Abstract
This presentation is based on an extensive review of the literature which included 22 sources (19 peer-reviewed articles and three health care regulatory documents). Perspectives are also shared from lived experiences as an educator and program director. The purpose of this presentation is to examine the pervasiveness of disruptive behavior and horizontal violence in the clinical and academic education settings and its impact on students' ability to learn and think critically. This presentation intends to illuminate the correlation between the incidence of horizontal violence in nursing education and the impact on a nursing student's ability to learn and think critically. Further, the presentation will serve to explain how resilience training may contribute to persistence in a nursing program and as a nurse in the field.
The review of the literature uncovered four themes: 1) students experience a feeling of a lack of acceptance when experiencing horizontal violence, 2) students expressed an impeded ability to learn, 3) concerns for safety, and 4) a failure to persist in a nursing program, therefore, increasing the nursing shortage. The need for new nurses is growing concerning the impending and encroaching shortage. To increase the number of new nurses, the nursing students must be afforded the opportunity to learn in an environment conducive to learning.
Thus, the nursing clinical environment must be managed effectively to prevent the occurrence of horizontal violence and to address this issue as it arises to promote critical thinking and effective learning for nursing students. To date, there is little that is known regarding the extent to which the student nurse perceives that his or her learning is affected upon witnessing or experiencing horizontal violence. Therefore, this topic is pertinent as it pertains to advancing nursing education and supports the need for nursing researchers to perform more in-depth studies that serve to explore this phenomenon.
Notes
References:
1. Porto G., Lauve R. Disruptive clinician behavior: A persistent threat to patient safety. Patient Safety and Quality Healthcare. 2006. Accessed December 10, 2020. http://www.psqh.com/julaug06/disruptive.html
2. The Joint Commission. 2008. Sentinel event alert #40: Prevent behaviors that undermine a culture of safety. Accessed December 10, 2020. http://www.jcrinc.com/Sentinel-Event-Alert-40/
3. Institute for Safe Medication Practices (ISMP). (2013). Unresolved disrespectful behavior in healthcare: Practitioners speak up (again) – Part 1. ISMP Medication Safety Alert. Accessed December 10, 2020. http://www.ismp.org/Newsletters/acutecare/showarticle.aspx?id=60
4. Bambi S, Foà C, De Felippis C, Lucchini A, Guazzini A, Rasero L. Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors. Acta bio-medica : Atenei Parmensis;2018, 89(6-S), 51–79.
Sigma Membership
Chi Lambda
Type
Presentation
Format Type
Text-based Document, Video Recording
Study Design/Type
Literature Review
Research Approach
N/A
Keywords:
Nursing Education, Disruptive Behavior, Horizontal Violence, Clinical Setting, Students, Acadecmic Setting
Recommended Citation
Bellucci, Nancy A., "Learning in a Disruptive Healthcare Environment" (2025). Creating Healthy Work Environments (CHWE). 33.
https://www.sigmarepository.org/chwe/2023/presentations_2023/33
Conference Name
Creating Healthy Work Environments
Conference Host
Sigma Theta Tau International
Conference Location
Austin, Texas, USA and Virtual
Conference Year
2023
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Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-10-15
Learning in a Disruptive Healthcare Environment
Austin, Texas, USA and Virtual
This presentation is based on an extensive review of the literature which included 22 sources (19 peer-reviewed articles and three health care regulatory documents). Perspectives are also shared from lived experiences as an educator and program director. The purpose of this presentation is to examine the pervasiveness of disruptive behavior and horizontal violence in the clinical and academic education settings and its impact on students' ability to learn and think critically. This presentation intends to illuminate the correlation between the incidence of horizontal violence in nursing education and the impact on a nursing student's ability to learn and think critically. Further, the presentation will serve to explain how resilience training may contribute to persistence in a nursing program and as a nurse in the field.
The review of the literature uncovered four themes: 1) students experience a feeling of a lack of acceptance when experiencing horizontal violence, 2) students expressed an impeded ability to learn, 3) concerns for safety, and 4) a failure to persist in a nursing program, therefore, increasing the nursing shortage. The need for new nurses is growing concerning the impending and encroaching shortage. To increase the number of new nurses, the nursing students must be afforded the opportunity to learn in an environment conducive to learning.
Thus, the nursing clinical environment must be managed effectively to prevent the occurrence of horizontal violence and to address this issue as it arises to promote critical thinking and effective learning for nursing students. To date, there is little that is known regarding the extent to which the student nurse perceives that his or her learning is affected upon witnessing or experiencing horizontal violence. Therefore, this topic is pertinent as it pertains to advancing nursing education and supports the need for nursing researchers to perform more in-depth studies that serve to explore this phenomenon.
Description
Summary: Disruptive behavior in the work environment creates debilitating side effects. Over time, disruptive behavior wears on a person chipping away at the enthusiasm one musters each morning on the drive into work until one day you look in the mirror and are not sure who is staring back at you.
Presentation Pertains To: Academic Abstract
Topic Category: Incivility
Target Group: Clinical, Academic and Students
Is Body System / Disease Process: No
Completed: Completed Work/Project