According to the National Institute for Occupational Safety and Health (NIOSH) “horizontal violence is an act of violence directed toward a person at work or on duty.” (Occupational Safety and Health Administration, 2008). Horizontal violence is any threat of a nurse directing threats towards each other or themselves and those less powerful than them. Horizontal violence is any attempt to cause physical harm such as striking or pushing an individual. Disorderly conduct involves shouting or throwing objects or even slamming doors. Verbal harassment is abusive language or gestures towards fellow nurses. Making false statements against coworkers.
Other examples include: Criticizing Judging others due to age Finding fault beyond situations where professional development is needed Controlling behavior Punishing activities Physical violence
Horizontal Violence EVELYN BROWN LESSON PLAN INSTRUCTOR DEBORAH ADELMAN MN510 TECHNOLOGY IN NURSING KAPLAN UNIVERSITY DECEMBER 18, 2012
Table of Contents Slide Title Slide NumberLesson Plan Overview 3Course Objective 4Learning Objectives 5Knowledge Objectives 6Learner Objectives 7Horizontal Violence 8Coworker Violence 9Behaviors 10Multimedia 11Grading Classroom Components 12Letter Grade System 13References 14
Lesson Plan OverviewWeek 1: Introduction to Horizontal Violence.Week 2: Violence at the hands of a stranger.Week 3: Violence at the hands of a patient.Week 4: Violence at the hands of a coworker.Week 5: Violence at the hands of an Administrator.Week 6: Mid-TermWeek 7: Incidents and impacts.Week 8: Preventing Horizontal Violence.Week 9: Identifying risk factors.Week 10: Identifying security hazards.Week 11: Prevention measures.Week 12: Final Exam
Course Objective The purpose of this course is to give health care providers information about work place violence and how it can be prevented. The purpose of this course is to also learn about costs, participating factors, issues and interventions.
Learning Objectives Define horizontal violence Describe four types of workplace violence. Understand risk factors for workplace violence in health care. Describe security hazards in health care. Describe security risks involved with behavior. List three preventative measures to help reduce workplace violence.
Knowledge Objectives Upon completion of this course the student will be able to define Horizontal Violence with 100% accuracy. The student will also be able to recognize the four different types of violence. Upon completion of this course the student will be able to identify incidents, risk factors and security hazards. The student will be able to prevent horizontal violence and measures with 100% accuracy.
Learner Objectives Evaluate: The costs of horizontal violence. Analyzing: Difference in forms of horizontal violence. Applying: Show a preventative intervention to reduce horizontal violence. Understanding: Discuss how horizontal violence effects nursing. Remembering: Define horizontal violence.
Horizontal Violence Horizontal Violence is defined as nurse on nurse violence. Examples: Verbal Threats Attempts to cause physical harm Disorderly conduct Verbal harassment Making false statements
Coworker Violence This is the worst form of workplace violence, it accounts for 10% of homicides in the United States. Violence can occur between a manager and employee or an administrator and manager and employee on employee. Horizontal violence can be described as hostile or aggressive behavior by an individual or group on another person or group (APNA, 2008).
BehaviorsThese are all the behaviors cited as violence by a coworker by the HawaiiNurses Association (2008):Aggressive body languageBelittling gesturesWithholding needed informationBickeringScapegoatingGossipingHumiliationShouting or yelling
Multimedia Encourage class to make a 1 – 3 minute video on horizontal violence and upload it on YouTube. Have class develop PowerPoint Presentation on Horizontal Violence and how they think it will affect their nursing career.
Letter Grade SystemLetter Grade Average Percent Grade A 90-100 B 80-89 C 70-79 D 60-69 F 60 or below
References American Psychiatric Nurses Association (APNA). (2008). Position statement: Workplace violence. Retrieved from: http://www.apna.org/files/public/APNA_Workplace_Violence_Position_Pape r.pdf Hawaii Nurses Association. (2008). Horizontal violence or beyond the bully. Retrieved from: http://www.hawaiinurses.org/news-a-publications/hna-news- archive/44-general-news/187-horizontal-violence-or-beyond-the-bully.html Occupational Safety and Health Administration (OSHA), U.S. Department of Labor. (2008). Hospital eTool: Workplace violence. Retrieved from: http://www.osha.gov/SLTC/etools/hospital/hazards/workplaceviolence/viol.h tml