Toxic Incivility at The Unit Level

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This is the only question to be answered (Identify the players who are the power holders and how they use that power to influence the whole unit)

The senior nurses of the ortho-neuro unit are the power holders of the unit as they make the decisions for all of the staff. The senior nurses on both shifts had first preference for scheduling, patient assignments, and lunch breaks. They refused to take assignments to orient new personnel or to be preceptors for nursing students. If any of the nurses from other cultural groups voiced a complaint, they were the ones who were cancelled first for scheduled or overtime shifts or received the most difficult patients for an assignment.

-According to Hostility in Healthcare (Jones, 2015), administrators continue to fail to see the impact on patient safety (32 per cent linked disruptive behavior to an adverse event) – or cost (over $11,000 per nurse per year) when senior nurses have the most power.

-“Significant research exists to confirm the damage caused by relationship conflict in health; particularly aggression, verbal abuse, and horizontal hostility. Relationships conflict affects morale, satisfaction, patient safety, and quality of care. Nurses who report the highest degree of conflict also experience the highest degree of burnout. (Jones, 2015)”

-According to the American Journal of Nursing, reforming the health care delivery system requires the full commitment of the entire team, from nurses at the bedside to senior nursing leaders (Thompson, 2009

started the essay here

The main Power holders identified in the article are the senior nurses of the ortho-neuro unit. they make the decisions for all the staff. The senior nurses on both shifts had a first preference for scheduling, patient assignments, and lunch breaks. They refused to take assignments to orient new personnel or to be preceptors for nursing students. If any of the nurses from other cultural groups voiced a complaint, they were the ones who were canceled first for scheduled or overtime shifts or received the most difficult patients for an assignment.

According to the article Hostility in health care, “administrators continue to fail to see the impact on patient safety (32 percent linked disruptive behavior to an adverse event) – or cost (over $11,000 per nurse per year)”, when a group of staff hold the most power and dictate what other staff members should do, it leads to low patient satisfaction.