Lateral Violence in Nursing Survey

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For purposes of this survey, “Lateral Violence in Nursing” is inclusive of lateral incivility and bullying. As defined by the American Nurses Association, incivility is “one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them” and bullying is “repeated, unwanted, harmful actions intended to humiliate, offend, and cause distress in the recipient.”

1.OPTIONAL: Please enter your name and phone number if you would like to be entered to win a $100 Amazon.com gift card!

First Name

Last Name

Email

2.Which of the following most accurately reflects the setting in which you work?(Required.)

Other (please specify)

3.How many years have you been a nurse?(Required.)

0-5

6-20

21+

4.What is your age?(Required.)

20-30

31-40

41-50

51+

6.How often are you treated with courtesy and respect by coworkers?(Required.)

Often

Sometimes

Rarely

Never

7.Compared with other causes of stress and tension related to your job, would you put lateral violence:(Required.)

Among top

Among middle

Among bottom

8.Would you say that lateral violence toward coworkers in your work area is:(Required.)

Widespread

Caused by many

Limited to a few

Not a problem

9.How serious a problem would you say lateral violence toward coworkers is in your work area?(Required.)

Very serious

Somewhat serious

Not too serious

Not serious at all

10.How often do you see coworkers losing their patience and directing behaviors that can be interpreted as lateral violence toward coworkers?(Required.)

Often

Sometimes

Rarely

Never

11.When this happens, is it typically because the recipient was:(Required.)

12.How safe from retaliation would you feel reporting an episode of lateral violence?(Required.)

Very safe

Uneasy but still willing to report

Not safe

13.How often do you find yourself losing your patience and being less polite to coworkers than you would want to be?(Required.)

Often

Sometimes

Rarely

Never

14.How often have you crossed the line and used behaviors that would be interpreted as lateral violence toward a coworker?(Required.)

Often

Sometimes

Rarely

Never

15.Have you received special training on techniques for dealing with rude or disrespectful persons?(Required.)

Yes

No