HORIZONTAL HOSTILITY. Dealing with Difficult Situations in the Workplace
|
|
- Julia Dean
- 6 years ago
- Views:
Transcription
1 HORIZONTAL HOSTILITY Dealing with Difficult Situations in the Workplace Presented to the Pre-Admission Clinic Staff, Victoria Hospital. LHSC December 16, 2009
2 Definitions: Horizontal Hostility: :Sabotage directed at coworkers who are on the same level within an organization s hierarchy (Dunn 2003) Verbal Abuse: Communication perceived by a person to be a harsh, condemnatory attack, either professional or personal. Language intended to cause distress to a target (Buback 2004) Bullying: The persistent, demeaning and downgrading of humans through vicious words and cruel acts that gradually undermine confidence and self esteem (Adams 1997) 1 1
3 Observation. "When Mary retired, we realized she'd been hoarding equipment in her locker. We'd all wanted to be as organized as her but we hadn't realized all those years that she was preventing us from doing our jobs." "On my very first shift out of nursing school, I tried my very best and got great feedback from patients. All my supervisor could say at the end of the night was 'Pick up the pace tomorrow.' I was crushed!" "Physical violence, racism, swearing, making faces, gossiping, sabotaging work oh yes, I've seen it all in my 35 years on the job. Every bullying behaviour you can think of." 2 2
4 2003 Study revealed. A 2003 study in the Journal of Advanced Nursing found that half of newly qualified nurses report firsthand experience with lateral violence. "Many senior nurses expect graduates to hit the ground running," says Judith Tompkins, chief of Nursing Practice and Professional Services and executive vice-president of Programs at the Centre for Addiction and Mental Health (camh) in Toronto. "When there is a lack of collegiality and mentoring from peers, young nurses are thrown into the workforce and are left feeling unsupported." 3 3
5 Why are nurses especially vulnerable to lateral violence? According to Dr. Barry Stein, a psychologist in Duncan, British Columbia, who specializes in workplace harassment and violence, "One of the real challenges is that most nurses are being worked off their feet. Lateral violence may be due to nurses displacing stress and aggression on one another." 4 4
6 2002 Canadian Health Sciences Research Foundation Report.. "Workloads are reported to be at unsustainable levels, particularly in light of the fact that the average age of nurses is increasing at the same time that the industry is anticipating a significant staffing shortage." Stein believes that despite attempts over the past few decades to raise the profile of nursing and attract more men, "nursing is still a pink ghetto, and often doesn't have enough support from human resources in the organization." 5 5
7 Dr. Martha Griffin, activist and nurse educator reiterates the connection of lateral violence in nursing to the behaviours of oppressed groups, where inter-group conflict is seen in the context of being excluded from the power structure. "Nurses generally don't have sufficient control over their work environment and have a high degree of accountability coupled with a low degree of autonomy," says Griffin. "When nurses don't have control but must be accountable, you can see where they might not be happy with one another 6 6
8 Few options. In such an entrenched culture, nurses who experience lateral violence may have few options. "Many decide to tough it out, go on stress leave or leave the profession," says Stein. Before preventive measures were taken at Brigham and Women's Hospital, where Griffin works, 60 per cent of nurses left within six months due to lateral violence. Other unhealthy coping strategies include taking up smoking, using alcohol excessively and abusing prescription medication. To the list, Rabyj adds decreased productivity and creativity, as well as increased orientation time and more sick leaves and use of benefits and short-term workers 7 7
9 Results published by the American Association of Critical-Care Nurses 8 8
10 Please note A silent witness to horizontal Hostility is an accomplice 9 9
11 A silent witness to horizontal hostility is an accomplice 10 10
12 Verbal Aggression: Overt and Overt: name-calling, bickering, fault-finding, backstabbing, criticism, intimidation, gossip, shouting, blaming, using put-downs, raising eyebrows Covert:unfair assignments, sarcasm, eye-rolling, ignoring, making faces behind someone's back, refusing to help, sighing, whining, refusing to work with someone, sabotage, isolation, exclusion, fabrication Covert 11 11
13 Some Statistics to Note.. 1 in 3 nurses plans o leave his or her position because of horizontal hostility (Macmillan 1995) 1996 survey England, 30% of respondents stated that they were subjected to aggression on a daily or near daily basis (Farrell 1999) Studies in the US indicate that 90 97% of nurses experience verbal abuse from physicians ( & Berkey 1997) Nurses who report the greatest degree of conflict with other nurses also report the highest rate of burnout 12 12
14 Known effects of Verbal Abuse Emotional: Anger, irritability Decreased self-esteem, self-doubt Lack of motivation and feelings of failure from being able to meet personal expectations 13 13
15 Social Effects: Strained relationships with partner and friends Low interpersonal support Absence of emotional support 14 14
16 Psychological Effects: Depression PTSD 50% continue to suffer stress 5 years after the incident Burnout depersonization, lack of control Maladaptive responses substance abuse, overeating 15 15
17 Physical Effect: Decreased immune response or resistance to infection Cardiac arrhythmias (increased risk of heart attack due to continuously circulating catecholamines) 16 16
18 The effects of nursing stress have potentially enormous financial and human costs -Hillhouse and Alder (1997) 17 17
19 The Bottom Line. Key is to: Hold staff accountable for hostile behaviors Insist upon a crucial conversation between both parties when any nurse experiences hostility 18 18
