Embree Jennifer L, White Ann H
University of Southern Indiana, Evansville, IN, USA.
Nurs Forum. 2010 Jul-Sep;45(3):166-73. doi: 10.1111/j.1744-6198.2010.00185.x.
The purpose of this paper is to examine the concept of nurse-to-nurse lateral violence (LV).
Published literature--LV among nurses is significant and results in social, psychological, and physical consequences, negative patient and nursing outcomes, and damaged relationships. An extensive review of literature through Health Source, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest health, and Medical Complete was used to determine agreement and disagreement across disciplines and emerging trends.
This concept analysis demonstrates that nurse-to-nurse LV is nurse-to-nurse aggression with overtly or covertly directing dissatisfaction toward another. Origins include role issues, oppression, strict hierarchy, disenfranchising work practices, low self-esteem, powerlessness perception, anger, and circuits of power. The result of this analysis provides guidance for further conceptual and empirical research as well as for clinical practice. Organizations must learn how to eliminate antecedents and provide nurses with skills and techniques to eradicate LV to improve the nursing work environment, patient care outcomes, and nurse retention.
本文旨在探讨护士间横向暴力（LV）的概念。
已发表文献——护士间的LV现象严重，会导致社会、心理和身体方面的后果，对患者和护理工作产生负面结果，并破坏人际关系。通过健康源数据库、护理及相关健康文献累积索引（CINAHL）、ProQuest健康数据库和医学完整版数据库对文献进行了广泛综述，以确定各学科之间的共识与分歧以及新出现的趋势。
这一概念分析表明，护士间的LV是护士对护士的攻击行为，表现为公开或隐蔽地对他人表达不满。其根源包括角色问题、压迫、严格的等级制度、剥夺权利的工作方式、自卑、无力感、愤怒以及权力循环。该分析结果为进一步的概念性和实证性研究以及临床实践提供了指导。组织必须学会如何消除引发因素，并为护士提供消除LV的技能和技巧，以改善护理工作环境、患者护理结果和护士留存率。
