A new nurse is on the floor and has been verbally belittled and rudely treated by a small group of senior nurses. What is the most effective way to deal with this horizontal violence?
  1. Call the hospital’s anonymous hotline and report what is going on between the staff.
  2. Ignore the hostile staff and advise the new nurse to push through it until the staff gets to know her better.
  3. Work with the floor manger to promote awareness and education of horizontal violence through staff development activities and continuing education.
  4. Recognize the harm caused by the behavior and confront the hostile nurses directly.
Explanation
Answer: D- The most effective way to deal with horizontal violence between staff is to recognize its harm and deal with it directly. By addressing the actions promptly, others are encouraged to do the same and accountability for professional behavior is established. Working with the manager to promote education is important, but it does not help the nurse being hurt directly.
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