Lateral Violence: Ending Incivility in the Nursing Profession

By Karen Anne Wolf on Mon, Oct 08, 2012

lateral violence in nursingToo often, nurses faced with the weight of oppressive work conditions have lashed out at other nurses. The everyday politics of oppression created and continues to generate tensions that lead to lateral violence in nursing or what is now called a “lack of civility”.[i]

 

The phrase “nurses eat their young” is itself a perpetuation of these phenomena, generalizing and too often normalizing lateral violence by nurses.

 

The first step in getting out from under the weight of our oppressed group behavior is to recognize and name lateral violence. Lateral violence may result in a wide range of behaviors such as:

 

  • Nonverbal innuendo
  • Verbal affront such as belittling
  • Undermining actions; unavailability
  • Withholding information
  • Sabotage; or “setting up to fail”
  • Infighting
  • Scapegoat
  • Backstabbing
  • Failure to respect privacy
  • Broken confidences[ii]

Griffin (2007) suggests that in addition to naming lateral violence, nurses need to take a stand for “zero tolerance”. The costs of lateral violence in nursing are enormous and include nursing staff turnover and impaired quality of nursing care. Therefore, there needs to be a strong commitment from the “top down as well as bottom” up to eradicate the behaviors, many of which begin in nursing education.

 

Nurse educator and researcher Cynthia Clarke has noted that nursing students need to experience and learn civil behaviors on the part of faculty and health care nursing staffstaff to bring nurses out from under the rock of nurse oppression.[iii]  From zero tolerance, the culture of nursing needs to further empower nurses to speak-up and support one another.

 

Everyday, nurses are making the history of tomorrow. We cannot afford to be “victims” of the past nor passive recipients or active perpetrators of lateral violence in nursing. Our challenge as nurses is to create a new history built on respect and support. This will build a work culture that is not just good for nurses, but also conducive to promoting quality health care outcomes for our patients.

 

References

 

Griffin, M. (2004). Teaching cognitive rehearsal as a shield for lateral violence: An Intervention for newly licensed nurses. The Journal of Continuing Education in Nursing, 35, 257–263.

Workplace Bullying. (2011). The Workplace Bullying Institude. Retrived from http://www.workplacebullying.org/


[i] Nurses oppressed group behavior has been described by nurse theorist, Dr. Susan Jo Roberts in Andrist, Nicholas & Wolf (2006) A History of Nursing Ideas, and more recently has been readdressed as lateral violence by such groups as the American Nurses Association.  More recently, nurse scholar, Dr. Cynthia Clarke has published several articles on “civility and nursing.  See the references below for a link to one of her well read articles.

 

[ii] This list derives from The Michigan Nurses, article,  “Lateral Violence” calling out the Elephant in the room, retrieved from the Michigan Nurses web site at http://www.minurses.org/lateralviolence.shtml.

 

[iii] Read Cynthia Clarkes own story about experiencing incivility in nursing education, retrievable at http://www.reflectionsonnursingleadership.org/pages/vol36_1_clark.aspx.

 

About the author: Dr. Wolf is associate professor at Samuel Merritt University in Oakland California. She has practiced as a community health nurse and adult nurse practitioner; and has served as a nurse educator for more than 25 years. Formerly Associate Director of the Program in Nursing at the MGH Institute in Boston, Dr. Wolf also served as nurse practitioner and director of health & wellness for the Cambridge Health Alliance Senior Health Center. She has lectured and published widely on professional issues and nursing history, aging and health policy.

 

Click here for more information on Karen Anne Wolf.

 

Nurses, if you enjoy writing on nursing career, education or lifestyle related issues and are interested in becoming a NurseTogether.com contributor, please click here.

 

Did you like this article? Share it!



4 COMMENTS

Anonymous 3 years ago
In reference to Meg and Lisa the area where I live has a very small healthcare community and when I spoke up there was retaliation now I can't find a job if I had a clue the consequences I never would have said anything.

Anonymous 3 years ago
Interesting and sad to say so true. Fear of retaliation is ever present and DOES happen. There is a major over turn of the young eating the old as well.

Anonymous 3 years ago
Great article. In answer to Meg's question, if you find yourself in a job where the culture set by management is one where lateral violence is accepted, move on to a healthier environment. The culture is set by nursing management. The good news is there are many healthy organizations that support their nurses.

Anonymous 4 years ago
So should young nurses who are targeted report it to their managers? Should we expect protection or just retaliation upon reporting? I fear these situations when I graduate.