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Build Healthy Work Place Trends and Issues.doc

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University of Alberta
Claire Tellier

Topic 1: Healthy Nurse & Workplace, Intergenerational Collaboration, Violence in workplace & horizontal violence, Staff mix ratios, and Absenteeism - Winnie Key Points  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 absenteeism  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 development  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 supportive relationship ◦ 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) ◦ Physical ▪ Being dismissive ▪ Throwing objects ▪ Blocking physical attack ◦ Verbal/Non-verbal violence ▪ Lack of respect ▪ Discrimination ▪ Verbally  being rude, giving non-constructive criticism, condescending, insulting, scapegoating, sabotaging, intimidating, verbally dismissive cursing, uttering threats, gossipi
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