20 Root Causes of Hostility Intrinsic Factors: Emotional state anger, burnout Personality style Beliefs and expectations Inadequate communication and conflict management skills 19 19
21 Burnout 40% of hospital nurses have burnout levels that exceed the norms for healthcare workers, and job dissatisfaction among hospital nurses is 4 times greater than the average for all U.S. workers -(Aiken et al. 2002) 20 20
22 Personality Style In a 1990 study of Type A and B personalities in female RNs, 82% of nurses classified themselves as having a Type A personality which is characterized by harddriving behavior patterns Individuals are typically very driven, somewhat impatient and aggressive 21 21
23 Belief Systems I must have approval from others I must be perfect and consider myself worthless if I make a mistake People should be blamed and punished when they do wrong It is a catastrophe when things are not as you want them to be Unhappiness is caused by external circumstances beyond your control 22 22
24 Belief Systems Continued. You should worry over possible negative events constantly The influence of past events can never be changed or removed For every problem, there is a perfect solution that must be found Compliments are self aggrandizing A good nurse should be able to function on her or his own, without any help There is nothing I can do about the situation that s just the way it is around here 23 23
25 Extrinsic Factors Violent Work place- verbal abuse from patients, families and physicians Poor nurse physician relationships Task and time imperatives Demands for efficiency/productivity Culture 24 24
26 Stats again. In the US 429,100 violent crimes against nurses on duty from was recorded In 2002, 88% of hospitalized nurses reported verbal assault 74% reported being physically assaulted while at work by patients, family members or visitors in one year 25 25
27 Nurses experienced workplace crime at a rate 72% higher than medical technicians and at twice the rate of other healthcare workers (Thomas 2004) 26 26
28 Nurse - Physician Relationships 1997 survey showed that 90% of nurses had witnessed 6 to 12 unpleasant incidents between physicians and nurses within 1 year. (Manderino and Berkey 1997) The most common feeling a nurse experiences after an incident of verbal abuse is anger 27 27
29 Task and Time Imperatives Results in depersonalization of care patients are seen as tasks, not people Nurses have become experts at work arounds, thereby increasing the probability of error 28 28
30 Increased efficiency Leads to decreased reflective practice No time to debrief which may lead to frustration and isolation No opportunity for story telling and connection 29 29
31 Culture Why would I want to go to college {and become a nurse so that someone else can tell me what to do all the time? - A nurse s daughter Military model in which nurses lack autonomy to make independent decisions 30 30
32 Interventions to Combat Horizontal Hostility Leveling the playing field Empowering staff by increasing voice and agency Raising awareness Increasing self esteem Creating an open communication network Providing opportunities for reflection Increasing social support networks Illuminating the problem by bringing the consequences into the open 31 31
33 How do we achieve this at LHSC? Zero tolerance policy for Code of Conduct Staff educational inservices regarding conflict and resolution strategies Unit council development Mentorship and preceptorships for new staff and students 32 32
34 Everyday, In every interaction We either approve of the old script Or write a new way 33 33
35 It starts with me.. Familiarize myself with the code of conduct Treat all persons in the workplace with dignity and respect and avoid any conduct which might constitute harassment or discriminatory behavior Report incidents of harassment or discriminating that has been experienced or witnessed to management 34 34
36 Resolving Issues or Dealing with Difficult Situations 35 35
37 How do I deal with Issues of Inappropriate behavior? Assess the situation What is the severity of the incident? Is it something you feel comfortable responding to on your own? Would you feel more comfortable having a leader or an HR representative respond to the issue? Is it in violation of the harassment, abuse or privacy policies? Does it involve a patient? 36 36
38 Is it something you feel comfortable responding to on your own? Give feedback directly Firmly tell the person that his/her behavior is not acceptable and ask them to stop Do not retaliate 37 37
39 How should I structure the conversation? Opening statement: Clearly name the issue, Select specific examples Describe your emotions about the issue Clarify what is at stake if the behavior or situation does not change Identify your contribution to this problem Indicate your wish to resolve the issue together Invite your colleague to respond 38 38
40 Then. Inquire into your colleague s point of view and perspective on the issue Use paraphrasing and a perception check Dig for full understanding Make sure that your colleague feels as though they have been heard and that you fully understand and acknowledge his/her position and interests 39 39
41 You then should collaboratively seek resolution of the issue by: Summarizing what you have learned in the discussion and where you are now Determining if anything has been left unsaid that needs saying Clarifying what is needed to resolve the issue and determining how you can move forward from here given your new understanding of the issue 40 40
42 Finally, make an agreement to move forward and resolve the issue ensuring that it is clearly determined how you will hold each other responsible for keeping the agreement and how you follow-up and follow-through with one another
43 What if they are not receptive to my feedback? Interrupt the conversation firmly but politely Tell the person that you: Do not like the tone of the conversation Will not tolerate being spoken to in that way Will end the conversation if necessary Ask the person to leave or leave yourself 42 42
