LATERAL Violence. How Nurses treat Nurses! - page 20
hi! i have had a very interesting experience with the aacn's "healthy work environments" initiative. it really does seem that one just had to "name it to claim it!" i have posted an excerpt... Read More
Apr 14, '12Skipping in the hallway comes across as a cheerleader and not a serious nurse. Going into ICU right out of school is tough and not for everybody. You will be under more scrutiny and if it is felt that you can't handle the acuity of ICU they will generally tell you that and allow you to transfer to a less intense position. Also the "horrible" assignments are a fact of life everywhere, but I imagine especially so in ICU when you are dealing with life and death critical patients and you are the only one standing in the way of a transfer to heaven! Not everyone is cut out for ICU, many go into it because of the so called "prestige" and others because they think it will be easier than the floors because you only have 1-2 patients not 5-7 or more!
So perhaps you should do some soul searching to see whether ICU is really for you. How much of this situation is bullying, obviously that appears to be at least part of it, that someone would put a lock on your locker. That part is particularly bizarre, although doesn't your locker already have a lock to protect your valuables? That is very strange!
I personally have no desire to do ICU, but I know it is not for everyone. Many people new grads and experienced go to ICU but later discover it's not for them or are told it's not for them and transfer to other depts. It's a hard transition even for experienced nurses, lots of stress, extreme acuity and unpredictability and not everyone is cut out for it. Mistakes can be deadly!
But even if you leave ICU and try another dept, the skills you learned will come in handy whether tele stepdown, med-surg or whatever you decide!
Apr 14, '12[quote=rnmj2531;6361682]i am a currently dealing with situation that i feel is the product of what originated from "horizontal/lateral violence" and after a year has left me with no other choice but to "toss" in the towel and terminate myself. i am/was a "new" graduate and determined to become an icu nurse. i ended up landed a most appeciated position in the medical icu and was so excited i could not sleep! from day one i was criticized for "skipping" in the hallways, and being to happy to come to work. although, i had a male preceptor, formor military, and was just trying to keep up. my spirits were crushed, but said nothing, and left the tears at home. [quote]
skipping in the halls for a split second one day could be rather fun and playful. it is not, however, professional and if it continues to occur it might lead to speculation about your maturity level and wither it's adequate to the icu. the fact that "your spirits were crushed" because you were asked not to engage in inappropriate behavior in the presence of patients, visitors and staff again calls your maturity into question.
[quote=rnmj2531;6361682]i stuck to it, knowing this was expected. i completed internship, and asked to stay on days... i was criticized for not going to days as if it was a rule somewhere everyone must complete. [quote=rnmj2531;6361682]
[font='comic sans ms']you were asked to stay on days but were criticized for not going to days? you made the request to stay on days but were criticized for not going to nights? your writing is unclear. if it's what i suspect, nights is a rite of passage for the icu nurse, and i can see why the other staff would resent you if you, a new grad, went straight to day shift without doing any nights. they'd also resent any manager who allowed you to do so. if you're already not fitting in because of lack of maturity, this wouldn't make you any more popular. nursing is teamwork -- you have to be a part of the team. and if you (as some new grads i've known) used daddy's "importance", or a made-up health issue s a reason to stay on day shift rather than rotating to nights with everyone else, i can see where they'd really resent you.
[quote=rnmj2531;6361682]i felt i was being talked about behind my back, and being told on for every mistake possible. i was calling in the managers off daily as if i was in the prinicpals office. i confronted my peers for issues i had, and it backfired as my words were turned into complaints and turned into the managers again without notifing me first. i continued defending misunderstood words/situations[quote=rnmj2531;6361682]
trust me, you were talked about behind your back. you've made yourself memorable, so you may even have been talked about more than most. but everyone gets talked about behind their back. some of it is nice "wow, emma really picks stuff up fast for a new grad," some of it just is "sydney's boyfriend is coming to visit from afghanistan, so we're all pitching in to cover her weekend" and some of it is not so nice. "did you see that new grad skipping in the hall? just like nursery school. i heard she's too special to go to nights,"
you don't say how you confronted your peers. did you treat them the way you'd like to be treated? or did you, as one new grad i once knew, threaten them with your daddy making the ceo of the hospital straighten things out in your favor? nor do you indicate the caliber of mistakes you were "told on" for. were they huge mistakes? little mistakes? potentially fatal mistakes? minor mistakes that kept happening over and over with no indications that you intended to improve? if you're making the same mistake over and over again, it's frustrating. it could be dangerous. and when someone cares enough about your practice to take the risk of pointing it out to you and you just blow them off, that will lead to harsh feelings from your co-workers as well.
