It’s Saturday night and you’ve been in a car accident. Someone who had too much to drink swerved into your lane and caused a bad collision. You are in severe pain and fear that you’ve suffered serious injuries.
The paramedics arrive at the scene and whisk you to the nearest emergency room. Once there, you find yourself being cared for by a doctor and nurse who absorb information about your condition from the paramedics. As they check your vital signs, you pass out….
30 minutes earlier
For the sake of your own already sky-high stress levels, thank goodness you didn’t know that 30 minutes before your arrival, this doctor had been yelling mercilessly at the young nurse for a small mistake, right in front of her colleagues. The nurse was so rattled and embarrassed that she didn’t handle skillfully an emotionally out-of-control patient, who became angry at her and spat on her uniform just minutes before the paramedics wheeled you in.
It’s better you don’t know that your life is in the hands of a doctor with a short temper and a novice nurse who now is very skittish around him.
Violence, bullying, and incivility in healthcare
Folks who work in emergency rooms and psychiatric wards will tell you that physical violence at the hands of patients (and sometimes their family members or friends) can be a significant risk of the job. Healthcare workers can be hit, pushed, kicked, spat upon, and otherwise assaulted (physically and verbally) by the very people they’re trying to help.
In addition, bullying and incivility are common forms of mistreatment in the healthcare workplace. Nurses and nurses’ aides seem to get it the worst, but others are targets as well. The problem is so serious that in 2008, the Joint Commission, an independent, non-profit organization that accredits health care organizations and programs, issued a standard on intimidating and disruptive behaviors at work, citing concerns about patient care. (See blog series about bullying in healthcare, starting here.)
An imperfect storm
Earlier this week, I blogged about the National Conference for Workplace Violence Prevention & Management in Healthcare Settings, hosted last weekend by the University of Cincinnati College of Nursing. We heard a lot about physical violence committed by patients and about bullying & incivility dished out by co-workers.
What happens, however, when the two mix? Let’s say an emergency room treats potentially violent patients on a regular basis and also happens to be a place where employees treat each other so poorly that everyone is on edge? How do the concurrent risks of violence and bullying interact, to the point where workers are routinely stressed out and thus more prone to mistakes?
Let’s zero in on healthcare
This scenario underscores my belief that healthcare is a singularly important sector for studying and responding to disruptive behaviors of all types. The stakes could not be higher: They relate to workers and patients alike. A psychologically healthy healthcare workplace provides everyone with greater peace of mind, ranging from the workers to those of us who seek their help.