Darren
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- Location: Adelaide
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Fri Aug 05, 2005 1:08 pm
Workplace violence is an issue that keeps on coming around. What are some of the experiences you have had and what is your organisation doing about it? An has prompted me to wonder what NurseCentral users are experiencing. I have also started a so feel free to express your opinion.
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red
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Aug 05, 2005, 04:41 pm
workplace violence is alive and well in the bush. i have been a victim and noone was prepared to do anything about it at the time. the union couldnt, the CEO couldnt, my peers couldnt. the perpetrator was a GP with VMO rights (the only one) to the local hospital, so I was considered expendable & he wasnt. I resigned eventually but couldnt leave the area because of my husbands work. as the manager at the time i lost my career path, my self esteem, my confidence and my job. I found another but it has taken years to get any of the confidence back that i lost at that time. i couldnt practice as a nurse for 5 years & feel that even now, this situation would still not be handled any differently by the area health service.... no support at all
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sassygirl
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Aug 06, 2005, 05:47 pm
Hi Darren, have just joined up and am very impressed with the site.I think Workplace violence needs to be seperated into 2 areas and both need different strategies to be implemented and to manage. workplace bullying (violence against a colleague) is repulsive and unacceptable. Where I work we have just implemented an 'anti-bullying' initiative and many people are starting to speak up. However we have many 'ingrained' cultures and many people who 'should' have been managed out many years ago and have been 'allowed' to continue such practices. Unfortunately it is very hard to 'performance manage' these people if staff don't speak up and declare these behaviours unacceptable. Stories such as provided by the previous writer made me sad. How many good nurses are we losing because they don't get the support. (and we are supposed to be a caring profession). Workplace violence (from patients) is also unacceptable and I think it is the responsibilty of managers to ensure that all staff receive adequate training, practice, support, and implementation of NO TOLERANCE policies. It is also our responsibilty to ensure that we keep up to date, use supervision, debrief and ensure that the policies are followed. I can feel myself getting on a roll here.. would love to hear what is happening in other units and areas. As nurses we need to speak up and no longer accept any form of violence, harrassment, bullying. We have a right to a safe and enjoyable workplace.
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fedup
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Sep 14, 2005, 10:17 am
Workplace violence - used to be zero tolerance ...now half tolerance to full tolerance at the moment where I am working. Why? Customer image or customer satisfaction. Well excuse me , patients are not customers - customers are always right - patients (especially delirious ones) surely cannot be right! Never mind that . I knew of 3 colleagues who had to be off work for being assaulted by patients , for at least 4 weeks . I had to do Hep C tests because a patient FLUNG his URINE on MY FACE and he was hep c positive . I have been physically assaulted so many times that I THINK I CAN QUALIFY AS A PROFESSIONAL PUNCHING BAG . One of my colleagues was punched by a patient's husband who was lucid and knew what he was doing . Why he punched her? She had told him she couldn't just lift his wife up as he DEMANDED and she needed to wait for another person to help with the hoist because it was against our no-life policy - bearing in mind that patient weighed at least 120kg. She wanted to make a police report - guess what ..hospital admin dissuaded her ...bad for our customer image etc. Then we started to do incident reports for every assault and abuse that takes place because we we fed up of the crap and lack of support from management - our NUM has tried so hard to help us out but without management support - WE CANNOT DO NOTHING . So incident reporting shot up sky high. Nursing Management came down on us - instead of looking at the situation - guess what they said in not so many words ...IT WAS OUR FAULT ...WE DID NOT KNOW HOW TO DEAL WITH PATIENTS THAT IS WHY WE GOT ABUSED ( to put it mildly ) . Wait....how about the medical staff? Well they don't want to give any form of restraint for the patient .....sorry nurses u have to work a lil harder ( navigating and deflecting punches and items thrown) . I actually refused to do a VIOLENT patient's obs because he was threatening to punch anyone in his way . The doctor insisted but refused to order the sedation or SHACKLES while the security guards were on their way . Guess what I had to do to prove a point - I gave her the obs machine and ask her to do it herself because according to OHS rules , I am to put myself away from harm's way . She was actually not the brightest spark in the sky because she actually went near the patient without the security guards and GOT PUNCHED. Suddenly our dear resistive doctor who said shackles were not her thing - ordered every possible chemical and physical restraint while she was whining to her registrar AFTER SHE WAS ASSAULTED. It pisses me off when I see medical staff not reading the 2 page report we have written to indicate a patient was violent. WHoa when I come back on shift ...behind that 2 page report - I see a small paragraph written by the medical team - Patient well. No confusion /aggression/ agitation pm. .....WHY DO I EVEN BOTHER WRITING TWO PAGES OF what went on during my shift to indicate that patient is VIOLENT and poses a threat to everyone ...and we had to call security 3 times that shift to hold him down before he actually injures someone . As far as I am concerned ....I am going to quit nursing. We have no support at all not from management , not from medical staff ( unless they get hit ) . I didn't come into this job to be abused by patients or their families - the injuries they caused are not even worth the money I earn
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priscillasmum
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- Joined: Sep 2005
- Location: Melbourne
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Sep 14, 2005, 04:33 pm
Violence seems to be increasing throughout our society in general, just look at the increase in road rage. I have frequently observed people's manner is intollerant in so many social situations it is unbelievable. They don't want to wait for anything. I always feel for the checkout chicks and the tellers in the banks, they deal with very intollerent people all the time. But nurses feel the brunt of the increase in physical violence, there is no doubt about that.
