This can lead a CNA to cause harm, directly or indirectly, to those entrusted in their care, and to harm themselves. Running to the supervisor or head nurse with complaints before having the facts right, and not discussing it with the co-worker first. Excluding new CNAs from breaks, meals, little get-togethers. Giving new CNAs the worst and heaviest duties, knowing they can't complain. Refusing to help with transfers and other patient care needs.
Horizontal violence leads to turnover and poor public perception of CNAs.
CNAs need an environment which encourages telling the truth and the opportunity to give input. Management can help by seeing that CNAs have support through policies which clearly state the work ethics of the facility. Nurses may also undermine the role of the CNA by making decisions without the input of experienced CNAs, using a shaming tone, using threats to get compliance, making a public comparison of the work of one CNA to another and yelling. These actions produce anger and low self esteem which may lead to violence. The solution is to learn to express anger constructively and in private.