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Hostility in the Workplace

Workplace hostility is a growing concern, especially in high-stress environments like hospitals. As nurses, you are likely to experience or witness hostile behavior, which can range from verbal abuse to more severe forms of aggression. It is essential to recognize and reduce hostility early because a negative workplace can harm  mental health and affect patient care.

In this Fast CE For Less guide, we will discuss workplace hostility that nurses can experience, and how to address it properly.

What Is Workplace Hostility?

Workplace hostility refers to aggressive behavior or actions that make it difficult for employees to perform their duties comfortably. In hospitals, this may include bullying, harassment, discrimination, or physical violence. Hostile environments make it hard for you and your colleagues to feel safe, respected, or motivated. It is important to note that hostility can come from coworkers, patients, or even supervisors.

How Hostility Impacts Nursing

Hostility in the workplace impacts more than just the individuals involved. It creates an unsafe and stressful work environment, making it harder for you to focus on delivering quality patient care. Moreover, such environments increase burnout, absenteeism, and even errors in care delivery. Recognizing the signs of hostility and knowing how to address them is crucial for maintaining both your well-being and the safety of your patients​.

Causes of Workplace Hostility

Workplace hostility, especially in hospital settings, often stems from a mix of high stress, long hours, and interpersonal conflicts. Understanding why hostility occurs can help you proactively address it before it escalates.

Common Triggers for Workplace Hostility 

Nurses work in high-stress environments, sometimes bringing out hostility in coworkers, supervisors, or even patients. Factors like heavy workloads, life-or-death decisions, and emotional exhaustion make healthcare a hotbed for conflict. When everyone is stressed, tempers flare, and some people resort to bullying or harassment as a misguided outlet for their frustration. Discrimination based on race, age, or gender is another common trigger of hostile behavior in the workplace​.

The Systemic Factors Creating Workplace Hostility

Beyond personal conflicts, there are systemic issues that contribute to hostility. Hospitals with weak leadership or poor human resources policies may not effectively address inappropriate behavior. If staff feel their complaints are ignored, it can create a culture where hostile actions are tolerated. This inaction further emboldens aggressive individuals. Additionally, if management fails to promote teamwork and communication, misunderstandings and resentment can build, leading to a more hostile atmosphere​.

By understanding the triggers and systemic factors contributing to workplace hostility, you can better prepare to handle these issues when they arise. This knowledge will also guide you in fostering a healthier work environment for your colleagues and yourself.

Effects of a Hostile Environment

Working in a hostile environment takes a toll on individual nurses, the entire healthcare team, and the quality of patient care. The stress caused by constant hostility can lead to emotional exhaustion, lower job satisfaction, and a decline in overall morale. Understanding how a hostile work environment impacts you and your colleagues is important.

Impact on Mental and Emotional Health

When you are subjected to or witness hostility at work, your mental health can suffer. Hostile environments often lead to anxiety, depression, and stress. You may also experience physical symptoms like headaches, sleep disturbances, and fatigue. Over time, chronic exposure to these stressors can lead to burnout, which is common in high-stress healthcare settings.

Effects on Teamwork and Communication

A hostile work environment can break down communication among team members. In healthcare settings where effective communication is crucial for patient safety, this can lead to misunderstandings or mistakes in patient care.

When trust is eroded by hostility, teamwork suffers, affecting everyone’s ability to provide the best care possible​.

Impact on Patient Care

Hostility in the workplace affects nurses and patients. Stressed and overworked nurses are more likely to make errors in patient care. Furthermore, a negative work environment can lead to lower-quality interactions between nurses and patients, reducing patient satisfaction​.

Types of Hostility Exhibited by Aggressors

Hostility in the workplace can manifest in various forms. Whether you encounter verbal harassment or physical aggression, recognizing the types of hostility can help you address the situation appropriately. Here are some common forms of hostility nurses may experience or witness in a hospital setting.

Harassment and Sexual Harassment

Harassment involves unwelcome comments, jokes, or actions that target an individual. This can include making inappropriate remarks about someone’s gender, race, or appearance. Sexual harassment, a specific form of harassment, involves unwanted advances or comments of a sexual nature. Both types of harassment create an uncomfortable and unsafe work environment where you may feel disrespected and vulnerable​.

Discrimination and Victimization

Discrimination in the workplace occurs when an individual is treated unfairly based on race, gender, age, or religion. This might manifest as exclusion from important meetings or opportunities or unfair treatment by supervisors or coworkers. Victimization often follows when someone speaks up about discriminatory practices or reports hostile behavior, resulting in further mistreatment​.