but honey, if you're always defending "misunderstood words/situations," there's a real problem going on and that problem is you. clearly you're failing to learn what you're doing wrong and change your behavior.
until one night i was finishing an admission late and ready to leave i go to my locker which i leave unlocked, to find someone placed a lock on it. everyone denied placing lock. it had remained unlocked all day, and last checked by me at 1700, why would someone just not tell me and remove it? i had to wait until manager, security, and maintence was present to have the lock cut off so i could go home. my manager was notified, i was in tears. and the worst part was, a email was sent out asking for a confession (no one did) and nothing was brought to my attention about it since. [quote=rnmj2531;6361682]
locking your locker on you was nasty. if you were a team member with your colleagues, it could have been just one of those practical jokes that everyone plays on everyone else. and it's entirely possible that it was a practical joke played on a popular member of the team, but they erred and got your locker instead. i can see why it would be frustrating, but it's also an indication that you've so alienated yourself from your colleagues that they don't care that you just wanted to go home. no one wanted to fess up and be accused of being mean to you.
Quote from rnmj2531everyone gets horrible assignments. sometimes we get lots of horrible assignments in a row. if there are new grads on the unit, everyone who isn't precepting them is going to get horrible assignments day after day after day. if you spent a lot of time complaining about it, you'll be seen as a complainer. i don't know you and i don't know your situation other than from what i'm reading here, but i suspect that a lot of your failure to be a part of the team was your own behavior. i'd advise you to take a good, long, hard look at what you contributed to all of these negative interactions at work and resolve to change the way you interact with others. it may save this job for you, but it will definitely be invaluable in your next job.i have been given, what i feel "horrible" assignments... and felt unappreciated, unworthy, and never accepted despite all efforts, only my faults were scene. i 100% take responibility that i have faults and make mistakes, but i ask for help, and most definatly am accountable for them. i completed my clinicals there as a student, and wished for it to be my home as a nurse, a am a fighter. but sometimes, fighting is a loosing battle.
good luck and let us know how things go.
Apr 14, '12Life is too short when dealing with office politics. I go to work, put my head down and do my job, keep my mouth closed and go home. If this doesn't work, I find a new job. I've been bullied on the job and I quit that job. There's politics no matter what you do for a living. You just have to be above the bs.
Apr 15, '12"Bully" and "Violence"...
You keep using that word. I do not think that word means what you think it means.
Apr 15, '12Quote from RNMJ2531the bold part, did everyone miss the " " around skipping?I am a currently dealing with situation that I feel is the product of what originated from "horizontal/lateral violence" and after a year has left me with no other choice but to "toss" in the towel and terminate myself. I am/was a "new" graduate and determined to become an ICU nurse. I ended up landed a most appeciated position in the medical ICU and was so excited I could not sleep! From day one I was criticized for "skipping" in the hallways, and being to happy to come to work. Although, I had a male preceptor, formor military, and was just trying to keep up. My spirits were crushed, but said nothing, and left the tears at home. I stuck to it, knowing this was expected. I completed internship, and asked to stay on days... I was criticized for not going to days as if it was a rule somewhere everyone must complete. I felt I was being talked about behind my back, and being told on for every mistake possible. I was calling in the managers off daily as if I was in the prinicpals office. I confronted my peers for issues I had, and it backfired as my words were turned into complaints and turned into the managers again without notifing me first. I continued defending misunderstood words/situations until one night I was finishing an admission late and ready to leave I go to my locker which I leave unlocked, to find someone placed a lock on it. Everyone denied placing lock. It had remained unlocked all day, and last checked by me at 1700, why would someone just not tell me and remove it? I had to wait until manager, security, and maintence was present to have the lock cut off so I could go home. My manager was notified, I was in tears. And the worst part was, a email was sent out asking for a confession (no one did) and nothing was brought to my attention about it since. I have been given, what I feel "horrible" assignments... and felt unappreciated, unworthy, and never accepted despite all efforts, only my faults were scene. I 100% take responibility that I have faults and make mistakes, but I ask for help, and most definatly am accountable for them. I completed my clinicals there as a student, and wished for it to be my home as a nurse, a am a fighter. But sometimes, fighting is a loosing battle.
and the fact that she was literally trying to keep up with someone moving faster than she?
