Coursey Joy H, Rodriguez Ricardo E, Dieckmann Loraine S, Austin Paul N
AORN J. 2013 Jan;97(1):101-9. doi: 10.1016/j.aorn.2012.09.010.
Lateral violence is a problem in nursing despite policies addressing the issue, which suggests that implementation of these policies may be ineffective. We used an evidence-based approach to locate and appraise evidence about effectively implementing lateral violence policies. Our search strategy emphasized preappraised evidence, and we found 12 sources that met our inclusion criteria. Most evidence was from low-level sources, which is not surprising due to the subjective and sensitive nature of this topic. The evidence did not indicate that there is consistent, effective implementation of lateral violence policies. The appraised evidence suggests the importance of collaboratively prepared implementation strategies. Administrator involvement and relationships with staff members and the presence of a commitment to positive behavior change before lateral violence incidents occur are factors that can lead to successful implementation of lateral violence policies.
尽管有针对横向暴力问题的政策，但横向暴力在护理行业仍是个问题，这表明这些政策的实施可能无效。我们采用循证方法来查找和评估有关有效实施横向暴力政策的证据。我们的搜索策略强调预先评估的证据，并且我们找到了12个符合我们纳入标准的来源。大多数证据来自低级别来源，鉴于此主题的主观性和敏感性，这并不奇怪。证据并未表明横向暴力政策得到了一致、有效的实施。经评估的证据表明了协同制定实施策略的重要性。管理人员的参与以及与工作人员的关系，以及在横向暴力事件发生前对积极行为改变的承诺，这些都是能够成功实施横向暴力政策的因素。
