Topic 1: Healthy Nurse & Workplace, Intergenerational Collaboration, Violence in workplace &
horizontal violence, Staff mix ratios, and Absenteeism - Winnie
Healthy workplace is a place where employees are safe, having clean work area, and good working and
supportive relationship. Healthy Nurse or employee make take care of themselves in all aspect of health:
physical, mental, emotional, spiritual, and social. This can help reduce accidents, sick days, and
Intergenerational Collaboration involves working with a various kinds of diversity found in the
workplace such as gender, age, race, ethnicity, disabilities, sexual orientation, religion, nationality and
personality. There are often conflicts that occur between younger and older generation which gives rise
to disrespect, taunting, criticisms, and being unsupportive. As a result, creating a safe working
environment can help enhance workplace management, continuing education and mentorship in the
passing of knowledge and skills in order to help with growth and development in professional
Violence and abuse can occur in the workplace in the form of physical, verbal, nonverbal violence and
neglect. With nurses, this can negatively affect the workplace environment and the staff dynamic.
Horizontal violence is a aggressive behaviour by a nurse or a group or nurses towards a worker or group
via attitudes, actions, and words.
Male RNs makes up 5.8% of the total nursing population and one of the smallest groups in the health
care system. Most male nurses were accepted into the mental health wards due to their strength and
capabilities in dealing with violence. Most nurses are employed in medicine/surgery, LTC, Critical Care
and Emergency contrast to the low employment in the areas of Education, research, oncology and
rehabilitation. Absenteeism occurs when there is a repeated absence from work, assigned duties or high
stress levels at work. Burnout is characterized by physical and emotional exhaustion or from physical
illness; this is also associated with high stressful conditions.
Critical Thinking Questions
1. What do you see as the most pressing issue for governments, nursing associations, administrators, the
public, or even for the clients in regards to the health care system? (can you relate it back to the scenario?
Are there specific models you can utilize? Looking at past experiences are there anything you might want to
be address?) What kind of things can be done in order to solve this particular issue or can there be things we
can do to start addressing these issues?
2. Reflecting on some of your own practices and experiences, have there been times when you've
experienced workplace violence, horizontal/ vertical violence, and conflict with another staff? Were there
policies or ways to have dealt with some of these situations? Reflecting on your practice and experiences,
could there have been ways you could have done differently to resolve the issue? (Things to thing about:
Can you relate this back to the CNA Code of Ethics or the standards that are set out by CARNA? Are there
different strategies you can utilize that can address some issues that might not be commonly used?Are there
associated barriers in using these strategies?)
Healthy Nurse & Healthy Workplace ( workplace communication p. 136; chapter 9
Healthy Workplace (AHS, N.D):
◦ A place where employees are safe, having clean work environment, strong working and
◦ Healthy work environments can promote patient safety, enhance staff recruitment and retention
of staff (Northam, 2009)
◦ Affects of workplace environment on employee health
▪ Air quality, noise level, lighting, quality of equipment, exposure to health hazards
▪ Working relationships with co-workers
▪ Having personal resources and support when issues arise from personal or work life ▪ Personal health practice : eating habits, exercise, medications, coping skills
▪ Having some control in decision-making
Healthy Nurse (Employee Health) (AHS, N.D)
◦ What can be done:
▪ Take care of all aspect of health: physical, mental, emotional,social, and spiritual
Eat well, drinking plenty of water/fluids, exercise, and get enough sleep
▪ Get regular medical check-ups
▪ Reduce behaviours that put one's health at risk (drugs, smoking & alcohol, over eating)
▪ Talk to someone you can trust, meditate, get a hobby, or developing skills to manage stress
Having healthy employees can reduce accidents, sick days, absenteeism.
Employers can take steps to improve the environment and the health of employees by: providing
seminars, health-related pamphlets, videos, referrals to programs to make change (AHS, N.D)
When establishing policies, it is important to involve the employees, having a staff meeting for
update, and continuing to enforce policies to improve workplace environment and employee health.
Intergenerational Collaboration (CFNU, 2011)
Nurses must confront a diverse environment; diversity refers to a wide range if differences that
include: gender, age, race, ethnicity, disability, sexual orientation, religion, nationality, & personality
◦ Ratio of 2 nurses (> age 50 ) for ever nurse (< age 35). Most nurses retire around age 62.
Age difference between nurses or coworkers can affect conflict management and outcomes in the
workplace setting (Northam, 2009).
Conflict between younger and older generation can result in age being viewed as a difference in
status, thus often ends with older generation treating younger generation as subordinates
◦ Barriers: ineffective communication, resistance to change, lack of team work and low morale
◦ Those with diverse backgrounds may interact differently, have little understanding of the other's
view, feeling under-valued or misunderstood (even during nurse and patient interaction).
◦ Disrespect, taunts, criticizing, making fun of colleague and being unsupportive can occur when
problems arise between different generations
This form of collaboration also allows for opportunities in mentoring and teaching (Northam, 2009)
Fresh perspectives or expansion of knowledge can help the organization in adapting to and growth
in the workplace
Creating a safe working environment, enhancing leadership and workplace management, continuing
education, establishing a mentorship program, or a workshop to help sensitize nurses to the needs of
each generation are important goals to consider.
◦ Being treated fairly, respected and heard, having the opportunity to learn and develop
professionally, to be asked for an opinion and to receive constructive feedback.
Abuse/ Violence in workplace (CNA, N.D)
Actions that includes: verbal & emotional abuse, physical violence and sexual harassment.
Violent actions often carry serious consequences to the patient's and their well-being, the nurses and
other co-workers, and the organization.
Health care professionals are one of the highest professions at risk to experience workplace
violence; nurses, in particular are at a higher risk to experience violence in workplace setting.
Types of violence (CNA, N.D, p. 2)
▪ Being dismissive
▪ Throwing objects
▪ Blocking physical attack ◦ Verbal/Non-verbal violence
▪ Lack of respect
being rude, giving non-constructive criticism, condescending, insulting, scapegoating,
sabotaging, intimidating, verbally dismissive cursing, uttering threats, gossipi