44 If the behavior continues or escalates, you should. Report the matter to one of the following as soon as possible following the incident: Your immediate manager The immediate manager of the individual whose behavior is in question A Human Resource Consultant A union representative 43 43
45 Is it in violation of the harassment, abuse or privacy policies? You will need to report the incident to one of the following as soon as possible: Your immediate manager The immediate manager of the individual whose behavior is in question A Human Resources Consultant A union representative Depending on the severity you may be asked to describe the complaint in writing 44 44
46 Tips Keep a factual journal or diary of daily events Record: date, time, what happened in as much detail as possible, the names of the witnesses and the outcome of the event Keep copies of any letters, memos, s etc from the person Do not retaliate 45 45
47 Will the information be kept confidential? To protect the interests and reputation of the parties, confidentiality will be maintained throughout the investigatory process to the extent practical and appropriate under the circumstances 46 46
48 What is the leader s responsibility? Acts as an advisor to the complainant by: Providing a copy of the Code of Conduct and supporting policies to the complainant Addressing any concerns regarding personal safety and assuring that the hospital will not tolerate retaliation for complaints Offering support Documenting the allegations and the evidence Reviewing the hospital s obligations to investigate potential incidents of harassment that it is aware of 47 47
49 Continued.. Informing the complainant of the right to file a complaint with the Ontario Human Rights Commission or any other applicable governing body or college and where appropriate, to pursue the matter with the police Asking the employee what she or he prefers as a remedy for the situation 48 48
50 If further action is required; The person initiating the complaint may request that the hospital resolve the matter informally The complainant must be prepared to be identified to the respondent and for the complainant to be discussed with the respondent The HRC or another appropriate member will initiate an investigation in conjunction with the Officer Responsible and the following actions will be taken 49 49
51 Actions Taken Meet with the respondent or representative to discuss the allegations and obtain response Provide the respondent with a copy of the policy Meet with any witnesses Mediate a mutually acceptable resolution between parties Take appropriate corrective, interim and/or disciplinary measures, if warranted 50 50
52 In addition The complainant may not wish to proceed with further action under the policy. (This does not obviate the hospital from its obligations to proceed) The Advisor may feel that further action under the policy is not appropriate because the matter is not within the scope of the policy, or it has been addressed appropriately or the complaint has been determined as frivolous, malicious or in bad faith, or unreasonably delayed in being reported 51 51
53 Does it involve a patient? Refer to the following policies: Adult Patient Abuse Procedures Abuse involving a Child 52 52
54 I remain convinced that a transformation must take place in nursing, a transformation in the hearts and minds of individual nurses that ultimately creates peace and harmony in our relationships with one another. If we do not link arms to face today s formidable challenges, nursing s future could be in jeopardy -S. Thomas 53 53
Civility and Nursing Practice: Let s Talk About Bullying
Civility and Nursing Practice: Let s Talk About Bullying Professional Practice Nursing Maxine Power-Murrin March 2015 A rose by any other name... Lateral violence Horizontal violence Bullying Intimidation
More informationPREVENTION OF VIOLENCE IN THE WORKPLACE
POLICY STATEMENT: PREVENTION OF VIOLENCE IN THE WORKPLACE The Canadian Red Cross Society (Society) is committed to providing a safe work environment and recognizes that workplace violence is a health and
More informationText-based Document. Workplace Bullying: More Than Eating Our Young. Authors Townsend, Terri L. Downloaded 12-Apr :51:27
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationWorkplace Violence & Harassment Policy Final Draft August 3, 2016 Date Approved October 1, 2016
Workplace Violence & Harassment Policy Final Draft August 3, 2016 Date Approved October 1, 2016 Purpose To ensure that volunteers engage with Volunteer Toronto in an environment that is free from violence
More informationPage 1 of 6 Home > Policies & Procedures > Administrative Documents > Staff Safety Manual - General > Violence Prevention Disclaimer: the information contained in this document is for educational purposes
More informationProfessional Practice: Nursing as a Career, not a Job
Objective: Professional Practice: Nursing as a Career, not a Job Cheri Constantino-Shor, MSN, RN, CRNI, CMSRN Postoperative Clinical Nurse Specialist Swedish Medical Center At the end of this course, the
More informationADMINISTRATIVE PROCEDURE 408 Reporting & Investigating Workplace Violence
ADMINISTRATIVE PROCEDURE 408 Reporting & Investigating Workplace Violence The following procedure has been established so that reports of violence can be resolved in a fair, expedient and judicious manner.
More informationWORKPLACE BULLYING: RESPONDING TO THE EPIDEMIC
WHY TOPIC IS IMPORTANT FOR PEDIATRIC HEALTH CARE PROFESSIONALS? Childhood is where bullying starts Little bullies grow up to be big bullies If bullying is not addressed early on, it continues/worsens WORKPLACE
More informationDisruptive Practitioner Policy
Medical Staff Policy regarding Disruptive Practitioner Conduct MEC (9/96; 12/05, 6/06; 11/10) YH Board of Directors (10/96; 12/05; 6/06; 12/10; 1/13; 5/15 no revisions) Disruptive Practitioner Policy I.
More informationViolence In The Workplace
Violence In The Workplace Preventing and Responding to Violence in The Medical Practice Workplace Presented by Tom Loughrey Economedix, LLC From The National Institute of Occupational Safety and Health
More informationStaff member: an individual in an employment relationship with CYM or a contractor who is paid for services.
