Myers Gina, Côté-Arsenault Denise, Worral Priscilla, Rolland Roberta, Deppoliti Denise, Duxbury Elizabeth, Stoecker Martiel, Sellers Kathleen
St Joseph's Hospital Health Center, Syracuse, NY, USA.
UNC Greensboro School of Nursing, Greensboro, North Carolina.
J Nurs Manag. 2016 Jul;24(5):624-33. doi: 10.1111/jonm.12365. Epub 2016 Feb 9.
To explore nurses' experiences of horizontal violence (HV) in three diverse non-affiliated organisations within a single city in the USA.
Horizontal violence, also called workplace bullying or lateral violence, is a long-standing nursing issue.
Content analysis was used to analyse open-format textual responses from 126 registered nurses.
A powerful collective story emerged from nurses' shared experiences with HV, describing the characters and the setting in which HV and its consequences exist. Nurses' depictions of HV were consistent despite the different organisational structures of their workplaces suggesting that hospital type is not the explanation for HV, rather the culture of acute care nursing. Nurses want change and asked for tactics to resolve HV within their institutions; some provided specific solutions.
Nurse managers must continue to address HV by using a variety of known tactics, as well as adopting new evidence-based interventions as they are identified. The anti-bullying message should be disseminated through professional nursing organisations as well as in local health-care establishments.
Nurse managers need to be the culture champions who hold individuals accountable for HV and foster professionalism through their leadership.
探讨美国一个城市中三个不同非附属机构内护士遭受横向暴力（HV）的经历。
横向暴力，也称为职场欺凌或侧向暴力，是一个长期存在的护理问题。
采用内容分析法分析126名注册护士的开放式文本回复。
护士们与横向暴力的共同经历形成了一个有力的集体故事，描述了横向暴力及其后果所存在的人物和背景。尽管护士们工作场所的组织结构不同，但他们对横向暴力的描述是一致的，这表明医院类型并非横向暴力的原因，而是急症护理文化。护士们希望有所改变，并要求采取策略来解决所在机构内的横向暴力问题；一些人还提供了具体的解决方案。
护士长必须继续通过使用各种已知策略以及采用新发现的循证干预措施来应对横向暴力。反欺凌信息应通过专业护理组织以及当地医疗机构进行传播。
护士长需要成为文化倡导者，让个人对横向暴力负责，并通过他们的领导来培养专业精神。