Violence

In extreme cases, hostility can escalate to physical aggression or violence. While less common, violent incidents in healthcare settings can involve both coworkers and patients. This type of hostility poses a significant risk not only to those directly involved but also to others in the workplace. It is essential to report any incidents of violence immediately to ensure the safety of everyone involved.

Understanding the different types of hostility can help you take the appropriate steps to address these issues, protect yourself, and maintain a positive and safe work environment.

 Steps to Take If You Witness Hostility in the Workplace

If you witness hostile behavior in your workplace, it is essential to take immediate action. Hostility, whether directed at patients or other staff members, can lead to a toxic environment and impact both team morale and patient care. By knowing the right steps to follow, you can help stop the situation before it worsens.

Immediate Response

If you witness hostility, your first step should be to remain calm and assess the situation. Whether the behavior is verbal or physical, try to avoid escalating the conflict. If it’s safe, intervene by calmly addressing the aggressor and letting them know that their behavior is inappropriate. However, if the situation feels dangerous, prioritize safety and call for help immediately.

Document and Report

After witnessing hostility, it is critical to document the incident. Write down the details of what happened, including the date, time, people involved, and specific actions. This documentation will be helpful when reporting the incident to management or human resources. Once you’ve documented the situation, report it to your supervisor or human resources department. Ensure your report is clear and factual, avoiding any personal opinions​.

By reporting hostility in a timely and professional manner, you can help create a safer environment for yourself and your coworkers. Addressing these issues early on can prevent further harm and ensure appropriate steps are taken to resolve the problem.

How to Address a Hostile Work Environment 

Dealing with a hostile work environment requires a structured approach to ensure that the issue is properly handled and that the workplace becomes safer for everyone. If you’re facing hostility, following the right steps can help you protect yourself and contribute to resolving the situation.

Follow the Chain of Command

The first step in addressing workplace hostility is to report the issue to your immediate supervisor. Most hospitals and healthcare organizations have protocols in place for reporting workplace issues. If you feel uncomfortable speaking to your supervisor directly, you can also report the incident to human resources. It is essential to follow the organization’s chain of command to ensure your complaint is handled correctly​.

File a Formal Complaint

Once you’ve spoken with your supervisor or human resources department, submit a written complaint detailing the incident. Be sure to include all relevant information, such as the time, date, and description of the behavior. A formal complaint is crucial because it creates an official record of the issue, making it easier for the human resource team to take action​.

Administrative Action

After your report has been submitted, management or human resources will investigate the issue. Depending on the severity of the hostility, they may take several actions, including meeting with the aggressor or enforcing disciplinary measures. In some cases, the aggressor may face suspension or termination, especially if the behavior violates workplace policies or laws​.

By following these steps, you help protect yourself and contribute to creating a healthier, safer work environment. It’s important to take action early to prevent a hostile environment from escalating further.

Creating a Healthier Workplace

Creating a healthier workplace is essential not only for your well-being but also for the quality of care you provide to patients. As a nurse, working in a supportive and respectful environment helps you perform your job effectively and ensures you feel valued. There are several strategies you can adopt, both individually and as part of a team, to foster a healthier, less hostile work environment.

Promote Open Communication

One of the most important steps in creating a healthier workplace is encouraging open and honest communication. When you and your colleagues can express concerns or frustrations without fear of retaliation, it reduces the chances of hostility developing. Make it a point to discuss issues as they arise rather than letting resentment build up. This can also help prevent misunderstandings that often lead to conflict​.

Regular Training and Zero-Tolerance Policies

Hospitals and healthcare organizations should implement regular training on workplace harassment and hostility. As a nurse, participating in these trainings can help you recognize and address inappropriate behaviors. Additionally, it is essential that your workplace has clear, zero-tolerance policies for harassment, discrimination, and other forms of hostility. These policies must be consistently enforced to ensure everyone understands that such behaviors are unacceptable.

Build a Culture of Support

A supportive workplace culture begins with leadership but involves everyone, including nurses like you. Simple actions, such as offering help to overwhelmed colleagues or recognizing each other’s hard work, go a long way in reducing stress and fostering a positive atmosphere. When you feel supported by your peers and management, it’s easier to navigate the challenges of working in a healthcare setting.

By focusing on communication, training, and support, you can help build a workplace where hostility is minimized and everyone feels safe and respected. This, in turn, improves the overall well-being of the healthcare team and enhances patient care quality.

If you have not completed your nursing continuing education requirements to renew your license and want to learn more, online nursing CEUs offered by Fast CE For Less can help.

To access flexible and affordable nursing continuing education courses and state bundles, visit www.fastceforless.com.

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