13. 1 POLICY TO ADDRESS WORKPLACE HARASSMENT AND DISCRIMINATION 13.1 Policy Statement This policy is applicable to all persons in the CYM organization; those employed by the organization, those contracted
More informationBuilding a Culture of Ownership in Healthcare:
Building a Culture of Ownership in Healthcare: The Invisible Architecture of Core Values, Attitude, and Self-Empowerment Dr. Bob Dent, DNP, MBA, RN, NEA-BC, CENP, FACHE Senior Vice President, Chief Operating
More informationStaff member: an individual in an employment relationship with CYM or a contractor who is paid for services to CYM.
14. 1 POLICY TO ADDRESS WORKPLACE VIOLENCE 14.1 Policy Statement This policy is applicable to all persons in the CYM organization; those employed by the organization, those contracted for services to the
More informationEffective Date: 08/19/2004 TITLE: MEDICAL STAFF CODE OF CONDUCT - POLICY ON DISRUPTIVE PHYSICIAN
MEDICAL STAFF POLICY & PROCEDURE Page 1 of 5 Effective Date: 08/19/2004 Review/Revised: 09/02/2011 Policy No. MSP 014 TITLE: MEDICAL STAFF CODE OF CONDUCT - POLICY ON DISRUPTIVE PHYSICIAN REFERENCE: MCP
More informationThe Intimidation Factor:
The Intimidation Factor: Workplace intimidation and its effects on wellness, morale, and patient care Disclosure Amanda Chavez, MD, UT Health SA, UHS has no relationships with commercial companies to disclose.
More informationBullying in Nursing: Sepsis in a Caring Profession
Bullying in Nursing: Sepsis in a Caring Profession Pam Hutchinson, DNP, RN, CPN Cincinnati Children s Hospital February 8, 2017 Objectives Identify behaviors that are considered bullying behaviors in nursing
More informationPractice Problems. Managing Registered Nurses with Significant PRACTICE GUIDELINE
PRACTICE GUIDELINE Managing Registered Nurses with Significant Practice Problems Practice Problems May 2012 (1/17) Mission The Nurses Association of New Brunswick is a professional regulatory organization
More informationLateral Violence in Nursing Let s Get Rid of It!
Lateral Violence in Nursing Let s Get Rid of It! Upstate AHEC Lateral Violence in Nursing Project HRSA Grant # D11HP08361 Presented by Dianne Jacobs, MSN,RN This training is supported by a three year grant
More informationCode of Conduct Policy/Procedure Mandatory Quality Area 4
HDKA promotes a commitment to child safety, wellbeing, participation, empowerment, cultural safety and awareness including children with a disability, Aboriginal and Torres Strait Islander children and/or
More informationVIOLENCE IN THE WORKPLACE & HARASSMENT PREVENTION PROGRAM January 2017
VIOLENCE IN THE WORKPLACE & HARASSMENT PREVENTION PROGRAM January 2017 AGENDA Culture of Safety Definition of workplace violence Types of Workplace Violence Conflict vs. Violence Policy Statement Responsibilities
More informationCODE OF CONDUCT POLICY
CODE OF CONDUCT POLICY PURPOSE This policy will provide guidelines to: establish a standard of behaviour for the Approved Provider (if an individual), Nominated Supervisor, Certified Supervisor, educators
More informationCODE OF CONDUCT POLICY
CODE OF CONDUCT POLICY Mandatory Quality Area 4 PURPOSE This policy will provide guidelines to: establish a standard of behaviour for the Approved Provider (if an individual), Nominated Supervisor, Certified
More informationResource Library Banque de ressources
Resource Library Banque de ressources SAMPLE POLICY: STAFF SAFETY Sample Community and Health Services Keywords: high risk, safety, home visits, staff safety, client safety, disruptive behavior, refusal
More informationEmergency Nurses Perception of Incivility in the Workplace
Emergency Nurses Perception of Incivility in the Workplace Katy Garth, PhD, APRN, Dana Manley, PhD, APRN, Dina Byers, PhD, APRN, & Betty Kuiper, PhDc, RN Murray State University School of Nursing & Baptist
More informationBULLYING IN THE PERIOPERATIVE AREA MA. JANETTH BETITA SERRANO, MD, DPBA, FPSA, FPSECP, RMT
BULLYING IN THE PERIOPERATIVE AREA MA. JANETTH BETITA SERRANO, MD, DPBA, FPSA, FPSECP, RMT Definition: BULLYING Bullying is an offensive, intimidating, malicious or insulting behavior or abuse of power
More informationWORKPLACE VIOLENCE PREVENTION. Health Care and Social Service Workers
WORKPLACE VIOLENCE PREVENTION Health Care and Social Service Workers DEFINITION Workplace violence is any physical assault, threatening behavior, or verbal abuse occurring in the work setting A workplace
More informationTameside Hospital. NHS Foundation Trust. Staff Charter
Tameside Hospital NHS Foundation Trust Staff Charter Staff Charter Introduction Staff Charter What does it mean to you? The Staff Charter explains our rights and responsibilities as employees and the Trust
More informationIntroduction to Harassment and Violence Policy of St Paul s United Church Midland Ontario February 2013
Introduction to Harassment and Violence Policy of St Paul s United Church Midland Ontario February 2013 Index Pg 3 - Introduction Pg 4 - Key Definitions Pg 5 - Synopsis of harassment policy Pg 8 - Synopsis
More informationSUPERSEDES: New CODE NO SECTION: Physician Services. SUBJECT: Disruptive Practitioner Behavior POLICY & PROCEDURE MANUAL POLICY:
POLICY: The PHT is committed to providing medical care in an environment that is free from disruptive behavior. It is the responsibility of all members of the staff and medical staff of the Public Health
More informationOSHA, Workplace Violence, and the Healthcare Facility Keeping Your Facility Safe and Compliant
OSHA, Workplace Violence, and the Healthcare Facility Keeping Your Facility Safe and Compliant Steve Wilder, BA, CHSP, STS Sorensen, Wilder & Associates 727 Larry Power Road Bourbonnais, IL 60914 800-568-2931
More informationCUSTOMER SERVICE & PATIENT EXPERIENCE
CUSTOMER SERVICE & PATIENT EXPERIENCE AGENDA Samaritan Mission & Vision: Our Calling PRIDE: Providing World-Class Care & Service Human Factors: Bad Hair Days? GREAT Customer Service at SHS: Inside and
More informationManagement of Violence and Aggression
Health, Safety and Wellbeing Management Arrangements Core I Consider I Complex Management of Violence and Aggression Health, Safety and Wellbeing Service 1. Success Indicators The following indicators
More informationFitness to Practise Policy and Procedures for Veterinary Nurse Students
Fitness to Practise Policy and Procedures for Veterinary Nurse Students SEPTEMBER 2017 Fitness to Practise Policy and Procedures for Veterinary Nurse Students 1.1 Introduction: What is Fitness to Practise?