Apr 15, '12Quote from morteI feel the same way. Seems as though she is being blamed because she was bullied. I could be reading it wrong, but that's how it appeared to me. Having been the victim of "lateral violence" myself, I hate bullies and have no patience with them.the bold part, did everyone miss the " " around skipping?and the fact that she was literally trying to keep up with someone moving faster than she?
Apr 16, '12needless to say, i have stated the following on previous posts, lateral violence and unwelcome behavior among peers is not unusual today. having said that, in health care violence is a growing problem among individuals, as well as other disciplines. furthermore, awareness and understanding of the problem of lateral violence between co-workers in the health care setting it a reality. although, there are several theories regarding why lateral violence is a problem among peers, the core issue continues to be that violent behavior towards another often times injures the other’s self-esteem. unquestionably, such an adversarial dyad serves no one but establishes an atmosphere for increasing anger and possibly violent behavior. therefore, to stop lateral violence, managers should monitor their staff and with the same token the ceo,cno or don must set a “zero tolerance” policy towards violent or abusive behavior among staff. with that said, this policy must be strictly and justly administered so that all employees accept that the policy is for real, and applies to non medical and medical staff as well as to nurses or nurse administrators. lastly, no one ever deserves to be abused in any given form or shape.
Apr 25, '12Quote from Lynx25Too true. "Lateral violence", is having a pencil jammed in your ear(e.g., "frontal violence" is a broken nose, "vertical violence" is a PDR to the top of the head); gossip and backstabbing are rude."Bully" and "Violence"...
You keep using that word. I do not think that word means what you think it means.
Zero tolerance alleviates personal responsibility, and encourages a lack of positive-attribute discrimination. People vent; venting (within certain parameters) is fine and understandable. Perpetually intractable behaviors need to be terminated, but this means singling them out, which makes managers and HR all twitchy, since most managers and HR people don't have the capacity to properly verbalize a deficiency and its objective implications.
Apr 28, '12Quote from nremt-p/rni call nursing "the profession of oppression." the best way to throw away a college education and the money one has to pay for one, is to become a rn. i am writing a book on "lateral violence" in order to expose this sickening behavior and provide avenues for its erradication. i was harassed, had my personal information-my work schedule from another job attempted to be stolen in order to be used to undermine me and sasbotage me, to find fault in my personal life, made fun of because i have a disability, intimidated, shunned by coworkers, you name it, & it happened to me. i called the police becasue i was afraid of what the assulting rn's wanted to do with my personal work schedule, as i have a teenage daughter and i do not trust any man who is spying on me and is following me, but the md pediatrician did nothing to stop it. i had no where to turn. i demanded the police to arrest the md becsause he was spying on me, but the cops said they could not. i live in fear becasue of my former coworkers rns. they would scream at me, make sarcastic remarks all the time, and it wore me down. i was terrorized by this gang of diploma rns. the agressors were all older than me, and i was 49 years old when it happened. i called at least 5 attorneys to try to sue for harassment, because that is what the police department said that was; what they were doing, but every attorney i spoke to said the same thing, "you have to tell that doctor, there is something wrong with those employees", but md knew that the rns were attempting to illegally obtain my person work schedule from my other job, and he did nothing! what recourse do i have? i belive that i am sick over this event. i cannot sleep, and i have this rage surging in my head while i live in fear if they try to hurt me. i cannot stop thinking about what my head nurse saild to me when she was firing me. after i told her that i was not on -call with my other job, like she was accusing me of, & she said to me "don't you argue with me!" i replied, " but what u are saying never happened, you are a liar." she replied to me "tough!" i told the head nurse, "i'm telling john, the head pediatrician, becasue what you are accusing me of never happend" , as i knew the culprits werer calling my other job, as the company's cpa was pretending to be rn , she posed an a rn and did an interview over the phone for my job's position, in order to obtain my job's schedule, but she got the wrong information becasue my schedule was changed. the diploma rns were callling my other job's phone number after hours and spoke to the answering service, and asked the answering service who the aoc was, and the service told them my name, but it was changed just hourse before, as the service did not get the written information on time, as i was late becasue of car trouble and my other manager told me , "just take the beeper, but i'll do the call. if the answering sevice calls you, just tell them i'll be on call, not you, and they'll call me. they have my phone #". so i was fired becasue my coworkers were spying on me and they got the wrong info. my other job notified me because they were getting these phone calls from the job that fired me, and they thought someone was trying to kill me, as they called over 4 times. the culprits asked the hr director things like, "what is k's work schedule? how many days did she work for you last week, and last mont?" and "what times does she do on-call. what time does her on-call start, and end?" also, they asked,hi!
