The Science Journal of the American Association for Respiratory Care

2012 OPEN FORUM Abstracts

RESPIRATORY CARE STUDENT EMPLOYMENT DECISIONS AND EXPERIENCES WITH HORIZONTAL VIOLENCE BEHAVIORS IN THE CLINICAL SETTING.

Crystal K. Cosper1, Karen L. Barnes2; 1Francis Tuttle Technology Center, Oklahoma City, OK; 2University of Central Oklahoma, Edmond, OK

BACKGROUND: Incivility between coworkers such as inappropriate language, retaliation methods and aggressive behaviors contribute to the growing problem of a hostile work environment in the healthcare setting. Hostile work environment behaviors are associated with the term horizontal violence. The purpose of this research project was to determine the relationship between a respiratory care student’s choice of employer and experiences of horizontal violence in the clinical setting. METHOD: A convenience sample of respiratory care students currently enrolled in an accredited respiratory care program in the state of Oklahoma was recruited on site in classrooms at two schools. A modified questionnaire from the nursing “Horizontal Violence Survey” (Dumont, Meisinger, Whitacre, & Corbin, 2012, p. 9-10) was used which included survey questions measuring experiences with horizontal violence. Other items specific to clinical experiences and the choice of employer were added. Data analysis included descriptive statistics and correlational analysis to investigate relationships between clinical experiences and choice of employer. RESULTS: Findings showed a small positive correlation (r(68) = 0.283, p = 0.02) between the student’s choice of employer and how experiences of horizontal violence personally affected the student during the clinical setting. No significant correlation was found between the student’s choice of employer and personal experiences with horizontal violence behaviors during clinical setting. A mean score of 5.17 (N = 70, SD = 1.29) indicates students’ experiences with horizontal violence behaviors in the clinical setting will be a factor when choosing employment. Students somewhat agreed (M = 3.83, SD 1.31) the addition of horizontal violence awareness training in the curriculum would better prepare them for clinical rotations. Written comments indicated students were able to recognize horizontal violence behaviors, but not the severity or implications. CONCLUSION: Study results suggest an opportunity for respiratory care program faculty to develop curriculum addressing horizontal violence and coping strategies at the clinical sites, and provide hospitals information for recruitment of respiratory care students as future employees. Sponsored Research - None