This week’s graded discussion topic relates to the following Course Outcome (CO). Complete the After you are finished, read the assigned article: Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. (1), 39-42. Retrieved from Next watch the video by clicking on the link below. Reflect on what you observed in the video as you answer the following:
The assigned article by Lachman (2015) focuses on the ethical issues arising from disruptive behaviors such as incivility, bullying, and horizontal/lateral violence. The article underscores the importance of addressing these behaviors in healthcare settings to ensure patient safety, quality care, and a respectful work environment.
Disruptive behaviors in healthcare settings can manifest in various forms, from subtle acts of incivility to overt instances of bullying and violence. These behaviors can have detrimental effects on both the individuals involved and the overall organizational climate. Lachman (2015) argues that the ethical implications of these behaviors need to be recognized and effectively addressed.
Civility, which refers to politeness and respect in interpersonal interactions, is a fundamental ethical value in healthcare. Incivility, on the other hand, encompasses disrespectful or inconsiderate behaviors, such as rude comments, dismissive gestures, or undermining actions. Although incivility may appear minor compared to overt bullying or violence, it can create a toxic work environment and erode trust and collaboration among healthcare professionals (Lachman, 2015). Moreover, incivility can also directly impact patient care and safety, as it may hinder effective communication, impede teamwork, and contribute to medical errors.
Bullying in healthcare involves repeated and harmful acts that target an individual, leading to intimidation, humiliation, or distress. Lachman (2015) highlights that bullying is prevalent in healthcare settings and can be perpetuated by individuals at all levels of the organization. The effects of bullying can be severe, causing psychological, emotional, and physical harm to the victim. Research has also shown links between healthcare bullying and reduced job satisfaction, increased turnover rates, and compromised patient care (Lachman, 2015).
Horizontal or lateral violence refers to aggression and hostility among peers or colleagues within the same hierarchical level. It can involve acts such as public humiliation, spreading rumors, or sabotaging another person’s work. Similar to bullying, lateral violence undermines teamwork, collaboration, and the overall functioning of the healthcare system. Lachman (2015) argues that addressing horizontal violence is crucial to fostering a culture of respect and support among colleagues.
The video assigned for this discussion likely provides real-life examples of these disruptive behaviors in a healthcare setting. It is important to observe and reflect on these examples to gain a deeper understanding of the ethical issues at play and the potential consequences in terms of patient care and professional well-being.
Considering the ethical dimensions of disruptive behaviors, it is necessary to develop strategies for prevention and intervention. Lachman (2015) suggests that a comprehensive approach is needed, involving organizational policies, education and training programs, and support systems for victims and witnesses. By creating a culture of accountability and fostering open communication, healthcare organizations can promote ethical behavior and deter disruptive acts.
Ethical considerations also extend to the responsibility of healthcare professionals to report and address these behaviors. In many cases, individuals may fear retaliation or believe that reporting will not lead to meaningful action. However, Lachman (2015) emphasizes that it is essential to speak up against disruptive behaviors, as remaining silent perpetuates a culture of incivility, bullying, and violence. Reporting mechanisms should be in place to ensure that individuals can safely disclose instances of disruptive behavior and that appropriate actions are taken to address them.
In conclusion, the article by Lachman (2015) highlights the ethical issues surrounding disruptive behaviors in healthcare, such as incivility, bullying, and horizontal violence. These behaviors have negative consequences for both individuals and the healthcare system as a whole. It is crucial to address these behaviors through organizational policies, education, and support systems, while fostering a culture of accountability and open communication. By doing so, healthcare organizations can promote a respectful and safe environment for both professionals and patients.