. Strengthening connections among colleagues helps foster a resilient and cohesive work environment. Talk openly about lateral violence and its solutions.
Addressing Conflicts Promptly
When witnessing or experiencing lateral violence, it is crucial to address the issue promptly. Engage in assertive communication and use "I" statements to express your concerns. In a safe environment, approach the individual involved and express your dissatisfaction (without anger) with their behavior. Label the behavior as lateral violence. Sometimes labeling the behavior is all that is required to stop it. If necessary or if you feel unsafe, involve supervisors, human resources, or administration to mediate the situation. Let your immediate supervisor know you are having a problem and what your plan is. They may have good suggestions for you. Timely intervention can prevent the escalation of conflicts and promote resolution. It should be noted that in 2008 the Joint Commission on Accreditation of Hospitals developed guidelines for identifying behaviors that undermine a culture of safety with suggested action steps.
Addressing Lateral Violence Directly:
When incidents of lateral violence occur, it is important to address them promptly and effectively. Here are some steps to handle such situations:
Provide Support to Victims
Offer support and resources to individuals who have experienced lateral violence. This can include counseling services, mentoring programs, or access to employee assistance programs. Some victims have experienced Post Traumatic Stress and require ongoing professional support. Assure victims that their concerns will be taken seriously, and that appropriate action will be taken to address the issue.
Investigate and Address Complaints
Establish a formal process for reporting incidents of lateral violence, ensuring confidentiality and protection from retaliation. Investigate complaints thoroughly, gathering all relevant information and involving the necessary parties. Take appropriate disciplinary action when warranted, making it clear that such behaviors will not be tolerated. Help the victim evaluate if they can remain on the unit without further emotional damage. Help with reassignment if required. Evaluate the unit culture for the need for addition intervention.
Foster Mediation and Conflict Resolution
Encourage mediation and facilitated discussions to address conflicts between employees involved in lateral violence. Trained mediators can help facilitate open communication and guide parties towards a resolution that benefits all parties involved. Mediation allows for a constructive dialogue that can promote understanding and reconciliation.
Conclusion
Lateral violence in nursing is a significant concern that demands immediate attention. By understanding the nature of lateral violence, fostering a positive workplace culture, leading by example, implementing zero-tolerance policies, encouraging support systems, and addressing conflicts promptly, nurses can make a substantial difference in combatting lateral violence. Creating a respectful and supportive work environment not only benefits the well-being of nurses but also enhances patient care outcomes and overall job satisfaction. Together, nurses can work towards a profession that thrives on collaboration, respect, and compassion.