Toxic Nursing Second Edition

Nursing has a not-so-secret problem. The profession is prone to—some would say thrives on—workplace conflict, incivility, bullying, and meanness. And while nurses observe and experience this conflict daily, too few have been trained in its resolution. Toxic Nursing aims to change that with strategies, tools, and techniques to help nurse leaders, managers, and administrators defuse conflict, turn around toxic situations, and create positive, healthy work environments. Written by Cheryl Dellasega—author of the groundbreaking books Surviving Ophelia and Mean Girls Grown Up—Toxic Nursing explores the reasons behind toxic behavior and its impact on not just the workplace but patient safety. TABLE OF CONTENTS Part 1: The Relational Nurse Manager Chapter 1: Incivility Chapter 2: The Newbie: Mistreatment of New Nurses Chapter 3: The Know-It-All/Criticism Queen Chapter 4: Gossip and Trash Talk Chapter 5: Cliques, Campaigns, and High School Drama Chapter 6: Competition and Credit Chapter 7: Nurse Managers as the Problem Part 2: Working Together Chapter 8: Men in White Chapter 9: Better Than You Chapter 10: Generations at Work Chapter 11: Competent and Caring Leaders? Chapter 12: Social Media, Electronic Communication, and Professionalism Part 3: Navigating Toxic Systems Chapter 13: Politics and CYA Chapter 14: Patients as Victims Chapter 15: On the Battlefield: Nurses Under Attack Chapter 16: Toxic Culture/Environment Chapter 17: Conclusion Appendix A: Is Your Management Style Causing Conflict? Appendix B: Conflict Case Scenario Appendix C: Organizational Cynicism Self-Assessment Appendix D: When It’s Time to Seek Outside Counsel Appendix E: Compassion Fatigue ABOUT THE AUTHOR CHERYL DELLASEGA, PhD, RN, CRNP, is a Professor in the Department of Humanities at Penn State College of Medicine. An award-winning author, speaker, and researcher—and founder of Club and Camp Ophelia—she has spent much of her career helping women and girls confront and overcome bullying and relational aggression. She has worked clini­cally as a nurse practitioner and is an international expert on family relationships.

Nurse Managers and nurse administrators at all levels are frequently confronted by the need to manage employee issues arising from interpersonal relationships. These include: conflict (relational Aggression or covert bullying), cynicism (negative work attitudes), and calamity (drama and overt antagonism). As a much needed follow up to When Nurses Hurt Nurses (STTI, 2011), this book offers numerous concrete strategies for common employee challenges that nurse supervisors face.

Provides comprehensive, current information for addressing the physical, psychological, and spiritual needs of hospice patients and their families Substantially updated and expanded, the second edition of this quick-access reference for hospice nurses continues to deliver the most current information on the clinical and administrative duties of the hospice nurse. It encompasses important regulatory changes and milestones, providing timely information on cultural issues, special communication considerations, and hospice care’s enduring growth. This resource provides new content on levels of care, assessment and symptom management, and occupational stress, burnout, and self-care. New treatment guidelines and algorithms are included, as are updates on quality measures, the reimbursement schedule, compliance initiatives, and electronic documentation with specific examples. An indispensable clinical resource, the book is a valuable reference for nurses who are seeking to specialize in hospice, those who work in long-term care settings, post-acute care settings, acute care setting, and those who are seeking to enhance their knowledge of end-of-life care within other specialties. New to the Second Edition: Includes new regulatory changes/milestones, such as The National Quality Forum New Priorities for Action 2019 Provides updated information about levels of care, particularly the Last 7 Days rule from Medicare Covers the use of cannabis, non-pharmacological pain management interventions, care of the dying patient, and post-mortem care New chapters are included on the hospice nurse's role as case manager, patient discharge, religious and cultural influences on end-of-life care, pain assessment and interventions, wound care, care of the dying patient, and post-mortem care. Key Features: Reflects key competencies for the hospice nurse as designated by the Hospice and Palliative Nurses Association Delineates clinical and administrative responsibilities of the hospice nurse Simplifies complex information such as Medicare regulations and compliance Provides screening tools for depression, anxiety, and wound risk Includes the Palliative Performance Scale and the Karnofsky Performance Scale Serves as a concise study resource for certification