More informationMEDICAL STAFF BYLAWS APPENDIX C
P a g e 1 MEDICAL STAFF BYLAWS APPENDIX C HOSPITAL POLICY REGARDING BEHAVIOR THAT UNDERMINES A CULTURE OF SAFETY For purposes of this policy, "behavior that undermines a culture of safety" is any conduct
More informationKU MED Intranet: Corporate Policy and Procedures Page 1 of 6
KU MED Intranet: Corporate Policy and Procedures Page 1 of 6 Section: Policies Originating Volume: Medical Staff Title: Medical Staff Inappropriate Behavior Revised/Reviewed Date: 03/11/2003, 5/11/2004,
More informationSpecial Feature. Hostility in the OR: 44 The OR Connection
Special Feature Hostility in the OR: 44 The OR Connection THE JOINT COMMISSION SAYS HEALTHCARE FACILITIES, labs and other related organizations must establish a code of conduct that defines and sets out
More informationCodes of Practice. for Social Service Workers and Employers
Codes of Practice for Social Service Workers and Employers Revised 2016 About the Codes We first published the Codes in 2003, setting out the national standards of conduct and practice that apply to all
More informationHealth of Physicians. Statement from the Royal Australasian College of Physicians
Health of Physicians Statement from the Royal Australasian College of Physicians In a field that demands as much of us as medicine, anything less than (the) integration of person and professional may be
More informationThe CARE CERTIFICATE. Duty of Care. What you need to know. Standard THE CARE CERTIFICATE WORKBOOK
The CARE CERTIFICATE Duty of Care What you need to know Standard THE CARE CERTIFICATE WORKBOOK Duty of care You have a duty of care to all those receiving care and support in your workplace. This means
More informationLateral Violence: Nurse Against Nurse By Patricia A. Rowell, PhD, RN
Lateral Violence: Nurse Against Nurse By Patricia A. Rowell, PhD, RN Content Outline Abstract Introduction Lateral Violence as a Role Issue Lateral Violence as an Oppressed Group Issue Lateral Violence
More informationCampus and Workplace Violence Prevention. Policy and Program
Campus and Workplace Violence Prevention Policy and Program SECTION I - Policy THE UNIVERSITY AT ALBANY is committed to providing a safe learning and work environment for the University s community. The
More informationSTUDENT CODE OF CONDUCT AND DISCIPLINARY PROCEDURES
STUDENT CODE OF CONDUCT AND DISCIPLINARY PROCEDURES 1. Overview Students are entitled to engage in the educational process free from disruptive or inappropriate behaviours. To this end EQUALS International
More informationMitigating Disputes in Healthcare Using Assertive Honoring TM. Doron Pely, PhD*
Mitigating Disputes in Healthcare Using Assertive Honoring TM Doron Pely, PhD* Table of Content The Problem... 3 The Impact on Employees... 3 The Cost for Employers... 3 Searching for a Solution... 4 The
More informationComplaints Procedures Policy
King s Norton Boys School Complaints Procedures Policy King s Norton Boys School have adopted this policy and take in due regard the information set out in. Best practice advice for school complaints procedures
More informationViolence at Work. Guidance Note 32. Jan 14
Violence at Work Guidance Note 32 Jan 14 1 Violence at Work Introduction This Guidance Note gives practical information about managing violence at work. A sample risk assessment template has been included
More informationDignity & Compassion in Care
Dignity & Compassion in Care What is compassion A sensitivity to the suffering of self and others, with a deep commitment to try and relieve it The Dalai Lama (1995) The 6 C s People who use health and
More informationNHS CHOICES COMPLAINTS POLICY
NHS CHOICES COMPLAINTS POLICY 1 TABLE OF CONTENTS: INTRODUCTION... 5 DEFINITIONS... 5 Complaint... 5 Concerns and enquiries (Incidents)... 5 Unreasonable or Persistent Complainant... 5 APPLICATIONS...
