Team-Building Handbook: Improving Nurse-to-Nurse Relationships (10 Pack)

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Team-Building Handbook: Improving Nurse-to-Nurse Relationships (10 Pack)

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Team-Building Handbook: Improving Nurse-to-Nurse Relationships (10 Pack)

Kathleen Bartholomew, RN, MN

Overcoming horizontal hostility: What you need to know to improve the workplace for yourself and your fellow nurses

For decades, horizontal hostility has been known to play a pivotal role in increasing nursing attrition rates. Team-Building Handbook: Improving Nurse-to-Nurse Relationships offers healthcare organizations a proactive approach to creating a healthy workplace for nursing staff. This small guide provides the core tools they need to build strong teams and avoid the unnecessary expense of finding, hiring, and training new nurses to replace burned-out staff.

Compact and practical, this handbook can be used as part of healthcare orientation and precepting programs, as well as for in-services and self-study. From Team-Building Handbook: Improving Nurse-to-Nurse Relationships, nurses will gain the skills they need to build cohesive teams and combat negativity if it arises in the workplace.


  • Skills to identify and respond to verbal abuse, bullying, and other detrimental behaviors that undermine the individual nurse, the unit, and even the quality of patient care
  • Techniques to improve the patient care environment, leading to improved nurse retention and hospital rankings
  • An authoritative yet approachable and respectful writing style
  • Insightful real-world reflections from individual nurses who have experienced all forms of horizontal hostility, presented in their own voices
  • Straightforward, applied approach that conveys an immediate understanding of horizontal hostility


Team-Building Handbook: Improving Nurse-to-Nurse Relationships is designed to be used as part of nursing professional development in the orientation process or in ongoing in-service to:

  • Build an awareness of the impact of horizontal hostility on staff and patient care
  • Identify verbal abuse, bullying, and other detrimental behaviors
  • Develop responses to defuse or head off detrimental behaviors, and learn positive alternatives to such behaviors
  • Create a healthy, respectful workplace for nurses and a safe environment for patients


Table of Contents:

About the Author


Chapter 1: Develop Your Understanding

    What Is Horizontal Hostility?

    Subtle and Not-So-Subtle Hostility     

    Is Horizontal Hostility Intentional?    

    Tales From the Front Line

    How Does Horizontal Hostility Manifest?      

    How Does Horizontal Hostility Affect You?   

    What Is the Impact on Our Patients and on Our Group?

Chapter 2: Build Your Communication Skills

    Crucial Conversations

    Give and Receive Effective Feedback

    Try This: Assertiveness Skills  

    Try This: Hierarchy of Voice              

Chapter 3: Consider Your Motives

    It Starts With YOU      

    Try This: What’s Your M-O-T-I-V-E?  

Chapter 4: Develop Resiliency

    Steps Toward Resiliency        

    Try This: Share Personal Stories of Challenges         

    Try This: Watch Three Good Things  

    Try This: Resiliency Exercise  

    Personal Resiliency Builders  

Chapter 5: Practice Individual Reflection Time

    The Benefit of Introspection  

    Try This: Journaling    

    Try This: Consider the Power of New Beliefs

Chapter 6: If You Need Help

    Gain Control

    Get Help From Your Employer

    Make an Action Plan

    Take Action

    Confront the Aggressor 

    Make a Formal Written Complaint

    Take Legal Action

    Steps to Take With Your Employer and Union

Chapter 7: How Do We Measure Up?



About the Author:

Kathleen Bartholomew, RN, MN, is an internationally acclaimed speaker and educator who uses the power of story and her strong background in sociology to illuminate and transform the healthcare culture. She is also the author of Ending Nurse-to-Nurse Hostility, Second Edition, Team-Building Handbook: Improving Nurse-Physician Communication, Speak Your Truth: Proven Strategies for Effective Nurse-Physician Communication, Stressed Out About Communication Skills, and Charting the Course, coauthored with her husband, John J. Nance. Today, Bartholomew and her colleagues at The Orca Institute apply best practice principles from the bedside to the boardroom in leadership retreats and on-site presentations.

Continuing Education:

If you would like to find out about the availability of nursing contact hours on this or any other HCPro nursing book, please visit our Continuing Education information page, here.

Published: November 2014