558613
research-article2014
NSQXXX10.1177/0894318414558613Nursing Science QuarterlyClarke / Scholarly Dialogue
Scholarly Dialogue
Nursing Science: An Answer to Lateral Violence?
Nursing Science Quarterly 2015, Vol. 28(1) 34–35 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0894318414558613 nsq.sagepub.com
Pamela N. Clarke, RN; PhD; FAAN1
Abstract More emphasis on nursing theory in education and practice settings is suggested as an approach to reduce lateral violence in the workplace. Keywords lateral violence, nursing practice, nursing theory Most nurses take pride in their new credentials and are anxious to begin practice using the most current science in the field of nursing and their new skills. They expect a workplace that will welcome them and guide their development into the “real” world of application. Yet, in reality, graduates complain about a disconnect between the theory-driven practice learned in their academic setting and the practice that they see when they are hired into the work setting. This dialogue is focused on a significant professional issue in the workplace, called lateral violence or bullying. Dr. Susan Roberts volunteered to contribute as a renowned expert on the topic. She offers an understanding of the scope of this serious professional problem in healthcare settings. As I read the paper, I thought about the connection between theory and practice and found myself speculating on how nursing science might drive different responses in the workplace. Too often professional issues are viewed as separate from nursing philosophy, science, and practice. Inherent in nursing education is the expectation that “best practices” and nursing knowledge learned in the academic environment will be translated into patient care settings with ease and without overt resistance on the part of the existing staff. Increasingly, nurses are educated in a collaborative interprofessional environment that has the potential to build an integrated model of care where nurses would be expected, and perhaps ethically obligated, to articulate nursing science as the basis of their practice as contributing nurse members of the team. It is clear that many of the extant nursing theories address issues the opposite of the concept of lateral violence, through emphasizing respect, concerns about self-concept, caring, listening and others. All of the nursing theories focus on achieving the best theory-driven care framed in a sensitive protective person-focused framework, what Cody (2006) described as values-based practice. One of
the questions to contemplate for the future of nursing and healthcare is the extent to which a stronger nursing theory base in graduate and undergraduate education would help nurses implement their unique practice once they are in care settings. The concepts that underpin the nursing discipline are soft in their focus on humanity (caring, adaptation, selfcare, energy, humanbecoming). It makes one speculate if nursing-theory approaches were applied broadly whether the outcome might shed some light on how to handle professional issues. Rosa (2014) reported on a hospital setting in the Midwest based on a nursing model using caring-science that demonstrated remarkable institution-wide improvements in the practice environment and specifically noted the 48% decrease in lateral violence. In this column, Dr. Susan Roberts has submitted a comprehensive review of the literature on issues related to violence and bullying over the last 30 years. Dr. Roberts is a Professor and Specialty Coordinator of the Adult and Family Nurse Practitioner Programs at Northeastern University in Boston, MA. She practices as an Adult Nurse Practitioner at Harvard Vanguard Medical Associates in Wellesley, MA. Dr. Roberts has spent her career focusing on oppressed group behavior as it relates to the culture of the nursing workplace. She is well-published and her focus on the development of a positive professional identity is a consistent theme. Clearly lateral violence is an issue that needs creative nursing solutions. Dr. Roberts presents compelling evidence 1
Professor and Director of Community Health, University of Wyoming
Contributing Editor: Pamela N. Clarke, RN, PhD, FAAN, Professor, University of Wyoming, School of Nursing, Dept. 3065, 1000 E. University Ave., Laramie, Wyoming 82079 Email: [email protected]
Downloaded from nsq.sagepub.com at University of Birmingham on June 9, 2015
35
Clarke / Scholarly Dialogue that workplace violence is a serious and continuing problem in nursing and in the interprofessional environment. As nurse leaders it is important to reflect on ways to succeed in the workplace so that the milieu becomes a nursing-driven caring, health-promoting environment for those receiving healthcare, as well as nurses and other health professionals. Declaration of Conflicting Interests The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this editorial.
Funding The author received no financial support for the research, authorship, and/or publication of this editorial.
References Cody, W. K. (2006). Values-based practice and evidence-based care: Pursuing fundamental questions in nursing philosophy and theory. Philosophical and theoretical perspectives for advanced nursing practice, 5-12. Rosa, W. (2014). Letter to the editor: It is unethical not to care. Nursing Science Quarterly, (27)3, 265-266
Discovery International Publications 320 Fort Duquesne Blvd. Suite 25J Pittsburgh, PA 15222
Phone: 412-391-8471 Fax: 412-391-8458 E-mail: [email protected]
Now Available The Humanbecoming Paradigm: A Transformational Worldview By Rosemarie Rizzo Parse To receive a copy of the book send $95.00 (in USA) or $105.00 (outside of USA) Pay by check, money order, or credit card (in US dollars only), send to Discovery International Publications at the address above. (Please print.)
Name: ____________________________________
_____ Visa
_____ MasterCard
Address: __________________________________
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__________________________________________
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Downloaded from nsq.sagepub.com at University of Birmingham on June 9, 2015
research-article2014
NSQXXX10.1177/0894318414558613Nursing Science QuarterlyClarke / Scholarly Dialogue
Scholarly Dialogue
Nursing Science: An Answer to Lateral Violence?