More informationUPMC Passavant. Medical Staff & Other Health Professional Staff. Standards of Conduct and Professional Ethics
UPMC Passavant Medical Staff & Other Health Professional Staff Standards of Conduct and Professional Ethics STANDARDS OF CONDUCT AND PROFESSIONAL ETHICS Each member of the Medical Staff and Other Health
More informationViolence Prevention and Reporting of Incidents
1 ADMINISTRATIVE PROCEDURE 311 1. Purpose Violence Prevention and Reporting of Incidents 1.1 The director of education is dedicated to maintaining a safe, caring and respectful environment in all schools
More informationComplaints and Suggestions for Improvement Handling Procedure
Complaints and Suggestions for Improvement Handling Procedure Date of most recent review: 20 June 2013 Date of next review: August 2016 Responsibility: Quality Officer Approved by: Learning, Teaching and
More informationDOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016
INTRODUCTION DOMESTIC VIOLENCE ACCOUNTABILITY PROGRAM (DVAP) 16-Week Program Guidelines Adopted February 16, 2016 Domestic Violence Accountability Programs (formerly known as CAP, Conflict Accountability
More informationShedding Light on Bullying in Nursing
Shedding Light on Bullying in Nursing December 2, 2016 Rutgers School of Nursing & Rutgers School of Management and Labor Relations Donna M. Fountain, PhD, APRN, PHCNS - BC Associate Professor LIU Brooklyn
More informationThe Code. Professional standards of practice and behaviour for nurses and midwives
The Code Professional standards of practice and behaviour for nurses and midwives Introduction The Code contains the professional standards that registered nurses and midwives must uphold. UK nurses and
More informationThis policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures file.
Safeguarding Adults Policy and Procedure Related policies and procedures This policy should be read in conjunction with all related policies and procedures. See the separate list in the Policies and Procedures
More informationUNHCR s Policy on Harassment, Sexual Harassment, and Abuse of Authority UNHCR
UNHCR s Policy on Harassment, Sexual Harassment, and Abuse of Authority UNHCR April 2005 CONTENTS I. INTRODUCTION... 1 POLICY STATEMENT... 2 II. DEFINITIONS... 3 Harassment... 3 Sexual Harassment... 3
More informationCorporate Policy Title Page
Corporate Policy Title Page POLICY NAME: Violence and Harassment in the Workplace POLICY NUMBER: 00245 ORIGINATING DEPARTMENT: Occupational Health & Safety Services Date of latest revision: 2016-08-03
More informationPHILADELPHIA POLICE DEPARTMENT DIRECTIVE 8.10
PHILADELPHIA POLICE DEPARTMENT DIRECTIVE 8.10 Issued Date: 03-04-11 Effective Date: 03-04-11 Updated Date: SUBJECT: PREVENTING CORRUPTION WITHIN OUR RANKS - CREATING A VALUES DRIVEN ORGANIZATION _ 1. BACKGROUND
More informationAVE MARIA UNIVERSITY SEXUAL HARASSMENT AND SEXUAL VIOLENCE POLICY
AVE MARIA UNIVERSITY SEXUAL HARASSMENT AND SEXUAL VIOLENCE POLICY INTRODUCTION Ave Maria University is committed to maintaining a positive learning and working environment for students, faculty and staff.
More informationOccupational Health and Safety Act (OHSA)
Occupational Health and Safety Act (OHSA) VIOLENCE POLICY 1.0 DESCRIPTION North Bramalea United Church is a Pastoral Charge of The United Church of Canada conducting Christian ministry in the province
More informationSAFEGUARDING ADULTS Policy & Procedure
SAFEGUARDING ADULTS Policy & Procedure Date Version Draft / Final Distribution Comment 06/2007 1.0 Final Distributed 03/2010 2.0 Final Distributed 11/2011 3.0 Final Distributed 07/2016 4.0 Final Distributed
More informationCare Certificate Workbook (Adult Social Care)
` Care Certificate Workbook (Adult Social Care) May 2015 Version 2.0 Name Workplace Start 1 P a g e Cambridgeshire County Council 2015 Cambridgeshire County Council - Care Certificate Written and produced
More informationIN CARE TRUST to 15.00
Trust in care TRUST IN CARE 6 Learning Objectives The purpose of this module is to ensure the dignity of patients and clients is of utmost importance to employees providing/delivering health and social
More informationThe University of Edinburgh Complaint Handling Procedure
University of Edinburgh Complaint Handling Procedure April 2016 P a g e 1 The University of Edinburgh Complaint Handling Procedure April 2016 University of Edinburgh Complaint Handling Procedure April
More informationPsychologically Safe Leader Assessment
Psychologically Safe Leader Assessment Psychologically Safe Leader Assessment (PSLA) By completing the Psychologically Safe Leader Assessment: Employee Feedback (PSLA-E), you are contributing to your leader
More informationManagement of Assaultive Behavior Workplace Violence in the Hospital
Management of Assaultive Behavior Workplace Violence in the Hospital What is workplace violence? Definitions Workplace is any place where an employee performs job duties. Violence is any act that causes
More informationWorkplace Violence. Safety in Knowledge. Session Objectives. Definition
Workplace Violence: Safety in Knowledge Mary Gullatte, PhD, RN, APRN, BC, AOCN Associate Chief Nursing Officer Emory University Hospital Midtown, Atlanta, Georgia (C) Gullatte 2010 1 Session Objectives
