Puerto Rico Day #2

IMG_0140It’s  been a full day of workshops and my head is spinning with all the information I’ve received. There is no end to the sessions on workplace violence/bullying in the health care setting. It is definitely the “big topic” here at the conference.

This morning started with the MSU/MNA lateral violence study presentation, which went quite well. I believe Michelle Kaminski, my MSU partner, was busy after the presentation answering questions and obtaining contact information but I’m not quite sure as I was swamped with hands eager to receive kits of materials with an overview of the MNA teaching program. Between trying to talk to people, distribute materials and get out of the room for the next session, I have no idea who picked up what. It will be like Christmas when I start getting mysterious e-mails from people!

So far, it has been gratifying to see how closely the MNA program mimics the information being discovered by researchers and educators who are teaching on this subject. There were times this morning that I thought I was watching my own presentation, the information was so identical. However, I did pick up some new thoughts:

  • JCAHO states that 24% of sentinal events are attributed to a problem with nurse staffing.
  • “What you permit, you promote.”
  • Evidence-based medicine should be a model for evidence-based management.
  • Three new terms for lateral violence: abusive supervision, petty tyranny and my personal favorite that I think came from the Brits – “mobbing.”
  • Australian study of nursing students – 57% reported bullying

Three thoughts were repeated frequently as being obstacles to solving lateral violence – understaffing, management inertia, and organizational culture. The Joint Commission code of conduct was brought up time and time again as well as developing contract language to address lateral violence.

In other sessions today, we explored the importance of labor being involved with research, nursing faculty/nursing student abuse (which, unfortunately, appears to be bad if you’re female and not so bad if you’re male), violence towards ER nurses, and more. The ER nurse study was interesting. Although it was targeted more towards patient violence, it was somewhat heartbreaking to see how many times nurses didn’t bother to report physical abuse. The report also showed that 28% of the nurses surveyed had patients with weapons in the ER, 73% of which were knives. One other interesting fact – more attacks of physical violence were reported during the morning shift than any other time. Any ER nurses know the answer to that question?

Most unusual experience of the day – listening to a speaker present in Spanish while watching his/her slides, which were in English. More information tomorrow!

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