Nursing Science Quarterly 2015, Vol. 28(1) 34–35 © The Author(s) 2014 Reprints and permissions: sagepub.com/journalsPermissions.nav DOI: 10.1177/0894318414558613 nsq.sagepub.com
Pamela N. Clarke, RN; PhD; FAAN1
Abstract More emphasis on nursing theory in education and practice settings is suggested as an approach to reduce lateral violence in the workplace. Keywords lateral violence, nursing practice, nursing theory Most nurses take pride in their new credentials and are anxious to begin practice using the most current science in the field of nursing and their new skills. They expect a workplace that will welcome them and guide their development into the “real” world of application. Yet, in reality, graduates complain about a disconnect between the theory-driven practice learned in their academic setting and the practice that they see when they are hired into the work setting. This dialogue is focused on a significant professional issue in the workplace, called lateral violence or bullying. Dr. Susan Roberts volunteered to contribute as a renowned expert on the topic. She offers an understanding of the scope of this serious professional problem in healthcare settings. As I read the paper, I thought about the connection between theory and practice and found myself speculating on how nursing science might drive different responses in the workplace. Too often professional issues are viewed as separate from nursing philosophy, science, and practice. Inherent in nursing education is the expectation that “best practices” and nursing knowledge learned in the academic environment will be translated into patient care settings with ease and without overt resistance on the part of the existing staff. Increasingly, nurses are educated in a collaborative interprofessional environment that has the potential to build an integrated model of care where nurses would be expected, and perhaps ethically obligated, to articulate nursing science as the basis of their practice as contributing nurse members of the team. It is clear that many of the extant nursing theories address issues the opposite of the concept of lateral violence, through emphasizing respect, concerns about self-concept, caring, listening and others. All of the nursing theories focus on achieving the best theory-driven care framed in a sensitive protective person-focused framework, what Cody (2006) described as values-based practice. One of
the questions to contemplate for the future of nursing and healthcare is the extent to which a stronger nursing theory base in graduate and undergraduate education would help nurses implement their unique practice once they are in care settings. The concepts that underpin the nursing discipline are soft in their focus on humanity (caring, adaptation, selfcare, energy, humanbecoming). It makes one speculate if nursing-theory approaches were applied broadly whether the outcome might shed some light on how to handle professional issues. Rosa (2014) reported on a hospital setting in the Midwest based on a nursing model using caring-science that demonstrated remarkable institution-wide improvements in the practice environment and specifically noted the 48% decrease in lateral violence. In this column, Dr. Susan Roberts has submitted a comprehensive review of the literature on issues related to violence and bullying over the last 30 years. Dr. Roberts is a Professor and Specialty Coordinator of the Adult and Family Nurse Practitioner Programs at Northeastern University in Boston, MA. She practices as an Adult Nurse Practitioner at Harvard Vanguard Medical Associates in Wellesley, MA. Dr. Roberts has spent her career focusing on oppressed group behavior as it relates to the culture of the nursing workplace. She is well-published and her focus on the development of a positive professional identity is a consistent theme. Clearly lateral violence is an issue that needs creative nursing solutions. Dr. Roberts presents compelling evidence 1
Professor and Director of Community Health, University of Wyoming
Contributing Editor: Pamela N. Clarke, RN, PhD, FAAN, Professor, University of Wyoming, School of Nursing, Dept. 3065, 1000 E. University Ave., Laramie, Wyoming 82079 Email: [email protected]
Downloaded from nsq.sagepub.com at University of Birmingham on June 9, 2015
35
Clarke / Scholarly Dialogue that workplace violence is a serious and continuing problem in nursing and in the interprofessional environment. As nurse leaders it is important to reflect on ways to succeed in the workplace so that the milieu becomes a nursing-driven caring, health-promoting environment for those receiving healthcare, as well as nurses and other health professionals. Declaration of Conflicting Interests The author declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this editorial.
Funding The author received no financial support for the research, authorship, and/or publication of this editorial.
References Cody, W. K. (2006). Values-based practice and evidence-based care: Pursuing fundamental questions in nursing philosophy and theory. Philosophical and theoretical perspectives for advanced nursing practice, 5-12. Rosa, W. (2014). Letter to the editor: It is unethical not to care. Nursing Science Quarterly, (27)3, 265-266
Discovery International Publications 320 Fort Duquesne Blvd. Suite 25J Pittsburgh, PA 15222
Phone: 412-391-8471 Fax: 412-391-8458 E-mail: [email protected]
Now Available The Humanbecoming Paradigm: A Transformational Worldview By Rosemarie Rizzo Parse To receive a copy of the book send $95.00 (in USA) or $105.00 (outside of USA) Pay by check, money order, or credit card (in US dollars only), send to Discovery International Publications at the address above. (Please print.)
Name: ____________________________________
_____ Visa
_____ MasterCard
Address: __________________________________
Card Number: _______________________________
__________________________________________
Expiration Date: _______________________________
Phone: ____________________________________ Signature: ______________________ Fax:______________________________________ _____ Check Enclosed Email: ____________________________________ _____ Money Order Enclosed Number of Books Total Amount
Downloaded from nsq.sagepub.com at University of Birmingham on June 9, 2015