More informationPOLICY FOR WITHHOLDING TREATMENT FROM VIOLENT AND ABUSIVE PATIENTS
POLICY FOR WITHHOLDING TREATMENT FROM VIOLENT AND ABUSIVE PATIENTS ADOPTED BY Our Practice 12 TH JUNE 2009 Sunny Smiles Dental Practice POLICY FOR WITHHOLDING TREATMENT FROM VIOLENT AND ABUSIVE PATIENTS
More informationWorkplace Violence: Nurse Safety Issue Analysis. Rachel Fox & Abby Densmore
Workplace Violence: Nurse Safety Issue Analysis Rachel Fox & Abby Densmore Nurse Safety: Workplace Violence, Health & Safety Introduction Objectives Define workplace violence and identify three examples
More informationEMPLOYEE HEALTH AND WELLBEING STRATEGY
EMPLOYEE HEALTH AND WELLBEING STRATEGY 2015-2018 Our community, we care, you matter... Document prepared by: Head of HR Services Version Number: Review Date: September 2018 Employee Health and Wellbeing
More informationThe NHS Constitution
2 The NHS Constitution The NHS belongs to the people. It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot
More informationEQUAL OPPORTUNITY & ANTI DISCRIMINATION POLICY. Equal Opportunity & Anti Discrimination Policy Document Number: HR Ver 4
Equal Opportunity & Anti Discrimination Policy Document Number: HR005 002 Ver 4 Approved by Senior Leadership Team Page 1 of 11 POLICY OWNER: Director of Human Resources PURPOSE: The purpose of this policy
More informationThe Purpose of this Code of Conduct
The Purpose of this Code of Conduct This Code of Conduct provides a framework to guide us in meeting our obligations as employees and volunteers of HPC Healthcare, Inc., and its current and future affiliates,
More informationTrust in Care. Guidelines for Health Service Employers On Preventing Patient/Client Abuse and Dealing with allegations of abuse against employees.
HSEA 63/64 Adelaide Road Dublin 2 Tel: 01-6626966 Fax: 01-6626977 Email: info@hsea.ie Trust in Care Guidelines for Health Service Employers On Preventing Patient/Client Abuse and Dealing with allegations
More informationReturning to the Why: Patient and Caregiver Suffering and Care. Christy Dempsey, MSN MBA CNOR CENP SVP, Chief Nursing Officer
Returning to the Why: Patient and Caregiver Suffering and Care Christy Dempsey, MSN MBA CNOR CENP SVP, Chief Nursing Officer What Do We Want To Accomplish? Quality does not mean the elimination of death
More informationCompassion Fatigue: Are you running on fumes?
Compassion Fatigue: Are you running on fumes? What is compassion? Feeling deep sympathy and sorrow for another who is stricken by suffering or misfortune, accompanied by a strong desire to alleviate the
More informationIII. Dispute Resolution Processes... 9 Time Frame... 9
Policy on Workplace Harassment and Abuse of Authority Table of Contents Page I. Definitions... 4 Workplace Harassment... 4 Abuse of Authority...5 Retaliation... 5 Staff Members... 5 Non-Staff Personnel...
More informationThe Ethos Program: Re-defining Normal
The Ethos Program: Re-defining Normal Dr Victoria Atkinson Group Chief Medical Officer Group General Manager Clinical Governance Cardiothoracic Surgeon Victoria.Atkinson@svha.org.au 1 1. Background Unprofessional
More informationPractice Assessment Document. 2 Practice Placement Facilitator:
BSc in Nursing Studies / Registered Nurse Field: Adult Practice Assessment Document Cohort: Student Name: Guidance Tutor (GT): GT Tel No: Submission Dates Placement 1: 09/01/17 Placement 2: 08/05/17 Placement
More informationDisruptive Practitioner Policy
Disruptive Practitioner Policy COMMUNITY HOSPITALS AND WELLNESS CENTERS A Medical Staff Document Adopted : December 2008 Reviewed: August 2012 COMMUNITY HOSPITALS AND WELLNESS CENTERS DISRUPTIVE PRACTITIONER
More informationAnurse hides a surgeon s favorite instrument when a substitute fills in as the
Leadership Lateral violence: Why it s serious and what OR managers can do Anurse hides a surgeon s favorite instrument when a substitute fills in as the scrub. A circulator does not tell a new nurse who
More informationMEMORANDUM. Shipman & Goodwin LLP Attorneys Lisa Banatoski Mehta and Christopher Engler. Police Department Review and Climate Investigation
MEMORANDUM TO: FROM: Dr. Zulma Toro, President, CCSU Shipman & Goodwin LLP Attorneys Lisa Banatoski Mehta and Christopher Engler DATE:June 18, 2018 SUBJECT: Police Department Review and Climate Investigation
More informationCode of Ethics and Professional Conduct for NAMA Professional Members
Code of Ethics and Professional Conduct for NAMA Professional Members 1. Introduction All patients are entitled to receive high standards of practice and conduct from their Ayurvedic professionals. Essential
More informationWorkplace Violence The Role of the Executive Leader To Stop The Epidemic. Deena Brecher MSN, RN, APN, ACNS-BC, CEN, CPEN 2014 ENA President
Workplace Violence The Role of the Executive Leader To Stop The Epidemic Deena Brecher MSN, RN, APN, ACNS-BC, CEN, CPEN 2014 ENA President Objectives Identify high risk situations for violence in the healthcare
More information5March 01, 2012 Postoutline: Assistant Practitioner Band 4 Created On: 01/03/2012
5March 01, 2012 Postoutline: Assistant Practitioner Band 4 Created On: 01/03/2012 Created By: Debra Elliott Originating Organisation: ` Portsmouth Hospitals NHST This Post Outline Is Not Approved Purpose:
More informationWelcome to LifeWorks NW.
