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Lateral violence in the perioperative setting.
Lorraine Bigony1, Tammy G Lipke, Ashley Lundberg
1Frankford Hospital, Bucks County, Langhorne, PA, USA.
Lateral violence, disruptive behavior between nurses, is common in the perioperative setting due to stress and isolation. Interventions focus on staff empowerment and zero tolerance to improve nurse well-being and patient care.
Area of Science:
- Nursing
- Healthcare Management
- Workplace Psychology
Background:
- Lateral violence, defined as disruptive, bullying, or intimidating behavior among nurses, presents a significant challenge in healthcare environments.
- The perioperative setting, characterized by high stress, patient acuity, staffing shortages, and OR isolation, creates a conducive atmosphere for concealed negative behaviors like lateral violence.
Purpose of the Study:
- To examine the prevalence and impact of lateral violence in the perioperative nursing environment.
- To identify contributing factors specific to the perioperative setting that exacerbate lateral violence.
- To explore effective interventions for mitigating lateral violence among nursing staff.
Main Methods:
- Qualitative analysis of nurse-reported experiences with lateral violence.
- Review of environmental factors contributing to workplace conflict in surgical settings.
- Synthesis of existing literature on interventions for disruptive behavior in nursing.
Main Results:
- Lateral violence negatively impacts nurses' health, well-being, and capacity to provide patient care.
- Specific perioperative stressors, including intense work demands and limited communication, facilitate lateral violence.
- Empowerment strategies and a zero-tolerance policy are identified as key interventions.
Conclusions:
- Addressing lateral violence in perioperative settings is crucial for fostering a healthier work environment.
- Implementing staff empowerment and strict zero-tolerance policies can effectively combat disruptive behaviors.
- Reducing lateral violence is essential for enhancing both nurse well-being and the quality of patient care.
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