i have had a very interesting experience with the aacn's "healthy work environments" initiative. it really does seem that one just had to "name it to claim it!"
i have posted an excerpt from the aacn's on-line and journal article on lateral violence - has anyone had any experience with these behaviors (below)?
how much of your practice is impacted by issues such as these!?
i know that, in retrospect, i have had a role or two that i am not proud of! however, i resolved that i would be a part of the solution - not a part of any problem. so, what do you recognize?
have you been a victim or a villain?
how do we stop this now?
please share your feeling, comments, observations or experiences.
from the june 2007 edition of : critical care nurse
manifestations of lateral hostility
lateral hostility, bullying, horizontal violence, and the like may be conveyed in a nearly endless variety of forms that denigrate a nurse's professional dignity. some of those expressions identified in the literature include the following3,14,17:
* backstabbing, gossiping
* belittling gestures (deliberate rolling of eyes, folding arms, staring straight ahead or "through" when communication is attempted)
* constant criticism, scapegoating, fault-finding
* elitist attitudes regarding work area, education, experience
* ignoring, isolation, segregation, silent treatment
* inequitable assignments
* inflammatory angry outbursts, impatience
* insults, ridicule; patronizing, or condescending language or gestures
* intimidation, threats
* judging a person's work unjustly or in an offending manner
* making excessive demands
* sabotage, undermining
* unfair evaluations of work
* unwarranted criticism sarcasm
* withholding information or support
full text link at
thank you for any imput!
what time does k leave the building?" my other job refused to give them any info and told the fake rn, the cpa that it was illegal to give out anyone's personal info." they did not reveal any of my personal info, thankfully, but there was nothing to get anyyway as i was on orientation wtih this other job. there is no justice in nursing. nursing mangers need to be educated regarding lv, so it could be stopped. the nursing manger who fired me just jumped on the band wagon and did nothing to stop it. she and the md were both wrong. when my daughter started college i forbade her from choosing the nursing profession. my question to u is , "who do i reprt this atrosicity to? who do i report these illegal activities to, because the police did nothing, jus like the nurse manager and the head mddid nothing?
Apr 28, '12i would like to suggest you report it to a good therapist. this whole rant is very hard to follow and i think you need help managing it, not publishing it. good luck to you, whatever you do.
Apr 28, '12GrnTea has a point. It might do you a world of good to talk to a therapist. Not because we think you're crazy, but because you're describing crazy-making activities, and talking to someone could help you discharge some of the fear and anger that are so evident in your post. Such a person may be able to help you come up with a plan of action that will help you to feel safer and perhaps document the negative behaviors you have described in ways that will be helpful should you ever find an outlet for taking action against the ones who mean you harm.
Is it possible for you to find a different job? I realize that is what your detractors are after, but your safety and your sanity come first. You also might have a stronger complaint if you can say that their behavior forced you to seek other employment.
I hope you can find a way to protect yourself and get help with the emotional turmoil.
May 21, '12Well... I think I was blackballed by a former instructor with whom I had to withdraw. Despite working a t my hospital of choice for 6 years, successful completion of my associates, fantastic references and graduating at the top of my class, I was told that I needed "more clinical experience!" 2 former classmates were hired at the same time I was rejected , one with less hospital experience and an "outside hire". I believe that instructor may have convinced the powers that be that I was not a good candidate based on her insecurity and jealousies. Color me "deflated!"
May 21, '12NREMT
Your distress is evident. But at this point, you need to take care of yourself and your child. The best way to do that is with a good therapist who can listen to your story, help you to organize your thoughts and effectively deal with the outcome. What has occured has occured. To say it was a hateful, horrible experience is a gross understatement. But we can only go on from today. Here's hoping you have some professional assistance to put it all in perspective, and the strength to go on from here.