confrontation in the workplace

Nurses General Nursing

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It seems that there is more being said about violence and confrontation in the workplace in regards to nursing. This is a somewhat understandable trend considering the increasing stresses facing nurses and the health care system with shortages, budget cuts, staff cuts, and yet a continuously expanding role and expectations.

This violence is present at several different levels; nurse to nurse, patient to nurse, nurse to nursing student, and other health care professionals to nurse.

With increased awareness comes increased ability to deal with it through appropriate channels. I have faced a few situations as a student in the clinical setting that have created feelings of unease for me. Learning new skills, new procedures and protocols can be quite distressing when first beginning in a new unit. Unfortunately, an accepting atmosphere is far from reality in my experiences. True, it is just as stressful on the nurses having us students on the floor. Somehow there has to be a happy medium that can be reached, right?

I went to a workshop regarding workplace conflict resolution, and many levels of workplace resources have available information, courses, and support networks. But does the awareness and resources make a difference? What options are available to assist in making a workplace more tolerable? What does one do when the communication "scripts" don't work? Any horror stories and how you dealt with them?

I have made it a personal policy to have witnesses around when speaking with one particular coworker. If she approaches me when I am out of earshot of anyone else, I walk away. (Seems to help keep her under control a bit.)

Amazes me that educated adults can behave so much like bratty kids -- and get away with it to boot!

I've done some searching on sites to see if there is any information on this sort of thing. I found an article at the international nursing site that is a Framework for addressing health sector violence. I feel it is a great starting point for finding better ways of dealing with the many potential violent situations, but that it isn't very realistic in its need for resources that are not available in today's Canadian health care systems. I could not even begin to comment about other countries health care systems.

If anyone is interested in this .pdf file, you can find it at http://www.icn.ch/proof3b.screen.pdf . I would be curious as to what others think of this framework.

One of the points that were made to stop workplace violence was to create a job design that would decrease the potential. A few of the ways this could be acheived are (and I am quoting directly here):

* job planning is improved

* work overload should be avoided

* pace of work is not excessive

Having only gotten to the point where I am now doing my clinical practice on a surgical floor, and seeing the low morale of the nurses there, I wonder how much would have to be done to make it an environment that worked for the nurses, the patients, and all the other members of the health care team.

dear mattsmom,

boy do i empathize with you. through experience i have learned the most valuable thing you can do is to maintain control of your emotions. it sounds as if you're being grossly antagonized. keep notes; report to your higher up(s) each and every time you feel you're being bullied; keep your cool and keep your chin up. no one, and i mean no one, has the right to treat you with disrespect. i have gone over my don's head when i did not get needed support. and even when mgmt. has attempted to reprimand me (i'm talking without cause), i have calmly reminded them that regardless of their title(s), i will not be addressed like i am a lowly piece of garbage. when anyone takes that tone with you, it no longer is a workplace, professional issue but now it is personal. i really hope you understand what i'm trying to say as i often have difficulty articulating myself, but no one can treat you badly w/o your permission. i can honestly say now that i am not always liked, but i am respected. please don't lose sight of YOUR self-worth.

Specializes in Case Management, Home Health, UM.
Lately I have been written up by a RT for 'unprofessional behavior' (like they know what unprofessional behavior is for nurses when they aren't nurses) .The reason he felt I was unprofessional?? Because I was assertive, asked him (after he was rude to me) if he was just having a particularly bad day or what...we all tolerate a little more if someone admits they are having a lousy day and apologizes. When he said no, I then asked him to please be more respectful to his coworkers and that includes me. This was unprofessional in his eyes...nurses are professional doormats I guess.

I'm now trying to frame my response to this writeup...which was sent to MY manager(bypassing chain of command, he should have talked to HIS manager by policy).

Any suggestions to how best to handle ugly rude employees of OTHER departments????

Basically it's YOUR word against his. My supervisor tried to rheem me out two weeks ago, after a clerk in our department reported to her that I was "unprofessional". I informed her very coldly that I was sick and tired of all the yahooing going on, every time I asked her clerks to pull a file, which is their job, since they have access to these files and I don't. "Well, I won't tolerate unprofessional behavior", she told me, to which I responded matter-of-factly: "It works both ways". My supervisor was out all this week with the flu, and this little b---- decides that it's Open Season on me on Tuesday, sending back little snide e-mails about my letter requests "having the wrong information", etc., etc., and forwarding them to our supervisor. Well, the first thing that she's going to find out when she gets back on Monday, is the File Request Form that has been sitting on Miss Priss's desk since last week...unprocessed. :devil:

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I have only runn into this once. I had an RPN screaming at me in the dining room how unprofessional I was.

It started because I said so-so outside call on line one

She was shrieking that I should never say outside call ( where else would the call be coming from?)

Instead of getting into it I simply wolked away.I mad a mental note to myself to speak to the DON about this outburst in the dining room

It was the weekend and then I was off Mon.

When I returned for my evening shift Tues the DON asked me to come into the office at my earliest convince I did

The conversation started with DON"I have had 6 staff and several residents in here today" " would you like to tell me what happened this weekend?"They had all gone in on my behalf as they didn't think I would stick up for myself

I explained what had happened and told her I just walked away that I would not in any situation give anyone screaming at me the satisfaction of a rebutal or response

After work the RPN approached me outside after work I was prepared for it as the DON gave me a heads up

She asked me what my problem was and what had she done to offend me

I calmly told her that I would not be spoken too in that manner and that she should think before she shreaked

We are good friends now

Believe it or not she didn't realize that she spoke to people this way no one had ever approached her about it

My advice walk away take a deep breath and put a smile on your face

You can't have a bad day unless you let yourself have one

My favorite quote at woek and it is catchy is

" I refuse to have a bad day life is to short, bad moments yes bad days never"

Good points all and I appreciate the input. I'm sure others here do as well as I know bullies are everywhere and thrive in today's mismanaged healthcare facilities and their dysfunction.

I agree I am feeling this is personal. I will point this out to him next time the griping and ugliness starts:that this 'feels' personal to me, and give him a chance to recognize what he is doing. Trouble is, many of my coworkers have tolerated it for YEARS ie 'it's just 'Tom, ignore him'. Well this is above and beyond...I can only tolerate so much. He does it in front of patients, is never happy with anything the nurses do and feels its his perogative to criticize. He is getting under my skin. I agree we need to take action when we feel we are being treated like a piece of garbage....hospital politics as they are, I am not getting anything other than lipservice from my coworkers (ie its just him, ignore it, yeah he's a jerk but what can we do, we've written him up a hundred times and nothing ever changes,etc). They have accepted it. I may have to adjust my thinking about how to deal with this I guess...because of the environment and lack of support. Thanks all for the encouragement. :)

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