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nursemorgan
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- Joined: Jul 2005
- Location: adelaide
- Posts: 28
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Oct 07, 2005, 12:36 pm
Last edited Oct 07, 2005, 12:36 pm
update #2
Hi GuysI am assuming the majority of those people who have posted are metro based nurses?? As a 2ndyear student I have completed all of my placements in regional/ rural SA. I am yet to encounter any violence towards staff from the public/ patients.There has been a bit of "cattiness" between staff but nothing major.The MAJOR issue I have experienced so far is pt's self harming. It has happened on all three placements.The last one (I have just completed) involved a female who 'aquired' a glass coffee jar out of the pt's kitchen broke in the tiolet (Which I heard) and inflicted superficial wounds on her upper arm for the purpose of "seeing blood".I have expereinced working with plenty of people with sucidal tendcies but seeing their attempt first hand is another thing all together. This same venue/ ward also had a pt hang themselves in the toilet last year and hence had massive pshyc style renevations undertaken. My question as a student is what do you with/ for the individual who is in the act of self harming?? There is plenty in our course for the lead up to the event but nothing for the student/ toilet/ pt with glass in her hand/ nursing staff down other end of ward (where the pt should have been herself!!) scenario??regardsMorgan
modified: Friday 07 October 2005 12:40:10 pm - nursemorgan
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sassygirl
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Oct 08, 2005, 12:43 pm
Hi Nurse Morgan, congratulations on actually facing the issue and seeking out support. You will probably have to start looking into the psychiatric literature . You could start with topics like suicide, self harm, borderline personality disorder, therapeutic risk taking. There is quite a difference between self harm and suicide. Often the self harm is an expression of distress, rather than a wish to die. People self harm for lots of reasons. The best way to manage it is not to go into drama mode, but allow the person to talk, and encourage the person to take responsibility for their injuries (is cleaning the cut, deciding if they need suturing and give them some safe time out. We often feel we need to 'parent' these patients, and often the patients want parenting..however this is more harmful in the long term and it is important to maintain your nurse/ patient relationship.. It is best to talk with the self harming patient when they are Not in crisis. Ask them about their behaviours, help them to identify why they do it and how they would like it managed. You can then establish some rules about not putting other pateints and staff at risk (ie not threatening to put blood on others or have other pateitns witnessing their behaviour). The key to manageing these pateints (and I will admit they are the hardest client group in psychiatry) is to enable them to take responsibiltiy and not to label them as manipulative or attention seeking. When i was a younger nurse a teacher once said to me that 'you have to have an illness to behave like that'. This allowed me to see the pateint as having an illness, not just behaving badly. keep up the dialogue with your colleagues and make sure you are all consistent in your management. Good luck (and keep up the good work) sass
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cheesedexNUM
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Jan 12, 2006, 05:14 pm
Fedup, the situation you describe was a common response at my last workplace, and your right there is little or no support for appropriate responses to this from upper management, especially in the obove NUM arena. Sometimes one has to demonstrate anger with ones feet. Regards
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Nighters
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- Joined: May 2006
- Location: Geelong
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May 19, 2006, 11:51 pm
I have to say that work place violence got so bad while I was at one employers, that they brought a team in to assess staff, and we were told we had battered wives syndrome. I worked there for 12 years, I left with massive work place injures both physical and mental. I now work for a group of angels, and do community nursing. I do sometimes return to do a shift at the other place. I feel that if I hadn't had the courage to leave, I wouldn't be here at all. I made a choice and left everything behind, all my leave, I didn't care how much money they offered me, I still left. There comes a time in everyones life when you do something for yourself, and mine was to haul my bod out of there. I have never looked back.
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tropicana
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Jul 24, 2007, 04:35 pm
I see this was a topic started in 2006, but thought I'd continue it on. I could really relate to some of you, including the person who spoke about the doctor being hit...I've seen the same thing! Amazing how that changes things? I've found that zero tolerance is a joke, we are told the patients are sick so we have to tolerate it, but here, fill out these extra forms...it'll help us gain evidence. As if we don't have enough paperwork...
