Discussion Forum Assignment # 3
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Incivility, lateral violence, bullying and “clique behavior” are all terms indicating mistreatment from one individual or group against another individual or group. Bullying is a term often heard in grade school through high school. Some of you, especially if you work in the hospital/healthcare setting, may have hear the phrase, “Nurses eat their young.” What does that mean to you? Have you ever witnessed his type of behavior from nurses or other healthcare staff/providers?
Read Chapters 16 in your textbook as well the articles and TeamSTEPPS resources listed in the Module.
Case Study (true story): T.M., an pediatric nurse with 10 years of experience is looking forward to transitioning to the Labor & Delivery unit. The first day on the unit, T.M. was introduced to the rest of the L & D nurses and oriented to the unit. During her orientation she was assigned to be trained by the two most experienced nurses on the unit. On her second day on the unit, T.M., under the supervision of her preceptors, was caring for a primigravida patient (first pregnancy) in labor. The delivery of the baby was imminent when T.M.’s preceptors looked at her as they were walking out of the patient’s room and stated, “Good luck, you’re on your own!” T.M. had never had experience delivering a baby. She couldn’t call the charge nurse as one of these nurses was the charge nurse that day. And, she could not leave this soon to be mother due to the imminent delivery. She was able to page the obstetrician, and thankfully, everything turned out okay for both the mother and baby. T.M. realized her preceptorship was over. T.M reported the situation to her supervisor, but was told, “These are my two best nurses. They would never do anything like you just described!” T.M. realized she had a decision to make, she could either ‘stick it out’ or quit this unit and go work elsewhere. She decided to stay, and she for the next six years witnessed time and time again, what she dubbed the “A-team”, do the same thing to new and experienced nurses coming to work on this unit. T.M. would purposely volunteer to train the new employees, in hope that they would stay on the unit. Unfortunately, most did not. T.M. tried repeatedly to talk to the Nurse Manager and Director of the unit about the unsafe situations she was witnessing, but instead of investigating the situation, T.M. was labeled as the troublemaker. These two nurses would smirk and make mocking statements to T.M. when the Nurse Manager and Supervisor were not present. After six years, T.M. finally left this hospital, and considered leaving the nursing profession altogether.
1. How did this true story make you feel?
2. After reading the case study and the assigned reading (specifically the two articles on cliques), did T.M. do the right thing in reporting the initial situation? What, if anything could she have done better? Support your rationale using TeamSTEPPS and the articles.
3. If you were a nurse on this unit, and witnessed the situation and/or experienced something similar, describe how you would handle it? Support your rationale.
4. What is the nurse manager’s response to T.M.?
5. What are the potential implications to the patient, in this case, both mother and baby, the unit, the hospital, and the profession of nursing?
6. As a future nurse, what can you do to mitigate bullying, clique behavior (group bullying), incivility, lateral/horizontal violence (any/all) behaviors?
Answer all questions in your initial discussion. Initial discussion posts and one peer response is due on Sunday night at 11:55pm. All discussions and peer responses must be supported with in-text citations and references in APA format.
For the grading rubric, click on the 3 dots on the right hand side of your page.
Make sure to closely follow your APA text book and the provided rubric for this assignment. Inside of the book flaps of your APA book are common APA style guidelines, basic in-text citations styles, and common reference styles at a glance. Please see the APA References in Modules for help on APA format. Minimize use of quotes; using your own words or paraphrasing make the information specific to your paper and writing style (in-text citations go in parenthesis and have very specific rules). References should be within the last 5 years. For help with Peer Reviewed articles see this link ASU-How to recognize a peer-reviewed articleLinks to an external site. Your supporting sources should come from journal articles or websites that end in .gov. org Please refrain from using wikipedia.