Welcome to LifeWorks NW. Everyone needs help at times, and we are glad to be here to provide support for you. We would like your time with us to be the best possible. Asking for help with an addiction
More informationFeburary 15, Monica Cooke MA, RNC CPHQ,CPHRM, FASHRM
Feburary 15, 2017 Monica Cooke MA, RNC CPHQ,CPHRM, FASHRM Objectives Discuss the reasons for the persistent tolerance for aggression in health care Describe the effects of patient aggression on patient/staff
More informationLittle Swans Day Nursery Whistle Blowing Policy and Procedures May 2014
Little Swans Day Nursery Whistle Blowing Policy and Procedures May 2014 Whistle Blowing Procedure Reviewed by Miss Tranter, Nursery Manager and Designated Person for Safeguarding What is Whistle Blowing?
More informationFitness to Practise. guidance for employers
Fitness to Practise guidance for employers About us We regulate optometrists, dispensing opticians, student optometrists, student dispensing opticians and optical businesses in the UK. We refer to these
More informationAPPEARANCE Professional Appearance Facility and Environmental Appearance COMMUNICATION
St. James Parish Hospital has six Standards of Performance that reflect our commitment to achieving service excellence and developing a culture of safety and quality. These standards enhance our mission
More informationWhat To Do if You Have a Concern About Quality in a Maine Nursing Home
What To Do if You Have a Concern About Quality in a Maine Nursing Home Advice and resources for dealing with quality concerns Nursing homes in Maine provide skilled nursing and supportive services to residents.
More informationLSU Health Sciences Center New Orleans Workplace Violence Prevention Plan
LSU Health Sciences Center New Orleans Workplace Violence Prevention Plan Effective January 1, 1998 Governor Mike J. Foster, Jr., of the State of Louisiana issued Executive Order MJF 97-15 effective March
More informationA FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE
A FRAMEWORK FOR MAKING HOSPITALS A SAFER WORKPLACE FREE FROM WORKPLACE VIOLENCE Health care workers have the right to do their jobs in a safe environment free of violence. Hospitals that are safer workplaces
More informationGeneral Policy. Code of Conduct
1. Policy Statement 2. Purpose 3. Scope 4. Associated Policies and Procedures 5. Associated Documents General Policy Code of Conduct This Code of Conduct affirms that SAE Institute Pty Ltd ( the Institute,
More informationJOB DESCRIPTION. As specified in the job advertisement and the Contract of. Lead Practice Teacher & Clinical Team Leader
JOB DESCRIPTION JOB TITLE: Student Health Visitor BAND: Agenda for Change Band 5 HOURS AND: DURATION As specified in the job advertisement and the Contract of Employment AGENDA FOR CHANGE (reference No)
More informationARRANGEMENTS FOR THE PROVISION OF CARE TO INDIVIDUALS WHO ARE VIOLENT OR ABUSIVE (AGE 18 OR OVER)
DONCASTER AND BASSETLAW HOSPITALS NHS TRUST REF: ARRANGEMENTS FOR THE PROVISION OF CARE TO INDIVIDUALS WHO ARE VIOLENT OR ABUSIVE (AGE 18 OR OVER) INTRODUCTION 1. The Doncaster and Bassetlaw Hospitals
More informationViolence, Injury & the Workplace
Violence, Injury & the Workplace Craig D. Lowry Deputy Commissioner Maryland Division of Labor and Industry Occupational Safety & Health (MOSH) James Reilly Compliance Officer Maryland Division of Labor
More informationBridgepoint Health. Guide to Interpretation and Application of Code of Ethics
Bridgepoint Health Guide to Interpretation and Application of Code of Ethics 1 Table of Contents Bridgepoint Health Code of Ethics... 3 I. Introduction... 5 II. Purpose... 5 III. Applicability... 5 IV.
More informationLICENSED CLINICAL SOCIAL WORKER-PATIENT SERVICES AGREEMENT
LICENSED CLINICAL SOCIAL WORKER-PATIENT SERVICES AGREEMENT PLEASE KEEP THIS DOCUMENT FOR YOUR RECORDS Welcome to our practice. This document (the Agreement) contains important information about my professional
More informationWORKPLACE VIOLENCE. A basic overview for Mission Search healthcare professionals about Workplace Violence
WORKPLACE VIOLENCE A basic overview for Mission Search healthcare professionals about Workplace Violence WORKPLACE VIOLENCE Workplace Violence Watch your surroundings, watch your activities, watch people,
More informationMaria F. Giganti RN,MSN,FNP,CEN
What ED Nurses Can Do To Identify and Manage Situations that May Lead to Violence Maria F. Giganti RN,MSN,FNP,CEN Objectives Describe aggressive behavior and what are the current attitudes on aggressive
More information