The free dictionary defined ethical code as a system of principles governing morality and acceptable conduct. However, it was noted that no code can provide absolute or complete rules that are free of conflict and ambiguity. Because codes are unable to provide exact directives for moral reasoning and action in all situations, some people have stated that virtue ethics provides a better approach to ethics because the emphasis is on a person’s character than on rules, principles, and laws (Beauchamp & Childress, 2001). The core ethical principles in nursing are;…
Cornelia K. Beck M Theresa S. Vogelpohl M Joyce H. Rasin M Johannah Topps Uriri M Patricia O’Sullivan Robert Walls M Regina Phillips M Beverly Baldwin…
Up holding the patient’s wishes to the best of the nurse’s abilities can seem fairly straight forward. Often, there are situations where this could be hindered by the family, who also have good intentions to protect the patient. Although the nurse may feel strongly to advocate for the patient, in these situations, it becomes difficult to ignore the request of the family who know the patient and have their best interest at heart. This creates an ethical dilemma as to how to approach the situation because there is no clear answer to what would be best for the patient.…
These behaviors can be in the form of gossiping, back biting, body and facial obstinate language or withholding information to set the nurse up so to speak. Student nurses, new nurses and nurses that are new to a workplace are noted to be most susceptible to LV. This population are understood to have the highest probability to leave a job or may even choose another profession within the first year of their profession (Sauer, 2011, p. 3). Student nurses reported that 53% of them experienced being put down by a staff nurse and 56.9% reported that they had be verbally abused and threatened. There are major consequences that occur due to workplace bullying. Lateral violence not only place undo pain and suffering of the direct victim but also causes conflict for the organization and also has an effect on patient care. The Joint commission (2007) has come to the conclusion that unresolved issues of LV adversely affects the safety of patients within that facility and also affect quality of care. LV also affects the ability to retain qualified staff which adds to the already diminished number of working nurses. (Lateral violence and Bullying in the Workplace, 2008, p.…
The aim of this paper is to explore the administrative challenge of lateral violence in nursing. According to Koch (2012) the top ten forms of lateral violence in nursing include nonverbal innuendo, verbal affront, undermining activities, withholding information, sabotage, infighting, scapegoating, backstabbing, failure to respect privacy, and broken confidences. Furthermore, as described by Stokowski (2010) lateral violence is bullying. Additionally, Dimarino (2011) described lateral violence as horizontal violence, nurse to nurse violence, incivility, and disruptive behavior. Interestingly, even popular social media has picked up on the…
Bullying is widespread in nursing profession and bullying is associated with higher levels of burnout. Burnout is a state of physical, emotional and psychological exhaustion that prolonged engagement in work. There are number studies have confirmed tension related with nursing contribute to the high numbers of burnout among nurses. The outcome of burnout is a potential negative consequence of bullying.…
Lateral violence is acts between contemporaries whereas bullying is acts committed by one in a higher level of authority and can occur over time, with this in mind it shows that there is a very fine line, if any between bullying and lateral violence. Wilson’s ‘An exploration of bullying behaviors in nursing: a review of the literature’ highlights that there is bullying in nursing and give actions on how to minimize or fight it. First it highlights those more likely to be bullies, such as competent or proficient nurses or those who are established workers and that “those likely to be bullied are students and new staff members”. So my fellow cohort, take notes! as an increase in said prevalence cause individuals to leave their…
Great post Hannah! I agree that when care is not up to nurses’ personal standards, it may lead to conflict and hard feelings. I have seen this happen on my unit, when a patient was transferred from the ICU and the nurse seemed frustrated, because the patient had a high acuity and was placed on a medical surgical unit. She reached out to the physician about her concerns and he assessed the patient and started discussing discharge. The next day the patient coded and was transferred back to the ICU. The nurse was upset and talked badly about the physician, ICU staff, and their decision making. I understood her frustration, but instead of talking about the health care professionals, she could have talked to the unit manager to voice her concerns.…
In any professional setting there is a level of respect and way to carry yourself at all times. It is essential to our profession because we are dealing with people on a daily basis which also means we deal with an array of emotions, good and bad. Because of this, confusion and frustration can arise due to the handling of a situation, which could be completely interpreted and handled differently by separate nurses. The question then becomes who handled the situation properly? No matter who’s right or who’s wrong, I believe that it is critical for a nurse to maintain a high level of professionalism in all situations. Regardless of their own preconceived notions of what they feel is right. When looking at professionalism, I define it as…
Does horizontal violence in nursing affect the way nurses perform in their working environment? Horizontal violence has been described broadly as any unwanted abuse or hostility within the workplace (Horizontal Violence in Nursing). Horizontal violence in nursing is hostile, aggressive, and harmful behavior by a nurse or group of nurses toward a coworker or group of nurses (Horizontal Violence in Nursing). It is done through attitudes, actions, words or behaviors (Horizontal Violence in Nursing). Horizontal violence is categorized by the occurrence of a sequence of hostile incidents over time,…
Nurses care for patient is a very “demanding environment, hierarchies, prolonged work hours, multiple roles and emotional demands” (Waite et al., p. 126, 2014). When conflict arises, it can be emotionally stressful for the nurse, “which can lead to ineffective patient care compromising patient safety” (Klinkhamer, p.337, 2015) negatively impacting the healthcare organization’s reputation.…
According to American Association of Critical-Care Nurses (AACN, 2006) 24.1% of responding nurses reported being verbally abused by a nurse coworker or a nurse manager. In the nursing profession, incivility is a breach of professional code of conducts. The actions entailed in incivility, such as intimidating and disruptive behaviors also result in other negative implications like medical errors and decreased patient satisfaction. The nursing main aim of idealism and professionalism in healthcare settings can be damaged by consistent incivility actions through individuals who create a hostile work environment for others (Lachman,…
Incivility is manifested in complaints of a lack of collaboration, contribution acknowledgement, and advocation on the staff’s behalf. Occasionally, staff interactions are punctuated with bursts of frustration and anger. Work overload is evident in that older nurses tend to overlook their responsibilities as mentor in favor of getting their own work done as fast as possible, resulting in feelings of stagnation and isolation among the younger staff members. Lack of task control is apparent in the belief that assignments are random and unearned, the perception of favoritism, the secretive performance review process, and the inescapable shift from traditional nursing duties to perceived excessive administrative responsibilities.…
A study conducted by Yildirim (2009) found out that insufficient staffing, huge workload and youth contributes to horizontal violence in nursing. This could sequentially lead to negative behaviours by nurse managers toward young nurses. Giddings (n.d.) also stated that this not only affects the nurses within their professional boundaries, but also the whole health care system, particularly their clients. In fact, Fudge (2006) pointed out that horizontal violence can be easily identified, if we have knowledge of the different behaviours shown by the bullies, the causes, the effects and the preventive…
For the purpose of this assignment, ethics in relation to nursing will be discussed. "Ethics; A code of principles governing correct behaviour, which in the nursing profession includes behaviour towards patients and their families, visitorsand colleagues" (Oxford Dictionary of Nursing 2004).…