Ebrahimi Hossein, Hassankhani Hadi, Negarandeh Reza, Jeffrey Carol, Azizi Azim
Tabriz University of Medical Sciences, Iran.
Tehran University of Medical Sciences, Iran.
Nurs Ethics. 2017 Sep;24(6):704-715. doi: 10.1177/0969733015624486. Epub 2016 Jan 24.
Ethical studies in nursing are very important topics, and it is particularly crucial with vulnerable populations such as new graduated nurses. Neglecting ethical principles and violence toward graduates can lead to their occupational burnout, job dissatisfaction, and leaving the nursing profession.
This study was designed with the aim of understanding the experience of Iranian experienced nurses' use of lateral and horizontal violence against new graduated nurses.
This qualitative study used a conventional content analysis approach; it was conducted with 18 experienced nurses. Data were collected through unstructured and semi-structured interviews of various general hospital departments in northwest of Iran and analyzed using methods as described by Graneheim and Lundman. Ethical considerations: This study was approved by the Regional Committee of Medical Research Ethics. The ethical principles of voluntary participation, anonymity, and confidentiality were considered.
"Psychological violence," "Verbal violence," "Physical violence," and "Source of violence" were four categories extracted through data analysis.
Violence behaviors are instances of workplace maltreatment that damage individual nurses, quality of care, and the ethical climate of the healthcare settings. The lateral and hierarchical violence in nursing were explained by oppressed group model.
This study provided the context for identifying details of various types of workplace violence against new graduated nurses. It should be approached as a health system priority that requires specific multi-dimensional methods to manage consisting of identification, strategic planning, policymaking, prevention, education, and research.
护理领域的伦理研究是非常重要的课题，对于新毕业护士等弱势群体而言尤为关键。忽视伦理原则以及对毕业生的暴力行为会导致他们职业倦怠、工作不满并离开护理行业。
本研究旨在了解伊朗经验丰富的护士对新毕业护士实施横向和层级暴力的经历。
本定性研究采用传统内容分析法；对18名经验丰富的护士进行了研究。通过对伊朗西北部各综合医院科室进行非结构化和半结构化访谈收集数据，并采用格兰内海姆和伦德曼描述的方法进行分析。伦理考量：本研究经地区医学研究伦理委员会批准。考虑了自愿参与、匿名和保密等伦理原则。
通过数据分析提取了“心理暴力”“言语暴力”“身体暴力”和“暴力来源”四个类别。
暴力行为是工作场所虐待的表现，会损害个体护士、护理质量以及医疗环境的伦理氛围。护理中的横向和层级暴力用被压迫群体模型进行了解释。
本研究为识别针对新毕业护士的各类工作场所暴力细节提供了背景。应将其作为卫生系统的优先事项来对待，这需要采用包括识别、战略规划、政策制定、预防、教育和研究在内的具体多维度管理方法。