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franky
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- Joined: Jun 2008
- Location: queensland
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Jun 21, 2008, 03:27 pm
Wok place bullyng and intimidation is unacceptable and intolerable BUT WHAT DO YOU DO WHEN MANAGEMENT IDENTIFY ONE OF THE PROBABLE CAUSES "You have a too high standard of nursing"
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Renata
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- Joined: Jun 2008
- Location: Sydney
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Jun 24, 2008, 02:06 pm
I have come across bullying in many forms throughout my career. There is the overt bully - the boss that yells at you and gives you tasks that are impossible to complete, the sniper who shoots you down in flames at every opportunity, but the most insidious form of bullying that I have ever encountered is "Mobbing". Mobbing is rife on hospital wards, especially in Public Hospitals. ‘Mobbing’ refers to covert collective behaviours of ‘ganging up; and targeting co-workers and managers as well as subordinates using passive aggressive behaviours with malicious intent to cause harm. There are five phases of the ‘mobbing syndrome’ commencing with a ‘conflict’ (first phase), followed by ‘aggressive acts’ and ‘psychological assaults’ (second phase), after which management becomes involved to the detriment of the target (third phase), the target is “branded as difficult’ or ‘mentally ill’ (fourth phase), and the final and fifth phase is termed the ‘expulsion’ where the target is forced to leave their position . In addition to gender, other personal characteristics such as race, culture, impairment, age, marital status, and sexual orientation, are high risk factors for becoming a target of ‘mobbing’ in work environments where there is a dominant group. Researchers on workplace diversity issues, suggest that there is a ‘human preference for the familiar’ reflected in expressions such as ‘like seeking like’ and ‘birds of a feather flock together’. They argue that the ‘dark’ side of diversity is that there is a ‘fundamental fear’ of the ‘difference of others’. Diversity, or difference, is not likely to be valued in workplace cultures where there is a sense of ‘You don’t look like me, you don’t dress like me and you don’t think like me; therefore I don’t want to know or understand you’. Employees who are in the minority due to their inherent characteristics are especially vulnerable to bullying and mobbing behaviours as recognized in human rights and anti-discrimination legislation in many countries, including Australia. Those who are different to the dominant group including those with differing political, religious, and trade union beliefs, or those displaying behaviours that threaten the dominant work group, for example being ‘conscientious’ or ‘enthusiastic’, are also more likely to be targeted. I was a victim of this "Mobbing Syndrome". Management decided to assess my abilities through a "Performance Management Review". My performance would be measured by my colleagues feedback. In other words my future/career was now dependent upon the feedback of my perpetrators. It was then that I realized that I would never be able to beat them, but I could outlast them, and I did. Has anyone else come across this "Mobbing" behaviour? I would like to hear about it if you have.
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Katie55
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Apr 10, 2011, 08:40 pm
hi all I am new to this forum but would like to add my experiences working at a nursing home which I believe had me sacked due to a group of girls mobbing
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Katie55
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Apr 10, 2011, 08:50 pm
I worked there for 7.4 years most of which I had nil problems the last 6 months I have been a target for a group of girls who have had other staff leave due to bullying and or intimidation
I have had some complaints leveled against and when I stated my case I was not believed and a note was put in my file, I was accused by these same staff of an incident with a resident which I was again not believed and was 'counselled' by management and again a note in my file. I went on leave in Oct and after I came back was again accused by the same girl of another offense against a resident who had just been admitted to the home and as a result was stood down and then sacked over it.
In all my 35 odd years of nursing I would never do anything to a resident or a patient and certainly held my professional status dearly I would not say I am a perfectionist but I like to do my work properly and help out other staff when I can
IThese allegations and subsequent dismissal have left me reeling and destroyed me both psychologically and financially
If not for the fact that my previous managers who do not work there any longer believed in me and gave me a good reference for other employment I do not think I would have coped at all My new employers are really kind and supportive which have helped restore my faith in human nature a little as to my self esteem and confidence that will take a lot longer I think
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gizjiz
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Apr 25, 2011, 04:23 pm
How very sad Katie that this has happened to you.. I have worked since the age of 15 will be 55 in June. I have been in age care for 16 months now... I can honestly say in all my years of working, I have come across some nasty people working in age care. Bullying and just plan nasty. I am still working at a facility where I did my student work placement. i made the decision I would try and gain shifts elsewhere, as I needed consistency being a casual, I was treated like I was taking shifts away from the part time permanent.Getting a call on a Monday morning at 5.00am is not funny. Or a phone call after 11.pm. These people complained about casuals taking shifts but don't answer their phone... Or just made to feel you are inadequate criticised for doing a particular task wrong in their eyes. Yet you have caught this co worker on own transferring a resident with full sling hoist. I have not closed the doors om my facility it just seems a shame as there are some wonderful cares that I work with, its just sad that the good and caring ones are forced out by the for want of a better bastards....
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Katie55
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Apr 25, 2011, 08:57 pm
I have a work cover claim going through the system but I don't hold out much hope of a good outcome mainly due to the management claiming they thought they were doing the right thing and they can claim they followed due process of the law no matter if you were guilty of the accused crime or not. the sad thing is the bullies get away with it because they can remain anonymous and protected by the same law that they can use to discredit someone unfairly.. totally sucks
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