Nursing has a not-so-secret problem. The profession is prone to--some would say thrives on--workplace conflict, incivility, bullying, and meanness. And while nurses observe and experience this conflict daily, too few have been trained in its resolution. Toxic Nursing aims to change that with strategies, tools, and techniques to help nurse leaders, managers, and administrators defuse conflict, turn around toxic situations, and create positive, healthy work environments. Written by Cheryl Dellasega--author of the groundbreaking books Surviving Ophelia and Mean Girls Grown Up--Toxic Nursing explores the reasons behind toxic behavior and its impact on not just the workplace but patient safety.

Outside of nursing, most people believe bullies are native only to playgrounds and high school locker rooms. Unfortunately, bullies also frequent hospital units, ambulatory care centers, clinics, and even emergency departments. Their targets? Their own colleagues and peers. Most practitioners know that the old adage “nurses eat their young” is alive and well in the 21st century. This conflict saps energy, destroys teamwork, and hinders motivation. Worst of all, it can decrease the quality of patient care. This fully updated new edition, What to Do When Nurses Hurt Nurses, tackles topics ranging from social media and crucial communications to resiliency and stress management. It provides tools to help nurses create safer, more respectful workplaces and combat the ongoing cycle of bullying. Cheryl Dellasega, author of the groundbreaking Surviving Ophelia, explores relational aggression and the nature of nurseon- nurse violence while establishing an action plan for the future.

Praise for the First Edition: “Where was this book when I was a new nurse just learning the ropes of labor and delivery? This is a true gem of a book—a must for any new grad going into labor and delivery. I recommend this book for every labor and delivery floor." -Cindy Curtis, RNC, IBCLC, CCE Former Director, The Family Birth Center Culpeper Regional Hospital Lignum, VA "The best one-stop reference book for the experienced and novice Labor and Delivery RN....Finally an excellent Labor and Delivery book by RN's -- for RN's." -Garla DeWall, RNC Presbyterian Hospital in the Family Birthing Center Albuquerque, New Mexico The clinically oriented guide to nursing care during childbirth is distinguished by its strong focus on evidence-based practice as well as its engaging style and user-friendly format. It reviews the nursing process from admission to delivery focusing on proper surveillance and care, comprehensive data acquisition, interpretation, and teamwork. The second edition continues to help labor and delivery nurses make wise decisions in the delivery room, optimizing both maternal and fetal outcomes. It clearly explains the stages and phases of labor, delivery, and pain assessment and management—all supported by proven research. This text provides authoritative guidance on intervention options, creating patient-centered care plans, and improving communication with other members of the obstetrics team. New to the Second Edition: Proper analysis of the partograph to facilitate appropriate patient interventions Updated information about clinical pelvimetry New information on psyche, including the religious, spiritual, and cultural dimensions of care Setting priorities in triage and care related to postpartum hemorrhage Identification of “myths” related to childbirth Individualized patient care related to fetal distress and nonreassuring fetal status Oxytocin infusion and its relationship to permanent Erb’s palsy and autism Updated information on technology, including connectivity between smart IV pumps and the EMR How to distinguish functional from mechanical dystocia and intervene to enhance fetal and maternal safety Key Features: Applies to nursing care of childbearing clients world-wide Focuses on evidence-based practices Written in engaging, easy-to-understand style for new nurses, seasoned practitioners, and nurses seeking certification Enhances effective decision-making to optimize patient care and outcomes Replete with informative references, relevant graphics, and review questions Incorporates research to clearly explain concepts and best practices Provides orientation fundamentals, checklists, and log charts

Critical Conversations in Healthcare, Second Edition, provides scripts and scenarios to facilitate better, more effective communication in healthcare settings. Chapters feature do’s and don’ts, reflective questions, and practical tools to help you improve your on-the-job interactions. Whether you are a new nurse at the bedside or the CEO of a major healthcare facility, this fully revised second edition will show you how to: · Work with frustrated families, angry physicians, and uncooperative colleagues · Deal with gossip, harassment, and other tough topics · Successfully address workloads, management styles, and other tricky subjects · Improve the patient experience · Overcome conversation traps